Beruflich Dokumente
Kultur Dokumente
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.
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
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
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.
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.
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
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
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
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
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
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
6 6
3 GREEN HILL SCHOOL 1/27/2018 16 Allowed 4/11/2018 $0.00 $407.93 $0.00 $407.93 GROUND
1
2 CONCUSSIONS BRAIN ASSAULTS AND VIOLENT ACTS BY PERSON(S), N.E.C.
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
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