Entering Injury Details

Sequence

This is a sequential number that the system assigns automatically to differentiate between designates. When you save this record, the sequence number is available in the First Aider Designate field on the 1st Aid page.

Designate

Select the employee ID of the designate.

Date Reported and Time Reported

Enter the date and the time that the injury was reported.

Position Type

The value that you select determines the availability of the remaining fields in the group box. For example, if you select nothing or the Worker's Supervisor type, the system makes the Other Description and 1st Aid Cert Nbr fields unavailable for entry.

Other Description

If you select Other as the position type, enter a description of the designate's position.

1st Aid Cert Nbr (first aid certificate number)

If you select First Aid Attendant as the position type, enter the first aid certificate number for the designate.

First Designate Reported To

Select whether the person is the first designate to whom the injury was reported.

Owner Partner, Partner, Incompetent, and Relation

Indicate the relationship of the person who was notified to the person who was involved. If you select Relation, the associated field is available for selection.

Work Area

Select an option from the values that you set up in the Work Area table.

Timetable

Enter the time of the notification.

Member Of Public and Self-Employed

If the individual who is involved in the incident is a non-employee, indicate if that person is a member of the public or is self-employed.

Incident Type

Select the incident type of the industrial accident:

• PAT: Select to indicate that this is an industrial accident where the person provides the company with a sick note. Additional fields appear in this section when this option is selected.

• RATSB: Select to indicate that this is an industrial accident where the person does not provide the company with a sick note. All other fields in this section are hidden when this option is selected.

Relapse

Select this check box if the industrial accident is a relapse occurrence caused by a previous temporary disability.

Absence Begin Date

Enter the date that the employee begins to be absent from work due to the industrial accident. If this is a relapse occurrence, enter the begin date of the original occurrence.

End Date

Enter the date that the employee's absence from work ends due to a medical discharge or death of the employee. When you enter the medical discharge or death date, the PAT incident becomes a RAF (Relación de Altas o Fallecimientos de accidentados or Relation of High or Deaths of injured) incident.

Accident with sick note

Click this link to access the Detailed PAT Data page, where you must enter details about the employee, employer, and place of accident for the PAT incident.

Medical Discharge or Death

Click this link to access the Detailed RAF Data page, where you must enter the reason for discharge, the injury grade, and the diagnosis code for the RAF incident. The system displays this link when you have entered an absence end date to make it a RAF incident type.

Hiring

Select this check box to indicate that the company at the time of the industrial accident is the hiring company that contracts or subcontracts to the employee.

ETT

Select this check box to indicate that the company is a place of temporary work for the employee.

Place Code

Select the location where industrial accident took place. Valid values are:

• In Itinere: The industrial accident occurred when the employee was going to or returning from the work. By selecting this option, the page displays the Road / KM, Other Data, and Commuting fields.

• Other Work Center: The industrial accident occurred in another work center. By selecting this option, the page displays the External Company and SSN Employer fields.

• Taken Journey: The industrial accident took place during a work hour when the employee was traveling. By selecting this option, the page displays the Road / KM and Other Data fields.

• Usual Work Center: The industrial accident occurred in the employee's usual work center.

The system uses the value of this field to populate the <codigo> tag in the XML file.

SSN Employer (social security number employer)

If the industrial accident occurred out of the employee's usual work center, enter the social security number of the company where the industrial accident occurred.

This field is available when you select Other Work Center from the Place Code field.

Road / Km, and Other Data

Enter the distance or road traveled, as well as other pertinent data about the place where the injury occurred.

These fields are available when you select In Itinere or Taken Journey from the Place Code field.

Commuting

Enter whether the injury occurred while traveling To Work or Back from Work.

This field is available when you select In Itinere from the Place Code field.

Working Hour

If a temporary disability is an industrial accident because the accident occurred at work, select the working hour that the accident occurred. The system displays this field only for PAT incident types, although it does not appear when you select In Itinere as the Place Code value.

Reason Discharge

Select the reason for the discharge. The system populates the <causa> tag in the XML file with this value.

RAF Injury Grade

Select a RAF injury grade to indicate the severity of the injury according to social security administration codes. The system populates the <gradoreal> tag in the XML file with this value.

Diagnosis Code

Select the diagnosis code according to social security administration codes. The system populates the <diagnostoco> tag in the XML file with this value.

Occ Illness Diagnosis Date (occupational illness diagnosis date)

This field is available when the selected injury outcome is illness.

Injury Outcome

Values are Fatality, Health Care Only, Reported Only, and Short Term Disability.

Business Type

Use the values that are approved by the regional WCB office to describe the business type (required).

Empl ID and Non-Employee ID

Enter either an employee ID or a non-employee ID.

Prepare a separate data row for each individual who is connected to the incident.

Role

Select a role for each individual who is identified. Values are Witness or Other Party. The value that you select here affects the availability of fields on the remainder of the page.

Responsible For Incident

If you select Other Party in the Role field, you can select this check box if applicable. Enter additional comment as needed.

Damaged Appliance Indicator

Select to indicate that the injury involved damage to an artificial appliance, for example, eyeglasses, a hearing aid, or dentures.

Worker Supplies Own Equipment

Select to indicate that the injured worker supplies his own equipment.

Nature of Injury

Enter the code that you want to link to a body part. The reason for creating this link is that the BC WCB assumes that the nature of injury is directly associated with some body part.

Body Part Code

Enter the code for the body part that you want to link to the nature of the injury.

To activate the link, save the information that you enter on the Body Parts and Nature of Injury pages, and save the information here.

Unsafe Item

Select an unsafe item code, if applicable. Values come from the DEU Unsafe Item table.

Protective Clothing

Identify the employee's protective clothing at the time of the incident. Insert a new data row for more entries.

Height of Fall

If the individual was involved in a fall, enter the height of the fall in meters.

Accident with sick note

If the accident is a PAT incident type, the system displays the Accident with sick note link. Click it to access the Detailed PAT Data page, where you can specify further details of the PAT incident.

Accident without sick note

If the accident is a RATSB incident type, the system displays the Accident without sick note link. Click it to access the Details RATSB Data page, where you can specify further details of the RATSB incident.

Risk Evaluation

Select this check box to indicate that a risk evaluation has been made at the company where the industrial accident took place. The system uses this value to populate the <evaluacion> tag in the XML file.

Usual Work

Select this check box to indicate that the employee was working on usual work when the industrial accident took place. The system uses this value to populate the <habitual> tag in the XML file.

Place Type

Select the type of place where the accident took place. Define valid values on the XML Code Table page.

Work Type

Select the type of work that the employee was doing when the accident took place. Define valid values on the XML Code Table page.

Task

Select the task that the employee was doing when the accident took place. Define valid values on the XML Code Table page.

Usual Working Tool

Select the category of tool associated with the task that the person was performing when the accident took place. Define valid values on the XML Code Table page.

Cause

Describe the unusual incident that started the accident.

Deviation

Select the unusual incident that started the accident. Define valid values on the XML Code Table page.

Source of Injury

Select the category of the tool that caused the injury. Define valid values on the XML Code Table page.

Contact

Select the type of contact that took place for this industrial accident, such as contact with an electrical arc or dangerous substance.

Unusual Working Tool

Select the category of tool associated with the unusual incident that started the accident. Define valid values on the XML Code Table page.

Multiple Employees

Select this check box to indicate that there were multiple employees involved in the accident.

Witness

Select this check box to indicate that there were witnesses to the accident. When you select this check box, the Witness Data field appears.

Witness Data

Enter details about the witness. The system uses this value to populate the <datostes> tag in the XML file.

Contact

Select the contact type for the industrial accident. The system uses this value to populate the <contacto> tag in the XML file. Define valid values on the XML Code Table page.

Body Part

Select the body part that was affected by the industrial accident. The system uses this value to populate the <partelesion> tag in the XML file. Define valid values on the XML Code Table page.

Injury

Select the injury type caused by the industrial accident. The system uses this value to populate the <tipolesion> tag in the XML file. Define valid values on the XML Code Table page.

First Aider Desig Sequence (first aider designate sequence)

Select a designate (first aider) who treated or assisted the injured or ill person. The available values and sequence numbers come from the Injury Details - Injury page.

How Worker Arrived First Aid

Select the mode of transportation that was used to bring the injured or ill worker to the designate.

How Worker Left First Aid

Select the mode of transportation was used to take the injured or ill person away, if applicable.

Attendant Observe Unconscious

If you select the Patient Fell Unconscious check box on the primary page, then this check box is available for data entry. Indicate that the designate (first aider) observed that the injured person was unconscious at the time treatment was given.

Hours and Minutes

Enter the ambulance transportation time in hours or minutes or both. This is the amount of time that the ambulance took to transport the injured or ill person to the hospital.

Prior Disability and Prior Health Condition

Select the appropriate check boxes to indicate whether the injured or ill person had a relevant prior disability or prior health condition. When you select a check box, the associated Disability or Condition link is available. Click these links to access to the Prior Disability and Prior Health Condition pages.

Nearest Practitioner Distance

Enter the distance to the nearest medical practitioner, if it is known.

Nearest Hospital Distance and Nearest Hospital Name

Name the nearest hospital and enter its distance from the accident site.

Registered at Infirmary

Select if the injured or ill person was registered at an infirmary.

Date and Number

Enter the date of registration in the infirmary and the registration number.

Medical Facility

Select the medical facility to which the injured or ill person was taken. Values come from the Medical Facilities table.

If the injured or ill person was taken to a location that is not a medical facility in the system, then bypass the Medical Facility field, and describe where the individual was taken in the Where Taken field.

Hospitalized for over 24 hours

Indicate if the injured or ill person was hospitalized for over 24 hours.

Nearest Practitioner Distance

Enter the distance from the establishment to the nearest medical practitioner at the time of the injury.

Nearest Hospital Distance

Enter the distance from the establishment to the nearest hospital at the time of the injury.

Nearest Hospital Name

Enter the name of the nearest hospital at the time of the injury.

Type of Disablement

Select if the type of disablement is Permanent Partial Disablement, Permanent Total Disablement, due to an Occupational Disease/Illness, or due to Other reasons.

Disablement Code

If the type of disablement is permanent partial disablement or permanent total disablement, select the appropriate code. Disablement codes are defined on the Disablement Types IND ( Disablement Types India) page.

Pct Loss of Earnings (percent loss of earnings)

The percentage of loss of earnings for the selected disablement code appears. This percentage is defined on the Disablement Types IND page.

Illness

If the type of disablement is an occupational disease or illness, select the type of illness.

Additional Descr (additional description)

If the type of disablement is due to some other reason, enter a description of the disablement type here.

Type (for Job)

Select if the physician recommended an Alternate Job or Light Work.

Start Date

Enter the start date of the alternate job or light work job.

End Date

Enter the end date of the alternate job or light work job.

Type (for Leave Details)

Select if the physician recommended Accident Leave or Special Leave.

From Date

Enter the start date of the leave.

To Date

Enter the end date of the leave.

Employee ID

Select if an employee approved the physician recommendations and select the employee's ID.

Physician ID

Select if a physician approved the recommendations and select the physician's ID.

Approval Date

Enter the date that the physician's recommendations are approved.

Accident with sick note

The Accident with sick note link appears only if the incident type is PAT. Click the link to access the Detailed PAT Data page, where you must enter details about the employee, employer, and place of accident for the PAT incident. The system displays this link only for PAT incident types.

Injury Grade

Select the severity of the injury according to Spanish social security administration codes. Your choices are Low Damage, High Damage, Very High Damage and Death.

Injury

Select the injury for which the person received medical assistance. Define valid values on the XML Code Table page.

Body Part

Select the body part for which the person received medical assistance. Define valid values on the XML Code Table page.

Type of Medical Assistance

Select the whether the person received medical assistance for the injury from a hospital or an ambulatory service.

Get GP Data

Click this button to load the contribution base values from tables in the core Global Payroll application.

Previous Month Base

Enter the previous monthly base amount for a full time employee or the previous three months base for a part time employee.

Contribution Days

Enter the number of contribution days, one month for an employee or three months for a part time employee, previous to the industrial accident. The system uses this value to fill the <dias> tag in the XML file.

Regulatory Daily Basis and Total Daily Regulatory Base

Displays the calculated daily regulatory base by dividing the previous base amount by the contribution days.

Contribution Overtime

Enter the annual contribution base due to overtime. The system uses this value to fill the <b1> tag in the XML file.

OSHA Days Away As Of Today (occupational safety and health administration days away as of today)

Displays the total number of calendar days included in the start and end date periods specified in the Data group box, when the selected type is Away from Work Due to Injury.

For example, if there are two rows set to the Away from Work Due to Injury type, and the specified date periods are Jan 1 through Jan 2, and Jan 5 through Jan 6 respectively. The value displayed for this field is 4.

OSHA Days Restricted/Transferred

Displays the total number of calendar days included in the start and end date periods specified in the Data group box, when the selected type is Temp. Transfer Due to Injury.

For example, if there is a row set to the Temp. Transfer Due to Injury type, and the specified date period Jan 1 through Jan 15. The value displayed for this field is 15.

Payments during disability and Payments Descr (payments description)

Select if the employee is receiving payments and then describe the payments in the Payments Descr field.

Benefits continue

Select if the employee's benefits are continuing.

Last Day Scheduled Start Time and Last Day Scheduled End Time

Record information about lost work time.

Last Day's Wages

Enter the wages of the employee's last day.

Shift Diff Premium Amount (shift differential premium amount)

Enter the amount of the shift differential premium.

Differential Premium Ind (differential premium indicator)

Select the unit of measure for the differential premium amount. Valid values are Day and Hours.

Lump Sum Holiday Pay Received

Select if the employee received lump sum holiday pay.

Holiday Pay Rate % (holiday pay rate percent)

If the employee received lump sum holiday pay, enter the pay rate percentage.

Absent after day of injury

Select if the employee missed work after the injury and then enter the Start Date and End Date for the period of absence.

Off Work Vacation Pay

Select to continue to accrue vacation pay for the employee associated with the work-related incident while he or she is off work.

Customer Cost Center

Enter the employer's Customer Cost Center code that represents the cost center that the individual is in. The Customer Cost Center code is assigned by the WBC in conjunction with the employer and helps to track claim costs at a given organizational level.

Class/Subclass

Select the correct class or subclass for the employee's business unit. Use the proper WCB classification for the business.

Reported only

Last Day's Wages

Class/Subclass

Health care only

Last Day's Wages

Last Work Date Before Injury

Last/Worked

Class/Subclass

Short-term disability or fatality

Last Work Date Before Injury

Last/Worked

Last Day Scheduled Start Time

Last Day Scheduled End Time

Last Day's Wages

Class/Subclass

Payments Continue

If the employee has the right to collect compensation payments, select this check box and enter the date when the payments stop in the Until Date field.

Work After Start

Select this check box if the employee resumed working after an illness.

Work Stop

If the employee no longer works for the organization, select the appropriate work stop time. Values are None, Immediately, Later, and No.

Stop Date

Enter the date when the employee stopped working.

Consequences

Indicate the actions taken by the employer in response to the injury or illness.

Period

Select whether the period of disability for the injured or ill employee is a Permanent Disability or a Temporary Disability.

Amount % (amount percent)

Indicate the estimated degree of disability, which is determined by a doctor or medical specialist.

Notify Date

Enter the date that the employer is notified regarding the employee's disability.

Shift

Select General Shift, Shift One, Shift Two, or Shift Three.

For example, if the organization has a day shift and a night shift, you can use Shift One for the day shift and Shift Two for the night shift. If the organization has more than two shifts, you can use Shift Three, depending on the timing of the shift.

Supervisor ID

Select the employee ID of the employee's shift supervisor.

Start Time and End Time

Enter the employee's shift start and end time.

Days ON and Days OFF

For each shift cycle, starting with the shift cycle start date, enter the number of days that the employee was on and off work.

More than Five Shift Cycles

Select to indicate that there are more than five shift cycles associated with the job.

Short Term Basis

Select if the employee is employed on a short-term basis.

On Call

Select if the employee is employed on an on-call basis.

Less Than Three Months

Select if the employee is employed for less than three months.

Other Employment Service

Select if the employee works for another employment service.

Temporary Basis

Select if the employee is employed on a temporary basis. If you select this radio button, the Start Date and End Date fields become available.

Start Date and End Date

Enter the start date and end date for the employee's temporary employment term.

End Date Unknown

Select this check box if you do not know the end date for the employee's temporary employment term.

Case Number

Enter the official report case number.

Case Officer ID

The case officer ID from the Case Officer Assignment page (for the person who is involved in the incident). Case officers are set up for particular setIDs and locations using the Case Officer Table DEU page. Individuals are designated as case officers on the Employee page. Case officers are assigned to individuals who are involved in incidents by using the Case Officer Assignment page.

Date Filed

Enter the date that the report is filed with the insurer. This information is used in the DEU accident report.

Reject Reason

Select any reason that the insurer gave for rejecting the claim, if applicable.

OSHA Case Nbr (occupational safety and health administration case number)

Enter the case number; the system uses it in the OSHA 200 Occupational Injury and Illness report (OHS001).

Privacy Case

Select to mark the incident as private. This is to comply with an OSHA requirement. Private cases do not display the employee's name on any reports but maintain the name in the system in case it is requested by OSHA.

Date Filed

Enter the date that the reportable case is entered into the OSHA Form 200 Injury and Illness Recordkeeping Log.

Illness Type

If the person has a work-related illness, select an appropriate type of illness. OSHA defines these illness types.

Log Comments

You can enter comments that are exactly the length of the field as it appears on the page. This length matches the length for comments on the OSHA Form 200 Injury and Illness Recordkeeping Log.

Case Number

Enter the case number.

Case Number

Enter the case number.

Inspector Name

Enter the name of the person who is doing the inspection.

Inspector Title

Enter the title of the inspector.

Inspection Date

Enter the date of the inspection.

Inspection Time

Enter the time of the inspection.

Corrective or Preventive Actn (corrective or preventive action)

Select if the inspector has directed Corrective Action or Preventive Action.

Action

Enter the specifics of the corrective or preventive action.

Date of Action

Enter the date by which the corrective or preventive action must be completed.

Officer Responsible

Enter the name of the officer who is responsible for the completion of the corrective or preventive action.

Reported to Empl ID (reported to employee ID)

Select the ID of the employee to whom the injury is reported.

Employer Designate ID

Enter the ID of the person in the organization who received the information about the injured employee.

Dept ID

Select the department ID to which the employer designate belongs.

Insurance Number

Enter the employee's insurance number.

Insurance Date

Enter the effective date of the employee's insurance.

Area Type

Valid values are Rural and Urban.

INSS Type

Valid values are Employee, Medical Doctor, Non-Employee, and Special Security.

Worked Hours

Enter the number of hours this employee worked prior to the injury.

CID Code

Enter the international disease code related to this injury. Valid values are defined in the CID Code BRA table.

This code is used in CAT reporting (BRCAT01 SQR report).

Retired

Select if the employee is retired.

CAT ID and Date

Enter the work risk ID and date.

To add a new row to the CAT Information section, the (CAT) date entered must be later than all the rows that are available. Note that when you delete a row from this section, the system only allows the row with the latest date to be deleted.

CAT Type

Enter the work risk type. Valid values are Death Communication, Initial, and Reopened.

CAT Partial

Select to use only part of the Details BRA page to record CAT information. When selected, the Medical Treatment section, Diagnostic Information and Details fields do not display.

The system generates a mapping error in eSocial if this option is selected.

Certificate of Death

Select if a death certificate has been issued.

eSocial Accident Tp (eSocial accident type)

Accident type eSocial codes are defined on the Accident Type eSocial BRA Page.

Death and Death Date

Select if this injury resulted in a death and enter the date that the death occurred. You must enter a death date if the Death Communication CAT type is selected.

CNES

Enter the code of the National Register of Health Facility (7 alphanumeric characters).

Absence Indicator

Indicate if the worker was on leave of absence as a result of the work accident. This information is used in eSocial S-2210 reporting.

CAT Register ID and CAT Register Date

Enter the work risk register ID and date related to this injury.

Diagnosis Information and Details

Enter diagnosis information of the injury.

These fields appear if the CAT Partial option is deselected.

Date and Time

Enter the date and time when the employee received health care treatment.

Type of Health Care

Select the type of health care that the employee received at the hospital or clinic. Valid values are:

1st Treatment (Physician)

Company Physician

Emergency Care

Family Physician

Further Treatment (Hospital)

Further Treatment (Physician)

Hospital

Ongoing Health Care

Specialist

Physician ID

Select the name of the employee's physician. Once selected, the Organ Statutory, Register Number, Country and State field values of the physician are populated automatically on the page.

Physicians are defined using the Physician BRA (HS_PHYSICIAN_BRA) component.

See Also Defining Medical Services Information

Physician Name, Organ Statutory, Register Number, Country and State

If the physician is not defined in the system, enter this physician information manually.

Medical Facility

Select the medical facility to which the injured or ill employee was taken. Values come from the Medical Facilities table.

CID Code

Enter the international disease code related to this injury. Valid values are defined in the CID Code BRA table.

This code is used in the eSocial S-2210 reporting.

Days of Treatment

Enter the number of days the injured employee received treatment.

Absence Begin Date

Enter the date that the employee begins to be absent from work due to the work accident.

Absence End Date

Enter the date that the employee's absence from work ends due to a medical discharge or death of the employee.

Issued by, Date From, and Location

Valid issued by values are Authority Public, Doctor, Employer, Seg o Dependen, and Union.

Initiative Issued

Values are Court Order, Determined by Supervisory Org, and Employer Initiative (default value).

Job Monthly Pay Rate, Job Rate Code, or Other

Select the monthly salary type that applies:

Job Monthly Pay Rate

Job Rate Code: Select if the monthly salary type should be a specific compensation rate code.

Other: Select if the monthly salary type is none of the above.

Comp Rate Code (compensation rate code)

Select the applicable compensation rate code from the Comp Rate Code table. This field appears if the Job Rate Code option is selected.

Monthly Salary and Currency Code

Enter the monthly salary amount and its related currency. These fields appear if the Other option is selected.