WORKERS COMPENSATION PROCEDURES
By keeping a current workers’ compensation insurance policy and having an injury management system in place, the employer will ensure compliance with the Workers Compensation Act for your State.
WHEN CAN A WORKER MAKE A CLAIM FOR WORKERS’ COMPENSATION?
Workers can make a claim for workers’ compensation if they suffer any of the following, and any one of them results in time off work or requires medical treatment.
- a personal injury by accident arising out of, or in the course of employment, or while acting on the employer’s instructions
- a disabling disease
- a disease contracted in the course of employment, or the recurrence or aggravation of a pre-existing disease where the employment contributed to a significant degree
HOW DOES THE WORKER MAKE A CLAIM?
Initially, the employer should ensure a worker who has been injured receives first aid, reports and records the incident and sees a doctor as soon as possible.To lodge a claim the worker needs to follow these steps to make a claim for workers’ compensation.
Immediately seek first aid and report the injury to your employer.
- As soon as possible, see the doctor of your choice and ask for a First Medical Certificate.
- Fill out a Workers Compensation Claim Form 2B.
- Take a copy of the Certificate and Claim Form, and then give both to the employer.
- The employer then has three working days to pass the Certificate and Claim Form onto their insurer.
- The insurer will notify the worker within 14 days after receiving your claim form. The notification will indicate if the claim has been:
- Held / Pended
ASSISTING THE INSURER
The most crucial way an employer can assist the insurer in managing claims is by immediately providing them with any relevant information they obtain regarding an injured worker. The employer should involve the insurer as soon as possible after the injury occurs.
While the claim is being assessed
The employer may consider paying accrued leave to the injured worker (such as annual or sick leave). They should ask the injured worker first, make it clear this is not workers’ compensation, and that payment of accrued leave or sick leave is a voluntary option until a decision regarding liability is made. If the claim is approved, and payment from accrued sick leave entitlements has been made, these entitlements must be refunded to the employer by the insurer and recredited to the worker.
If the claim is accepted
The employer should begin workers’ compensation payments without delay, consulting with the insurer regarding the amount. Once payments begin, you are required to pay the worker in the usual manner and on their usual payday, unless notified by the insurer to cease payments. If you feel that you may be unable to pay an injured worker’s weekly payments in this manner, you should contact your insurer as soon as possible to discuss what options are available.
IMPLEMENTING YOUR INJURY MANAGEMENT PLAN & RETURN TO WORK PROGRAM
An employer is required to have an injury management policy setting out their organisation’s approach to injury management, and an injury management system describing the steps to be followed if a workplace injury occurs. An employer is also required to develop a return to work program for an injured worker unless the worker has total capacity to return to their pre-injury position.
For more information and templates, see the injury management systems and return to work programs pages under the Returning to Work channel.
The Employer must keep the worker’s position available an employer is obliged to keep an injured worker’s position available during the worker’s incapacity for a period of 12 months. For more information, see the employers obligation on the Workover WA website.