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<TabAccordionItem ID="x10740" Name="ACCITEM: Supervisor" IsComponent="true" Changed="20241224T17:23:58" Created="20190215T23:26:56" Locale="en-us" Published="20260606T23:17:48" SiteBaseUrl="https://www.unr.edu" XPowerPath="/Division Components/Administration and Finance Components/BCN NSHE Components/ACC: HRSS - WC Responsibilities/ACCITEM: Supervisor" Expanded="20260609T08:05:25">
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  <Title type="string" UID="0b38914590e54d42a3385a369d47a083" label="Item title" readonly="false" hidden="false" required="true" indexable="false" openByDefault="false" CharacterLimit="" CIID="">Supervisor responsibility</Title>
  <TitleTag type="enumeration" UID="cfdba4225615418fb2477a1ff3582efe" label="Accordion Title Tag" readonly="false" hidden="false" required="true" indexable="false" openByDefault="false" values="h2 h3 h4" CIID="">h2</TitleTag>
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&lt;ol&gt;
&lt;li&gt;Assist the employee in obtaining the appropriate medical treatment.&lt;/li&gt;
&lt;li&gt;Review the&amp;nbsp;&lt;a href="http://dir.nv.gov/uploadedFiles/dirnvgov/content/WCS/BetaC-1.pdf" title="C-1 Form" class="extLink"&gt;C-1 Notice of Injury Form&lt;/a&gt;&amp;nbsp;with the employee and forward it to the Risk Management team with the appropriate signatures. The employee does not need to fill in their Social Security Number.
&lt;ul&gt;
&lt;li&gt;See also:&amp;nbsp;Nevada Division of Industrial Relations'&amp;nbsp;&lt;a href="http://dir.nv.gov/uploadedFiles/dirnvgov/content/WCS/d-2.pdf" title="D-2" class="extLink"&gt;D-2 Brief Description of Your Rights and Benefits if You Are Injured on the Job&lt;/a&gt;.&lt;/li&gt;
&lt;/ul&gt;
&lt;/li&gt;
&lt;li&gt;&lt;span&gt;Investigate the incident and complete the &lt;a href="https://nshe.nevada.edu/system-administration/wp-content/uploads/sites/2/2024/07/NSHE-Supervisors-Investigation-Report.pdf"&gt;NSHE Supervisor&amp;rsquo;s Investigative Report Form&lt;/a&gt; &lt;/span&gt;&lt;span&gt;within 48 hours. Submit to the University's Risk Management office (&lt;/span&gt;&lt;a href="mailto:BCNRisk@unr.edu" target="_blank" rel="noopener"&gt;BCNRisk@unr.edu&lt;/a&gt;&lt;span&gt;) OR the NSHE Risk Management office team with the appropriate signatures.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;Determine the root cause of the incident.&lt;/li&gt;
&lt;li&gt;Implement corrective action to abate or mitigate the hazard.&lt;/li&gt;
&lt;li&gt;Review medical certification of work status provided by the employee after each medical visit.&lt;/li&gt;
&lt;li&gt;Offer &lt;a href="main/pdfs/verified-accessible/divisions-offices/administration-finance/human-resources/bcn-modified-duty-offer.pdf" title="Modified Duty Form" class="extLink"&gt;Modified Duty Assignment&lt;/a&gt; to the employee to accommodate light-duty restrictions. Complete the Modified Duty Assignment Form&amp;nbsp;as indicated.&lt;/li&gt;
&lt;li&gt;Update the &lt;a href="main/pdfs/verified-accessible/divisions-offices/administration-finance/human-resources/bcn-modified-duty-offer.pdf" title="Modified Duty Form"&gt;Modified Duty Assignment&lt;/a&gt; as light-duty restrictions change.&lt;/li&gt;
&lt;li&gt;Review &lt;a href="/bcn-nshe/workers-comp/early-return" title="Early Return to Work Program" class="intLink"&gt;Early Return to Work Program&lt;/a&gt;.&lt;/li&gt;
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