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CITY OF GRAPEVINE ADMINISTRATIVE POLICY
SUBJECT- ON THE JOB INJURIES SECTION. B NUMBER: 5.0
PREPARED BY- Risk Management REVISED DATE: 02/01/2014
PAGE: 1 of 2
PURPOSE
5.1 The purpose of the On the Job Injuries policy is to establish procedures for immediate
medical care for injured workers to ensure the most expedient recovery and return to work
status.
POLICY
5.2 The immediate supervisors of injured workers are to immediately transport the injured
worker to minor emergency facilities if the injury is of a minor nature. The worker may be
taken to:
Grapevine Medical and Surgical Clinic
1501 Northwest Highway
Grapevine, Texas
Or
CareNow
2355 Grapevine Mills Circle East or
5301 William D Tate Ave
Grapevine, Texas
5.3 Should a worker receive an injury of a major nature, the immediate supervisor will
immediately transport the injured worker to the emergency room at Grapevine Baylor
Medical Center or call for an ambulance from the Fire Department through the
Communications Center at the City of Grapevine.
5.4 The supervisor will contact the Department Head and Risk Management of the injury.
5.5 The supervisor must complete the Injury Report form (see Attachment B 5.0—On The Job
Injury Report) to the Risk Management Division. The Injury Report form is also on the
Grapevine Employee Intranet.
5.6 Should the injury result in lost time by the worker, the worker will furnish a physician's
statement outlining the nature of the injury and days to be absent from work.
5.7 The injured worker will report weekly to the supervisor on the status of his injury while
CITY OF GRAPEVINE ADMINISTRATIVE POLICY
SUBJECT- ON THE JOB INJURIES SECTION. B NUMBER: 5.0
PREPARED BY- Risk Management REVISED DATE: 02/01/2014
PAGE: 2 of 2
recovering from related injuries.
5.8 The City of Grapevine may request release of injured worker for light duty and contact the
physician's office to assert what light duty injured worker is capable of based on job
descriptions.
5.9 The injured worker will need to provide to his/her immediate supervisor a physician's
authorization for light duty.
5.10 Upon completion of the limited duty program, the rehabilitated worker will secure release
to return to full active duty and permanent work status, submitting written documentation
to Risk Management and the supervisor of their department.