A2234B - REDLINE.PDF

Maricopa County — Formal (2018-04-11)

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MARICOPA COUNTY INTERNAL POLICY
Policy Number: A2234b
Policy Title:
INJURY AND ILLNESS PREVENTION Current Adoption 5-20-2015MM-DD-
Date: YYYY
PROGRAM: INCIDENT/INVESTIGATION
Current 5-20-2015MM-DD-
Implementation Date: YYYY
Board Agenda C-49-15-061-6-00C-
Approved by:
Number: ##-##-###-#-#
BOARD OF SUPERVISORS Original Adoption
5-20-2015
Date:
I. PURPOSE
All accidents that result in injury to workers or damage to property, regardless of their nature, shall be
investigated by the job-site supervisor and reported to Risk Management. The supervisor shall
complete an online claim form within the time frame specified in County Policy A2218 Reporting
Industrial Injury and Illness. The Vehicle Use Permit and Workers’ Compensation (VUP/WC)
Committee shall review Aaccidents and Workers’ Compensation claims shall be reviewed to
determine preventability and to determine if additional practices, new or updated procedures and/or
training need to be implemented to prevent similar incidents.
II. DEFINITIONS Commented [MG1]: Definitions now consolidated in
Part Z of this Policy
A. Equipment accident is any occurrence involving damage to County mechanized equipment or
vehicle, private or public property or involving injury (apparent or non-apparent) to persons
involved
B. Equipment abuse is loss or damage done to any vehicle or mechanized equipment caused by
deliberate or negligent actions involving operation or placement of such vehicle or mechanized
equipment.
C. Bodily injury or illness is injury or illness to any employee or other party that requires treatment
by a medical professional.
D. Property damage is any tangible damage to County or a third party’s property.
E. Preventable is a way to describe an accident or abuse that could have been avoided by the
action or lack of action of an employee.
III.II. POLICY
A. Accidents are investigated to prevent reoccurrence of similar incidents in the future. Events that
must be investigated include:
1. Bodily Injury/ or Illness: An event that results in any bodily harm, including minor harm
that does not require medical attention.
2. Vehicle Accident or Other Property Damage: An event that causes damage to any
vehicle, buildingCounty Facility, or other material, including non-County property.
3. Near Miss: An incident where no property was damaged and no personal injury sustained,
but where given a slight shift in time or position, damage and/or injury easily could have
occurred.
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Policy Title: Policy Number: A2234b
INJURY AND ILLNESS PREVENTION
Current Adoption 5-20-2015MM-DD-
PROGRAM: INCIDENT/INVESTIGATION
Date: YYYY
B. At the scene of an accident or an injury, job site supervisors shall follow these guidelines, when
applicable, to ensure all the necessary information is on the online claim form:
1. Use an unbiased approach when conducting the investigation.
2. Interview witnesses and the injured employees as soon as possible.
3. Conduct these interviews in private and on a one-on-one basis.
4. Conduct a walkthrough of the accident.
5. Take photos or make a sketch of the accident scene.
6. Make note of any hazards that are present and/or unsafe acts that contributed to the
accident.
7. Ensure hazardous conditions are corrected immediately.
C. Job site supervisors should attempt Things to determine answers to the following questions when
investigating an accident or injury:
1. What was not normal or what changed before the accident?
2. Where did the abnormalities occur?
3. When were the abnormalities first noted?
4. How did the abnormalities occur?
5. What was the sequence of events leading up to or involved in the accident?
6. Were there distractions or interruptions involved?
7. Were there any training issues surrounding the incidentaccident?
8. Were multiple tasks being performed?
9. Would a new or modified policy or procedure have addressed this event?
IV.III. VUP/WC COMMITTEE
A. The VUP/WC Committee reviews vehicle- and equipment-related accidents and/or abuse, and
Workers’ Compensation claims. The committee will to determine their root cause and
preventability. The VUP/WC Committee committee will recommend corrective measures,
additional training or modifications of equipment to affected departmentsManagement. The
objective of the accident review process is to reduce vehicle accidents collisions and abuse, and
incidents of workplace injury, and to limit the County’s property damage and worker
compensationWorkers’ Compensation liability.
B. Policies
1. The Vehicle Use Permit (VUP) VUP/WC Committee voting members will consist of the Risk
Management Safety Manager, Safety Specialists and Safety Training and Development
Specialists.
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Policy Title: Policy Number: A2234b
INJURY AND ILLNESS PREVENTION
Current Adoption 5-20-2015MM-DD-
PROGRAM: INCIDENT/INVESTIGATION
Date: YYYY
2. All departments are invited to attend at their discretion.
3. All members must be chargeable-accident free for a prior three-year period. Any member of
the VUP/WC cCommittee who is found chargeable for an accident shall be removed from the
committee.
4. The VUP/WC cCommittee shall review all vehicle and equipment accidents and abuse cases
except in cases where MCSO Officers are involved in law enforcement duties other than
routine patrol and training, in which case the accident is referred to the MCSO Review Board.
5. The VUP/WC cCommittee only determines preventability and root cause, not overall liability
of the case.
6. The employee or the employee’s director Appointing Authority may appeal the VUP/WC
Committee’s decision concerning preventability of the incident to a panel consisting of athe
Human Resources designee Director, the Risk Management Director and the County
Manager, or their designees, none of whom may have served as a VUP/WC Committee
member for the initial investigation. Each panel member shall render a decision on the appeal
and the majority decision shall be final.
C. Responsibilities
1. Review Board
The VUP/WC Committee is established to review the facts of incidents, determine root
causes and vote on preventability. The VUP/WC Committee will exercise reasonable
judgment to determine preventability, and safety and loss prevention recommendations.
2. Risk Management Safety Division
a. Conducts preliminary investigations and secures information for the VUP/WC Committee.
b. Prepares agenda for the VUP/WC Committee hearing.
c. Provides the VUP/WC Committee findings to the department director Appointing
Authority of the department where the accident occurred within one week after the
review.
D. Procedures
1. The VUP/WC Committee will meet monthly.
2. Each VUP/WC committee member will vote on whether an incident is Preventable. The
majority vote shall prevail.
3. The VUP/WC committee will then place the Preventable incident into a category, as
described in Section VII, and will make specific safety and loss prevention recommendations.
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Policy Title: Policy Number: A2234b
INJURY AND ILLNESS PREVENTION
Current Adoption 5-20-2015MM-DD-
PROGRAM: INCIDENT/INVESTIGATION
Date: YYYY
V.IV. CHARGEABLE ACCIDENT RISK CATEGORIES
A. The Chargeable Accident Risk Categories listed below are provided as a tool to help classify the
severity of the incident. This classification assists managers throughout the County maintain
consistency when determining appropriate disciplinary action.
1. First accident, minor in nature, involving no injuries of any kind, and cumulative damages less
than $2,000
2. Multiple accidents within a three-year period beginning with the date of the first chargeable
accident
3. Accident with personal injuries of any kind and/or property damage in excess of $2,000
4. Accident involving unreasonable safety conduct and/or disregard for County policy and
procedures
VI.V. INDUSTRIAL ACCIDENTS AND INJURIES
A. Risk Management's primary Workers' Compensation responsibilities are as follows:
1. Fund Workers' Compensation benefits through the County's self-insurance trust fund
2. Manage claims administration
3. Evaluate and initiate cost containment programs
4. Provide loss control and claims data to County departments
5. Manage defense counsel
6. Pursue recoveries from parties that contributed or caused injury to covered persons
B. Who Is Covered
1. Workers' Compensation benefits are provided pursuant to Title 23 of the Arizona Revised
Statutes. The statute covers County employees and volunteers (under certain circumstances)
and is the exclusive remedy for County employees injured in the course and scope of their
employment.
2. Direct any questions regarding the scope of Workers' Compensation coverage to Risk
Management.
C. Reporting Industrial Injuries
1. Medical care should be sought for all employee injuries requiring immediate medical attention
at a County authorized medical care provider. Contact the department’s HR representative
or, a supervisor, or consult one of the posters located throughout the County that provides
directions to the nearest medical facility.
1.2. .Where possible, the injured worker shall completed their portion of the Physician’s Report of
Industrial Injury prior to giving it to the physician
3. All incidents of work related injuries must be investigated and documented.
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Policy Title: Policy Number: A2234b
INJURY AND ILLNESS PREVENTION
Current Adoption 5-20-2015MM-DD-
PROGRAM: INCIDENT/INVESTIGATION
Date: YYYY
2.a. The injured employee’s supervisor should contact Risk Management and their Human Formatted: Numbered Paragraph a
Resources (HR) Liaison to advise them of the injury as soon as possible.
3.b. Supervisors are also requiredshall complete the online claim form within 24 hours and
submit it to Risk Management.
4. It is the Supervisor’s responsibility to complete the form and notify their Human Resources
Liaison.
5.c. Injuries classified as more serious than first aid must be recorded on the Risk Formatted: Numbered Paragraph a
Management OSHA 300 log and retained for five years
6.d. Each Department’s HR Liaison will receive a completed OSHA 300A summary prepared
by Risk Management to post on the official department bulletin board from February 1
through April 30 of each year. The original form(s) shall be retained for five years
following the creation of the record.
7.4. Fatalities must be reported immediately to County Risk Management who will then notify the
Arizona Division of Occupation Safety & Health (ADOSH). Reporting requirements:
a. Work related fatalities must be reported within eight (8) hours after the death of the
employee to the Occupational Safety and Health Administration (OSHA), U.S.
Department of Labor.
5. Work related hospitalization, amputation or loss of an eye must be reported within twenty-four Formatted: Numbered Paragraph 1
(24) hours after the in-patient hospitalization.
6. All reports must be made to their respective authorities in the manner as required by Formatted: Outline numbered + Level: 3 + Numbering
regulation or law. Style: 1, 2, 3, … + Start at: 1 + Alignment: Left + Aligned
at: 0.5" + Tab after: 0.75" + Indent at: 0.75"
c. Fatalities, inpatient hospitalizations, amputations, or loss of an eye must be reported
using one of the following methods:
i. By telephone or in person to the ADOSH Area Office that is nearest to the site of the
incident.
ii. By telephone to the ADOSH toll-free central telephone number.
iii. By electronic submission using the reporting application located on ADOSH's public
Web site.
d. Required information that must be included in the report to OSHA:
i. The establishment name
ii. The location of the work-related incident
iii. The time of the work-related incident
iv. The type of reportable event (i.e., fatality, in-patient hospitalization, amputation, or
loss of an eye)
v. The number of employees who suffered a fatality, in-patient hospitalization,
amputation, or loss of an eye
vi. The names of the employees who suffered a fatality, in-patient hospitalization,
amputation, or loss of an eye
vii. The reporting contact person phone number
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Policy Title: Policy Number: A2234b
INJURY AND ILLNESS PREVENTION
Current Adoption 5-20-2015MM-DD-
PROGRAM: INCIDENT/INVESTIGATION
Date: YYYY
viii. A brief description of the work related incident. Commented [MG2]: Removed specifics as the
method and content of the report are controlled by
OSHA and ADOSH, and subsequent changes to their
8.7. Medical care should be sought for all employee injuries requiring immediate medical attention procedures could result in policy being incorrect.
at a County authorized medical care provider. Contact the department’s HR representative, a
supervisor, or consult one of the posters located throughout the County that provides
directions to the nearest medical facility.The VUP/WC Committee shall conduct its review as
stated in § III above.
9. The injured worker shall completed their portion of the Physician’s Report of Industrial Injury
prior to giving it to the physician.
VII. EMPLOYEE INJURY REVIEW
A. The employee’s supervisor shall conduct a subsequent accident investigation. Additional facts
gathered by Risk Management will be used to determine the root cause of the injury.
B. Risk Management and the monthly Workers’ Compensation review committee will determine
preventability and recommend corrective action to the employee’s management regarding
training, procedural changes, use of equipment, etc. as required. Commented [MG3]: Consolidated to one sentence
referencing the VUP/WC committee paragraph.
VIII.VI. SAFETY INSPECTIONS
A. Policies
1. The Injury and Illness Prevention Plan policies require that Aall work units shall conduct and
document monthly safety inspections. These inspections should identify any hazards and
provide evidence that these hazards are tracked and needed corrections are completed.
2. The Job site supervisors have primary responsibility for inspection of the work area and
correction of any unsafe conditions or unsafe work practices. Supervisors may conduct the
inspections themselves or designate a trained individual to do so.
3. The Risk Management Safety Division has secondary responsibility for inspection and will
provide resources for training or specialty inspections.
B. Process
1. Supervisor
a. Conducts the monthly inspection or periodically accompanies the designee on inspection
b. Corrects the findings in a reasonable time period and documents corrections
c. Contacts Risk Management Safety Division if the inspections cannot be completed or
additional review is needed
d. Incorporates changes to eliminate safety problems, and shares practices with other
departments to achieve best practices
2. Safety Division
a. Periodically inspects County facilities and work areas for compliance with applicable rules
and regulations regarding fire hazards, unsafe conditions/practices and security.
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Policy Title: Policy Number: A2234b
INJURY AND ILLNESS PREVENTION
Current Adoption 5-20-2015MM-DD-
PROGRAM: INCIDENT/INVESTIGATION
Date: YYYY
b. Inspection findings will be sent to the department director, supervisor and facilities
management for the area where the hazard exists.
IX.VII. WORKPLACE SECURITY
It is the County's policy to prohibit conduct that creates a threatening or intimidating work
environment. All employees are responsible to ensure that the workplace is free from conduct or
activities that are or may be perceived as threatening to an individual's physical safety. Refer to
County Policy HR2408 Recognizing and Reporting Threats and Violence in the Workplace for further
direction.
Formatted: Font: Not Bold
A. Policies
Formatted: No bullets or numbering
1. It is the County's policy to prohibit conduct that creates a threatening or intimidating work
environment. All employees are responsible to ensure that the workplace is free from
conduct or activities that are or may be perceived as threatening to an individual's
physical safety. Employees are prohibited from engaging in the following conduct through
any method or means, including telephonic or other electronic equipment, in the
workplace (See Policy HR2405, Employee Workplace Concerns; HR2406, Workplace
Professionalism: Avoiding Harassment and Discrimination and Policy A1609, Acceptable
Use of County Technology Resources):
a. Any threat, verbal or physical, or any behavior that has the effect of creating a
hostile or intimidating work environment.
b. Inappropriate behavior that adversely impairs work performance, creates fear, or
impairs the ability of other employees to function effectively.
2. No employee shall in any way disable or render ineffective any security equipment or
device which has been put in place for the safety, protection or other benefit of County
employees and citizens. For example, employees shall not open security doors, tape
over locks or disable alarms or safety devices, etc.
B. Procedures
1. The following shall apply when there is reason to believe that a violation of this policy has
occurred whether involving employees, contractors, contract employees, volunteers or
visitors:
a. The employee shall immediately report the incident to a supervisor.
b. The supervisor shall consult with the Human Resources manager.
c. Human Resources shall consult with MCSO or Protective Services to determine
if law enforcement intervention is necessary.
2. If there is an immediate need for law enforcement intervention, call 9-1-1. Nothing in this
policy is intended to discourage immediate direct contact with MCSO or Protective
Services if the employee believes that is the appropriate course of action.
3. Employees involved in civil or domestic disputes may occasionally find it necessary to
seek an order of protection, injunction prohibiting harassment or some other form of civil
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Policy Title: Policy Number: A2234b
INJURY AND ILLNESS PREVENTION
Current Adoption 5-20-2015MM-DD-
PROGRAM: INCIDENT/INVESTIGATION
Date: YYYY
remedy. When applying for these forms of legal protection an employee should include
the address of their County workplace in addition to their own residence. An employee
who obtains such a court order shall, as soon as practicable, inform their supervisor of its
issuance and may provide the supervisor with a copy of the document so that it may be
readily accessible.
4. The duty to report violations of this policy is an obligation of all employees. Retaliation will
not be tolerated. Knowingly providing false information in respect to a complaint may,
however, result in disciplinary action.
5. Reports of possible violations will be investigated expeditiously. The threat potential will
be evaluated and appropriate corrective action will be taken.
Revision History
Version Revision Date Description of Revision
1 20 May 2015 Initial version. (C-49-15-061-6-00) Formatted: Centered
2 MM-DD-YYYY Modified the review committee to combine services of VUP and Workers’ Formatted: Centered
Compensation incident reviews. Redefined membership of the Committee
and clarified procedures for the Committee. Removed § IX Workplace Safety
which is replaced by County Policy HR2408 Recognizing and Reporting
Violence in the Workplace (C-##-##-###-#-##).
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