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Work Related Injury & Illness Procedures
1.Be sure that First Aid is given.
2.Discuss with the injured whether the first aid is adequate or further treatment is necessary.
A) If the patient thinks further treatment is needed, go to Step #3.
B) If you think the patient needs further treatment, go to Step #3.
C) If you both agree that first aid is all that was needed, do not go to step #3
3. See that the injured is taken to Kaiser Occupational Medicine (See flyer with addresses and phone numbers of the various locations; have someone accompany them if possible.
Sacramento
| Facility | Address | Phone |
|---|---|---|
| Occupational Medicine Department | 2016 Morse Avenue | 973-5499 |
| Emergency Room | 2025 Morse Avenue |
973-6000 |
| Urgent Care Clinic | 2025 Morse Avenue | 973-5264 |
| WORKERS COMP FORMS TO COMPLETE: | ||
| Employers Report of Occupational Injury Form | Download | |
| Workers Comp. Claim Form (DWC1) | Download | |
South Sacramento
| Facility | Address | Phone |
|---|---|---|
| Occupational Medicine | 6600 Bruceville Road | 688-2644 |
| Emergency Room | 6600 Bruceville Road | 688-2535 |
| Urgent Care | 6600 Bruceville Rd, Medex II Bldg. | 688-2040 |
| Advice Nurse | N/A | 688-2106 |
| WORKERS COMP FORMS TO COMPLETE & SUBMIT TO HR:: | ||
| Employers Report of Occupational Injury/Illness | Download | |
| Workers Comp. Claim Form (DWC1) | Download |
4.Submit the forms to Lisa Sorvari Human Resources Manager, 278-5484 right away; deadline is 5-day post accident.
5. Workers’ Compensation Carrier is: Sedgwick Risk Services
PO Box 3170
Rancho Cordova, CA 95741
851-8058
6. Do not permit the employee to return to work without a visit verification form from Kaiser. The Kaiser visit verification form will stipulate any necessary work restrictions, so make sure all recommendations are followed. If any work modifications are required, please make them.
Important Safety Notice
For those injuries which result in hospitalization or death, CAL OSHA must be called within eight (8) hours in addition to Sedgewick Report the injury to CAL OSHA at 1-800-263-2800. Immediately, notify Executive Director Pat Worley (w)=278-7290, (h) =(530) 647-0712 as well as Lisa Sorvari Human Resources Manager, 278-5484.
