P6022MAB.000.51S.013 - Injury Management and Worker - S Rehabilitation

KNPC CFP - MAB2 Project
FDH JV Site HSE Manual

Injury Management and Worker’s Rehabilitation
Revision No.: O1, 15-Jan-15
FDH JV CFP
MAB2 Project
Injury Management and Worker’s
Rehabilitation
FDH JV Document Number: P6022MAB.000.51S.013
Please destroy any previous issues
Rev Description Date Made Checked Approved

O1 Issue for Client Comment 15Jan2015 C. Dolman M. Ryken F. Erichson
P6022MAB.000.51S.013 - Injury Management and Worker’s Rehabilitation.docx Page 1 of 14

Table of Contents
PURPOSE ..................................................................................................................................................... 3
SCOPE .......................................................................................................................................................... 3
APPLICATION .............................................................................................................................................. 3
DEFINITIONS ............................................................................................................................................... 3
1.0 PREPARATION .................................................................................................................................. 6
1.1 General ...................................................................................................................................... 6
1.2 First-Aid Kits .............................................................................................................................. 6
1.3 Automated External Defibrillators .............................................................................................. 6
1.4 Emergency Showers and Eyewashes ....................................................................................... 6
2.0 INJURY CARE .................................................................................................................................... 7
3.0 CRITICAL INCIDENT.......................................................................................................................... 8
3.1 Response during the Incident .................................................................................................... 8
3.2 Response Following the Incident .............................................................................................. 8
4.0 CASE MANAGEMENT ..................................................................................................................... 10
4.1 Managers/Supervisors............................................................................................................. 10
4.2 Project Site HSE ...................................................................................................................... 11
5.0 RETURN TO WORK ......................................................................................................................... 11
5.1 Responsibilities ........................................................................................................................ 11
5.2 Liaison with Offsite Healthcare Providers................................................................................ 12
5.3 Return-to-Work Plan ................................................................................................................ 12
6.0 WORKERS’ COMPENSATION CLAIMS MANAGEMENT PROCESS ........................................... 13
7.0 RECORDS......................................................................................................................................... 13
8.0 RESOURCES .................................................................................................................................... 14
9.0 REFERENCES .................................................................................................................................. 14
10.0 ATTACHMENTS ............................................................................................................................... 14

PURPOSE
This procedure defines the requirements for injury management and workers’
rehabilitation for employees working in the FDH JV project site. This procedure
also defines the requirements for the management of the critical incident
recovery process to minimize the negative emotional and physical effects on
personnel following critical incidents.
SCOPE
This procedure includes the following major sections:
 Preparation
 Injury Care
 Critical Incident
 Case Management
 Return to Work
 Closure of Project
 Preparing for Exposure-Based Claims
APPLICATION
This procedure applies to work activities and employees under the control of
FDH JV and its subcontractors.
DEFINITIONS
The following terms and abbreviations, when used in this document and parts thereof, shall have the
following meanings:
Term / Acronym / Explanation / Definition
Abbreviation
Brownfield Areas; Refers to existing KNPC Operational areas that will be governed by
KNPC Safe Work Practices and the Clean Fuels Project FDH JV HSE
Requirements
CFP; Clean Fuels Project
Competent Person; One who is capable of identifying existing and predictable hazards in
the surroundings or working conditions which are unsanitary,
hazardous, or dangerous to employees, and who has authorization to
take prompt corrective measures to eliminate them.
Contractor; All references to Contractor and Contractor employees equally apply
to Subcontractors and Subcontractor employees. Contractor shall
ensure that their Subcontractors are informed of the need to comply
with all aspects of these guidelines.
Critical Incident; Any situation faced by an individual that causes him or her to
experience unusually strong emotional and/or physical reactions that
can interfere with their ability to productively carry on with their
everyday lives and that has a detrimental impact on the efficient
productive operations of the project.
A situation that could adversely affect the project or other areas of the

company such as public perception.

A critical incident is considered a “major event” (refer to Procedure
P6022MAB.000.51S.014).
Critical Incident Management; The professional management of personnel involved in a critical
incident to facilitate their return to work as quickly as possible with the
least emotional and physical effects.
Demobilization, Defusing, These provide opportunities for employees to express feelings, receive
Debriefing; information, and to come to terms with what has happened, at
appropriate times, as and when required.
Demobilization; The first opportunity occurs before returning to the site or home and is
referred to as demobilization.
Demobilization provides an opportunity for employee involved with an
incident to come together as a small group to make an assessment of
their own personal feelings/stress reactions and to deal with them.
During this session, they will gain further information regarding the
status of the incident and possible emotional reactions they may
experience, as well as how to get help.
Defusing; The second opportunity occurs 4 hours after the incident and is
referred to as defusing.
Defusing provides an open and unstructured opportunity for
confidential discussion by employees more seriously affected by the
incident. It allows them to express their feelings and receive the help
and support they may need to encourage the acceptance of what they
have experienced.
Debriefing; The third opportunity occurs within 24 to 72 hours and is referred to as
debriefing.
If the preceding opportunities are in place, then it is likely that
debriefing may only be necessary for a small group of employees.
Debriefing is an intense and more structured form of the defusing
process and will take longer (up to 3 hours or more). It is intended to
further help those who have been involved to gain a clear idea of what
has happened, release pent up emotions, and receive support and
advice.
FDH JV; Fluor, Daewoo E&C, Hyundai Heavy Industries (HHI) Joint Venture;
for the purpose of this document ‘FDH JV’ shall substitute to the
contractual term Company.
Greenfield Area; Refers to new CFP Block Areas that are fenced away from the KNPC
operational areas and will be governed & monitored by the FDH JV
Health, Safety and Environmental (HSE) Management System up to
the Provisional Turnover.
HSE; Health, Safety & Environmental
KNPC; Kuwait National Petroleum Company; for the purpose of this document
‘KNPC’ shall substitute the contractual term ‘Owner’
Mandatory; Refers to specific and prescriptive requirements and practices,
normally detailed in a procedure, which must be complied with during

all phases of the Site Work.

MSC Medical Service Provider
Off-sites; Refers to any construction areas outside of the defined Refinery Sites
or other defined Project worksite areas
Qualified Person; One who, by possession of a recognized degree, certificate, or
professional standing, or who by extensive knowledge, training, and
experience, has successfully demonstrated his/her ability to solve or
resolve problems related to the subject matter, the work, or the project.
Shall and shall not / Must and Signifies a mandatory action required by the Contractor.
must not / Will and will not;
Site; Refers to any work area within the Project Brownfield and Greenfield
areas where CFP work is to be conducted

1.0 PREPARATION
1.1 General
The Contractor must complete an assessment of needs regarding the care of injured/ill
employees and fully implement the programs and processed deemed to be appropriate,
in accordance with Document P6022MAB.000.51S.012, Emergency Preparedness
(Medical, Fire, Chemical, Weather).
To reduce the risk of transfer of infectious diseases, all personnel administrating first aid,
or who have the potential of coming in contact with blood or other potentially infectious
materials while performing their job functions, must follow the requirements in Procedure
P6022MAB.000.51S.036, Blood-borne Pathogens (BBP).
1.2 First-Aid Kits
First-aid supplies must be approved by the FDH JV Medical Service Provider (MSC).
When required on a project, first-aid supplies will be readily accessible for all shifts and at
each required location. If “Site” first-aid services are not immediately available (such as
off-shift, overtime, or remote locations), assign at least 1 person who holds a current first
aid certificate, which is validated by record at training services, to provide emergency first
aid for all shifts and at each required location.
Note: A valid first-aid certificate may be acquired through the FDH JV MSC Site training
organization or from FDH JV approved agencies.
First-aid supplies with BBP kits must be readily accessible to the individual designated to
provide emergency medical response.
A documented, weekly inspection must be performed to ensure that no one has

tampered with supplies — Form HSEF0332 shall be used to document results. Ensure
the kits are promptly restocked when used.
Note: First-aid kits will be checked for a tagged seal; those tags used for fire
extinguisher inspections are acceptable means of complying with the inspection
requirement.
Note: Attachment 01 lists recommended contents for first-aid and BBP kits.
1.3 Automated External Defibrillators
Because the use of automated external defibrillators (AEDs) can save the lives of
workers who experience cardiac arrest while on the job, FD HJV and Contractor shall
ensure this equipment is available at strategic site locations.
1.4 Emergency Showers and Eyewashes
Refer to Procedure P6022MAB.000.51S.031, Rest, Eating, Sanitation and Accomadation

Facilities.

2.0 INJURY CARE
If a work-related injury or illness is incurred:
 If the incident is an emergency, activate the location-specific emergency response system

(for example, dial the FDH JV emergency number).
 Immediately after the incident or exposure, report the injury/illness to the immediate
supervisor.
Note: If unable to inform supervision right away, obtain medical treatment and notify
supervision or management as soon as possible.
 If the Contractor allows, and if the employee, worksite first aider, and manager/supervisor
agree that the injury can be treated at the worksite (that is, one-time, uncomplicated
treatment and subsequent observation of minor injuries such as scratches, cuts, burns that
do not blister, splinters, or similar), the employee may self-treat the injury, as advised and
supported by the Contractor worksite first aider.
 If the employee, worksite first aider, or manager/supervisor determines that the injury
requires medical treatment beyond what can or should be provided at the worksite, or there
is a potential work-related illness with physical reactions (such as headache, burning/watery
eyes, and coughing) the employee must report to the designated onsite Medical facility, i.e.
FDH JV MSC Remote Medical Facility and/or Central Medical Facility.
Note: All potential work-related illnesses with physical reactions (such as headache,
nausea, burning/watery eyes, and coughing) must be reported to the FDH JV MSC.
Contractor shall ensure all injuries, however minor, are reported to the FDH JV MSC and
that the case treatment and disposition is recorded using Form HSEF0199, Daily First-Aid
Record
The MSC shall log the case on Form HSEF0193, Project Incident Log.
 If the injury requires a higher level of treatment, the employee’s supervisor/manager must be
informed and the MSC shall arrange appropriate appointment and transport to an designated
offsite healthcare provider. The employee’s supervisor/delegate must accompany the
injured employee.
Note: The FDH JV HSE Manager, or designee, must be notified and meet the employee
and supervisor at the offsite healthcare provider location. The FDH JV HSE
Manager, or designee, will provide case management services for FDH JV
personnel, as well as—to the extent possible—for contractor/lower-tier contractor
employees.
 When an offsite healthcare provider is seen as a result of a work-related injury or illness, a

written release to return to work (Form HSEF0112, Return-to-Work Notice, or similar) must
be obtained, and supervision or management immediately notified.
 In the event the injury/illness worsens after work hours, obtain treatment then immediately
inform supervision or management.

 Investigate, classify, record, and report the injury in accordance with Procedures
P6022MAB.000.51S.014, Incident Reporting and Investigation, and
P6022MAB.000.51S.016, FDH JV Information Management System.
 Refer to Attachment 02 for a diagram/discussion of the injury care/management process.
Note: Injuries/illnesses that are not work-related should be managed just like a work-
related case, except the documentation should not be on forms required by this
procedure.
3.0 CRITICAL INCIDENT
A “critical incident” is one that involves lost time or is a fatality. A critical incident is considered a
“major event,” and is reported in accordance with Procedure P6022MAB.000.51S.014
3.1 Response during the Incident
The FDH JV Site Manager will initiate the critical incident management process by
notifying the person(s) identified in the Emergency Preparedness Plan (EPP). Refer to
Procedure P6022MAB.000.51S.012.
 The designated person(s) will monitor the “emergency response team(s)” and other
persons involved in the incident, and will activate support personnel as necessary
for those affected emotionally.
 Immediate contact with families of seriously or fatally injured employees will be

established, and support will be arranged.
 Families of employees involved, as well as other workers on site, will be notified of

the status of the incident.
 The communications network identified in the EPP will be activated to enable access
to updated information.
 Before returning to the site, or going home, an information and assessment process
will be facilitated as part of the demobilization process; this will include information
provided to employees and families on the subject of coping with major trauma or a
major personal crisis.
 Persons in evacuated areas will be attended by support personnel to monitor their

emotional responses.
3.2 Response Following the Incident
A. 0 to 4 Hours
 Provide onsite support for all personnel involved.

 If considered necessary by the designated person, arrange defusing sessions.
B. 5 to 24 Hours
 Provide support and information to all employees.

 Report the incident to respective JV Corporate HSE, Business Unit HSE Leads, and
project (or office, as applicable) Business Unit management using Form HSEF0158,
Major Events Report.
C. Short Term or Within 25 to 72 Hours
Where and when required:
 Organize debriefing in conjunction with the support person(s) who will conduct the
sessions. Include all personnel affected (either directly or indirectly).
 Assess psychological state of affected personnel for further counseling and

assistance.
 Issue all personnel information regarding coping with trauma or coping with a major
personal crisis.
 Distribute letters to personnel in the work group (refer to Attachment 03 for sample
letter).
 If employees are hurt, make arrangements with the family and hospital to organize
visits by employees in the work group.
 Should the incident result in a fatality, the relevant FDH JV Human Resources (HR)
Manager must be contacted immediately so that arrangements can be made with
the family to organize death notices/floral tributes, etc. Where practicable, all initial
contact with the deceased employee’s family should be through the relevant FDH JV
HR Manager.
 Provide support (such as childcare services) for all employees/families affected by

the incident.
 Provide further facts to the work group and keep other personnel updated.
 Assist employees to resume work routines as soon as possible.
 Allow time for employees to attend funerals.
 The debriefers/support team will be debriefed.
D. Long Term
As appropriate, the FDH JV Site Manager – in conjunction with the designated person
and support provider(s) – will provide the following:
 Follow-up counseling
 Meetings with all employees
 Contact with families involved

 Liaison regarding funeral arrangements
 Newsletter/letter to families of all employees – should be ongoing, and contribution

from other employees should be encouraged
 Support for key persons such as line management, supervisors, and support
personnel
 Ongoing liaison with outside agencies such as police and welfare
 Memorial services
 Support for debriefing team such as HSE staff and industrial chaplains
 Continuation of adequate counseling and support for affected personnel
 Continual monitoring of the behavior of those affected
 Change of work locations or job offered to affected employees, where warranted and
possible
 Anniversary of the event recognized; consider memorial plaques as appropriate
 Assistance to employees’ families, as required; the family will initially be contacted

every 3 months
 Effect on organization and productivity monitored and appropriate action taken
 Stress management courses offered for affected employees
4.0 CASE MANAGEMENT
Note: The following section – while not mandatory for contractors/lower-tier contractors, unless
otherwise noted – will be of great benefit in the overall process of injury management and
workers’ rehabilitation.
Note: The FDH JV HSE Manager, or designee, must be notified and meet the employee and
supervisor at the offsite healthcare provider location. The FDH JV HSE Manager, or
designee, will provide case management services for FDH JV personnel, as well as—to
the extent possible—for contractor/lower-tier contractor employees.
4.1 Managers/Supervisors
Managers/supervisors should perform the following:
 Notify Project HSE and arrange to meet at the healthcare facility when an employee
has reported an injury or illness.
 Accompany the injured/ill employee to the healthcare facility or local hospital

emergency room whenever the employee is being assessed as a result of an
occupational injury/illness.

 Follow up with the injured/ill employee to ensure reassessments are completed

when scheduled, or earlier if appropriate.
 If an employee seeks offsite medical care, before allowing the employee to return to
work, review the employee’s work release from the offsite healthcare provider.
 If an employee notifies you that he/she is unable to report to work because of a

work-related injury or illness, arrange to meet the employee at the designated
healthcare facility.
 (Mandatory) Notify FDH JV Site HSE Manager, or designee, immediately if there

has been any change in the employee’s treatment, case status, or offsite medical or
chiropractic treatment.
 In conjunction with healthcare providers, request additional medical assessment or

diagnosis of occupational injuries/illnesses, if required.
4.2 Project Site HSE
FDH JV and Contractor Site HSE shall perform the following:
 Meet the injured/ill employee and their manager/supervisor at the offsite healthcare
facility.
 Upon arrival, evaluate the situation and decide if the manager/supervisor may leave.
 Interface with the injured employee and the healthcare provider regarding
return-to-work options.
 (FDH JV Site HSE only) Communicate outcomes of incidents and changes to the
JV Partners Business Unit/Line HSE Lead(s), as required by the respective JV
partner’s corporate HSE Department.
 Maintain and manage incident data retrieval and reporting.
 Administer the workers’ rehabilitation program.
5.0 RETURN TO WORK
5.1 Responsibilities
Consistent with medical advice, employers are required to assist employees to remain in
the workplace or to return to work as soon as possible if injured or ill. This requirement
applies equally to work-related and nonwork-related injuries and illnesses.
Specifically, the requirements usually include, but are not limited to, the following:
 Consistent with medical advice, actions to assist employees to stay at or return to

work are taken as soon as practicable.

 Provided it is safe and practicable to do so, injured or ill employees will be returned
to work in the shortest possible time.
 If this is not possible, the employee will be returned to suitable alternative or

selected duties that do not jeopardize their well-being or the well-being of others.
 Managers and supervisors will assist their employers in meeting these

responsibilities, including where practicable, to immediately report all injuries to their
immediate supervisor.
 The Project Manager and each contractor will appoint a “return-to-work coordinator”
who will act as liaison officer in all rehabilitation cases.
Refer to Attachment 02, Injury Management Process Flow Diagram.
5.2 Liaison with Offsite Healthcare Providers
Initial contact with healthcare providers for rehabilitation or return-to-work plans may be
through the supervisor or project return-to-work coordinator. This is to fully inform the
healthcare provider of the project rehabilitation and return-to-work policy and the
availability of alternate/selected duties for injured employees.
Permission must be obtained from the injured employee on Form HSEF0166, Injury
Management Authorization. Once obtained, the return-to-work coordinator will contact
the healthcare provider to ascertain what restrictions apply in relation to the injured
employee returning to work.
Ongoing liaison for rehabilitation/return-to-work plans will be through the appointed

return-to-work coordinator. An injured or ill employee will be offered alternative/selected
duties in order to keep the employee in the workplace.
Each contractor is required to contact the FDH JV project return-to-work coordinator at

the time of commencing work to explain the contractor’s rehabilitation/return-to-work
program and the availability of alternative duties for their employees.
5.3 Return-to-Work Plan
A return-to-work plan will be established for employees unable to return to work for
5 days or more.
The return-to-work plan will be jointly prepared by the employer and the injured/ill
employee in cooperation with the treating professional.
The return-to-work plan will be approved by the FDH JV Site Manager or designee.
The following details must be included in a return-to-work plan for injured/ill employees:
 Project name
 Project/office address

 Name, address, telephone number, date of birth, and occupation of the injured
employee and the date of injury
 Name of return-to-work coordinator
 Name, address, telephone, and fax number of the primary offsite healthcare provider
 Completed Injured Employee Job Description (Form HSEF0113)
 An Offer of Suitable Employment (Form HSEF0167) at the workplace if the

employee cannot perform pre-injury employment
 Estimated date when the employee will be fit to return to work and the hours of work
 Date the return-to-work schedule will be reviewed
 Details of medical restrictions on capacity to return to work
 Rehabilitation services necessary to facilitate the employee’s return to, or

maintenance at, work following the injury
 Details of other assistance or healthcare services that will be provided to facilitate

the employee’s return to, or maintenance at, work following the injury
 Details of actions taken to reduce the risk of further injury once the employee has
returned to suitable work following the injury
 Signatures of the injured employee and the return-to-work coordinator
Return-to-work plans should be scheduled for review approximately every 2 weeks after
commencement of plan.
6.0 WORKERS’ COMPENSATION CLAIMS MANAGEMENT PROCESS
Each site employer shall be responsible for the management of Compensation Claims in line with
their company’s corporate / procedural requirements.
7.0 RECORDS
Records must be managed in compliance with Kuwait, KNPC, and FDH JV in accordance with
FDH JV Procedure P6022MAB.000.51S.024, Records Management.

8.0 RESOURCES
Related Courses (* denotes courses under development)

HSET227 * Injury Management and Return to Work
9.0 REFERENCES
Document ID Document Title

P6022MAB.000.51S.012 Emergency Preparedness (Medical, Fire, Chemical, Weather)
P6022MAB.000.51S.014 Incident Reporting and Investigation
P6022MAB.000.51S.016 FDH JV Information Management System
P6022MAB.000.51S.024 Records Management
P6022MAB.000.51S.031 Rest, Eating, Sanitation and Accommodation Facilities
P6022MAB.000.51S.036 Blood-borne Pathogens
Forms
HSEF0112 Return-to-Work Notice
HSEF0113 Injured Employee Job Description
HSEF0158 Major Events Report
HSEF0166 Injury Management Authorization
HSEF0167 Offer of Suitable Employment
HSEF0193 Project Incident Log
HSEF0199 Daily First-Aid Record
HSEF0332 First-Aid Kit Inspection Report
10.0 ATTACHMENTS
No. Document No. Attachment Title

01 P6022MAB.000.51S.013a01 Recommended Contents for First-Aid and Bloodborne
Pathogen Kits
02 P6022MAB.000.51S.013a02 Injury Management Process Flow Diagram
03 P6022MAB.000.51S.013a03 (Critical Injury) Sample Letter to Employees
04 P6022MAB.000.51S.013a04 Frequently Asked Questions

Attachment 01
RECOMMENDED CONTENTS FOR

FIRST-AID AND BLOODBORNE PATHOGEN KITS
Contents of Bloodborne Pathogen Kits
Items Required Number Per Kit
Antiseptic wipes 1
Biohazard bag 1
CPR pocket mask, one-way valve, microshield 1
Medical gloves 1 pair
Splash-resistant goggles or faceshield 1
CPR = Cardiopulmonary Resuscitation
Contents of First-Aid Kits

Items Required 10 Pkg 16 Pkg 24 Pkg 36 Pkg
Adhesive bandages, 1 in. (16 per pkg) 1 1 2 2
Bandage compress, 4 in. (1 per pkg) 1 2 3 5
a
Scissors and tweezers (1 each per pkg) 1 1 1 1
Triangular bandage, 40 in. (1 per pkg) 1 2 4 4
Antiseptic soap or pads (3 per pkg) 1 1 1 2
Absorbent gauze, 24 in. x 72 in. (1 per pkg) 1 2 4
Eye dressing (1 per pkg) 1 1 2
Medical gloves 1 1 1 2
Absorbent gauze pads, 4 in. x 4 in. (1 per pkg) 1 2 2 2
b
Self-adhesive rolled bandages, 2 in. 1 2 2 4
Cloth tape, 1 in. 1 1 1 2
Trauma dressing, 8 in. x 11 in. 1 1 4 6
a
Utility shears.
b
Such as KLING or COBAN rolled bandages,
NOTE: As trademarks, if applicable to the process you are using.
Optional kit item: Space/trauma blanket
P6022MAB.000.51S.013a01 - Recommended Contents for First-Aid and Bloodborne Pathogen Kits.docx Page 1 of 1
Attachment 02
INJURY MANAGEMENT PROCESS FLOW DIAGRAM
Person is injured
Report injury to
supervisor
Treatment required No treatment required
Incident Report completed

by supervisor and injured
person. Copy forwarded to Returns to full-time
Site Manager and HSE pre-injury duties
Representative within 24 hours
Onsite first-aid treatment
YES Further treatment NO

required
Supervisor takes injured Returns to full-time

person to healthcare provider pre-injury duties
Treatment required NO Returns to full-time YES

(examination only) pre-injury duties
Injured person completes relevant

YES documentation as soon as practicable
and forwards to his supervisor (with NO
copy to HSE Representative
immediately.
Return to Work NO Supervisor allocates

alternative/selected duties
consistent with medical advice
Supervisor arranges
transport home for
YES injured person and Monitor Progress
transport to work for
next scheduled shift if
required.
Vehicle to be delivered
home if required Medical clearance from
Returns to full-time healthcare provider
pre-injury duties
Returns to work next Returns to full-time NO

YES NO scheduled shift pre-injury duties
YES
YES
Supervisor allocates NO
alternative/selected duties
consistent with medical advice
Healthcare provider, injured person, return-to-work
coordinator, and supervisor develop return-to-work
plan
Monitor progress
Supervisor notifies FDH JV Site Manager

and FDH JV Site HSE Manager immediately
Medical clearance from
healthcare provider
Supervisor initiates full Investigation. Copy report

YES Returns to full-time NO to Site Manager and HSE Representative
pre-injury duties
P6022MAB.000.51S.013a02 - Injury Management Process Flow Diagram.docx Page 1 of 1

Attachment 03
(CRITICAL INJURY) SAMPLE LETTER TO EMPLOYEES
Date_________________
Dear__________________
Yesterday, two of our employees were seriously injured in a scaffold collapse.

A __________, B __________, C __________, and D _________ were involved in this incident during
which a scaffold on the settling tank collapsed. The persons involved, A __________ and B __________,
suffered head injuries and severe lacerations requiring hospitalization. C __________ and D _________
were treated on site by first-aid personnel for minor lacerations and allowed to go home.
I have visited the families of A __________ and B __________ and offered them the assistance and the
support of [insert project name].
Although we know many of our employees will be affected by this incident, it would be best for work
routines to continue as normal as possible, with all attending to work as usual. Reactions of employees
and their families will vary and may include crying, not wanting to talk or wanting to talk, wanting to be
alone, anger, lack of concentration, sleeping, or eating problems. Should you or another employee feel
the need for professional help or counseling, please contact me, the Industrial Chaplain/Support Provider
at [insert telephone number],or Human Resources staff at [insert telephone number]. Alternatively, you
may wish to contact them directly yourself on telephone number:_______________.
The Industrial Chaplain/Support Provider Physician has spoken with our employees today and will be
available for you to contact if you wish. Initial contact may be made through the Industrial Chaplain, HSE
staff, or me. If you prefer, you may contact them directly. This counseling service is free and is intended
to be anonymous for those that wish to use it.
You will receive further information on the welfare of A __________ and B __________ and we hope
theirs will be a speedy recovery.
Yours sincerely,
Project Manager
[Insert project name]
P6022MAB.000.51S.013a03 - (Critical Injury) Sample Letter to Employees.docx Page 1 of 1

Attachment 04
FREQUENTLY ASKED QUESTIONS
FILING A FIRST REPORT OF INJURY
Question 1 An employee is known to have been injured on the job. Does the supervisor file
a “first report of injury”?
Answer Yes.
Question 2 Although the occurrence was unobserved, an employee has an injury that
logically could have occurred on the job. Does the supervisor file a first report of
injury?
Answer Yes.
Question 3 In passing, an employee tells a supervisor of an injury, pain, ache, or condition.

The employee remarks that he/she does not know if it is work-related. Does the
supervisor file a first report of injury?
Answer Not immediately. The supervisor should document the complaint in the
employee’s safety file. If the employee later claims the complaint is work-related,
the employer must file a first report of injury and file it with a copy of the earlier
documentation.
IMPLEMENTING MODIFIED WORK PROGRAM
Question 4 Why should an injured employee return to work if he/she is not 100 percent?
Answer Although an injured employee has temporary limitations, it does not mean that
he/she cannot be a productive and effective worker. By returning the injured
employee to a modified work assignment, it will reduce DART-L cases and
workers’ compensation costs.
Question 5 An injured employee is approved by the healthcare provider to participate in a

modified work program. What happens if the employee refuses to return to
participate?
Answer May result in suspension or loss of workers’ compensation benefits. Complete a

formal, modified work job offer letter and send via certified mail to the employee.
P6022MAB.000.51S.013a04 - Frequently Asked Questions.docx Page 1 of 1

P6022MAB.000.51S.013 - Injury Management and Worker - S Rehabilitation

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KNPC CFP - MAB2 Project

FDH JV Site HSE Manual

Please destroy any previous issues

Rev Description Date Made Checked Approved

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This procedure includes the following major sections:

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company such as public perception.

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all phases of the Site Work.

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1.2 First-Aid Kits

A documented, weekly inspection must be performed to ensure that no one has

1.3 Automated External Defibrillators

1.4 Emergency Showers and Eyewashes

Refer to Procedure P6022MAB.000.51S.031, Rest, Eating, Sanitation and Accomadation

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2.0 INJURY CARE

If a work-related injury or illness is incurred:

 If the incident is an emergency, activate the location-specific emergency response system

 When an offsite healthcare provider is seen as a result of a work-related injury or illness, a

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 Refer to Attachment 02 for a diagram/discussion of the injury care/management process.

3.0 CRITICAL INCIDENT

3.1 Response during the Incident

 Immediate contact with families of seriously or fatally injured employees will be

 Families of employees involved, as well as other workers on site, will be notified of

 Persons in evacuated areas will be attended by support personnel to monitor their

3.2 Response Following the Incident

 Provide onsite support for all personnel involved.

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C. Short Term or Within 25 to 72 Hours

Where and when required:

 Assess psychological state of affected personnel for further counseling and

 Provide support (such as childcare services) for all employees/families affected by

 Assist employees to resume work routines as soon as possible.

 Allow time for employees to attend funerals.

 The debriefers/support team will be debriefed.

 Meetings with all employees

 Contact with families involved

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 Liaison regarding funeral arrangements

 Newsletter/letter to families of all employees – should be ongoing, and contribution

 Ongoing liaison with outside agencies such as police and welfare

 Continuation of adequate counseling and support for affected personnel

 Continual monitoring of the behavior of those affected

 Anniversary of the event recognized; consider memorial plaques as appropriate

 Assistance to employees’ families, as required; the family will initially be contacted

 Effect on organization and productivity monitored and appropriate action taken

 Stress management courses offered for affected employees

4.0 CASE MANAGEMENT

Managers/supervisors should perform the following:

 Accompany the injured/ill employee to the healthcare facility or local hospital

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 Follow up with the injured/ill employee to ensure reassessments are completed

 If an employee notifies you that he/she is unable to report to work because of a

 (Mandatory) Notify FDH JV Site HSE Manager, or designee, immediately if there

 In conjunction with healthcare providers, request additional medical assessment or

4.2 Project Site HSE

FDH JV and Contractor Site HSE shall perform the following:

 Maintain and manage incident data retrieval and reporting.