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A B C D E F G H I J K L
claim id dba name claimant name injury date injury hour  claim  claim closed  timeloss ptd  medical aid  claim cost  claim cost paid  injury oiics source code desc
time determination date amt paid to date  estimate to date
1 amt
GREEN HILL SCHOOL 1/15/2009 12 Allowed 10/20/2009 $2,855.22 $15,954.77 $61,620.00 $40,816.77 GROUND

6
2

6
GREEN HILL SCHOOL 3/21/2009 14 Allowed 6/10/2009 $0.00 $450.57 $0.00 $450.57 FLOORS, WALKWAYS, GROUND SURFACES, UNSPECIFIED
3
4 GREEN HILL SCHOOL 4/10/2009 20 Allowed 6/15/2009 $0.00 $127.08 $0.00 $127.08 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

5 GREEN HILL SCHOOL 5/5/2009 15 Allowed 6/30/2009 $0.00 $216.54 $0.00 $216.54 NONCLASSIFIABLE


GREEN HILL SCHOOL 5/12/2009 25 Allowed 12/8/2010 $31,539.38 $32,233.72 $97,493.00 $99,677.94 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
6
GREEN HILL SCHOOL 8/23/2009 10 Allowed 11/30/2009 $0.00 $194.13 $0.00 $194.13 FLOORS, WALKWAYS, GROUND SURFACES, UNSPECIFIED
7
GREEN HILL SCHOOL 9/11/2009 25 Allowed 6/28/2010 $487.34 $8,128.99 $0.00 $10,833.98 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
8
GREEN HILL SCHOOL 9/11/2009 15 Allowed 1/13/2010 $0.00 $520.12 $0.00 $520.12 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
9
10 GREEN HILL SCHOOL 9/20/2009 12 Allowed 11/18/2009 $2,102.00 $1,073.29 $0.00 $3,175.29 NONCLASSIFIABLE

11 GREEN HILL SCHOOL 9/20/2009 15 Allowed 12/21/2009 $1,783.98 $4,335.16 $0.00 $6,119.14 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.


GREEN HILL SCHOOL 12/20/2009 22 Allowed 1/4/2016 $128,398.00 $24,298.98 $205,079.00 $322,730.50 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
12
M N O P
injury oiics natural code desc injury oiics body part code desc injury oiics accident type code desc injury event description

1
SPRAINS, STRAINS, TEARS SHOULDER, INCLUDING CLAVICLE, SCAPULA ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. BROKE UP A FIGHT LANDED ON MY SHOULDER WHEN WE HIT  THE GROUND
2
SPRAINS AND BRUISES CHEST, EXCEPT INTERNAL LOCATION OF DISEASES OR DISORDERS ASSAULTS AND VIOLENT ACTS BY PERSON(S),  WHILE RESTRAINING RESIDENT HE WAS KNOCKED DOWN AND  INJ
3 UNSPECIFIED
4 OTHER COMBINATIONS OF TRAUMATIC INJURIES AND DISORDERS NOSE, EXCEPT INTERNAL LOCATION OF DISEASES OR DISORDERS HITTING, KICKING, BEATING WAS TRYING TO BREAK UP FIGHT AND GOT HIT IN NOSE

5 SPRAINS, STRAINS, TEARS KNEE(S) NONCLASSIFIABLE RIGHT KNEE


SPRAINS, STRAINS, TEARS NECK, EXCEPT INTERNAL LOCATION OF DISEASES OR DISORDERS ASSAULTS AND VIOLENT ACTS BY PERSON(S),  BREAKING UP PHISCAL ALTERCATION BETWN INMATES
6 UNSPECIFIED
SPRAINS, STRAINS, TEARS LUMBAR REGION ASSAULTS AND VIOLENT ACTS BY PERSON(S),  BREAKING UP FIGHT IN GYM TWISTED BACK IN TAKE DOWN
7 UNSPECIFIED
BURSITIS ELBOW(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. MULTIPLE INCIDENTS STOPING FIGHTS WITH YOUTH AT ED  AND VOC SCHOOL ? W 
8 LIVELING UNIT
SPRAINS, STRAINS, TEARS HAND(S), EXCEPT FINGER(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S),  FINGER WAS HURT WHILE RESTRAINING A RESIDENT DURIN G A FIGHT OUT GREEN HILL 
9 UNSPECIFIED SCHOOL
10 NONCLASSIFIABLE MULTIPLE BODY PARTS NONCLASSIFIABLE WHILE RESPODING TO A SECURITY EMEDIATE HELP RADIO CALL FELL DOWN ON ?

11 SPRAINS, STRAINS, TEARS NECK, EXCEPT INTERNAL LOCATION OF DISEASES OR DISORDERS HITTING, KICKING, BEATING BREAKING UP FIGHT BETWEEN 2 RESIDENTS PUNCHED IN M Y LEFT SIDE OF FACE


SPRAINS AND BRUISES MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S),  RESTRAINING RESIDENT DURING ALTERCATION RESIDENT B IT LT THUMB WHILE I TRIED TO 
12 UNSPECIFIED HANDCUFF STRAINED R B ICEP
A B C D E F G H I J K L M
claim id dba name claimant name injury date injury hour  claim  claim closed  timeloss ptd  medical aid  claim cost  claim cost  injury oiics source code desc injury oiics natural code desc
time determination date amt paid to date  estimate paid to date
1 amt
GREEN HILL SCHOOL 1/13/2010 25 Allowed 6/7/2010 $0.00 $1,522.50 $0.00 $1,522.50 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
2
3
4
5
6
6 GREEN HILL SCHOOL

GREEN HILL SCHOOL

GREEN HILL SCHOOL

GREEN HILL SCHOOL

6
2/19/2010

3/5/2010

3/9/2010

3/9/2010
9

17

11

9
Allowed

Allowed

Allowed

Allowed
11/16/2010

5/24/2010

10/7/2010

6/14/2010
$0.00

$3,094.56

$285.40

$0.00
$3,689.45

$2,017.52

$820.20

$952.46
$0.00

$0.00

$0.00

$0.00
$3,689.45 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

$5,112.08 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

$1,105.60 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

$952.46 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE 
FACILITY
SPRAINS, STRAINS, TEARS

FRACTURES

DISLOCATIONS

SPRAINS AND BRUISES

GREEN HILL SCHOOL 3/13/2010 11 Allowed 5/17/2010 $0.00 $541.69 $0.00 $541.69 NONCLASSIFIABLE BRUISES, CONTUSIONS
7
GREEN HILL SCHOOL 3/29/2010 11 Allowed 6/11/2010 $0.00 $962.36 $0.00 $962.36 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. OTHER COMBINATIONS OF 
TRAUMATIC INJURIES AND 
8 DISORDERS
GREEN HILL SCHOOL 4/6/2010 11 Allowed 7/26/2010 $0.00 $477.35 $0.00 $477.35 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
9
GREEN HILL SCHOOL 4/6/2010 10 Allowed 6/7/2010 $0.00 $231.84 $0.00 $231.84 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
10
GREEN HILL SCHOOL 4/27/2010 9 Allowed 10/14/2010 $0.00 $2,592.48 $0.00 $2,592.48 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
11
GREEN HILL SCHOOL 5/5/2010 9 Allowed 10/28/2011 $0.00 $4,013.21 $0.00 $4,114.91 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
12
GREEN HILL SCHOOL 5/19/2010 8 Allowed 7/26/2010 $0.00 $150.40 $0.00 $150.40 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. BRUISES, CONTUSIONS
13
GREEN HILL SCHOOL 6/14/2010 9 Allowed 8/12/2010 $0.00 $270.61 $0.00 $270.61 PERSON‐‐OTHER THAN INJURED OR ILL WORKER,  SPRAINS, STRAINS, TEARS
14 UNSPECIFIED
GREEN HILL SCHOOL 10/14/2010 25 Allowed 10/18/2012 $17,761.26 $41,184.01 $112,668.00 $99,303.55 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE  SPRAINS, STRAINS, TEARS
15 FACILITY
GREEN HILL SCHOOL 10/29/2010 16 Allowed 1/31/2011 $0.00 $1,931.45 $0.00 $1,931.45 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
16
GREEN HILL SCHOOL 11/2/2010 13 Allowed 1/3/2011 $0.00 $174.99 $0.00 $174.99 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS AND BRUISES
17
GREEN HILL SCHOOL 12/9/2010 17 Allowed 2/9/2011 $0.00 $791.47 $0.00 $791.47 CART, DOLLY, HANDTRUCK INTRACRANIAL INJURIES, 
18 UNSPECIFIED
GREEN HILL SCHOOL 12/27/2010 12 Allowed 7/28/2011 $0.00 $3,440.07 $0.00 $3,440.07 PERSON‐‐OTHER THAN INJURED OR ILL WORKER,  SPRAINS, STRAINS, TEARS
19 UNSPECIFIED
GREEN HILL SCHOOL 12/27/2010 12 Allowed 2/22/2011 $0.00 $176.62 $0.00 $176.62 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
20
GREEN HILL SCHOOL 12/27/2010 12 Allowed 8/1/2011 $3,269.72 $7,700.85 $0.00 $10,970.57 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
21
N O P
injury oiics body part code desc injury oiics accident type code desc injury event description

1
SHOULDER, INCLUDING CLAVICLE, SCAPULA ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. WHILE TAKING A RESIDENT DOWN A LARGE BOY CAME OUT OF HIS ROOM AND JUMPED ON THE KID I HAD DOWN HE KI 
2 CKED MY LEFT SHOULDER I GRABBED HIS LEGS AND STAIN ED
LUMBAR REGION ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. WHILE RESTRAINING A RESIDENT WAS PUSHED ONTO THE B ED CAUSING MY UPPER BODY TO TWISTE LOWER BODY FIXE D
3
FINGER(S), FINGERNAIL(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. 2 RESIDENTS JUMPED ANOTHER RESIDENT INJURY OCCURRE D IN THE PROCESS OF BREAKING UP THE FIGHT
4
BACK, INCLUDING SPINE, SPINAL CORD, N.E.C. HITTING, KICKING, BEATING A YOUTH AT GHS HIT ME IN THE HEAD TWO TIMES
5
MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S),  SUBDUE RESIDENT DURING STAFF ASSAULT
6 UNSPECIFIED
CHEST, EXCEPT INTERNAL LOCATION OF DISEASES  NONCLASSIFIABLE RIGHT RIB CAGE
7 OR DISORDERS
MULTIPLE BODY PARTS HITTING, KICKING, BEATING WHILE ATTEMPTING TO PLACE RESTRAINTS ON A COMBATIV E JUVENILE HE KICKED ME IN THE FACE

8
SHOULDER, INCLUDING CLAVICLE, SCAPULA ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. ASSISTING IN SEPERATING 2 RESIDENTS WHO WERE FIGHT ING
9
MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. YOUTH ON YOUTH FIGHT CAUSING INTERVENTION USING FO RCE TO RESTRAIN NON COMPLIANT YOUTH
10
LUMBAR REGION ASSAULTS AND VIOLENT ACTS BY PERSON(S),  BREAKING UP A FIGHT WITH A RESIDENT AT WORK
11 UNSPECIFIED
KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. WAS DOING A TAKE DOWN OF A ACTIVE AGGRESIVE YOUTH
12
LUMBAR REGION HITTING, KICKING, BEATING WAS FORCIBLY PUSHED INTO A WALL CORNER
13
ANKLE(S) STRUCK BY OBJECT, UNSPECIFIED WHILE BREAKING UP FIGHT ANOTHER PERSON ROLLED UP O N ANKLE WHILE I WAS TWISTING
14
THORACIC REGION OVEREXERTION, UNSPECIFIED TAKE DOWN OF RESIDENTS
15
KNEE(S) OVEREXERTION, N.E.C. WAS PLACING A YOUTH ON THE GROUND AND MY KNEE MUST HAVE BENT AWKWARD INWARD AND FOOT WENT OUT
16
KNEE(S) OVEREXERTION, N.E.C. WHILE INTERVENING CONTROLLING AND CUFFING TWO CLIE NTS WHO WERE ENGAGED IN MUTUAL COMBAT
17
BRAIN STRUCK AGAINST STATIONARY OBJECT WHILE STOPPING A FIGHT I HIT MY HEAD ON THE SILVER WARE CART IN THE KITCHEN MY VISION WENT BLURY FOR A 
18 MOMENT
MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S),  WHILE BREAKING UP A FIGHT TWISTED BACK AND GOT KIC KED IN LEFT HIP BUMPED RIGHT ELBO
19 UNSPECIFIED
BACK, INCLUDING SPINE, SPINAL CORD, N.E.C. ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. BREAKING UP A FIGHT AND WENT THROUGH THE WALL
20
KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. RESTRAINING INMATE FELL TWISTED RIGHT KNEE
21
A B C D E F G H I J K L M
claim id dba name claimant name injury date injury hour  claim  claim closed  timeloss ptd  medical aid  claim cost  claim cost paid  injury oiics source code desc injury oiics natural code desc
time determination date amt paid to date  estimate to date
1 amt
2 GREEN HILL SCHOOL 1/13/2011 9 Allowed 2/18/2011 $0.00 $308.85 $0.00 $308.85 NONCLASSIFIABLE SPRAINS AND BRUISES

6 6
3 GREEN HILL SCHOOL 2/7/2011 9 Allowed 5/5/2011 $0.00 $743.93 $0.00 $743.93 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY CUTS, ABRASIONS, BRUISES

4 GREEN HILL SCHOOL 2/24/2011 17 Allowed 5/2/2011 $0.00 $286.68 $0.00 $286.68 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. BRUISES, CONTUSIONS

5 GREEN HILL SCHOOL 3/11/2011 13 Allowed 6/9/2011 $208.86 $1,858.02 $0.00 $2,066.88 BODILY MOTION OR POSITION OF INJURED, ILL WORKER SPRAINS, STRAINS, TEARS

6 GREEN HILL SCHOOL 3/17/2011 14 Allowed 5/18/2011 $0.00 $276.31 $0.00 $276.31 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY SPRAINS, STRAINS, TEARS

7 GREEN HILL SCHOOL 3/22/2011 12 Allowed 6/3/2011 $2,459.52 $1,636.20 $0.00 $4,095.72 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
GREEN HILL SCHOOL 4/6/2011 20 Allowed 6/16/2011 $0.00 $851.03 $0.00 $851.03 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
8
9 GREEN HILL SCHOOL 4/6/2011 20 Allowed 6/6/2011 $0.00 $502.11 $0.00 $502.11 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS

10 GREEN HILL SCHOOL 5/2/2011 10 Allowed 7/14/2011 $1,542.24 $638.79 $0.00 $2,181.03 BODILY MOTION OR POSITION OF INJURED, ILL WORKER SPRAINS, STRAINS, TEARS
GREEN HILL SCHOOL 5/5/2011 12 Allowed 9/29/2011 $0.00 $1,582.06 $0.00 $1,582.06 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
11
GREEN HILL SCHOOL 6/16/2011 21 Allowed 3/8/2013 $49,920.67 $49,633.22 $135,904.00 $118,259.30 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
12
13 GREEN HILL SCHOOL 7/18/2011 9 Allowed 9/7/2012 $2,337.90 $10,312.39 $38,628.00 $27,174.34 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS

14 GREEN HILL SCHOOL 7/24/2011 12 Allowed 12/19/2011 $0.00 $2,694.82 $0.00 $2,694.82 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY SPRAINS, STRAINS, TEARS

15 GREEN HILL SCHOOL 8/21/2011 16 Allowed 10/19/2011 $0.00 $490.21 $0.00 $490.21 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS

16 GREEN HILL SCHOOL 8/21/2011 16 Allowed 11/3/2011 $917.90 $828.96 $0.00 $1,746.86 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY BRUISES, CONTUSIONS

17 GREEN HILL SCHOOL 8/30/2011 8 Allowed 12/9/2011 $0.00 $707.98 $0.00 $707.98 CO‐WORKER, FORMER CO‐WORKER OF INJURED OR ILL WORKER SPRAINS, STRAINS, TEARS
GREEN HILL SCHOOL 8/31/2011 7 Allowed 11/18/2011 $0.00 $85.00 $0.00 $85.00 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
18
19 GREEN HILL SCHOOL 9/10/2011 14 Allowed 2/28/2017 $141,159.42 $30,286.28 $197,811.00 $200,891.67 BODILY MOTION OR POSITION OF INJURED, ILL WORKER SPRAINS, STRAINS, TEARS

20 GREEN HILL SCHOOL 9/11/2011 9 Allowed 11/11/2011 $0.00 $553.80 $0.00 $553.80 OTHER CLEANING AND POLISHING AGENTS ABRASIONS, SCRATCHES

21 GREEN HILL SCHOOL 9/26/2011 21 Allowed 12/6/2011 $408.20 $1,182.79 $0.00 $1,590.99 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
GREEN HILL SCHOOL 9/28/2011 18 Allowed 6/12/2013 $0.00 $5,859.75 $0.00 $5,896.23 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. OTHER COMBINATIONS OF TRAUMATIC INJURIES AND 
22 DISORDERS
GREEN HILL SCHOOL 10/3/2011 20 Allowed 12/20/2011 $3,931.27 $6,794.89 $0.00 $10,726.16 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
23
GREEN HILL SCHOOL 10/3/2011 20 Allowed 7/10/2013 $14,678.16 $19,683.35 $47,437.00 $34,361.51 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. TRAUMATIC INJURIES AND DISORDERS, UNSPECIFIED
24
25 GREEN HILL SCHOOL 10/9/2011 11 Allowed 11/18/2011 $0.00 $349.89 $0.00 $349.89 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. BRUISES, CONTUSIONS

26 GREEN HILL SCHOOL 10/12/2011 9 Allowed 1/9/2012 $0.00 $148.07 $0.00 $148.07 CO‐WORKER, FORMER CO‐WORKER OF INJURED OR ILL WORKER SPRAINS, STRAINS, TEARS
GREEN HILL SCHOOL 10/17/2011 7 Allowed 1/25/2012 $0.00 $135.65 $0.00 $135.65 FLOOR OF BUILDING SPRAINS, STRAINS, TEARS
27
28 GREEN HILL SCHOOL 10/19/2011 11 Allowed 2/6/2012 $1,056.16 $1,264.63 $0.00 $2,320.79 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY SPRAINS AND BRUISES
GREEN HILL SCHOOL 11/1/2011 17 Allowed 1/6/2012 $1,620.84 $1,391.68 $0.00 $3,012.52 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY SPRAINS, STRAINS, TEARS
29
GREEN HILL SCHOOL 11/9/2011 4 Allowed 2/3/2012 $0.00 $742.65 $0.00 $742.65 DESKS SPRAINS, STRAINS, TEARS
30
GREEN HILL SCHOOL 12/18/2011 23 Rejected 3/14/2013 $0.00 $0.00 $0.00 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. TRAUMATIC INJURIES AND DISORDERS, UNSPECIFIED

31
32 GREEN HILL SCHOOL 12/19/2011 13 Allowed 7/5/2012 $0.00 $827.95 $0.00 $827.95 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
N O P
injury oiics body part code desc injury oiics accident type code desc injury event description

1
2 HAND(S), EXCEPT FINGER(S) CONTACT WITH OBJECTS AND EQUIPMENT, UNSPECIFIED DURING A TAKEDOWN AT THE VOC SCHOOL

3 MULTIPLE HEAD LOCATIONS HITTING, KICKING, BEATING PT WAS BREAKING UP A FIGHT WHEN HE PULLED A RESIDE NT AWAY THE OTHER RESIDENT KICKED HIM IN THE FACE

4 KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. INJURED L KNEE WHILE CONTROLLING A HOSTILE RESIDEN T

5 LUMBAR REGION SLIP, TRIP, LOSS OF BALANCE‐‐WITHOUT FALL WHILE RESPONDING TO AN INCIDENT TO ? I SLIPPED AND  FELT PAIN IN MY LOWER LEFT BACK

6 BACK, INCLUDING SPINE, SPINAL CORD, N.E.C. OVEREXERTION, UNSPECIFIED BREAK UP FIGHT WITH RESIDENT PULLED MUSCLE

7 BACK, INCLUDING SPINE, SPINAL CORD, N.E.C. OVEREXERTION, UNSPECIFIED DURING TAKE DOWN BREAKING UP A FIGHT BETWEEN TWO R ESIDENTS


FINGER(S), FINGERNAIL(S) HITTING, KICKING, BEATING I WAS ATTEMPTING TO SEPERATE 2 YOUTHS THAT WERE FI GHTING AS I REACHED FORWARD ONE OF THE YHOUTH SWUN G HIS 
8 RIST STRIKING THE END OF MY THUMB
9 MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED BREAKING UP A FIGHT BETWEEN RESIDENTS

10 MULTIPLE BODY PARTS RUNNING‐‐WITHOUT OTHER INCIDENT RUNNING


KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. I WAS INVOLVED WITH TAKEN DOWN AN AGGRESSIVE YOUTH  MY KNEE WAS SLAMMED WAY HARD INTO THE FLOOR
11
MULTIPLE BACK REGIONS OVEREXERTION, N.E.C. A FIGHT BROKE OUT BETWEEN TWO RESIDENTS WENT I INT ERVENED AND APREHENDED ONE OF THE RESIDENTS MY BAC K 
12 WENT OUT
13 MULTIPLE BACK REGIONS OVEREXERTION, UNSPECIFIED BREAKING UP A FIGHT BETWEEN TWO RESIDENTS

14 SHOULDER, INCLUDING CLAVICLE, SCAPULA OVEREXERTION IN PULLING OR PUSHING OBJECTS I PULLED A RESIDENT OUT FROM UNDER ANOTHER RESIDEN T DURING A FIGHT

15 WRIST(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED PT WAS TRYING TO BREAK UP A RIOT AND WAS INJURED

16 CHEST, EXCEPT INTERNAL LOCATION OF DISEASES OR DISORDERS STRUCK BY FALLING OBJECT BREAKING UP A FIGHT AND A RESIDENT FELL ON ME

17 LUMBAR REGION HITTING, KICKING, BEATING WHILE RESTRAINING INMATE ANOTHER STAFF HIT ME IN B ACK CAUSING BACK TO MOVE IN UNNATURAL MOTION


KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED DURING MORNING MEAL PASS TWO RESIDENTS BEGAN FIGHTING IN A CELL I PLACED ON RESIDENT ON THE GROUND AND 
18 RESTRAINED HIM AFTER THE INCIDENT MY LEFT KNEE BEGAN TO HURT
19 ANKLE(S) SLIP, TRIP, LOSS OF BALANCE‐‐WITHOUT FALL RUNNING TO FIGHT TWISTED FOOT AND ANKLE

20 EYE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. RESIDENT AT WORK SPRAYED CLEANSER IN MY FACE AND EYES

21 KNEE(S) OVEREXERTION, N.E.C. PARTICIPATED IN A TAKE DOWN ON A CLIENT AFTERWARD FELT PAIN IN KNEE


SHOULDER, INCLUDING CLAVICLE, SCAPULA OVEREXERTION, UNSPECIFIED BREAKING UP A FIGHT BETWEEN TWO RESIDENTS
22
ANKLE(S) OVEREXERTION, UNSPECIFIED 2 YOUTH WERE FIGHTING AND I ATTEMPTED TO BREAK IT UP WHEN PULLING AWAY ONE YOUTH I ROTATED MY WEIGHT UNDER 
23 THE RESIDENT IN DOING THIS I SUSTAINED AN INJURY TO MY RIGHT ANKLE
MULTIPLE BODY PARTS HITTING, KICKING, BEATING I WAS BREAKING UP A FIGHT BETWEEN RESIDENTS I WAS STRUCK AND FELL ON THE FLOOR WITH A RESIDENT ON TOP OF ME
24
25 MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. RESIDENT GRABBED STAFF NECK STAFF APPLIED HAIR HOLD ESCORTED RESIDENT TO THE FLOOR

26 LUMBAR REGION STRUCK AGAINST OBJECT, UNSPECIFIED COLLIDED WITH ANOTHER WORKER WHILE RESPONDING TO AN INCIDENT STIFFNESS AND ? HIT


LUMBAR REGION STRUCK AGAINST STATIONARY OBJECT RESIDENTS FIGHTING BANGED KNEE ON FLOOR WHILE SECURING RESIDENT ON FLOOR NOTICED SORENESS OF BACK HIP LATER
27
28 MULTIPLE BACK REGIONS OVEREXERTION, UNSPECIFIED TAKING DOWN RESIDENT INJURED LOWER BACK
CHEST, EXCEPT INTERNAL LOCATION OF DISEASES OR DISORDERS OVEREXERTION, UNSPECIFIED AN ALTERCATION BETWEN RESIDENTS BROKE OUT AS I BROKE UP THE FIGHT I SWUNG A RESIDENT TO THE WALL PULLY ON MY 
29 CHEST
SHOULDER, INCLUDING CLAVICLE, SCAPULA STRUCK AGAINST OBJECT, N.E.C. BREAKING UP A FIGHT AT GHS AND WHEN SECURING RESIDENT ON GROUND HIT MY ELBOW VERY HARD ON A DESK AND THIS 
30 JAMMED MY SHOULDER
WRIST(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. I WAS CHANGING SHIFTS AND FOLLOWING PROTOCOL TO WALK THROUGH THE WING. I HEARD A POUNDING AND SAW GLASS 
ON THE FLOOR. WE CALLED SECURITY AND FOUND THAT THE JUVENILE BROKE THE WINDOW AND STARTED THROWING GLASS. 
31 FIVE OF US ENTERED THE JUVENILE'S
32 FINGER(S), FINGERNAIL(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED BREAKING UP A FIGHT BETWEEN TO RESIDENTS LEFT
A B C D E F G H I J K L
claim id dba name claimant name injury date injury hour  claim  claim closed  timeloss ptd  medical aid  claim cost  claim cost  injury oiics source code desc
time determination date amt paid to date  estimate paid to date
1 amt
GREEN HILL SCHOOL 3/9/2012 19 Allowed 1/18/2013 $0.00 $2,858.75 $0.00 $2,858.75 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY
2
3
4
5
6
7
8
6 GREEN HILL SCHOOL
GREEN HILL SCHOOL
GREEN HILL SCHOOL
GREEN HILL SCHOOL

GREEN HILL SCHOOL
GREEN HILL SCHOOL 6
3/12/2012
3/27/2012
4/10/2012
4/10/2012

4/16/2012
4/23/2012
20

20
10

13
17
8
Allowed
Allowed
Allowed
Allowed

Allowed
Allowed
6/18/2012
4/30/2013
8/30/2012
7/19/2012

5/15/2012
8/16/2013
$0.00
$22,392.11
$0.00
$367.16

$0.00
$34,050.99
$867.94
$8,967.03
$2,836.04
$362.20

$260.01
$10,274.14
$0.00
$47,597.00
$0.00
$0.00

$0.00
$82,188.00
$867.94 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
$33,237.16 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
$2,836.04 FLOOR OF BUILDING
$729.36 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

$260.01 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
$260,106.85 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

9 GREEN HILL SCHOOL 4/27/2012 17 Allowed 6/25/2012 $443.80 $346.44 $0.00 $790.24 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY


GREEN HILL SCHOOL 5/21/2012 17 Allowed 11/28/2012 $0.00 $794.23 $0.00 $794.23 BODILY MOTION OR POSITION OF INJURED, ILL WORKER
10
11 GREEN HILL SCHOOL 5/21/2012 17 Allowed 6/19/2013 $1,433.00 $7,102.15 $25,367.00 $19,569.18 FLOOR OF BUILDING

12 GREEN HILL SCHOOL 5/25/2012 19 Allowed 8/24/2012 $0.00 $1,160.60 $0.00 $1,160.60 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

13 GREEN HILL SCHOOL 5/29/2012 10 Allowed 7/23/2012 $226.77 $474.24 $0.00 $701.01 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY


GREEN HILL SCHOOL 6/2/2012 11 Rejected 7/16/2012 $0.00 $0.00 $0.00 CO‐WORKER, FORMER CO‐WORKER OF INJURED OR ILL WORKER
14
15 GREEN HILL SCHOOL 6/10/2012 18 Allowed 3/22/2013 $0.00 $2,008.99 $0.00 $2,008.99 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, UNSPECIFIED

16 GREEN HILL SCHOOL 6/14/2012 19 Allowed 5/28/2013 $6,224.40 $3,618.06 $18,601.00 $13,059.48 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

17 GREEN HILL SCHOOL 6/17/2012 13 Allowed 8/30/2012 $2,795.91 $1,841.74 $0.00 $4,637.65 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.


GREEN HILL SCHOOL 6/19/2012 12 Allowed 8/30/2012 $0.00 $520.99 $0.00 $520.99 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
18
19 GREEN HILL SCHOOL 6/26/2012 10 Allowed 8/6/2012 $0.00 $254.15 $0.00 $254.15 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
GREEN HILL SCHOOL 6/28/2012 9 Allowed 8/7/2012 $0.00 $297.84 $0.00 $297.84 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
20
21 GREEN HILL SCHOOL 6/29/2012 15 Allowed 9/28/2012 $0.00 $604.08 $0.00 $604.08 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY
GREEN HILL SCHOOL 7/9/2012 14 Allowed 10/5/2012 $0.00 $562.78 $0.00 $562.78 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
22
GREEN HILL SCHOOL 7/16/2012 15 Allowed 10/22/2012 $0.00 $282.76 $0.00 $282.76 DOORS
23
GREEN HILL SCHOOL 7/18/2012 12 Allowed 12/20/2012 $0.00 $230.72 $0.00 $230.72 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY
24
GREEN HILL SCHOOL 7/18/2012 11 Allowed 6/28/2013 $1,288.40 $5,795.34 $22,328.00 $12,797.15 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
25
26 GREEN HILL SCHOOL 7/19/2012 14 Allowed 11/30/2012 $0.00 $270.01 $0.00 $270.01 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
GREEN HILL SCHOOL 8/24/2012 14 Allowed 10/15/2012 $357.32 $471.13 $0.00 $828.45 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
27
28 GREEN HILL SCHOOL 8/24/2012 9 Allowed 8/11/2015 $33,216.00 $24,076.41 $103,333.00 $83,574.15 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

29 GREEN HILL SCHOOL 9/17/2012 7 Allowed 12/24/2012 $0.00 $539.19 $0.00 $539.19 CHAIRS

30 GREEN HILL SCHOOL 9/17/2012 8 Allowed 12/17/2012 $0.00 $293.23 $0.00 $293.23 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.


GREEN HILL SCHOOL 10/2/2012 7 Allowed 1/15/2013 $0.00 $528.51 $0.00 $528.51 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
31
32 GREEN HILL SCHOOL 10/16/2012 8 Allowed 4/2/2013 $0.00 $525.27 $0.00 $525.27 FLOOR OF BUILDING
GREEN HILL SCHOOL 11/13/2012 16 Allowed 12/26/2012 $0.00 $280.84 $0.00 $280.84 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY
33
34 GREEN HILL SCHOOL 11/13/2012 16 Allowed 4/3/2013 $339.28 $2,412.73 $0.00 $2,752.01 GROUND

35 GREEN HILL SCHOOL 12/2/2012 20 Allowed 1/21/2013 $0.00 $303.64 $0.00 $303.64 GROUND


M N O
injury oiics natural code desc injury oiics body part code desc injury oiics accident type code desc

1
SORENESS, PAIN, HURT, EXCEPT THE BACK ELBOW(S) OVEREXERTION, N.E.C.
2
3 SPRAINS AND BRUISES MULTIPLE UPPER EXTREMITIES LOCATIONS, N.E.C. ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.

4 SPRAINS, STRAINS, TEARS KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.

5 SPRAINS, STRAINS, TEARS SHOULDER, INCLUDING CLAVICLE, SCAPULA FALL TO FLOOR, WALKWAY, OR OTHER SURFACE


SPRAINS, STRAINS, TEARS MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED
6
7 AVULSIONS HAND(S), EXCEPT FINGER(S) HITTING, KICKING, BEATING
OTHER COMBINATIONS OF TRAUMATIC INJURIES AND  MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.
8 DISORDERS
9 SPRAINS, STRAINS, TEARS HAND(S) AND WRIST(S) OVEREXERTION, UNSPECIFIED
SORENESS, PAIN, HURT, EXCEPT THE BACK HIP(S) SLIP, TRIP, LOSS OF BALANCE‐‐WITHOUT FALL
10
11 SPRAINS, STRAINS, TEARS KNEE(S) FALL TO FLOOR, WALKWAY, OR OTHER SURFACE

12 ABRASIONS, SCRATCHES MULTIPLE BODY PARTS HITTING, KICKING, BEATING

13 SPRAINS, STRAINS, TEARS BACK, INCLUDING SPINE, SPINAL CORD, N.E.C. OVEREXERTION, UNSPECIFIED


NONCLASSIFIABLE FACE, UNSPECIFIED HITTING, KICKING, BEATING
14
15 SPRAINS, STRAINS, TEARS MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.

16 ABRASIONS, SCRATCHES MULTIPLE BODY PARTS HITTING, KICKING, BEATING

17 SPRAINS, STRAINS, TEARS LUMBAR REGION OVEREXERTION, UNSPECIFIED


SPRAINS, STRAINS, TEARS MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED
18
19 ANIMAL OR INSECT BITES MULTIPLE BODY PARTS BITING
SPRAINS, STRAINS, TEARS LUMBAR REGION ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED
20
21 SPRAINS AND BRUISES MULTIPLE BODY PARTS HITTING, KICKING, BEATING
OTHER COMBINATIONS OF TRAUMATIC INJURIES AND  BACK, INCLUDING SPINE, SPINAL CORD, N.E.C. HITTING, KICKING, BEATING
22 DISORDERS
SPRAINS AND BRUISES MULTIPLE TRUNK LOCATIONS STRUCK BY OR SLAMMED IN SWINGING DOOR OR GATE
23
SORENESS, PAIN, HURT, EXCEPT THE BACK KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED
24
BACK PAIN, HURT BACK LUMBAR REGION ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED
25
26 SPRAINS, STRAINS, TEARS FINGER(S), FINGERNAIL(S) OVEREXERTION, UNSPECIFIED
SPRAINS, STRAINS, TEARS CHEST, EXCEPT INTERNAL LOCATION OF DISEASES OR DISORDERS FALL ONTO OR AGAINST OBJECTS
27
28 SPRAINS, STRAINS, TEARS WRIST(S) SQUEEZING, PINCHING, SCRATCHING, TWISTING

29 SPRAINS AND BRUISES MULTIPLE BODY PARTS STRUCK AGAINST OBJECT, N.E.C.

30 SPRAINS, STRAINS, TEARS MULTIPLE BACK REGIONS OVEREXERTION, UNSPECIFIED


SPRAINS, STRAINS, TEARS NECK, EXCEPT INTERNAL LOCATION OF DISEASES OR DISORDERS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.
31
32 SPRAINS, STRAINS, TEARS MULTIPLE BODY PARTS FALL TO FLOOR, WALKWAY, OR OTHER SURFACE
CUTS, LACERATIONS ELBOW(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED
33
34 SPRAINS, STRAINS, TEARS MULTIPLE BODY PARTS FALL TO FLOOR, WALKWAY, OR OTHER SURFACE

35 BRUISES, CONTUSIONS ELBOW(S) FALL TO FLOOR, WALKWAY, OR OTHER SURFACE


P
injury event description

1
DOING SHOWERS PUT A RESIDENT IN THE SHOWER GOT ANOTHER ONE OUT READY TO PUT IN ANOTHER SHOWER FIRST RESIDENT CAME OUT OF SHOWER AND STARTED PUNCHING 
2 THE SECOND RESIDENT IN PROCESS OF
3 I WAS RESTRAINING A RESIDENT AND FELL ONTO THE FLOUR HITTING MY ELBOW AND PULLING MUSELES IN MY SHOULDER

4 WHILE DEALING W AN AGGRESSIVE YOUTH AFTER BEING ? TO THE FLOOR I WAS HOLDING LEGS WHEN I SLAMMED MY KNEE

5 BREAKING UP A FIGHT AND ONE KID AND MYSELF FELL ON THE GROUND I FELL DIRECTLY ON MY SHOULDER
WAS ASSAULTED BY INMATE
6
7 GOT INTO ALTERCATION AT THE SCHOOL WITH TWO KIDS AND GOT SKIN CUT OFF HAND
ALTERCATION BETWEEN RESIDENTS OCCURED MYSELF AND ANOTHER STAFF ? UP THE FILL I WAS KNOCKED BACKWARD LANDING ON TAIL BONE AND CRACK HEAD AGAINST WALL AND 
8 DOOR HINGE
9 BREAKING UP FIGHT BETWEEN RESIDENTS RECEIVED INJURY TO HAND
TWO KIDS WERE FIGHTING AND I TRIED TO BREAK IT UP SLIPPING IN FOOD I AWKWARDLY TWISTED AND HURT MY KNEE LATER THE RAIN WENT FROM MY KNEE TO MY HIP AND BACK
10
11 I BROKE UP 2 RESIDENTS FIGHTING AND TOOK ONE RESIDENT TO THE FLOOR MY RIGHT KNEE WAS SLIGHTLY SORE I LANDED ON KNEE

12 DEALING WITH A RESISTIVE YOUTH TO WHERE I WAS ASSAULTED AND WAS WRESTLING ON CONCRETE TO CONTROL HIM

13 RETRAINING RESIDENT
WHILE MONITORING RESIDENTS IN MY LIVING UNIT MY SUPERVISOR SLAPPED ME IN THE FACE. THIS INCIDENT HAPPENED IN FRONT OF CLIENTS.
14
15 I WAS SECURING 2 INMATES THAT WERE FIGHTING AND ? INJURED WHEN I WAS WRESTLING THEM

16 I WAS PHYSICALLY ASSALTED BY AN INCARCERATED YOUTH I WAS SEVERAL TIMES IN THE HEAD EAR NOSE AND SCRATCHED IN THE ARM

17 BACK PAIN ONSET DURING TAKE DOWN OF INMATE
PHYSCIALLY RESTRAINING AN ASSAULTIVE RESIDENT
18
19 ENTERED RESIDENT ROOM TO UNCOVER HIS WINDOW THAT HE HAD BLOCKED HE IS ON SLP3 AND HE FOUGHT BACK
A TWO YOUTH FIGHTING FEEL PAIN WHEN I WRAPPED ? IN HIS WAIST AND ATTEMPTED TO GO DOWN ? HIM
20
21 DURING RESTRAINING THE RESIDENT I GOT KICKED IN THE FACE AND FELL ON MY RIGHT HAND WRIST
KICKED IN THE HEAD NECK AREA WHILE CONTROLLING AND INMATE
22
CODE 2 WAS CALLED IN WILLOW AS I OPENED THE DOOR TO THE WING IT HIT STAFFS FEET CAUSING IT NOT TO OPEN ALL THE WAY CAUSING ME TO RAM IT
23
INVOLVED IN A RESIDENT TAKE DOWN
24
DURING A PHYSIAL HANDLING TO THE GROUND
25
26 WHILE RESTRAINING A RESIDENT MY RIGHT HAND BECAME TRAPPED UNDER HIS BODY MY THUMB HYPER EXTENDED AND STILL HURTS
DURING PHYSICAL RESTRAINT OF AN INMATE I LANDED ON HIS ELBOW CAUSING INJURY TO RIBS
27
28 DOING A PHYSICAL TAKE DOWN ON A RESIDENT HE TOOK HOLD OF MY HAND AND BENT MY RIGHT WRIST BACKWARDS

29 FIGHT BETWEEN RESIDENTS I BROKE UP THE FIGHT HIT MY SHOULDER ON METAL SEAT

30 BREAKING UP ALTERCATION PULLING YOUTH BY RIGHT FOOT HURT MIDDLE AND UPPER BACK AN NECK
BREAKING UP A FLIGHT JAMMED MY NECK
31
32 RESTRAINING A YOUTH RESULTING IN TWISTING AND LANDING ON KNEES ON CONCRETE FLOOR
CUT ELBOW WHILE RESTRAINING RESIDENT
33
34 TAKING DOWN RESIDENT INJURED IN FACE

35 2 YOUTH BEGAN FIGHTING AFTER BACK UP ARRIVED I GAINED CONTROL OF 1 YOUTH AND AS WE FELL TO THE GROUND I LANDED ON MY ELBOW
A B C D E F G H I J K L M
claim id dba name claimant name injury date injury hour  claim  claim closed  timeloss ptd medical aid  claim cost  claim cost paid  injury oiics source code desc injury oiics natural code desc
time determination date amt paid to date  estimate to date
1 amt
GREEN HILL SCHOOL 1/28/2013 14 Allowed 1/28/2014 $3,033.16 $6,241.57 $29,194.00 $9,274.73 STRUCTURAL ELEMENTS, N.E.C. SPRAINS, STRAINS, TEARS
2
3
4
5
6
6 GREEN HILL SCHOOL

GREEN HILL SCHOOL

GREEN HILL SCHOOL

GREEN HILL SCHOOL

GREEN HILL SCHOOL 6
1/31/2013

2/25/2013

2/27/2013

3/19/2013

5/6/2013
11

14

19

10

10
Allowed

Allowed

Allowed

Allowed

Allowed
7/31/2013

8/7/2013

11/19/2015

10/10/2013

6/26/2013
$1,277.60

$778.23

$2,525.60

$629.99

$0.00
$2,698.48

$476.10

$16,912.38

$2,761.72

$139.90
$0.00

$0.00

$89,242.00

$0.00

$0.00
$3,976.08 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, 
N.E.C.
$1,254.33 FLOORS, WALKWAYS, GROUND SURFACES, 
UNSPECIFIED
$38,007.22 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, 
N.E.C.
$3,391.71 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, 
N.E.C.
$139.90 HEALTH CARE PATIENT OR RESIDENT OF HEALTH 
SPRAINS, STRAINS, TEARS

SPRAINS, STRAINS, TEARS

SPRAINS, STRAINS, TEARS

TRAUMATIC INJURIES TO NERVES, EXCEPT THE SPINAL 
CORD
BRUISES, CONTUSIONS
7 CARE FACILITY
GREEN HILL SCHOOL 5/12/2013 10 Allowed 10/6/2017 $5,101.73 $21,894.82 $62,707.00 $39,718.97 HEALTH CARE PATIENT OR RESIDENT OF HEALTH  FRACTURES AND OTHER INJURIES
8 CARE FACILITY
GREEN HILL SCHOOL 5/24/2013 19 Allowed 6/6/2013 $0.00 $804.14 $0.00 $804.14 PERSON‐‐OTHER THAN INJURED OR ILL WORKER,  BRUISES, CONTUSIONS
9 N.E.C.
GREEN HILL SCHOOL 6/14/2013 20 Allowed 8/1/2013 $471.95 $346.42 $0.00 $818.37 PERSON‐‐OTHER THAN INJURED OR ILL WORKER,  SPRAINS, STRAINS, TEARS
10 N.E.C.
GREEN HILL SCHOOL 6/22/2013 16 Allowed 12/23/2013 $0.00 $2,744.09 $0.00 $2,744.09 PERSON‐‐OTHER THAN INJURED OR ILL WORKER,  SPRAINS, STRAINS, TEARS
11 N.E.C.
GREEN HILL SCHOOL 7/9/2013 17 Allowed 8/27/2013 $0.00 $773.77 $0.00 $773.77 HEALTH CARE PATIENT OR RESIDENT OF HEALTH  SPRAINS AND BRUISES
12 CARE FACILITY
GREEN HILL SCHOOL 7/20/2013 19 Allowed 5/5/2015 $51,418.55 $38,569.27 $179,110.00 $184,192.88 PERSON‐‐OTHER THAN INJURED OR ILL WORKER,  SPRAINS, STRAINS, TEARS
13 N.E.C.
GREEN HILL SCHOOL 9/14/2013 19 Allowed 5/7/2015 $869.76 $14,421.44 $22,815.00 $34,735.88 PERSON‐‐OTHER THAN INJURED OR ILL WORKER,  SPRAINS AND BRUISES
14 N.E.C.
GREEN HILL SCHOOL 9/23/2013 9 Allowed 10/14/2013 $0.00 $514.65 $0.00 $514.65 PERSON‐‐OTHER THAN INJURED OR ILL WORKER,  SPRAINS AND BRUISES
15 N.E.C.
GREEN HILL SCHOOL 9/27/2013 17 Allowed 12/30/2013 $0.00 $356.37 $0.00 $356.37 PERSON‐‐OTHER THAN INJURED OR ILL WORKER,  CUTS, LACERATIONS
16 N.E.C.
GREEN HILL SCHOOL 9/30/2013 9 Allowed 1/6/2014 $0.00 $244.32 $0.00 $244.32 HEALTH CARE PATIENT OR RESIDENT OF HEALTH  SPRAINS, STRAINS, TEARS
17 CARE FACILITY
GREEN HILL SCHOOL 10/7/2013 8 Allowed 1/27/2014 $0.00 $515.79 $0.00 $515.79 GROUND INJURIES TO MUSCLES, TENDONS, LIGAMENTS, JOINTS, ETC.
18
GREEN HILL SCHOOL 10/11/2013 9 Allowed 8/29/2014 $0.00 $6,254.94 $0.00 $6,254.94 PERSON‐‐OTHER THAN INJURED OR ILL WORKER,  MULTIPLE TRAUMATIC INJURIES TO BONES, NERVES, 
19 N.E.C. SPINAL
GREEN HILL SCHOOL 10/22/2013 9 Allowed 4/29/2014 $3,228.66 $2,302.24 $0.00 $11,364.31 PERSON‐‐OTHER THAN INJURED OR ILL WORKER,  DISLOCATIONS
20 N.E.C.
GREEN HILL SCHOOL 11/11/2013 10 Allowed 1/16/2015 $589.96 $9,903.12 $22,820.00 $10,493.08 HEALTH CARE PATIENT OR RESIDENT OF HEALTH  SPRAINS, STRAINS, TEARS
21 CARE FACILITY
GREEN HILL SCHOOL 11/20/2013 11 Allowed 6/19/2014 $5,452.58 $5,150.62 $0.00 $10,603.20 PERSON‐‐OTHER THAN INJURED OR ILL WORKER,  FRACTURES AND OTHER INJURIES
22 N.E.C.
GREEN HILL SCHOOL 11/22/2013 20 Allowed 6/30/2014 $0.00 $180.96 $0.00 $180.96 PERSON‐‐OTHER THAN INJURED OR ILL WORKER,  SPRAINS, STRAINS, TEARS
23 N.E.C.
GREEN HILL SCHOOL 12/18/2013 9 Allowed 3/19/2014 $2,639.95 $5,439.27 $0.00 $8,079.22 PERSON‐‐OTHER THAN INJURED OR ILL WORKER,  OTHER COMBINATIONS OF TRAUMATIC INJURIES AND 
24 N.E.C. DISORDERS
GREEN HILL SCHOOL 12/18/2013 9 Allowed $60,926.32 $35,449.97 $181,854.00 $128,602.97 PERSON‐‐OTHER THAN INJURED OR ILL WORKER,  SPRAINS, STRAINS, TEARS
25 N.E.C.
GREEN HILL SCHOOL 12/26/2013 18 Allowed 5/15/2014 $0.00 $1,013.50 $0.00 $1,013.50 FLOOR OF BUILDING INJURIES TO MUSCLES, TENDONS, LIGAMENTS, JOINTS, ETC.
26
N O P
injury oiics body part code desc injury oiics accident type code desc injury event description

1
KNEE(S) OVEREXERTION IN HOLDING, CARRYING, TURNING, OR WIELDING RESPONDING TO CODE 2 I WAS RUNNING TO GYM AT STAIRWAY GOIND DOWN I MISSED THE STAIR CATCHING MY HEEL I GRABBED THE HANDRAIL TO SUPPORT MYSELF AND 
2 CONTINUED TO THE
KNEE(S) OVEREXERTION, UNSPECIFIED RESTRAINT OF AN OUT OF CONTROL WITH TAKING HIM TO THE GROUND I TWISTED MY RIGHT KNEE
3
HIP(S) FALL TO FLOOR, WALKWAY, OR OTHER SURFACE STEPPED IN TO BREAK UP ASSAULT WAS THROWN OFF BALANCE TWISTED AND FELL ON LEFT HIP
4
SHOULDER, INCLUDING CLAVICLE, SCAPULA OVEREXERTION, UNSPECIFIED HURT SHOULDER WHILE TAKING AN INMATE TO THE FLOOR DURING A FIGHT.
5
LUMBAR REGION ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED TWISTED LOWER BACK WHILE RESTRAINING YOUTH IN FIST FIGHT AT WORK
6
SHOULDER, INCLUDING CLAVICLE, SCAPULA OVEREXERTION, UNSPECIFIED TAKING A RESIDENT TO THE GROUND BECAUSE OF A FIGHT
7
WRIST(S) OVEREXERTION, UNSPECIFIED BREAKING UP A FIGHT AT GREEN HILL SCHOOL BETWEEN TWO RESIDENTS  I WAS HOLDING RESIDENT BACK WITH MY HANDS ON HIS CHEST
8
KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. ASSISTING IN RESTRANING AND PHYSICALLY HANDLING A RESIDENT MY KNEE MADE MODERATE CONTACT WITH THE FLOOR DURING THE STRUGGLE
9
MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED ATTEMPTING TO BREAK UP A RESIDENT FIGHT I FELL BACKWARDS AGAINST A WALL
10
KNEE(S) OVEREXERTION, N.E.C. ASSISTING OTHER EMPLOYEES IN A TAKE DOWN OF A YOUTH
11
FOREARM(S) SQUEEZING, PINCHING, SCRATCHING, TWISTING THE INJURY OCCURRED WHILE BREAKING UP A FIGHT
12
MULTIPLE BODY PARTS HITTING, KICKING, BEATING I WAS ASSAULTED BY AN INCARCERATED YOUTH I WAS HIT SEVERAL TIMES IN THE FACE AND INCURRED FURTHER INJURY WHEN I FELL
13
MULTIPLE BODY PARTS HITTING, KICKING, BEATING KNEES LIP JAW BACK ASSAULTED BY YOUTH AT GREEN HILL SCHOOL
14
KNEE(S) STRUCK BY FALLING OBJECT RESTRAINING ASSAULTIVE RESIDENT FELL ON LEFT KNEE
15
LOWER LEG(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. RESIDENT WAS ACTIVLEY ASULTING STAFF HE HAD BROKEN OUT ? AND GLASS WAS ALL OVER THE FLOOR
16
FINGER(S), FINGERNAIL(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. RESTRAINING A RESIDENT
17
ELBOW(S) FALL TO FLOOR, WALKWAY, OR OTHER SURFACE I WAS BREADING UP A GANG FIGHT IN A JUVENILE INSTITUTION AND HURT MY R ELBOW AND LEFT SIDE OF CHEST GOING TO THE GROUND
18
NECK, EXCEPT INTERNAL LOCATION OF DISEASES OR  ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. WHILE WRESTLING WITH AN INMATE AT WORK I FELL STRAIGHT TO MY BACK HITTING MY HEAD
19 DISORDERS
KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. DURING A TAKE DOWN DROPPED TO MY KNEES
20
MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. SEPERATING A FIGHT IN IMU FINGER WAS CUT BY A TOOTH GOING DOWN TO THE GROUNDED W INMATE BACK TWICKED ON BOTH SIDES
21
MULTIPLE BODY PARTS CAUGHT IN OR COMPRESSED BY EQUIPMENT OR OBJECTS, N.E.C. I WAS LIFTED OFF THE FLOOR THEN FELL WITH ANOTHER PERSON LANDING ON ME
22
FINGER(S), FINGERNAIL(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED RESTRAINING INMATE INVOLVED IN PHYSICAL ALTERCATION WITH ANOTHER INMATE
23
MULTIPLE BODY PARTS OVEREXERTION, N.E.C. BREAKING UP TWO SEPARATE ALTERCATIONS AT THE ELK SCHOOL I WAS INJURED DOING MY JOB
24
ANKLE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. BREAKING UP FIGHT WHEN FOOT GAVE WAY WITH INSTANT FEELING OF PAIN
25
FINGER(S), FINGERNAIL(S) FALL TO FLOOR, WALKWAY, OR OTHER SURFACE AT WORK ? REHABILITATION I INTERVENED TO BREAK UP A PHYSICAL ALTERCATION BEWEEN TWO YOUTH FELL TO FLOOR HARD BENEATH UPPER BODY OF YOUTH
26
A B C D E F G H I J K L M
claim id dba name claimant name injury date injury hour  claim  claim closed  timeloss ptd medical aid  claim cost  claim cost  injury oiics source code desc injury oiics natural code desc
time determination date amt paid to date  estimate paid to date
1 amt
2 GREEN HILL SCHOOL 1/2/2014 12 Allowed 7/22/2014 $1,363.44 $8,086.53 $0.00 $11,843.94 BODILY MOTION OR POSITION OF INJURED, ILL WORKER SPRAINS, STRAINS, TEARS

6 6
GREEN HILL SCHOOL 1/2/2014 12 Allowed 4/23/2014 $658.24 $2,653.46 $0.00 $3,311.70 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY SPRAINS, STRAINS, TEARS
3
GREEN HILL SCHOOL 1/31/2014 19 Allowed 4/11/2014 $0.00 $1,461.23 $0.00 $1,461.23 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, UNSPECIFIED SPRAINS AND BRUISES
4
GREEN HILL SCHOOL 4/17/2014 12 Allowed 7/17/2017 $34,418.17 $20,205.16 $76,417.00 $72,823.92 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
5
GREEN HILL SCHOOL 4/29/2014 11 Allowed 10/22/2014 $0.00 $1,735.52 $0.00 $1,735.52 FLOOR OF BUILDING DISLOCATIONS
6
7 GREEN HILL SCHOOL 5/3/2014 17 Allowed 1/11/2016 $0.00 $11,852.97 $0.00 $17,686.38 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS

8 GREEN HILL SCHOOL 5/5/2014 14 Allowed 7/21/2015 $0.00 $1,498.30 $0.00 $1,498.30 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. BRUISES, CONTUSIONS

9 GREEN HILL SCHOOL 5/14/2014 17 Allowed 7/1/2014 $0.00 $460.49 $0.00 $460.49 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
GREEN HILL SCHOOL 6/2/2014 19 Allowed 9/17/2014 $187.50 $1,349.00 $0.00 $1,536.50 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY BRUISES, CONTUSIONS
10
GREEN HILL SCHOOL 6/21/2014 11 Allowed 9/2/2014 $0.00 $515.70 $0.00 $515.70 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. BRUISES, CONTUSIONS
11
12 GREEN HILL SCHOOL 6/21/2014 11 Allowed 8/29/2014 $0.00 $316.55 $0.00 $316.55 NONCLASSIFIABLE SPRAINS, STRAINS, TEARS
GREEN HILL SCHOOL 7/1/2014 18 Allowed 2/11/2015 $0.00 $663.45 $0.00 $663.45 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. INJURIES TO MUSCLES, TENDONS, 
LIGAMENTS, JOINTS, ETC.
13
GREEN HILL SCHOOL 7/8/2014 10 Allowed 11/10/2014 $0.00 $165.82 $0.00 $165.82 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
14
GREEN HILL SCHOOL 7/8/2014 22 Allowed 12/8/2014 $0.00 $498.30 $0.00 $498.30 FLOOR OF BUILDING INJURIES TO MUSCLES, TENDONS, 
LIGAMENTS, JOINTS, ETC.
15
GREEN HILL SCHOOL 7/15/2014 15 Allowed 12/15/2014 $1,125.02 $2,047.94 $0.00 $3,172.96 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY SPRAINS, STRAINS, TEARS
16
17 GREEN HILL SCHOOL 9/3/2014 9 Allowed 1/6/2015 $13,764.87 $31,903.81 $244,016.00 $46,635.43 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. FRACTURES
GREEN HILL SCHOOL 10/1/2014 10 Allowed 7/2/2015 $0.00 $4,657.70 $0.00 $4,669.30 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
18
19 GREEN HILL SCHOOL 10/11/2014 15 Allowed 12/5/2014 $0.00 $311.26 $0.00 $311.26 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. BRUISES, CONTUSIONS
GREEN HILL SCHOOL 11/12/2014 20 Allowed 3/6/2015 $3,824.00 $4,179.83 $0.00 $8,003.83 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY SPRAINS, STRAINS, TEARS
20
N O P
injury oiics body part code desc injury oiics accident type code desc injury event description

1
2 KNEE(S) RUNNING‐‐WITHOUT OTHER INCIDENT RUNNING TO AN ASSISTANCE CALL CODE 2 OUTSIDE OF THE CENTRAL KITCHEN AT GHS FELT SHARP PAIN IN KNEE
HAND(S) AND ARM(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. ATTEMPTING TO RESTRAIN RESIDENT
3
KNEE(S) CAUGHT IN OR COMPRESSED BY EQUIPMENT OR OBJECTS, UNSPECIFIED MYSELF AND ANOTHER STAFF WORKER WERE RESTRAINING A RESIDENT.  MY RIGHT LEG GOT CAUGHT UNDER THE RESIDENT'S LEFT LEG. THE OTHER 
4 STAFF WENT TO APPLY PRESSURE AND WEIGHT TO THE RESIDENT, CAUSING MY KNEE TO HYPEREXTEND.
SHOULDER, INCLUDING CLAVICLE,  ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. WHILE BREAKINGUP A FIGHT BETWEEN TWO JUVENILE INMATES I INJURED MY RIGHT SHOULDER
5 SCAPULA
MULTIPLE BACK REGIONS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. SEPARATING RESIDENTS INVOLVED IN AN ALTERCATION AS I WAS PULLING A RESIDENT BACKWARD I STEPPED IN WATER FALLING TO THE FLOOR
6
7 MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. TRYING TO PULL ONE INMATE OFF ANOTHER DURING AN ASSAULT

8 KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED BREAKING UP A FIGHT BETWEEN TWO INMATES

9 WRIST(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. I BROKE UP A FIGHT BETWEEN TWO RESIDENTS AND I FELL ON MY WRIST


KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. RESTRAINTING A RESIDENT THAT WAS INVOLVED IN AN ALTERCATION
10
MULTIPLE BODY PARTS HITTING, KICKING, BEATING I WAS ASSAULTED BY RESIDENT PUNCHED IN FACE AND MOUTH HIT WALL WITH L SHOULDER AND R LOWER PORTION OF HEAD DURING HIS TAKE 
11 DOWN
12 KNEE(S) NONCLASSIFIABLE AFTER ISSUE WITH RESDENT MY KNEE HURT
FINGER(S), FINGERNAIL(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. BREAKING UP A FIGHT

13
LUMBAR REGION ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. PHYSICALLY SEPARATING TWO YOUTH INVOLVED IN A PHYSICAL ALTERCATIO AND TAKING A YOUTH TO THE GROUND TO PLACE HIM IN RESTRAINTS
14
KNEE(S) FALL TO FLOOR, WALKWAY, OR OTHER SURFACE WENT TO TAKE KID DOWN HIT RIGHT KNEE ON FLOOR

15
MULTIPLE TRUNK LOCATIONS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. RESTRAINING THE RESIDENT TAKE DOWNH
16
17 KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. I WAS BREAKING UP A ALTERCATION BETWEEN TWO RESIDETNS LANDED ON MY RIGHT KNEE WERE IN THE ED SCHOOL
SHOULDER, INCLUDING CLAVICLE,  ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. DURING THE TAKEDOWN OF A YOUTH INVOLVED IN A FIGHT AT WORK
18 SCAPULA
19 KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. DURING ASSISTING W RESTRAINT IF A RESIDENT HARD ON ? FLOOR W LEFT HAND KNEE
SHOULDER, INCLUDING CLAVICLE,  ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. RESIDENT ASSAULT ME HURT THE ABOVE PARTS TRYING TO GET AWAY
20 SCAPULA
A B C D E F G H I J K L M
claim id dba name claimant name injury date injury hour  claim  claim closed  timeloss ptd  medical aid  claim cost  claim cost  injury oiics source code desc injury oiics natural code desc
time determination date amt paid to date  estimate paid to date
1 amt
2 GREEN HILL SCHOOL 2/25/2015 20 Allowed 9/21/2015 $0.00 $7,340.25 $0.00 $15,618.90 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. DISLOCATIONS

6 6
GREEN HILL SCHOOL 3/9/2015 15 Allowed 10/23/2015 $0.00 $3,851.92 $0.00 $3,851.92 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
3
4 GREEN HILL SCHOOL 3/16/2015 9 Allowed 5/5/2015 $1,735.58 $1,237.91 $0.00 $2,973.49 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. CUTS, LACERATIONS
GREEN HILL SCHOOL 3/31/2015 9 Allowed 5/13/2015 $0.00 $427.77 $0.00 $427.77 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY SPRAINS, STRAINS, TEARS
5
GREEN HILL SCHOOL 4/6/2015 12 Allowed 8/6/2015 $0.00 $574.23 $0.00 $574.23 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. INJURIES TO MUSCLES, TENDONS, LIGAMENTS, 
6 JOINTS, ETC.
GREEN HILL SCHOOL 4/15/2015 8 Allowed 6/1/2015 $0.00 $208.56 $0.00 $208.56 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, UNSPECIFIED SPRAINS, STRAINS, TEARS
7
8 GREEN HILL SCHOOL 4/15/2015 8 Allowed 6/28/2016 $730.40 $8,083.24 $19,489.00 $11,178.96 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. FRACTURES AND OTHER INJURIES

9 GREEN HILL SCHOOL 4/28/2015 15 Allowed 4/1/2016 $13,193.36 $7,969.71 $35,606.00 $23,601.83 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS

10 GREEN HILL SCHOOL 5/31/2015 9 Allowed 8/19/2015 $0.00 $1,999.42 $0.00 $1,999.42 BODILY MOTION OR POSITION OF INJURED, ILL WORKER SPRAINS, STRAINS, TEARS

11 GREEN HILL SCHOOL 6/18/2015 17 Allowed 12/9/2015 $0.00 $1,292.90 $0.00 $1,292.90 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SORENESS, PAIN, HURT, EXCEPT THE BACK

12 GREEN HILL SCHOOL 7/30/2015 10 Allowed 10/5/2015 $0.00 $513.16 $0.00 $513.16 BODILY MOTION OR POSITION OF INJURED, ILL WORKER SPRAINS, STRAINS, TEARS
GREEN HILL SCHOOL 9/11/2015 8 Allowed 5/17/2017 $1,134.10 $8,140.09 $27,286.00 $10,514.54 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
13
14 GREEN HILL SCHOOL 9/22/2015 8 Allowed 3/9/2016 $1,690.31 $5,216.90 $0.00 $7,404.33 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. INGUINAL HERNIA
GREEN HILL SCHOOL 9/29/2015 9 Allowed 12/29/2015 $0.00 $424.98 $0.00 $424.98 BODILY MOTION OR POSITION OF INJURED, ILL WORKER SPRAINS, STRAINS, TEARS
15
GREEN HILL SCHOOL 10/5/2015 10 Allowed 12/31/2015 $0.00 $0.00 $0.00 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY BRUISES, CONTUSIONS
16
17 GREEN HILL SCHOOL 10/20/2015 17 Allowed 12/2/2015 $0.00 $424.27 $0.00 $424.27 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. FRACTURES

18 GREEN HILL SCHOOL 10/27/2015 17 Allowed 12/21/2015 $0.00 $2,422.97 $0.00 $2,422.97 BODILY MOTION OR POSITION OF INJURED, ILL WORKER SPRAINS, STRAINS, TEARS

19 GREEN HILL SCHOOL 11/9/2015 17 Allowed 10/5/2018 $15,109.03 $36,449.39 $67,197.00 $71,244.78 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
N O P
injury oiics body part code desc injury oiics accident type code desc injury event description

1
2 SHOULDER, INCLUDING CLAVICLE, SCAPULA ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. I WAS BREAKINGUP A FIGHT BETWEEN 2 YOUTH DURING THE IN ? WE WENT TO THE GROUND AND I DISLOCATED MY SHOULDER LEFT
MULTIPLE BACK REGIONS OVEREXERTION IN HOLDING, CARRYING, TURNING, OR WIELDING I WAS INVOLVED IN BREAKING THE FIGHT BETWEEN TWO RESIDENTS. WHILE I WAS ATTEMPTING THE HOLD/RESTRAINED ONE OF THE COMBATANT HE ATTEMPTED TO BREAK FROM ME BY 
3 ELBOWING ME AND SHARPLY TURNING MY BODY TO THE POINT I WAS ABOUT LOOSING
4 ELBOW(S) OVEREXERTION IN HOLDING, CARRYING, TURNING, OR WIELDING I WAS BREAKING UP A FIGHT RESIDENT WAS RESISTIVE RESIDENT PUSHED ME OFF OF HIM CAUSING ME TO FALL TO GROUND INJURING MY ELBOW
KNEE(S) FALL TO FLOOR, WALKWAY, OR OTHER SURFACE WHILE TAKING DOWN A RESIDENT LANDED ON MY KNEE
5
HIP(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. FIGHT TRY TO STOP OR HOLD YOUTH WHEN I FLIP ON TO THE GROUND COMPLETE SUMMER SOT ROLLING HEAD BODY MORE OF BODY CONTACT TO GROUND AT THE FRONT OF THEATER
6
MULTIPLE BACK REGIONS OVEREXERTION, UNSPECIFIED BREAKING UP A FIGHT TWISTED BACK WHILE TAKING A RESISTANT YOUTH TO THE GROUND
7
8 MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. FELL TO THE GROUND TRYING TO SEPERATE 2 RESIDENTS ENGAGED IN A FIGHT, TRAPPED UNDER ONE RESIDENT FOR A SHORT TIME

9 KNEE(S) OVEREXERTION, N.E.C. BREAKING THE ? LIGHT BETWEEN RESIDENTS

10 KNEE(S) RUNNING‐‐WITHOUT OTHER INCIDENT I WAS RESPONDING TO MULTIPLE ALTERCATIONS TAKING PLACE IN FRONT OF F BUILDING WHILE RUNNING DOWN A SLIGHT INCLINE I FELT A PAIN IN RIGHT KNEE

11 FINGER(S), FINGERNAIL(S) OVEREXERTION, UNSPECIFIED TAKING A KID DOWN AT WORK TO GO TO QUIT ROOM

12 ANKLE(S) RUNNING‐‐WITHOUT OTHER INCIDENT WAS RUNNING TO A SITUATION AND TWISTED ANKLE


FINGER(S), FINGERNAIL(S) HITTING, KICKING, BEATING APPROACHED YOUTH WITH OPEN HANDS TO ESCORT HIM TO THE UNIT AS HE WAS OUT OF BOUNDS AT SCHOOL YOUTH BECOME AGGRESIVE AND SLAPPED MY THUMB CAUSING DISLOCATION AND
13
14 INTESTINES, PERITONEUM, UNSPECIFIED ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED I WAS ASSISTING IN RESTRAINING A NON COMPLIANT RESIDENT HE WAS PLACED ON FLOOR AND ASSISTED TO HIS FEET AT LEAST 3 TIMES
BACK, INCLUDING SPINE, SPINAL CORD, N.E.C. SLIP, TRIP, LOSS OF BALANCE‐‐WITHOUT FALL RUNNING TO AN INCIDENT I SLIPPED ON THE FLOOR AND HEARD MY BACK POPPED
15
CHEST, EXCEPT INTERNAL LOCATION OF DISEASES  ASSAULTS AND VIOLENT ACTS BY PERSON(S), UNSPECIFIED A RESIDENT ATTACKED ME AT THE GYM.
16 OR DISORDERS
17 FINGER(S), FINGERNAIL(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. I WAS BREAKING UP A FIGHT AND MY FINGER GOT STUCK IN CLOTHING

18 ANKLE(S) SLIP, TRIP, LOSS OF BALANCE‐‐WITHOUT FALL RESPONDING TO A FIGHT AT WORK TRIPPED ON A HOLE

19 MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. I WAS BREAKING A FIGHT AND LOST CONTROL OF A RESIDENT AND FELL TO THE GROUND


A B C D E F G H I J K L M
claim id dba name claimant name injury date injury hour  claim  claim closed  timeloss ptd medical aid  claim cost  claim cost paid  injury oiics source code desc injury oiics natural code desc
time determination date amt paid to date  estimate to date
1 amt
2 GREEN HILL SCHOOL 1/5/2016 7 Allowed 9/12/2016 $828.09 $4,175.69 $0.00 $5,003.78 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS

6 6
GREEN HILL SCHOOL 1/5/2016 2 Allowed 3/8/2017 $4,823.04 $13,112.62 $28,223.00 $19,136.05 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. CONCUSSIONS
3
4 GREEN HILL SCHOOL 1/25/2016 17 Allowed 6/15/2016 $0.00 $906.47 $0.00 $906.47 NONCLASSIFIABLE SPRAINS, STRAINS, TEARS

5 GREEN HILL SCHOOL 2/10/2016 10 Allowed 3/23/2016 $0.00 $483.00 $0.00 $483.00 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SORENESS, PAIN, HURT, EXCEPT THE BACK
GREEN HILL SCHOOL 4/4/2016 9 Allowed 6/6/2016 $3,105.75 $1,398.32 $0.00 $4,504.07 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. BRUISES, CONTUSIONS
6
7 GREEN HILL SCHOOL 4/19/2016 20 Allowed 6/14/2016 $0.00 $913.14 $0.00 $913.14 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS

8 GREEN HILL SCHOOL 5/7/2016 9 Allowed 7/22/2016 $0.00 $391.00 $0.00 $391.00 BODILY MOTION OR POSITION OF INJURED, ILL WORKER SPRAINS, STRAINS, TEARS
GREEN HILL SCHOOL 6/12/2016 13 Allowed 8/9/2016 $177.15 $188.09 $0.00 $365.24 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY SPRAINS, STRAINS, TEARS
9
10 GREEN HILL SCHOOL 7/12/2016 10 Allowed 10/5/2016 $69.06 $2,070.09 $0.00 $2,139.15 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
GREEN HILL SCHOOL 8/9/2016 6 Allowed 10/26/2016 $69.06 $1,095.17 $0.00 $1,164.23 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. BRUISES, CONTUSIONS
11
12 GREEN HILL SCHOOL 8/11/2016 18 Allowed $32,303.66 $37,288.06 $97,716.00 $70,964.24 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. CONCUSSIONS
GREEN HILL SCHOOL 8/16/2016 11 Allowed 1/13/2017 $0.00 $703.41 $0.00 $703.41 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
13
GREEN HILL SCHOOL 8/28/2016 17 Allowed 12/16/2016 $376.74 $289.21 $0.00 $665.95 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY SPRAINS, STRAINS, TEARS
14
GREEN HILL SCHOOL 9/12/2016 25 Allowed 12/12/2016 $0.00 $1,235.44 $0.00 $1,235.44 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
15
GREEN HILL SCHOOL 9/14/2016 13 Allowed 12/19/2016 $0.00 $306.72 $0.00 $306.72 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY SPRAINS, STRAINS, TEARS
16
17 GREEN HILL SCHOOL 9/21/2016 10 Allowed 12/21/2016 $0.00 $360.81 $0.00 $360.81 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. SPRAINS, STRAINS, TEARS
GREEN HILL SCHOOL 9/26/2016 12 Allowed 12/22/2016 $0.00 $1,197.63 $0.00 $1,197.63 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY BRUISES, CONTUSIONS
18
19 GREEN HILL SCHOOL 9/28/2016 10 Allowed 1/19/2017 $0.00 $394.60 $0.00 $394.60 BODILY MOTION OR POSITION OF INJURED, ILL WORKER SPRAINS, STRAINS, TEARS

20 GREEN HILL SCHOOL 10/31/2016 12 Allowed $59,208.23 $42,855.50 $140,062.00 $105,865.79 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. BACK PAIN, HURT BACK


GREEN HILL SCHOOL 11/10/2016 20 Rejected 12/1/2016 $0.00 $151.41 $0.00 $151.41 BODILY CONDITIONS OF INJURED, ILL WORKER ANXIETY, STRESS, NEUROTIC DISORDERS, UNSPECIFIED
21
GREEN HILL SCHOOL 11/11/2016 15 Allowed 4/9/2018 $27,238.27 $25,284.90 $121,015.00 $71,700.58 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY SPRAINS, STRAINS, TEARS
22
GREEN HILL SCHOOL 11/11/2016 15 Allowed 3/22/2017 $0.00 $3,314.62 $0.00 $3,314.62 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY SPRAINS, STRAINS, TEARS
23
GREEN HILL SCHOOL 11/21/2016 12 Allowed 1/3/2017 $0.00 $207.53 $0.00 $207.53 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, UNSPECIFIED SPRAINS, STRAINS, TEARS
24
GREEN HILL SCHOOL 12/5/2016 22 Rejected 12/21/2016 $0.00 $265.23 $0.00 $265.23 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C. NONCLASSIFIABLE
25
N O P
injury oiics body part code desc injury oiics accident type code desc injury event description

1
2 KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. TAKING DOWN INMATES FIGHTING
BRAIN ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. BREAKING UP FIGHT BETWEEN TWO RESIDENTS IN UNIT HAWTHORNE ? HIT WALL AND PULL TO FLOOR HITTING FACE AND ? ON CONCRETE 
3 FLOOR HIT LEFT KNEE ON FLOOR
4 HAND(S) AND WRIST(S) NONCLASSIFIABLE

5 MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. MAJOR FIGHT IN RECREATION ROOM 15 OR MORE GANG FIGHTING


MULTIPLE TRUNK LOCATIONS HITTING, KICKING, BEATING I WAS ASSULTED BY A RESIDENT AT GREEN HILL SCHOOL HE PUNCHED ME AT LEAST 10 TIMES IN THE FACE AND HEART AND RIB AREA
6
7 MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. BROKE UP THE FIGHT BETWEEN 2 STUDENTS

8 KNEE(S) SLIP, TRIP, LOSS OF BALANCE‐‐WITHOUT FALL WAS RUNNING TO AN INCIDENT AND STUMBLED GOING OUT THE DOOR KIND OF HYPER EXTENDED MY LEFT KNEE


MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. UPPER BACK BETWEEN SHOULDERS AND LOWER BACK
9
10 FINGER(S), FINGERNAIL(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. DETAINING INMATE AFTER HE WAS BEING ATTACK, BY USING STRAIGHT JACKET HOLD
LOWER LEG(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. RIOT/FIGHT BROKE OUT, TRYING TO DETAIN INMATE USED DTL I STRAIGHT ARM BAR TAKE DOWN.  LANDED ON GROUND AT CENTRAL KITCHEN
11
12 BRAIN STRUCK BY SWINGING OR SLIPPING OBJECT, N.E.C. FULL KICK TO FACE
ANKLE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. MONITORING RIVAL GANG MEMBERS DURING FREETIME RIOT ALL INMATES STARTED TO FIGHT AND I HAD TO BREAK UP 2 INMATES ETOP 
13 TOOK TO GROUND
WRIST(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. ESCORTING A HOSTILE RESIDENT HE TRIED HEAD BATTING ME WE WENT TO PLACE HIM ON THE GROUND AND FELL ON MY WRIST
14
BACK, INCLUDING SPINE, SPINAL  ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. MONITORING RESIDENTS AT SCHOOL WHEN MAJOR FIGHTS BROKE OUT INJURED WHILE RESTRAINING RESIDENTS FIGHTING WITH ONE 
15 CORD, N.E.C. ANOTHER
LUMBAR REGION ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. 2 RESIDENTS STARTED FIGHTING MYSELF AND OTHER STAFF BACKUP THE FIGHT
16
17 LUMBAR REGION ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. BREAKING UP A FIGHT
KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. SEPARATING A FIGHT HIT MY RIGHT KNEE ON THE ? CONCRETE DUE TAKE DOWN OF ?
18
19 ANKLE(S) BODILY REACTION AND EXERTION, UNSPECIFIED

20 LUMBAR REGION OVEREXERTION IN LIFTING ASSISTED LIFTING RESIDENT AFTER CUTTING PAIN STARTED 30 TO 45 MINUTES LATER


BODY SYSTEMS EXPOSURE TO TRAUMATIC OR STRESSFUL EVENT, N.E.C. AFTER HOURS PHONE CALL FROM RESIDENTAL SUPERVISER THREATED INTIMIDATED
21
SHOULDER, INCLUDING CLAVICLE,  ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. RESTRAINING THE RESIDENT DURING THE FLIGHT
22 SCAPULA
KNEE(S) STRUCK BY FALLING OBJECT WHILE STOPPING A FIGHT, STAFF AND RESIDENT FELL ONTO MY LEFT HEEL; TWISTING MY FOOT AND CAUSING SHARP PAIN IN MY KNEE
23
LUMBAR REGION OVEREXERTION, UNSPECIFIED BREAKING UP FIGHTS AT WORK AT GREEN HILL SCHOOL.
24
EYE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. RESIDENT AT GREEN HILL SCHOOL SPIT AT ME ON THE WAY OUT OF HIS ROOM IT IS A KNOWN RESIDENT WITH HIV
25
A B C D E F G H I J K L
claim id dba name claimant name injury date injury hour  claim  claim closed  timeloss ptd  medical aid  claim cost  claim cost  injury oiics source code desc
time determination date amt paid to date  estimate paid to date
1 amt
GREEN HILL SCHOOL 1/19/2017 8 Allowed 4/20/2017 $0.00 $933.62 $0.00 $933.62 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
2
3
4
5
6
7
8
6 GREEN HILL SCHOOL
GREEN HILL SCHOOL
GREEN HILL SCHOOL

GREEN HILL SCHOOL

GREEN HILL SCHOOL

GREEN HILL SCHOOL
6
1/31/2017
2/2/2017
2/18/2017

2/18/2017

2/19/2017

3/6/2017
21
15
17

17

17

13
Allowed
Allowed
Allowed

Allowed

Allowed

Allowed
6/26/2017
5/22/2017

7/27/2017

1/23/2018

6/5/2017
$4,339.07
$0.00
$0.00

$1,732.32

$3,779.00

$0.00
$16,119.90
$3,384.30
$490.23

$2,071.73

$7,192.68

$320.24
$54,641.00
$0.00
$0.00

$0.00

$24,851.00

$0.00
$33,291.67 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY
$3,384.30 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
$490.23 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY

$3,804.05 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

$13,362.65 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

$320.24 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
GREEN HILL SCHOOL 3/13/2017 14 Allowed 6/21/2017 $708.47 $1,976.09 $0.00 $2,684.56 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
9
10 GREEN HILL SCHOOL 3/21/2017 16 Allowed 4/27/2017 $298.86 $517.05 $0.00 $815.91 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY

11 GREEN HILL SCHOOL 4/5/2017 12 Allowed 4/23/2018 $0.00 $6,983.33 $0.00 $7,521.29 FLOORS, WALKWAYS, GROUND SURFACES, UNSPECIFIED


GREEN HILL SCHOOL 4/5/2017 11 Allowed 5/24/2017 $0.00 $590.82 $0.00 $590.82 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY
12
GREEN HILL SCHOOL 4/24/2017 10 Allowed 6/7/2017 $0.00 $619.18 $0.00 $619.18 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
13
GREEN HILL SCHOOL 4/24/2017 8 Allowed 9/15/2017 $928.62 $1,744.38 $0.00 $2,673.00 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY
14
GREEN HILL SCHOOL 4/24/2017 11 Allowed 12/10/2018 $16,299.87 $31,259.11 $111,758.00 $95,835.39 BODILY MOTION OR POSITION OF INJURED, ILL WORKER
15
GREEN HILL SCHOOL 5/12/2017 19 Allowed 8/3/2017 $0.00 $1,892.82 $0.00 $1,892.82 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
16
GREEN HILL SCHOOL 5/20/2017 12 Allowed 2/5/2018 $673.80 $8,509.42 $18,030.00 $31,897.39 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
17
18 GREEN HILL SCHOOL 7/1/2017 18 Rejected 7/17/2017 $0.00 $270.41 $0.00 $270.41 BODILY FLUIDS OR SUBSTANCES OF PERSON
GREEN HILL SCHOOL 7/1/2017 20 Rejected 7/20/2017 $0.00 $588.72 $0.00 $588.72 BODILY FLUIDS OR SUBSTANCES OF PERSON
19
GREEN HILL SCHOOL 7/11/2017 12 Allowed 9/7/2018 $3,521.70 $8,595.49 $13,597.00 $12,158.44 TABLES, WORKTABLES
20
GREEN HILL SCHOOL 7/15/2017 11 Allowed 10/16/2017 $0.00 $564.49 $0.00 $564.49 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
21
GREEN HILL SCHOOL 7/15/2017 11 Allowed 9/27/2017 $0.00 $490.30 $0.00 $490.30 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
22
GREEN HILL SCHOOL 7/29/2017 20 Allowed 10/10/2017 $0.00 $3,006.31 $0.00 $3,006.31 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
23
GREEN HILL SCHOOL 8/29/2017 19 Allowed 1/24/2018 $0.00 $726.88 $0.00 $726.88 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
24
GREEN HILL SCHOOL 8/31/2017 19 Allowed 11/27/2017 $0.00 $298.72 $0.00 $298.72 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
25
GREEN HILL SCHOOL 9/13/2017 17 Allowed 3/25/2019 $10,636.92 $34,146.26 $86,415.00 $56,855.15 BODILY MOTION OR POSITION OF INJURED, ILL WORKER
26
GREEN HILL SCHOOL 9/29/2017 8 Allowed 11/17/2017 $0.00 $120.38 $0.00 $120.38 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
27
28 GREEN HILL SCHOOL 10/9/2017 10 Allowed 1/26/2018 $2,168.25 $2,487.69 $0.00 $4,655.94 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
GREEN HILL SCHOOL 10/9/2017 9 Allowed 1/8/2018 $0.00 $335.74 $0.00 $335.74 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

29
GREEN HILL SCHOOL 10/25/2017 20 Allowed 1/4/2018 $0.00 $395.65 $0.00 $395.65 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
30
GREEN HILL SCHOOL 10/25/2017 20 Allowed 1/8/2018 $105.97 $226.12 $0.00 $332.09 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
31
GREEN HILL SCHOOL 11/9/2017 18 Allowed 2/8/2018 $0.00 $513.30 $0.00 $513.30 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
32
A B C D E F G H I J K L
GREEN HILL SCHOOL 11/10/2017 10 Allowed 2/9/2018 $0.00 $480.54 $0.00 $480.54 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

6
33
34
35
36
37
6 GREEN HILL SCHOOL

GREEN HILL SCHOOL
GREEN HILL SCHOOL
GREEN HILL SCHOOL
11/10/2017

11/23/2017
11/23/2017
12/14/2017
10

18
15
15
Allowed

Allowed
Allowed
Allowed
12/12/2018

6/22/2018
6/28/2018
5/31/2018
$84.13

$0.00
$10,583.75
$0.00
$1,412.62

$250.15
$9,906.92
$3,493.04
$133,181.00

$0.00
$0.00
$0.00
$12,361.52 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

$250.15 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
$26,526.67 BODILY MOTION OR POSITION OF INJURED, ILL WORKER
$3,493.04 FLOORS, WALKWAYS, GROUND SURFACES, UNSPECIFIED
M N O P
injury oiics natural code desc injury oiics body part code desc injury oiics accident type code desc injury event description

1
SPRAINS, STRAINS, TEARS LUMBAR REGION ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. INVOLVED IN STOPPING A FIGHT BETWEEN TWO RESIDENTS AT GREEN HILL SCHOOL.
2
3 OTHER COMBINATIONS OF TRAUMATIC INJURIES AND DISORDERS MULTIPLE BODY PARTS OVEREXERTION, UNSPECIFIED GRABBED A RESIDENT WHO WAS INVOLVED IN A PHYSICAL ALTERCATION

4 SPRAINS, STRAINS, TEARS BACK, INCLUDING SPINE, SPINAL CORD, N.E.C. HITTING, KICKING, BEATING RESIDENT STRUCK RIGHT SIDE OF FACE LANDED ON LEFT SHOULDER


SPRAINS, STRAINS, TEARS HAND(S) AND WRIST(S) STRUCK BY FALLING OBJECT I WAS MONITORING RESIDENTS WHEN A FIGHT HAPPEN AND DURING PROCESS OF BREAKING UP FIGHT 
5 RESIDENT AND STAFF LANDED ON LEFT WRIST
SORENESS, PAIN, HURT, EXCEPT THE BACK SHOULDER, INCLUDING CLAVICLE, SCAPULA ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. A FIGHT BROKE OUT I WENT TO TAKE THE RESIDENT DOWNA ND FELL AWKWARD ON MY SHOULDER
6
SPRAINS, STRAINS, TEARS KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. I WAS ESCORTING RESIDENTS BACK FROM DINNER A FIGHT STARTED I GRABBED AND MOVED 1 RESIDENT AWAY 
7 WE CAME OFF THE SIDEWALK AND DOWN A SLOPE I WAS
8 BRUISES, CONTUSIONS ELBOW(S) OVEREXERTION, UNSPECIFIED HAD TO RESTRAIN A CHILD
SPRAINS, STRAINS, TEARS MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. DURING A GANG RELATED RIGHT I SUSTAINED INJURY WHILE RESTRAING A RESIDENT
9
10 SPRAINS, STRAINS, TEARS MULTIPLE BODY PARTS OVEREXERTION, UNSPECIFIED TWO RESIDENTS FIGHTING BROKE UP THE FIGHT AND INJURY HAPPENED DURING TAKE DOWN

11 SPRAINS, STRAINS, TEARS FINGER(S), FINGERNAIL(S) FALL TO FLOOR, WALKWAY, OR OTHER SURFACE WHILE RESTRAINING A CLIENT I FELL AND INJURED FINGERS ON MY LEFT HAND


SPRAINS, STRAINS, TEARS MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. TAKING DOWN RESIDENT INVOLVED IN FIGHT
12
BRUISES, CONTUSIONS ELBOW(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. I WAS TAKING DOWN A COMBATIVE RESIDENT AND INJURED ELBOW
13
SPRAINS AND BRUISES MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. WHILE BREAKING UP A FIGHT AT WORK I WAS ASSAULTED BY A RESIDENT
14
INJURIES TO MUSCLES, TENDONS, LIGAMENTS, JOINTS, ETC. KNEE(S) RUNNING‐‐WITHOUT OTHER INCIDENT I WAS AT GENERAL HILL SCHOOL A FIGHT BROKE OUT AT 10 50 AND I RAN DOWN THE HALL AND SHORT SET OF 
15 STAIRS TO ASSIST I DID NOT HANDLE YOUTH
SORENESS, PAIN, HURT, EXCEPT THE BACK KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S),  WAS BREAKING UP A FIGHT IN KITCHEN AREA AND INJURED KNEE LEFT
16 UNSPECIFIED
OTHER COMBINATIONS OF TRAUMATIC INJURIES AND DISORDERS MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. WHILE RESTRAINING AN INMATE INJURED KNEES ABDOMEN LEFT ARM AND HEAD INMATE PUSHED ME ON MY 
17 SHOULDER WHILE
18 NONCLASSIFIABLE WRIST(S) CONTACT WITH SKIN OR OTHER EXPOSED TISSUE RESIDENT DESTROYING STATE PROPERTY RESTRAINED BLEEDING RESIDENT EXPOSURE TO WRIST
NONCLASSIFIABLE MULTIPLE BODY PARTS CONTACT WITH SKIN OR OTHER EXPOSED TISSUE JUVENILE CO HAD TO HANDLE AND RESTRAIN AN HIV POSITIVE YOUTH RESULTING IN BLOOD ON MY ARM AND 
19 SPIT ON MY LEFT CHEEK
ABRASIONS, SCRATCHES LOWER LEG(S) STRUCK AGAINST OBJECT, N.E.C. A FIGHT AT THE CENTRAL KITCHEN TRYING TO STOP WAS PUSH BACK HITTING MY LEFT LEG ? ON THE SEAT OF 
20 THE TABLE CUTTING IT OPEN
CONCUSSIONS BRAIN HITTING, KICKING, BEATING YOUTH FIGHT I COMBATIENT TRIED TO RUN THROUGH ME TO GET AT ANOTHER YOUT NOCKING ME STRAIGHT 
21 BACK ON TO CONCRETE TRICKING MY HEAD
TRAUMATIC INJURIES AND DISORDERS, UNSPECIFIED HEAD, UNSPECIFIED ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. WAS DETAIRING HANDCUFING A YOUTH WHEN ANOTHER ONE GOT LOOSE AND ATTACKED THE YOUTH I HAD 
22 INJURYING ME AND ANOTHER STAFF
SPRAINS, STRAINS, TEARS WRIST(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. TRYING TO RESTRAINT RESIDENT HE WAS FIGHTING AND HE LAND MY HAND AND ELBOW
23
INJURIES TO MUSCLES, TENDONS, LIGAMENTS, JOINTS, ETC. KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. TWO RESIDENTS STARTED FIGHTING I STEPPED FORWARD TO ASSIST W SEPERATING THEM ALONG W MY 
24 SUPERVISOR SHE GRABBED ONE AND I THE OTHER MY YOUTH CONTINUE TO FIGHT W ME
BRUISES, CONTUSIONS ELBOW(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. I WAS TAKING A RESIDENT TO THE GROUND TO THE LEFT AND AS HE SPUN HIS AND MY WEIGHT LED TO A HARD 
25 IMPACT BETWEEN MY ELBOW AND THE FLOOR
SPRAINS, STRAINS, TEARS MULTIPLE BODY PARTS BODILY REACTION AND EXERTION, UNSPECIFIED BREAKING UP A GANG RELATED FIGHT ‐ MENTAL HEALTH ‐ OCCURRING DISORDERS ‐ 3 RESIDENTS 
26 DOC/JUVENILE INMATES INVOLVED (RAGE BO)
DISLOCATIONS KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. RESIDENT FIGHTING STAFF INTERVENED AND TOOK DOWN RESIDENT AND INJURED LEFT KNEE CAP
27
28 SPRAINS AND BRUISES MULTIPLE BODY PARTS HITTING, KICKING, BEATING LARGE SCALE RESIDENT BRAWL IN SCHOOL INTERVENED AND WAS HIT KICKED AND WENT TO FLOOR
SPRAINS, STRAINS, TEARS HAND(S), EXCEPT FINGER(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. DURING SCHOOL MOVEMENT A FIGHT BROKE OUT DURING ATTEMPTED ? TAKEDOWN I ? A YOUTH TRYING TO 
PULL ? OUT OF THE FIGHT MY RIGHT RING FINGER ? UP THEN AFTER TAKEDOWN WHILE ? YOUTH ASSETED 
29 LANDING ON SAME HAND
BRUISES, CONTUSIONS FOREARM(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. INJURED FOREARM BREAKING UP A FIGHT
30
BRUISES, CONTUSIONS SHOULDER, INCLUDING CLAVICLE, SCAPULA ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. WHILE RESTRAINING A CLIENT WE FELL TO THE FLOOR AND I STRUCK MY RIGHT SHOULDER IN A METAL DOOR 
31 FRAME
SPRAINS AND BRUISES MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. WAS ASSISTING IN RESTRAINING A RESIDENT AND FELL TO THE GROUND INJURING SHOULDER KNEE
32
M N O P
SPRAINS, STRAINS, TEARS NECK, EXCEPT INTERNAL LOCATION OF DISEASES OR  ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. ASSAULTED BY A RESIDENT.
33 DISORDERS
SORENESS, PAIN, HURT, EXCEPT THE BACK MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C. PT WAS ASSAULTED BY AN INMATE
34
35 SORENESS, PAIN, HURT, EXCEPT THE BACK JAW/CHIN HITTING, KICKING, BEATING I WAS KICKED IN THE CHIN JAW

36 SORENESS, PAIN, HURT, EXCEPT THE BACK KNEE(S) RUNNING‐‐WITHOUT OTHER INCIDENT RESPONDING TO CODE BEGAN TO RUN AND TWISTED KNEE

37 BRUISES, CONTUSIONS KNEE(S) FALL TO FLOOR, WALKWAY, OR OTHER SURFACE OUT OF CONTROL RESIDENT WAS DETAINED. IN THE PROCESS LANDED ON RIGHT KNEE.


A B C D E F G H I J K L
claim id dba name claimant name injury date injury hour  claim  claim closed  timeloss ptd medical aid  claim cost  claim cost  injury oiics source code desc
time determination date amt paid to date  estimate paid to date
1 amt
2 GREEN HILL SCHOOL 1/26/2018 20 Allowed $13,173.31 $20,012.18 $79,524.00 $33,185.49 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

6 6
3 GREEN HILL SCHOOL 1/27/2018 16 Allowed 4/11/2018 $0.00 $407.93 $0.00 $407.93 GROUND

4 GREEN HILL SCHOOL 1/27/2018 17 Allowed 3/9/2018 $0.00 $888.84 $0.00 $888.84 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.


GREEN HILL SCHOOL 2/5/2018 10 Allowed 8/23/2018 $0.00 $2,835.22 $0.00 $2,835.22 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
5
GREEN HILL SCHOOL 2/6/2018 10 Allowed 4/27/2018 $1,095.64 $528.39 $0.00 $1,624.03 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY
6
GREEN HILL SCHOOL 3/7/2018 11 Allowed 8/22/2018 $0.00 $2,015.78 $0.00 $2,015.78 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY
7
GREEN HILL SCHOOL 3/7/2018 12 Allowed 4/24/2018 $0.00 $1,358.75 $0.00 $1,358.75 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
8
9 GREEN HILL SCHOOL 4/26/2018 8 Allowed 5/29/2018 $0.00 $379.84 $0.00 $379.84 DOORS

10 GREEN HILL SCHOOL 5/17/2018 12 Allowed 11/16/2018 $0.00 $1,336.68 $0.00 $1,336.68 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

11 GREEN HILL SCHOOL 6/24/2018 14 Allowed 9/4/2018 $0.00 $432.26 $0.00 $432.26 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY


GREEN HILL SCHOOL 8/9/2018 16 Allowed 12/19/2018 $12,892.24 $12,280.74 $0.00 $25,172.98 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY
12
13 GREEN HILL SCHOOL 8/15/2018 20 Allowed 9/17/2018 $0.00 $235.63 $0.00 $235.63 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY

14 GREEN HILL SCHOOL 8/31/2018 17 Allowed 10/1/2018 $0.00 $760.14 $0.00 $760.14 DOORS

15 GREEN HILL SCHOOL 9/7/2018 9 Allowed 1/9/2019 $0.00 $845.07 $0.00 $845.07 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.


GREEN HILL SCHOOL 9/12/2018 8 Allowed 12/19/2018 $848.70 $6,427.69 $0.00 $7,276.39 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY
16
GREEN HILL SCHOOL 9/13/2018 8 Allowed 10/25/2018 $401.04 $428.76 $0.00 $829.80 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
17
GREEN HILL SCHOOL 9/13/2018 16 Allowed 1/28/2019 $0.00 $297.87 $0.00 $297.87 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
18
GREEN HILL SCHOOL 10/12/2018 10 Allowed 10/29/2018 $194.44 $578.69 $0.00 $773.13 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY
19
GREEN HILL SCHOOL 10/21/2018 18 Allowed $0.00 $5,313.77 $0.00 $5,313.77 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.
20
21 GREEN HILL SCHOOL 12/8/2018 25 Allowed 3/8/2019 $448.70 $2,188.47 $0.00 $2,637.17 PERSON‐‐OTHER THAN INJURED OR ILL WORKER, N.E.C.

22 GREEN HILL SCHOOL 12/16/2018 19 Allowed $0.00 $0.00 $0.00 HEALTH CARE PATIENT OR RESIDENT OF HEALTH CARE FACILITY


M N O
injury oiics natural code desc injury oiics body part code desc injury oiics accident type code desc

1
2 CONCUSSIONS BRAIN ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.

3 INTRACRANIAL INJURIES, UNSPECIFIED BRAIN FALL TO FLOOR, WALKWAY, OR OTHER SURFACE

4 CONCUSSIONS BRAIN ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.


SPRAINS, STRAINS, TEARS ELBOW(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.
5
SPRAINS, STRAINS, TEARS MULTIPLE BODY PARTS OVEREXERTION, UNSPECIFIED
6
BRUISES, CONTUSIONS CHEST, EXCEPT INTERNAL LOCATION OF DISEASES OR DISORDERS HITTING, KICKING, BEATING
7
BRUISES, CONTUSIONS CHEST, EXCEPT INTERNAL LOCATION OF DISEASES OR DISORDERS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.
8
9 INTRACRANIAL INJURIES, UNSPECIFIED BRAIN STRUCK BY OR SLAMMED IN SWINGING DOOR OR GATE

10 SPRAINS, STRAINS, TEARS SHOULDER, INCLUDING CLAVICLE, SCAPULA ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.

11 SPRAINS AND BRUISES MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.


SPRAINS, STRAINS, TEARS NECK, EXCEPT INTERNAL LOCATION OF DISEASES OR DISORDERS HITTING, KICKING, BEATING
12
13 SPRAINS, STRAINS, TEARS UPPER ARM(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.

14 BRUISES, CONTUSIONS ELBOW(S) STRUCK AGAINST OBJECT, N.E.C.

15 SPRAINS, STRAINS, TEARS KNEE(S) OVEREXERTION, UNSPECIFIED


INGUINAL HERNIA INTESTINES, PERITONEUM, UNSPECIFIED ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.
16
SPRAINS AND BRUISES MULTIPLE BODY PARTS HITTING, KICKING, BEATING
17
INJURIES TO MUSCLES, TENDONS, LIGAMENTS, JOINTS, ETC. SHOULDER, INCLUDING CLAVICLE, SCAPULA OVEREXERTION, UNSPECIFIED
18
SPRAINS, STRAINS, TEARS SHOULDER, INCLUDING CLAVICLE, SCAPULA ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.
19
SPRAINS, STRAINS, TEARS SHOULDER, INCLUDING CLAVICLE, SCAPULA OVEREXERTION, UNSPECIFIED
20
21 SPRAINS, STRAINS, TEARS KNEE(S) ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.

22 SPRAINS AND BRUISES MULTIPLE BODY PARTS ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.


P
injury event description

1
2 PATIENT ASSUALTED BY INMATE HIT IN HEAD WITH LOSS OF CONSCIOUSNESS

3 APPROX 4 PEOPLE FELL ON TOP OF ME CAUSING ME TO HIT MY HEAD ON THE GROUND

4 INMATE THREW ME BACKWARDS I HIT THE GROUND MY HEAD HIT FLOOR
BREAKING UP FIGHT BETWEEN 3 RESIDENTS @ GHS WILLOW JMU, GRABBED RESIDENT BY BACK OF UNIFORM AND PINNED HIM 
5 ON THE FLOOR.
BREAKING UP FIGHT AT THE ED SCHOOL WAS HURT WHILE TAKING RESIDENT TO THE GROUND WAS ASSISTING STAFF
6
I ATTEMPTED TO RESTRAIN AN "OUT OF CONTROL" RESIDENT. HIS ELBOW STRUCK MY CHEST UPON IMPACT WITH THE 
7 GROUND. MY SHOULDER BLADE AND NECK ARE HURT TOO.
I WAS ASSISTING IN GAINING COMPLIANCE OVER ASSAULT THAT WAS HAPPENING WHEN THE GROUP OF US TUMBLED TO THE 
8 GROUND
9 GOING TO BREAK UP A FIGHT SWING DOORS SMACKED INTO FACE

10 I WAS SEPARATING A FIGHT BETWEEN TWO FIGHTING YOUTH AT WORK

11 PT WAS RUSHED BY A CLIENT TRY TO GET TO ANOTHER CLIENT AND PT WAS PINNED UP AGAINST WALL BY CLIENT
OUT OF CONTROL CLIENT STRUCK ME IN THE FACE, WE WENT TO THE GROUND LANDED ON LEFT KNEE AND LEFT SIDE OF BODY
12
13 TAKING A RESIDENT DOWN FOR NOT FOLLOWING DIRECTIONS FROM STAFF

14 BREAKING UP A RIOT IN CAFETERIA RIGHT ELBOW SLAMMED IN METAL DOORFRAME

15 IT OCCURRED WHILE SEPARATING A FIGHT BETWEEN TWO YOUTH
THIS WRITER INTERVENED WHEN A GH RESIDENT WAS PUNCHING ANOTHER RESIDENT IN THE FACE THE SECOND RESIDENT HAD 
16 CEASED DEFENDING HIMSELF FELT POP IN STOMACH
WAS WORKING THE CONTROL BOOTH WHEN A RESIDENT APPROACHED GOT INTO A FIGHTING STANCE, GRABBED HIM AND 
17 TOOK HIM DOWN WHILE HE PUNCHED ME, ENDING UP ON THE GROUND
ESCORTING A CLIENT TO THEIR ROOM
18
TRYING TO INTERVENE IN A FIGHT I TRIED TO GRAB RESIDENT ONLY GOT HIS COAT I GOT SPUN AROUND LOST BALANCE AND 
19 LANDED ON MY LEGT SHOULDER
RESPONDING TO RESIDENT ALTERCATION WERE I ? TO PUT HANDS ON RESIDENT AS PREVENT FURTHER INJURY TO A RESIDENT 
20 BEING ASSAULTED
21 INTERVIENED TO BREAKUP A FIGHT AND GOT MY KNEE JOINT TWISTED

22 BREAKING UP A FIGHT AND WAS PUNCHED MULTIPLE TIMES
Injury Incident Rate per 100 FTE  
2014 7.69
2015 8.01
2016 10.75
2017 14.23
2018 9.71

2014 2015 2016 2017 2018


WPV Incidents 19 18 25 36 21
Hours 494313 449363 465331 505960 432750
Incidence rate 7.69 8.01 10.75 14.23 9.71

2014 2015 2016 2017 2018


Client/Client Incidents 10 11 14 21 12 Green Hill School
Hours 494313 449363 465331 505960 432750
Incidence rate 4.05 4.90 6.02 8.30 5.55
Rate of Assault Incidents Resulting in L & I Claims 
16
14.23
14

The data in the table accompanying this report were derived from analyzing injury information from OSHA 300 logs, and  12
10.75
Labor & Industries Workers’ Compensation claims for the years 2014 through 2018. The table represents assault 
9.71
incidents resulting in employee injury. All data were normalized to a rate of serious injuries per 100 FTE. The rates were  10
calculated by multiplying the number of assault‐related injuries by 200,000 (representing the number of hours worked  7.69 8.01
8
by 100 FTE in one year), and dividing by the number of hours worked by all Green Hill School employees in the year.  
6

0
2014 2015 2016 2017 2018

Injury Incident Rate per 100 FTE
# Assault Claims # Directed Assaults
2013 25 5
2014 19 5
2015 18 4
2016 24 4
2017 36 12
2018 21 4

Total Number of Assault‐Related Claims 
vs. 
Number of Claims Resulting from Assaults Directed at Staff
40
36
35

Data in this table represent the count of assault incidents that  30
resulted in an employee L & I injury claim. The data were further 
25
categorized into incidents where violence was directed at staff, vs  25 24
incidents where staff were injured during incidents that were not  21
directed at staff (such as breaking up a fight between youth.) 20 19
18

15
12

10

5 5
5 4 4 4

0
2013 2014 2015 2016 2017 2018

# Assault Claims # Directed Assaults

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