Safe Work Practices
1. I will come to work mentally alert and physically able to perform
all job duties.
2. I will exercise extreme caution when it is absolutely necessary to
walk on a wet or cluttered surface.
3. I will not climb unless I am using a ladder or other appropriate
equipment specifically designed for that purpose.
4. I will not lift any load unless I know it can be done safely.
5. I will immediately report all unsafe conditions to my supervisor.
6. If required, I will wear personal protective equipment.
Follow Safe Work Practices at all times, however, if an injury does
Our First Responsibility Is to Take Care of the Injured Employee!
Employees are to go to the doctor immediately!
DO NOT WAIT TO
SEE IF YOU FEEL BETTER IN THE MORNING!
If the injured
employee must make an
appointment, it should be within the week or they should choose another doctor
that is available to treat him/her as soon as possible.
CALL-IN ACCIDENT REPORT
When an injury
occurs the campus designee (i.e. school secretary or nurse)
not the injured employee should complete the ACCIDENT REPORT
FORM that is required by the Safety Office. It is important to take
time and to describe exactly what happened and why the accident occurred.
accident form should be faxed to the Safety Office at 713-740-4046 before the employee reaches the doctor's office
if at all possible. This report is
PISD's verification that the injury occurred at work. If the form is not
completed at the time of the accident, then call the Safety Office at
713-740-0258 to give them at least the employee's name and type of injury.
The doctor will call
the Safety Office to get approval to see the patient, thus the Safety
Office cannot authorize the visit without
the completed Accident Report.
Information on the
accident report helps the Safety Office in the timely filing of the First Report of Injury.
EMPLOYEES MAY CHOOSE THE
If you are hurt at work and live in the Alliance service area, you are required
to choose a treating doctor from the provider list. This is required for
you to receive coverage of healthcare costs for your work related injury.
A provider listing is available through the Alliance website at
www.pswca.org and a link to that site is also
contained on the Fund's website at
www.tasbrmf.org. It identifies providers who are taking new patients.
your treating doctor leaves the Alliance, we will tell you in writing. You
will have the right to choose another treating doctor from the list of Alliance
doctors. If your doctor leaves the Alliance and you have a life threating
or acute condition for which a disruption of care would be harmful to you, your
doctor may request that you treat with him or her for an extra 90 days.
EMPLOYEE RIGHTS AND
RESPONSIBILITIES UNDER THE TEXAS WORKERS' COMPENSATION SYSTEM
AND ACKNOWLEDGEMENT FORM
Each employee will
receive a copy of the "Employee Rights and Responsibilities Under the Texas
Workers' Compensation System" and the "PISD Safe Work Practices" at the time
they report an injury.
The injured employee
should sign the
Give the employee a
copy of the signed acknowledgement form, keep a copy for your files and send the
original to the Safety Office.
BUILDING Accident Log
Place a copy of
ALL Call-In Accident Report Forms in your Building Accident Log even if
the employee chooses not to seek medical treatment.
DAYS OF ABSENCE
If an employee is absent because of an on-the-job injury, please let the Safety
Office know immediately, as we must report it to the DWC.
The first five days
of an employee's absence from work due to an on-the-job injury shall be drawn
from the employee's accrued time (sick leave, personal leave, and/or vacation).
Once all available leave is exhausted, an employee may be terminated.
PISD'S RETURN TO WORK FORM
As long as an
injured employee is off duty, he/she must make an appointment and come to the
Safety Office weekly.
must bring a doctor's release (work status report) to the Safety Office in the
Administration Building before returning to work.
Please have the
employee ask the doctor's office to fax another copy of the work
status report to 713/740-4046.
A signed copy of the
Return to Work Form will be given to the employee to give to his/her
FMLA & PAYROLL
If you have any questions on how to
enter payroll for Workers' Compensation, please call
If you have any workers' compensation
questions, please call the Safety Office at 713/740-0258.