INCIDENT/INJURY/SPILL   INVESTIGATION   REPORTS


 

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Injury Case Management Procedures

- How To Manage Different Types of Injuries -


 

Incident/Injury Reporting Steps To Be Completed By the Manager / Supervisor:

 

Step 1

Company Report

As soon as possible the First/Initial Report of Injury and/or the Auto Accident Report should be completed with the injured employee. 

 

NOTE: Managers/Supervisors are responsible for completing a Root Cause Analysis (click HERE for form).  The safety department is available, upon request, to facilitate the RCA Investigation.

 

Step 2

State Workers' Compensation Report

Fill out the appropriate Workers' Comp Form below:

     Louisiana WC Form

     Alabama WC Form

     Florida WC Form

     Georgia WC Form

     Mississippi WC Form

 

Step 3

Employee Incident Accountability Form

The supervisor/manager should assist the employee in filling out this form and both agree on corrective action needed to prevent recurrence.

     Accountability Form

    

Step 4

Doctor Return To Work Slips

Make sure EACH & EVERY TIME employee goes to doctor (should be the company physician) that he/she returns with a Return To Work Slip

 

NOTE:  The employee may be referred to a specialist by the company physician.

 

Fax or email a copy of ALL reports and Return To Work Slips to the corporate safety director ASAP. 

NOTE:  ALL reports and medical records (including originals) should be forwarded to corporate headquarters in Gretna, LA.  Locations SHOULD NOT copy nor keep any of these CONFIDENTIAL records at the local level.

 

IN THE EVENT OF A SPILL/RELEASE COMPLETE THIS FORM.

 

EMAIL: GREG SAVOY  CELL PHONE:  (504) 400.1058 7/24/365

FAX:  (504) 374-9590


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