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CO0020059
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0020059
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Last modified
5/14/2019 10:35:10 AM
Creation date
2/22/2019 8:47:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0020059
PE
2546
STREET_NUMBER
23577
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
TRACY
Zip
95391
ENTERED_DATE
12/5/2003 12:00:00 AM
SITE_LOCATION
23577 MOUNTAIN HOUSE PARKWAY
RECEIVED_DATE
12/4/2003 12:00:00 AM
QC Status
Approved
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ADMIN
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FilePath
\MIGRATIONS4\M\MOUNTAIN HOUSE\23577\CO0020059.PDF
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EHD - Public
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WORKERS'COb1PENSATION(af -able to Cambria employees only) <br /> 1. Take or send the injured worker for appropriate medical care. <br /> For non-emergency care,use facilities in the Kaiser occupational health alliance. <br /> If time allows fill out a referral form,send with employee and call the nearest facility to inform them that someone will be <br /> coming. This makes it easier for the employee to receive care. <br /> Reference Cambna's workers compensation policy: State Fund 8 0000294-2003 <br /> 2. Within one day,give the employee the Employees Claim for Workers'Compensation Benefits <br /> 3. Report injury as stated before. HR or the CSO will prepare an Employer's Report of Occupational Injury or Rlness and track the <br /> claim <br /> SIGNATURES <br /> All site workers have read the plan and are familiar with and will abide by its provisions. <br /> Name Si a Date Employer <br /> On-site Project Manager <br /> Site Safety Officer <br /> Field Team Leader <br /> Field Team Member <br /> Field Team Member <br /> Field Team Member <br /> Visitor <br /> Visitor <br /> F1SAFECY\Safety and Health Manual(SHM)ISHM App 1-Site Safety Planlsite Safety Plau Template.doe <br /> 4 <br />
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