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Copaii train the supervisor module 09.27.10
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Transcript of Copaii train the supervisor module 09.27.10
City Of PhiladelphiaAccident, Injury & Illness Report
City of Philadelphia Office of FinanceRisk Mgmt. Division
COPA II
Today’s Goals
• Introduce the COPA II form
• Provide training on how to properly complete the COPA II form
• Demonstrate the importance of properly & completely completing the COPA II
COPA II – Information/Specifics & Fundamental Cause
Department’s Top 3 Causes & Goals
1. Overexertion
2. Motor Vehicle Accident
3. Fall Same Level
City of Philadelphia Policy
• Obtain referral slip from supervisor• Obtain copy of encounter form from the CMP• Not provide private insurance to the CMP• Other responsibilities & procedures in SMILE
Guide
Employees must (Covered in SMILE Guide):• Report the injury/illness to their immediate
supervisor at time of injury
City of Philadelphia Policy cont.
Departments are to:• Immediately report all injuries to the City’s Third
Party Administrator (CSI)• 1-866-IOD-Claims or 1-866-463-2524
• Complete and submit injury report (COPA II) to Departmental Safety Office within 48 hrs.• Phone #: 1-866-463-2524• Fax #: 215-587-1270• Address: P.O. Box 58579
Philadelphia, PA 19102
Getting Started with COPA II
• Immediate supervisor is responsible for completing the COPA II report w/ input from injured employee
• Complete COPA II immediately after incident
• Review & complete all areas of the report
The Report
Part I – Identification
Part II – Description
Part III – Motor Vehicle Accident/Crash
Part IV – Signatures
Part V – Fundamental Causes & Corrective
Action
COPA II is divided into 5 parts:
Part I: Identification
Indentification Information
Obtain the employee’s current information
• No nicknames or abbreviations
• Get CURRENT address , job title, etc
• Get CURRENT contact information
• Verify payroll number
Incident Type• Injury
– any wound or damage to the body resulting from an event in the work environment
• Illness– Adverse reactions resulting from an exposure to a
substance or environmental condition– both acute & chronic illness
• Near Miss– A “near miss” is an event that could have resulted in an
injury.
Indentificaion Information
• Job Title vs. Job title at time of injury• Work Assignment
• Routine, Non-routine, Emergency
• Immediate Supervisor vs. Immediate Supervisor at the time of the injury
• Witness Info– Get full names & job titles for all witnesses– Get contact information for all witnesses
Location of Incident
• Location (Inside)– Address– Location in Building
• Where (Outside)– Closest address or intersection– Normal work area or type
Example: Part 1
Part II: Description of Incident
Accident Type/Section 30
Body Part Effected
• Section 31: List body part(s) injured
Incident & Treatment Description
• Section 32: Give detailed description of the incident– Interview the employee & witnesses
• Section 33: Provide information on medical treatment– First Aid: give type– CMP or Other: Date & Site
Example: Part 2
Part III: Motor Vehicle Accidents/Crash
Motor Vehicle Accident/Crash
• D.C. Number– Get this from Police Report
• A.I.D. Number– Get from Police Dept is A.I.D. is involved
• Vehicle Property Number– Vehicle property # may be the only info available
when initially completing this form.• Don’t forget! Complete the City’s Accident
Report form in addition to COPA II
Part IV: Signatures & Date
• Required:– Employee– Immediate supervisor on duty– Unit Supervisor– Dept. Safety Officer
• Optional:– DC 47 Release
• DC 47 Members Only
Signatures
Part V: Fundamental Cause & Corrective Action
Fundamental Cause & Corrective Action
• Left column has four main categories for fundamental causes– You can choose multiple entries from each
category
• Identify factors that contributed to incident– Think about the incident & its root causes
Example: Part 5
Identify Possible Corrective Actions:“Correcting the Root Cause”
Possible Corrective Actions (right column):•Provides guidance to eliminating or reducing the hazards identified as the “Root Cause”•Address all “Root Causes” identified & list in Section 47.
Corrective Actions – Do’s & Don’ts
Example:A worker, parks a large truck on the road side to start the job. As he exits the truck, he steps on the curb and twists his ankle.
Don’t Recommend:• “Be more aware of your surrounding”• “Watch where you’re going”• “be more careful”Do Recommend:• Train the employee on proper lifting technique.• Provide a cart for transporting file boxes.
Example: Part 5
Fundamental Cause & Corrective Action
• The last section is the date corrective actions were implemented
• Don’t wait until corrective actions are implemented before submitting COPA II
– If necessary, resubmit after implementation of corrective actions
Fundamental Causes? (Give the letters)
What are the Correction Action?
QUESTIONS?QUESTIONS?