Worker's Comp Tasks Recommendation

EHS/Sedgwick; When the C-4 is called in,

Strabucks provides all of the necessary
Completing the C-3 Form (may be state
information to complete the C-3 to Sedgwick
specific)
(if needed)

EHS; Allows for continuity of reporting. EHS is

directly involved in the incident reporting
Calling in the C-4 Form to Sedgwick process, aware of the validity of the claim,
occupational appointments, etc.

EHS is lead with PRO support; EHS provides

initial notification and case information to risk
(incident summary, restrictions, lost time,
Notifying Risk Management of new WC validity, etc.); PRO supports by providing
claims follow-up information as needed to the
Sedgwick claim rep (punches, pay rate, etc.)

PRO leads with support from EHS and business

Drafting the Modified Duty Offer Letter
(may be state specific)
leaders; After the business, EHS and PRO have
discussed the light duty, PRO drafts the letter
and sends to the leader to administer. This
provides record-keeping continuity for
workplace accommodations. EHS informs PRO
of updated/ongoing restrictions through the
duration of the claim.

EHS; As the primary POC for the occupational

Communicating  WC work restrictions doctor, they are aware of the most current
(documentation) with risk management restrictions, treatment plan, and
and business leaders questions/concerns.

EHS; Since EHS has a thorough understanding

of each incident as well as the most current
information from the occupational doctor,
they are in the best position to relay
Coordinating WC updates/questions with information or escalate concerns from the site.
risk management, business leaders, etc. Partner resources provides basic partner care
and acts as a liaison for partner
questions/concerns regarding their claim.

EHS/Business Leader; Schedule appointments

based on their availability to attend. Partners
Scheduling appointments with the should be scheduling ongoing/ follow-up
occupational provider appointments outside of their normal work
hours.
 EHS attends initial WC appointment if they are
available; EHS maintains the OSHA log; sends
out recordable one-pager to network. PRO
assists partners with Sedgwick if there is a
delay in response or if they have questions
that the case manager is not resolving. EHS
maintains WC notes, records in a secure file
Other Responsibilities? until closed or employment ends.

Comments

Key
EHS
PRO
Mixture
Partner
Sedgwick
Business Leader
 KFP YRP SRRP
N/A N/A Sedgwick

EHS Manager – Our comparable EHS EHS

form is WA State Self Insurer
Accident Report (SIF-2)

EHS EHS Sedgwick

PRO; We utilize the Activity PRO/EHS/Business Leaders EHS/PRO

Prescription Form (APF) for work
restrictions/modifications to
complete the modified letter

EHS Manager (However, EHS, EHS EHS/PRO

PRO and Business leader meet to
confirm we can accommodate
restrictions)

EHS EHS ?

Partner EHS PRO

EHS updates OSHA Log PRO assists partners with EHS attends initial WC
Sedgwick if there is a delay in appointment
response or if they have
questions that the case manager
is not resolving.

For Kent, we lean on our EHS It is incumbent for us to be the

manager to report and work with ones handling everything and
Risk Management. A having to find out information
disadvantage of EHS managing with delays.
the process is PRO doesn’t always
know if the partner is being
followed up with. Also, we have a
newer EHS manager and
coordinator, so confirming that
the appropriate steps and partner
care are being provided is still a
learning curve. We have another
new EHS coordinator starting
soon, so PRO plans on working
the EHS team to confirm roles
and responsibilities.
 CVRP ASP EF
Sedgwick N/A EHS

PRO PRO or Supervisor Supervisor

PRO PRO PRO

PRO/ Business Leaders N/A PRO

PRO PRO/Supervisor PRO

PRO PRO PRO

PRO Partner EHS

EHS attends initial WC
appointment if they are
available; EHS maintains the
OSHA log; sends out recordable
one-pager to network. PRO
assists partners with Sedgwick if
there is a delay in response or if
they have questions that the
case manager is not resolving.
While it is important that we
have ongoing awareness of WC
cases, we are often the "middle
man" when relaying information
even though we are not directly
(primarily) responsible for
handling the incident
investigation or relationship with
the occupational doctor; we are
a support function.
Having the supervisor call the
information into Sedgwick is the
preferred way as they have the
first hand knowledge into the
incident and can answer any
additional questions that
Sedgwick may ask.  Pro handling
the communication with Risk
Management has worked well
since we have rotating shifts.
EHS attends initial WC
appointment if they are available;
EHS maintains the OSHA log;
sends out recordable one-pager to
network. PRO assists partners
with Sedgwick if there is a delay in
response or if they have questions
that the case manager is not
resolving. PRO maintains WC
notes/file records in a secure file
until closed or employment ends.
Having the supervisor call the
information into Sedgwick is the
preferred way as they have the
first hand knowledge into the
incident and can answer any
additional questions that
Sedgwick may ask.  Pro handling
the communication with Risk
Management. Future Request:
Supervisor provide positive
partner communication/care until
partner returns to full duty.