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Occupational Injury - HRWCEM

The Human Resources (HR) Occupational Injury (HRWCEM) page is used to set up Workers' Compensation information for both the employer and the employee.

Employer's Entity: Indicates the entity to identify security clearance. Code values are defined in the HR Entity Codes (HRRQEN) page.

Case # Method: Indicates how the case number is to be created. Case numbers may manually entered, or system generated by defining the NU Common Codes Category/Value of SYNO/HROSHA.

Case #: The case number is for internal client use and must be unique. The number will tie all OSHA pages/records together for a single event/exposure. After tabbing from the field, if the entry is auto generated, a Case Number will be derived, the employee address information will display as well as be placed into the location address fields, the default information set up on OSHA Default Information (HRRQOT) will be obtained and displayed.

Description: Indicates a case number description. If entered, it will be used for pick lists on other pages and may be used for reporting purposes.

Employer

Action: Indicates the action/purpose for entering or modifying a record. Code values are defined in the HR Non-Entity Specific Codes (HRTBHR) page under the Code ID of ACTION_CD.

OSHA #: The OSHA number is issued by OSHA and, if available, may be entered here.

Privacy Case: Indicates whether this is a privacy case.

Mailing Address

All information is extracted from the payroll entity definition for the ROOT entity.

Employer FID: Indicates the Employer Federal Identification Number (EIN). Display only.

Name: Employer name. Display only.

Address (lines 1 and 2): Employer address. Display only.

Zip and Zip Ext: Employer zip code and zip code extension. Display only.

City: Employer city location. Display only.

State: Employer state location. Display only.

Phone: Employer phone. Display only.

Establishment Information

Establishment Cd: Indicates the establishment code. Code values are defined in the Establishment Codes (HRWCES) page.

Address (lines 1 and 2): The location street address will default based on the Establishment Code. Display only.

Zip and Zip Ext: The location zip code and extension will default based on the Establishment Code. Display only.

City: The city will default based on the Establishment Code. Display only.

State: The state will default based on the Establishment Code. Display only.

Phone: The phone number will default based on the Establishment Code. Display only.

Employee

This page is used to associate the employee with a Case # and provides basic employee information.

Entity: Indicates the employee entity and is used to identify security clearance. The field defaults to the entity associated with the logged in user on HRRQUS, if a record exists. Code values are defined in the HR Entity Codes (HRRQEN) page.

Employee ID: Indicates the employee associated with the case number. Validates to the Employee Master (HREMEN) based on a match of entity. After tabbing out of the field, if a current PM record assignment exists on the HR pay assignment pages, the position number, actual hours per day, actual days per week, actual hours per week, and actual hourly rate will be obtained, and inserted into the appropriate fields below. Note: If the selected record was entered on the Quick Pay Assignment (HRPYQP) page, there will not be a value for Days/Week and Hours/Week. Additionally, the code of H will be placed into the Gross Salary Expressed As field. If no PM assignment is found, a warning message will appear and no information will display in the associated fields.

Employee Name: System derived based on Employee ID.

SSN: System derived based on Employee ID. 

Type: System derived based on Employee ID.

HR: System derived based on Employee ID.

PY: System derived based on Employee ID.

Action: Indicates the action/purpose for entering or modifying a record. Code values are defined in the HR Non-Entity Specific Codes (HRTBHR) page under the Code ID of ACTION_CD.

Employee Specific

General Employee Information

Date of Birth: System derived based on Employee ID.

Hire Date: System derived based on Employee ID.

As of Date: The As of Date defaults to the current date. It may be changed and is used in obtaining defaults from the correct records in the HR system.

Gender: System derived based on Employee ID.

Home Address 1: System derived based on Employee ID.

Home Address 2: System derived based on Employee ID.

Zip and Zip Ext: System derived based on Employee ID. 

City: System derived based on Employee ID.

State: System derived based on Employee ID.

Phone: System derived based on Employee ID.

Position Information

Override Position Defaults: Indicates if the position defaults of Hours/Day, Days/Week, Hours/Week, and Gross Wages Salary are to be obtained from the HR pay assignment record or if they are going to be overridden in this record. Blank/cleared indicates adhere to the defaults, selected indicates that something will be overridden.

Record Type: The Record Type field will default to PM if the employee has a PM record on the HR Employee Pay Assignment pages.

Position: If a position other than the PM position (already derived) is desired, another position may be selected. Validates to PCN/Position Codes (HRTBPC) where the only positions appearing in the pick list are positions assigned to the employee on the HR Pay Assignment pages, with pay begin and end dates surrounding the As of Date. After tabbing from the field, based on the Override Position Defaults checkbox, the default fields will either be refreshed or remain the same.

Employment Status: Indicates the employee's employment status. Code values are defined in the HR Non-Entity Specific Codes (HRTBHR) page under the Code ID of OSHA_EMPLOYMENT.

Hours/Day The actual hours per day the employee usually works will default based upon the employee's primary pay assignment and based on the override defaults flag setting. To override the default, select the checkbox.

Days/Week The actual days per week the employee usually works will default based on the employee's primary pay assignment and based on the override defaults flag setting. To override the default, select the checkbox.

Hours/Week System derived based on the actual hours per day and the actual days per week. To override the default, select the checkbox.

Gross Salary Information

Under what class code of your policy were wages assigned?: Indicates under what class code of the policy that wages were assigned.

Gross Wages Salary: The gross wages associated with the indicated position. If a PM record assignment exists in EMPPAY, the hourly rate associated with that current assignment will default into this field. To override the default, select the checkbox.

Per: Indicates how the gross wages value is represented. Code values are defined in the HR Non-Entity Specific Codes (HRTBHR) page under the Code ID of OSHA_WAGES_AXP.

Other payments not reported as wages salary (e.g. tips, meals, lodging, overtime, bonuses, etc.): Indicates if other payments not reported as wages salary exist.

Other Payment: Indicates the amount of other payments not reported as wages salary (e.g. meals, lodging, tips, overtime, bonuses, etc.).

Per: Indicates how the other wages are expressed, if there are any. Code values are defined in the HR Non-Entity Specific Codes (HRTBHR) page under the Code ID of OSHA_WAGES_AXP.

Occurrence Specific

Occurrence Details

Injury/Illness: Indicates whether the event/exposure is an injury (code IN) or an illness (code IL). Code values are defined in static system codes.

OSHA Illness Code: Indicates the OSHA illness code, if this event/exposure is an illness. Code values are defined in the HR Non-Entity Specific Codes (HRTBHR) page under the Code ID of OSHA_ILLNESS_CD.

Injury/Illness Date: Indicates the date the injury/illness occurred.

Times - Occurred: Indicates the time the injury/illness occurred.

AM/PM: Indicates if the event/exposure occurred in the AM or PM.

Began Work: Indicates what time the employee began work.

AM/PM: Indicates if work began in the AM or PM.

Date Last Worked: Indicates the last date the employee worked. 

Date of Death: Indicates the date the employee died, if associated with the event/exposure.

Date of Employer's Knowledge: Indicates the date the employer became knowledgeable of the event/exposure.

Claim Form: Indicates the date the employee was provided the claim form.

Returned to Work: Indicates the date the employee returned to work.

Injury/Illness: A description of the actual injury/illness.

Location: Indicates the location where the event/exposure occurred. Code values are defined in the HR Entity Specific Codes (HRTBCE) page, Location codes tab.

County: Indicates the county where the event/exposure occurred. Code values are defined in the HR Non-Entity Specific Codes (HRTBHR) page under the Code ID of COUNTY.

Department: Indicates the department where the event/exposure occurred, if it occurred on the employer's premises.

Occurrence Factors

Employer's Premises: Indicates if the event/exposure occurred on the employer's premises.

Were Other Workers Affected: Indicates if other workers were affected.

Unable to Work at Least 1 Full Day: Indicates whether the employee was unable to work at least one full day.

Still Off Work: Indicates if the employee is still off work.

Paid Full Wages: Indicates if the employee was paid full wages on the day of the event/exposure.

Salary being Continued: Indicates if the employee's salary is being continued.

Additional Details

Equipment/Materials/Chemicals employee was using when event/exposure occurred: Indicates the equipment, materials, chemicals, etc. that were being used by the employee at the time of the event/exposure.

Specific activity employee was performing when event/exposure occurred: Represents the specific activity the employee was performing when the event/exposure occurred.

How Injury/Illness Occurred. Describe sequence of events, etc...: Indicates how the injury/illness occurred - the sequence of events, etc.

Physician Name and Address: Indicates the attending physician's name and address.

Phone: Indicates the physician's telephone number.

If hospitalized as an inpatient, name and address of hospital: Indicates the name and address of the hospital if the employee was hospitalized as an inpatient.

Phone: Indicates the hospital phone number if the employee was hospitalized as an inpatient.

Completed By Title: Indicate the title of the person completing the forms/entry. A default entry will exist if one has been set up on the OSHA Default Information (HRRQOT) page. It may be overridden by simply typing over the entry in the field.


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