Policy Text
University of California, San Francisco
Police Department General Orders
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3.8 Compensation, Benefits and Conditions of Work: Benefits
3.8.14 Worker Safety: On -Duty Injuries/Light Duty (Revised: 7/18/18)
The University of California is concerned about the health and recovery of all personnel injured
on the job. The worker safety policy is to assist in providing a safe work place for personnel by
establishing the process to be followed when employees are in jured on duty.
A. Each member must be alert and dedicated to improving safety. All University personnel
are responsible for contributing to a safe work environment and for promptly reporting to
their supervisors any accident or injury, or any hazardous c ondition or procedure that
affects them, their fellow personnel or the general public.
B. The University of California carries workers’ compensation insurance, which covers
personnel if they are injured on the job. This insurance will pay medical expense s for the
injury and pay the member while off work due to the injury. To receive these benefits, it
is important that personnel report their injury immediately to their supervisor and
accurately describe the circumstances of the injury, including the names of any witnesses.
C. It is the policy of the University to return injured personnel to work as soon as possible
following an on -the-job injury. Although expenses related to on -the-job injuries are
processed through the insurance carrier, the University i s directly responsible for these
costs and will make every effort to assist a member in getting their claim processed
promptly. In order to accomplish this, all personnel must take responsibility for reporting
accidents and injuries immediately.
D. Failure to follow the procedures below can result in a delay or denial of a worker’s
compensation claim. The UCSF Human Resources Disability Management Services
oversees accident reporting and the Early Return to Work program.
1. Employee Responsibility
a. Report the injury/accident immediately to the on -duty supervisor or, if
they are unavailable, notify the Watch Commander. The supervisor will
complete the Supervisor Report of Employee Injury form, with member
input.
b. An employee needing medical atten tion on a new or previous injury must
immediately inform the on -duty supervisor. The supervisor will assist the
injured employee in completing the Supervisor Report of Employee
Injury, Form 71455 -137 prior to the end of the current work shift.
c. Obtain a Medical Return -to-Work Release form from the employee health
physician and inform him/her there may be light duty/modified jobs
available. These jobs may be tailored around individual needs and
restrictions. Return this form to the on -duty supervisor as so on as you
University of California, San Francisco
Police Department General Orders
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return from the medical evaluation. Questions about light duty/modified
work should be referred to the FAS HRSC.
d. Once a physician signs a release allowing a return to work (part -time,
temporary, light duty, or regular work), the injured employ ee must report
to work at the next scheduled shift or as directed by the Division Manager
e. Employees who are unable to perform any kind of work are required to
call in weekly and report their medical status to their supervisor, unless
other arrangements have been made. It is the employee’s responsibility to
supply the supervisor with a current telephone number and an address for
contact.
2. Supervisor’s Responsibility
Personnel injured on -the-job are often concerned about medical care, finances and
job security. A lack of information and a sense of isolation can make job injuries
seem even more frustrating. Supervisors are responsible to ensure personnel
follow the proper procedures, so that claims are processed promptly. Necessary
forms are available from the FAS HRSC. Supervisors are responsible to ensure
that on -the-job injuries and accidents are reported promptly and correctly.
a. When an incident occurs that does not require medical attention other than
first aid:
(1) Instruct the member to follow the procedures outlined in Section
D.1 of this General Order.
(2) Complete the Supervisor Report of Employee Injury form , with the
input of the injured employee. The completed form should be
faxed to UCSF Disability Management Services. The original shall
be routed through the member’s chain of command to the
respective Division Manager. This must be completed within 24
hours of the incident/accident.
(3) Complete a casualty report and route copies to: UCSF Risk
Management, the respective Div ision Manager and the FAS
HRSC.
b. When an injury requires medical attention, the injured employee and
supervisor must:
(1) For emergencies, refer the employee to the UCSF Long Hospital
Emergency Department or the nearest emergency medical care
facility. F or non –emergencies, call the Employee Health Services
clinic to arrange an appointment. After clinic hours, treatments
should be referred to the Emergency Department.
(2) Complete as much as the possible on the Supervisor Report of
Employee Injury form pr ior to the completion of the injured
worker’s shift or no later than 24 hours after the injury. The
completed form should be faxed to the UCSF Disability
Management Services. The original shall be routed through the
University of California, San Francisco
Police Department General Orders
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member’s chain of command to the respect ive Division Manager.
This must be completed within 24 hours of the incident/accident.
This requirement is mandatory because all claims must be
submitted to the insurance carrier within five days of the injury.
(3) Complete a casualty report and route copies to: UCSF Risk
Management, the respective Division Manager