Injury Reporting Guidelines

PROCEDURE FOR INJURED EMPLOYEES O ok! -> -> -> -> -> 6, Upon doctor's release from injury, return to regular duties fulfilled prior to injury or equivalent. 4 Notify your supervisor. If your supervisor is not available, notify other management right away. 3. Complete an Injury Report and DWC-1 forms and submit to If medical attention beyond First Aid is required, receive authorization from your supervisor (medical slip) to visit a medical facility. Continue to receive medical treatment and submit all diagnosis reports to your supervisor. SEEK MEDICAL ATTENTION. your supervisor. WHAT TO DO IN CASE OF AN INJURY 2 3 5. Depending on level of injury, determine if designation of "Light Duty Work’ is necessary. Escort injured employee to a medical facility if required. Receive Injury Report, DWC-1 and Witness Statement forms. Upon doctor's release, place employee back to regular duties. ASSIST WITH SEEKING OF Complete Supervisor's Injury Report. MEDICAL ATTENTION. ok! -> -> -> -> -> OPROCEDURE FOR SUPERVISORS *CHECK WITH YOUR SUPERVISOR OR THE HR DEPARMENT FOR THE LOCATION OF ALL REQUIRED FORMS **ALL SUPERVISOR'S ARE RESPONSIBLE FOR CAREFULLY MONITORING INJURED EMPLOYEES UNTIL THEY ARE RELEASED BY THE DOCTOR INJURY REPORTING PROCEDURES FOR EMPLOYEES WORKING AT WOONGJIN CHEMICAL AMERICA INC.'