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Effectively Manage Incidents and Create Grab n Go Kit

Successful injury/incident management includes several components, but the most important may be communication. This recommended Grab N Go Kit will help you communicate your RTW program with injured employees, medical providers and MSF claims examiners.  The basic components of this kit include:

Communicating with Medical Provider
Letter to medical provider
: This document tells the treating medical provider about your company's RTW policy and your commitment to get your injured employee back to work as soon as medically appropriate.

Medical Status Form: When an injury occurs, a Medical Status Form should be sent with the injured employee to the initial medical appointment for the medical provider to complete. This form will outline the physical activities the employee is able to do. The injured employee should return the form to your RTW specialist immediately following the appointment. (The medical provider will send a copy to the MSF claims examiner)

Job Description: This document is a tool the treating medical provider can use to review the physical requirements of the injured employee’s job. Having a job description with the physical requirements of the job developed before an injury occurs can aid the medical provider in identifying duties that are medically appropriate for the injured employee’s condition. This form should be given to the treating medical provider at the initial medical appointment. Click here for Sample Job Descriptions.


Communicating with Montana State Fund
First Report of Injury (FROI): The employee and employer should complete the First Report of Injury Form as soon as an injury occurs, and forward it to the RTW specialist. The report is required by law. You can also file online.

Communicating with Company Supervisors
Incident Investigation Report: Since prevention is the best managment, be sure you investigate the cause of any incident whether it results in time off work or not. Investigating the incident may lead to changes that prevent reoccurances. Involve the employees and the direct supervsor in searching for solutions.

Grab n Go Kit Forms

Additional Incident Management Resources
Incident Management Checklist
Sample Transitional Job Ideas
Sample Return to Work Job Offer Lettter
Easy Steps to Return to Work


Click here for Sample Job Descriptions