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▷ ▶ Injured Employees SelectSmart.com free Advice flowcharts and decision trees.
A SelectSmart.com Flowchart by golddust. See golddust's 4me blog page.
Viewed 542 times. Created October 2013.
This SelectSmart.com Advice flowchart, a free online decision tool is a creation of golddust and for amusement purposes only. The implicit and explicit opinions expressed here are the author's. SelectSmart.com does not necessarily agree.
AdviceInjured Employees
By golddust
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Injured Employee Guidance

                 
 
Is it serious enough they need an ambulance?
 
 
 


YES


NO





Call 911 & follow their instructions
If unsure call an owner ASAP
Call the supervisor to inform them of injury claim or to verify details
 
 









Interview employee/witnesses/supervisor for 801 form and accident investigation report. Take pictures and document all visible injuries before if possible.
Interview employee/witnesses/supervisor for 801 form and accident investigation report. Take pictures and document all visible injuries
Ask the employee what they want to do. Do they want to see a doctor?
 
 




YES

NO




Call the owner from above to update them on status of seeking medical treatment. If they didn't go by ambulance, ask the owner if you should be the one to take them to the doctor?
Inform employee of drug and alcohol testing requirements and ask them if anything will show up. Document their responses.
Document everything you have collected from them, and remind them they must report any changes in their condition immediately to you or their supervisor.
 
 

YES

NO







Take employee to Basin Immediate Care. Call ahead and let them know you are coming. When you are there, let receptionist know the employee must be screened for drugs and alcohol. Obtain all copies of releases and restrictions.
Employee is driving themselves or someone else is taking them. Call ahead to Basin Immediate Care and let them know the employee needs to be tested upon arrival.
 
 
 









Was employee given meds that impair functionality?
NO
 
 
 
 

YES

NO







Take employee home. Do not allow them to return to company property to pick up their vehicle. Give employee instructions to report to you the next day to complete modified duty paperwork if they are not released to full-duty without restrictions.
Return to office and complete modified job offer paperwork - have emploeye sign everything and make copies for them. Complete an 801 form and submit to SAIF.
Complete accident investigation report. Issue disciplinary warnings if employee was found to be negligent. Create a WC file and file all documents, forms, etc. together.
File/claim maintenance until claim is closed.