Form 8/10 - Physician'S Report - Workplacenl - 2015 Page 5
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7Supporting Information
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CONTACT US AT:
VISIT US AT:
workplacenl.ca
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f 1.866.553.5119
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Employers and workers are obligated under the Workplace Health, Safety and Compensation Act to co-operate in the worker's early and safe
return to suitable and available employment with the injury employer. This may involve modified work, ease back to regular work, transfer to an
alternate job, or trial work to assess the worker’s capability.
The worker is responsible for providing the employer's copy of the form 8/10, physician's report, to the employer by the next working day
following the physician's visit. If a worker cannot provide the form in person he/she must contact the employer and provide the information by
telephone, e-mail or fax.
Worker co-operation:
(i)
contact the injury employer as soon as possible after the injury occurs and maintain effective communication throughout the period of
recovery or impairment;
(ii)
assist the employer, as may be required or requested, to identify suitable and available employment;
(iii)
accept suitable employment when identified; and
(iv)
give WorkplaceNL any information requested concerning the return-to-work plan, including information about any disputes or
disagreements which arise during the early and safe return-to-work process.
Employer co-operation:
(i)
contact the worker as soon as possible after the injury occurs and maintain effective communication throughout the period of the worker's
recovery or impairment;
(ii)
provide suitable and available employment. The employer is responsible to pay the worker's salary earned during the early and safe
return-to-work plan. WorkplaceNL will pay the differential, if any, between the salary earned during the early and safe return-to-work plan
and 80% of the worker's net pre-injury earnings subject to the maximum compensable ceiling; and
(iii)
give WorkplaceNL any information requested concerning the worker's return to work, including information about any disputes or
disagreements which arise during the early and safe return-to-work process.
Part of Body
1
Abdomen
11
Face
21
Lower leg
31
Thoracolumbar region
2
Ankle
12
Finger
22
Lumbar region
32
Toe
3
Arm
13
Foot
23
Lumbosacral region
33
Wrist
4
Brain
14
Forearm
24
Lung, airways
90
Other
5
Cervical region
15
Groin
25
Pelvis
6
Chest
16
Hand
26
Ribs
7
Coccyx
17
Head
27
Sacroiliac region
8
Ear
18
Heel
28
Shoulder
9
Elbow
19
Hip
29
Thigh
10
Eye
20
Knee
30
Thoracic region
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Parent category: Medical