Electronic First Report Real Estate/Facilities July 2016

EFR – Claim Reporting Tool Electronic data entry for workers’ compensation claim reporting – UC System Wide Accessible via desktop, tablet & phone https://ehs.ucop.edu/efr/home Go Live Date for VCRE 8/1/16 Functionality supports “group” set up for your department (based on your department code, ie: CP Operations, Facilities Services Operations) Claim notification to “group” members via email of all new claims reported. Supervisor responsible for completing claim investigation for all claims, this has not been the practice in most cases EH&S will receive electronic notification of all new claims reported

Employee Demographic Data Enter all information you have available If not easily available, not required Data missing will be entered by DMS when submitting claim to Sedgwick

Supervisor Information System populates with the person entering the claim If you are not the direct supervisor you should enter the claim as “I am neither of the above”. Select the correct supervisor when you are prompted This person will be the recipient of the supervisor emails regarding the claim investigation process This person will be the name sent to Sedgwick as the employer contact as well.

Medical Treatment First Aid minimal treatment, ie band aid Provider: UC Berkeley specific options will appear here

Investigation This information is required and will be reviewed by EH&S for audit/compliance purposes If you have questions about how to complete this portion, you should speak with your manager or HR Representative and return to system to complete entry. You (supervisor) will continue to get e-mail reminders until investigation is complete. Ergonomic related injuries should be identified and investigated as well. These reports will be sent to the Campus Ergonomist(s). Invesigations may result in a referral for ergonomic assessment and/or equipment or furniture recommendations (such as adjustable workstation)

Additional Information Employee Interview- can be completed based on the description the employee provides when reporting the claim Preventative Actions- use this tool!!

Next Steps- Training your Supervisors Name ______________________________ Department ___________________ How many supervisors _______ I will provide the video and handouts to my supervisors Please contact me to discuss scheduling a meeting to train my supervisors Contact information _____________________________