7-Addendum 1.pdf

DEPARTMENT OF GENERAL SERVICES, PURCHASING DIVISION

Dr. Robert L. Yeager Health Center

50 Sanatorium Rd, Building A Pomona, New York 10970

Phone: (845) 364-3820 Fax: (845) 364-3809 Email: purchasing@co.rockland.ny.us

Paul Brennan, FNIGP, NIGP-CPP, CPPO

Director of Purchasing

ADDENDUM # 1

RFP-RC-2025-022

Worker’s Compensation and GML 207C Claims Administration

The information in this addendum supersedes any contradictory information set forth in the contract documents.

Acknowledge receipt of this addendum in the space provided on the signature page of the bid proposal. Failure to do so, may subject the bidder to disqualification. This addendum forms a part of the contract documents.

A pre-proposal meeting was held on August 14, 2025 at 10:00. The following were in attendance and the below questions were asked. Additional questions are included that were sent in writing.

Sabrina Samuels- Rockland County Purchasing Department

Tom Torpey- Rockland County Insurance Department

Serena Yanitelli- Rockland County Insurance Department

Esther Huslinger- Rockland County Insurance Department

Brian Guckert- NCA Comp

Kelsey Wilk- CorVel

Tony Cassaro- PERMA

Erin Jordan- NCA Comp

Mary Hartquist- Triad Group

Question # 1: Can we use our own form for the Past and Present References.

Response #1: Yes, however if a different form is used please include all information requested on the Rockland

County form.

Question #2: How many references are required?

Response #2: Three (3) current contracts and two (2) past contracts.

Question #3: When do we anticipate a decision?

Response #3: We anticipate a decision by the mid to end of September with a contract start date of December

1, 2025.

Question #4: Please elaborate on regarding county expectation for involvement on GML 207c cases,. Is this just coordination between the two statutes, case management etc.. Who makes line of duty determinations on behalf of county?

Response #4: The costs for medical and 207-c indemnity are paid by our TPA. We use another firm for determining if the injury is in the line of duty and there for 207-c and not just workers compensation.

Question #5: For Special Investigative Unit(SIU) does a designated outside investigative firm suffice?

Response #5: We expect the TPA to alert us to any claims that may be suspicious based on their experience with the individual claim and claims in general. We have a third party investigator that we use and have been happy with, Compass adjusters. The investigative work is assigned and coordinated by the TPA.

Question #6: Regarding electronic OSHA/PESH logs, completion and reporting to PESH cannot be delegated toa third party. Accordingly, will TPA reports for all occupational injuries and captured compensable lost time suffice? Please provide an example of what is currently provided by TPA.

Response #6: We complete the OSHA/PESH logs, but we rely on loss information in the TPA’s system to count the lost time vs medical only, or record only claims.

Note: Attached is a Loss Run Report

SIGNED:

Paul J. Brennan

PAUL J. BRENNAN, FNIGP, NIGP-CPP, CPPO

DIRECTOR OF PURCHASING

ADDENDUM

8/15/25

Medical Medical Medical Indemnity Indemnity Indemnity Expense Expense Expense Total Total Total

Primary Account Name Account Number Policy Number Effective Date Expiration Date Location Code Claim Number Accident Date Received Date Claim Type/Status Claim Type Computed Status Close Date Suit_Ind Accident State Ncci Part Desc Ncci Injury Desc Ncci Cause Desc Ncci Cd Cat Descrp Accident Description Reopen Flag Month End DateIncurred Paid Reserve Incurred Paid Reserve Incurred Paid Reserve Incurred Paid Reserve

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 W001589390 10/30/15 11/10/15 Medical Only Closed Medical Only Closed 01/29/16 12:00 AM N NY FOOT

ALL OTHER SPECIFIC

INJURIES, NOC

FALL OR SLIP INJURY - FALL, SLIP

OR TRIP INJURY, NOC FALL OR SLIP INJURY

EMPLOYEE GOT HER FOOT STUCK

UNDER A FOOD CART, LOST HER

BALANCE AND FELL ONTO ANOTHER

CART INJURING HER RIGHT LEG, RIGHT

THIGH AND RIGHT BIG TOE. N 12/31/24 105 105 0 67 67 0 172 172 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000001170 W001348313 01/05/15 01/06/15 Record Only Record Only Closed 01/06/15 12:00 AM N NY LOWER BACK AREA STRAIN STRAIN OR INJURY BY - LIFTING STRAIN OR INJURY BY

EMPLOYEE REMOVED A BOX

CONTAINING FILES FROM A SHELF TO

FILE A DOCUMENT IN ONE OF FILES. SHE

THEN PICKED UP THE BOX TO RETURN IT

TO THE SHELF WHEN HER BACK WENT

OUT. N 12/31/24 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000001170 W001604838 12/01/15 12/03/15 Medical Only Closed Medical Only Closed 02/15/16 12:00 AM N NY MULTIPLE BODY PARTS

MULTIPLE PHYSICAL

INJURIES ONLY

FALL OR SLIP INJURY - ON SAME

LEVEL FALL OR SLIP INJURY

EMPLOYEE WAS WALKING INTO THE

LOBBY OF OUR OFFICE BUILDING,

SLIPPED AND FELL ON WET FLOOR. (IT

WAS RAINING OUTSIDE AND OTHER

EMPLOYEES TRACKED IN WATER). N 12/31/24 142 142 0 22 22 0 164 164 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000001250 W001484080 06/22/15 07/22/15 Medical Only Closed Medical Only Closed 08/11/15 12:00 AM N NY

BODY SYSTEMS &

MULTIPLE BODY SYSTEMS

ALL OTHER OCCUPATIONAL

DISEASE/INJURY, NOC

MISCELLANEOUS CAUSES - OTHER

THAN PHYSICAL CAUSE OF INJURY MISCELLANEOUS CAUSES

SUBJECT STATES THAT SHE WAS BITTEN

BY A TICK WHILE WORKING. AS

REPORTED TO HER SUPERVISOR ON

7/13/15, SUBJECT DID NOT KNOW AT THE

TIME SHE HAD BEEN BITTEN. AFTER A

WEEK OF FEELING ILL (WEEK OF 7/6/15),

SHE SAW A PHYSICIAN ON 7/12/15 T N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000001260 W001376791 01/29/15 01/29/15 Medical Only Closed Medical Only Closed 03/25/15 12:00 AM N NY FOOT SPRAIN

FALL OR SLIP INJURY - SLIPPED, DID

NOT FALL FALL OR SLIP INJURY

ANCR - RIGHT FOOT. WALKING FROM

HALLWAY TO LIVING ROOM WITH 2

STEPS DOWN. ON FIRST STEP RIGHT

ROOT SLIPPED AND HE CAME DOWN ON

HIS RIGHT ANKLE CAUGHT HIMSELF

WITH HIS LEFT FOOT BUT FELT A

CRUNCH IN RIGHT ANKLE N 12/31/24 0 0 0 0 0 0 6 6 0 6 6 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000001410 W001547516 08/26/15 08/27/15 Medical Only Closed Medical Only Closed 11/02/15 12:00 AM N NY MULTIPLE BODY PARTS

MULTIPLE PHYSICAL

INJURIES ONLY

FALL OR SLIP INJURY - FALL, SLIP

OR TRIP INJURY, NOC FALL OR SLIP INJURY

TRIPPED OVER RUG AND FELL ONTO

CARPET N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000001420 W001401204 03/03/15 03/05/15 Record Only Record Only Closed 03/05/15 12:00 AM N NY MULTIPLE TRUNK

MULTIPLE PHYSICAL

INJURIES ONLY

FALL OR SLIP INJURY - ON ICE OR

SNOW FALL OR SLIP INJURY

WALKING THROUGH PARKING LOT

TOWARDS CAR; SLIPPED AND FELL ON

SNOW AND ICE N 12/31/24 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000001420 W001505256 08/10/15 08/11/15 Record Only Record Only Closed 08/11/15 12:00 AM N NY KNEE CONTUSION

FALL OR SLIP INJURY - ON SAME

LEVEL FALL OR SLIP INJURY

EMPLOYEE WAS EXITING THE COUNTY

EXECUTIVE''S OFFICE AND SLIPPED AND

FELL ON FL OOR. FLOOR HAD BEEN

WAXED OVER THE WEEKEND, THERE

SEEMED TO BE WET WAX ON RUG IN

COUNTY EXECUTIVE''S OFFICE LEADING

TO HALLWAY FLOOR. N 12/31/24 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000001430 W001610603 12/17/15 12/17/15 Record Only Record Only Closed 12/17/15 12:00 AM N NY NO PHYSICAL INJURY NO PHYSICAL INJURY

FALL OR SLIP INJURY - ON SAME

LEVEL FALL OR SLIP INJURY

EMPLOYEE FELL IN PARKING LOT, I WAS

CALLED BY WORKERS COMPENSATION

SPECIALIST FOR ROCKLAND COUNTY TO

FILL OUT FORM. N 12/31/24 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000001450 W001471041 07/01/15 07/17/15 Medical Only Closed Medical Only Closed 11/30/15 12:00 AM N NY LOWER BACK AREA STRAIN STRAIN OR INJURY BY - LIFTING STRAIN OR INJURY BY

INJURY HAPPENED AS EMPLOYEE WAS

LOADING BALLOT BOXES INTO VOTING

MACHINES N 12/31/24 1,696 1,696 0 502 502 0 2,198 2,198 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000001450 W001552543 09/10/15 09/10/15 Lost Time Closed Lost Time Closed 11/13/20 12:00 AM Y NY TOE(S) FRACTURE

STRUCK OR INJURED BY - FALLING

OR FLYING OBJECT STRUCK OR INJURED BY

*LEFT FOOT, LEFT 4TH TOE & RIGHT

ANKLE* WHILE MOVING A TABLE INTO

POSITION FOR PRIMARY DAY, INSPECTOR

WAS INJURED WHEN TABLE TIPPED

OVER AND THE SIDE OF THE TABLE FELL

ONTO HER FOOT CAUSING HER 4TH TOE

ON THE LEFT FOOT TO BE BADLY

INJURED. THERE WAS BLEEDING TO THE

TOE WHICH WAS CUT AND AN

AMBULANCE WAS CALLED TO THE POLL

SITE (FIRE TRAINING CENTER) TO TAKE

THE INSPECTOR FOR TREATMENT AT A

LOCAL HOSPITAL''S EMERGENCY ROOM. N 12/31/24 6,953 6,953 0 11,761 11,761 0 8,841 8,841 0 27,555 27,555 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000002400 W001372346 01/14/15 01/20/15 Medical Only Closed Medical Only Closed 05/23/16 12:00 AM N NY SHOULDER(S) CONTUSION

STRUCK OR INJURED BY - OBJECT

BEING LIFTED OR HANDLED STRUCK OR INJURED BY

ANCR - RIGHT SHOULDER CONTUSION.

EMPLOYEE WAS REMOVING ACCESS

COVER FROM CEILING UNIT, WHEN THE

HINGE BROKE HITTING HIM IN HIS RIGHT

SHOULDER. N 12/31/24 3,525 3,525 0 368 368 0 3,893 3,894 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000002400 W001379297 01/30/15 02/04/15 Medical Only Closed Medical Only Closed 12/04/17 12:00 AM Y NY SOFT TISSUE

MULTIPLE PHYSICAL

INJURIES ONLY

FALL OR SLIP INJURY - ON ICE OR

SNOW FALL OR SLIP INJURY

EMPLOYEE PLOWING SNOW, GOT OUT

OF TRUCK AND SLIPPED AND FELL.

HURTING HIS NECK, RIGHT SHOULDER,

AND BACK RIGHT DOWN THE SPINAL

COLUMN. N 12/31/24 1,837 1,837 0 276 276 0 2,113 2,113 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000002400 W001399645 03/02/15 03/03/15 Lost Time Closed Lost Time Closed 05/04/21 12:00 AM Y NY SHOULDER(S) STRAIN

STRAIN OR INJURY BY - PUSHING OR

PULLING STRAIN OR INJURY BY

ANCR - RIGHT SHOULDER. EMPLOYEE

WAS UNLOADING TIRES FROM DELIVERY

TRUCK WHEN HE REACHED UP AND

PULLED A TIRE TOWARD HIM AND FELT

A POP IN HIS RIGHT SHOULDER. HE

DROPPED THE TIRE AND FELT ANOTHER

POP AS HE LOWERED HIS ARM. N 12/31/24 16,150 16,150 0 14,722 14,722 0 14,951 14,951 0 45,823 45,823 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000002400 W001408670 03/19/15 03/20/15 Medical Only Closed Medical Only Closed 03/26/15 12:00 AM N NY SHOULDER(S) STRAIN STRAIN OR INJURY BY - LIFTING STRAIN OR INJURY BY

EMPLOYEE WENT TO THE AIDE OF

FELLOW EMPLOYEE WHO BECAME

PINNED AND TRAPPED UND ER A TOOL

BOX. WHEN HE LIFTED THE TOOL BOX

FROM HIS CO-WORKER HE FELT A POP

IN HIS RIGHT SHOULDER CAUSING PAIN. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000002400 W001408696 03/19/15 03/20/15 Medical Only Closed Medical Only Closed 05/14/15 12:00 AM N NY SHOULDER(S)

MULTIPLE PHYSICAL

INJURIES ONLY

CAUGHT IN OR BETWEEN - OBJECT

HANDLED CAUGHT IN OR BETWEEN

EMPLOYEE WHILE MOVING A TOOLBOX,

IT BECAME UNSTABLE AND FELL ON HIM

TRAPPING H IM UNDER IT. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000002400 W001413368 03/20/15 04/01/15 Medical Only Closed Medical Only Closed 05/14/15 12:00 AM N NY WRIST

MULTIPLE PHYSICAL

INJURIES ONLY

FALL OR SLIP INJURY - FALL, SLIP

OR TRIP INJURY, NOC FALL OR SLIP INJURY

EMPLOYEE ALLEGES THAT WHILE DOING

SNOW REMOVAL, HE DROPPED THE

SHOVEL AND TRIP PED OVER IT CAUSING

HIM TO FALL. INJURED HIS RIGHT WRIST

AND RIGHT KNEE. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000002400 W001430552 04/13/15 04/23/15 Medical Only Closed Medical Only Closed 05/27/15 12:00 AM N NY SKULL CONTUSION

STRUCK OR INJURED BY - HAND

TOOL OR MACHINE USE STRUCK OR INJURED BY

WORKING WITH FELLOW EMPLOYEE AT

THE JAIL MAKING REPAIRS, WHEN A

WRENCH SLIPPED FROM THE HAND OF

CO-WORKER HITTING HIM IN THE HEAD

ABOVE LEFT EYE. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000002400 W001430604 04/17/15 04/23/15 Medical Only Closed Medical Only Closed 10/13/15 12:00 AM N NY LOWER BACK AREA SPRAIN

MOTOR VEHICLE - MOTOR VEHICLE,

NOC MOTOR VEHICLE

EMPLOYEE RETURNING TO WORK WAS

STOPPED AT RED LIGHT, ON ROUTE 202

IN GARNERVIL LE, NY WHEN REAR

ENDED BY AN OTHER CAR. N 12/31/24 46 46 0 0 0 0 46 46 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000002400 W001434831 04/28/15 05/04/15 Medical Only Closed Medical Only Closed 07/28/15 12:00 AM N NY FACIAL SOFT TISSUE STRAIN

FALL OR SLIP INJURY - ON SAME

LEVEL FALL OR SLIP INJURY

EMPLOYEE WAS REMOVING

FLUSHOMETER FROM TOILET, WHEN HE

SLIPPED AND FELL WHILE LOOSING

CONNECTION. HURTING HIS FOREHEAD

AND LOWER BACK. N 12/31/24 3,283 3,283 0 2,836 2,836 0 6,119 6,119 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000002400 W001470550 07/03/15 07/16/15 Medical Only Closed Medical Only Closed 09/16/15 12:00 AM N NY EYE(S) FOREIGN BODY

MISCELLANEOUS CAUSES -

MISCELLANEOUS CAUSES -

FOREIGN MATTER (BODY) IN EYE(S) MISCELLANEOUS CAUSES

EMPLOYEE WORKING ON REPAIR OF

DRAIN PIPE UNDER THE SINK, WHEN HE

GOT DIRT IN H IS LEFT EYE. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000002400 W001611290 12/08/15 12/18/15 Medical Only Closed Medical Only Closed 02/01/16 12:00 AM N NY KNEE CONTUSION

FALL OR SLIP INJURY - FROM

DIFFERENT LEVEL (ELEVATION) (OFF

WALL, CATWALK, BRIDGE, ETC.) FALL OR SLIP INJURY

EXITING GENERATOR AND FELL. HIGH

ENTRANCE DOOR. INJURED RIGHT KNEE

AND RIGHT ARM. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000002400 W001863377 08/23/15 12/14/16 Lost Time Open Lost Time Open N NY NO PHYSICAL INJURY

ALL OTHER CUMULATIVE

INJURIES, NOC

MISCELLANEOUS CAUSES - OTHER

THAN PHYSICAL CAUSE OF INJURY MISCELLANEOUS CAUSES

CLAIMANT DEC'D (REFERRED TO AS

CLAIMANT/DECEASED) SUFFERED A

WORK-RELATED DEATH. N 12/31/24 0 0 0 613,512 296,610 316,902 2,061 1,061 1,000 615,573 297,671 317,902

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000002500 W001409237 03/18/15 03/23/15 Lost Time Closed Lost Time Closed 03/24/16 12:00 AM Y NY SHOULDER(S) STRAIN STRAIN OR INJURY BY - LIFTING STRAIN OR INJURY BY

EMPLOYEE STATED WHILE LIFTING

BOXES HE HURT HIS RIGHT SHOULDER N 12/31/24 1,649 1,649 0 4,675 4,675 0 398 398 0 6,722 6,722 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000002500 W001505826 08/11/15 08/12/15 Medical Only Closed Medical Only Closed 09/10/15 12:00 AM N NY KNEE STRAIN STRAIN OR INJURY BY - LIFTING STRAIN OR INJURY BY

ANCR - LEFT KNEE. LIFTING A BOX, MAY

HAVE TURNED THE WRONG WAY (NOT

SURE) N 12/31/24 0 0 0 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001392985 02/10/15 02/17/15 Lost Time Closed Lost Time Closed 10/01/15 12:00 AM Y NY ELBOW STRAIN

FALL OR SLIP INJURY - ON ICE OR

SNOW FALL OR SLIP INJURY

OFFICER WAS SERVING AN ORDER OF

PROTECTION AT A PRIVATE RESIDENCE

WHEN HE SLIPPED ON BLACK ICE ON

DRIVEWAY N 12/31/24 742 742 0 4,043 4,043 0 780 780 0 5,565 5,564 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001405044 02/27/15 03/12/15 Lost Time Closed Lost Time Closed 11/10/16 12:00 AM N NY LOWER BACK AREA STRAIN

FALL OR SLIP INJURY - FROM

DIFFERENT LEVEL (ELEVATION) (OFF

WALL, CATWALK, BRIDGE, ETC.) FALL OR SLIP INJURY

ANCR - LOW BACK AND LEFT LEG.

DETECTIVE WAS WALKING TO POLICE

VEHICLE IN PARKING LOT WHEN HE

MISTEPPED DUE TO UNEVEN PAVEMENT N 12/31/24 13,476 13,476 0 25,731 25,731 0 10,023 10,023 0 49,230 49,230 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001406825 03/12/15 03/17/15 Lost Time Closed Lost Time Closed 08/10/15 12:00 AM N NY FINGERS FRACTURE

CAUGHT IN OR BETWEEN - OBJECT

HANDLED CAUGHT IN OR BETWEEN

OFFICER WAS REMOVING DEBRIS FROM

MOUNTED HEADQUARTERS BATHROOM

WHEN A TUB FELL ON HIS FINGER AND

FRACTURED IT N 12/31/24 599 599 0 1,486 1,486 0 373 373 0 2,458 2,458 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001410295 03/19/15 03/25/15 Medical Only Closed Medical Only Closed 05/06/15 12:00 AM N NY SKULL CONCUSSION

STRIKING AGAINST OR STEPPING ON

- STATIONARY OBJECT

STRIKING AGAINST OR

STEPPING ON

OFFICER WAS ENTERING COPY ROOM OF

PATROL HEADQUARTERS WHEN HE

STRUCK HIS HEAD ON A SHELF N 12/31/24 548 548 0 719 719 0 1,267 1,267 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001411147 03/22/15 03/26/15 Lost Time Open Lost Time Open Y NY LOWER BACK AREA STRAIN

FALL OR SLIP INJURY - ON SAME

LEVEL FALL OR SLIP INJURY

SERGEANT WAS APREHENDING A

SUSPECT. SUSPECT WAS RESISTING AND

SERGEANT MONDELII FELL ON THE

SIDEWALK AND INJURED HIS LOWER

BACK N 12/31/24 88,491 71,567 16,924 576,568 349,180 227,388 31,849 26,283 5,566 696,908 447,030 249,878

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001432055 04/25/15 04/27/15 Medical Only Closed Medical Only Closed 11/30/18 12:00 AM Y NY LOWER BACK AREA

MULTIPLE PHYSICAL

INJURIES ONLY

STRUCK OR INJURED BY - OBJECT

BEING LIFTED OR HANDLED STRUCK OR INJURED BY

OFFICER WAS PROCESSING CRIME

SCENE WHEN A WINDOW DISLODGED

FROM TRACK AND OFFICER GRABBED

WINDOW TO PREVENT IT FROM FALLING

AND FELT PAIN IN BACK AND NECK N 12/31/24 505 505 0 0 0 0 90 90 0 595 595 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001433748 04/29/15 04/30/15 Lost Time Closed Lost Time Closed 03/09/16 12:00 AM Y NY KNEE STRAIN

FALL OR SLIP INJURY - FALL, SLIP

OR TRIP INJURY, NOC FALL OR SLIP INJURY

OFFICER WAS CHASING SUSPECT IN

WOODS, WHEN HE STEPPED IM MUDDY

HOLE W RIGHT LEG CAUSING HIM TO

FALL AND TWIST KNEE N 12/31/24 338 338 0 2,264 2,264 0 379 379 0 2,981 2,982 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001451716 06/01/15 06/02/15 Lost Time Open Lost Time Open N NY SHOULDER(S) SPRAIN

STRUCK OR INJURED BY - STRUCK

OR INJURED BY, NOC, (INCLUDES

KICKED, STABBED, BIT, ETC.) STRUCK OR INJURED BY

WHILE ATTEMPTING TO APPREHEND A

FLEEING SUBJECT.OFFICER WRESTLED

SUSPECT TO GROUND AND INJURED

NECK, SHOULDER, AND FOREARM ON

RIGHT SIDE. N 12/31/24 170,978 138,781 32,197 532,041 375,194 156,847 78,032 68,499 9,533 781,051 582,475 198,576

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001455694 06/04/15 06/11/15 Medical Only Closed Medical Only Closed 08/25/15 12:00 AM N NY EYE(S)

ALL OTHER CUMULATIVE

INJURIES, NOC

MISCELLANEOUS CAUSES -

MISCELLANEOUS CAUSES -

FOREIGN MATTER (BODY) IN EYE(S) MISCELLANEOUS CAUSES

DETECTIVE WAS GUARDING A PRISONER.

PRISONER ACCIDENTLY SPAT AND

SALIVA WENT INTO OFFICER''S EYE N 12/31/24 351 351 0 329 329 0 680 680 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001455709 06/07/15 06/11/15 Medical Only Closed Medical Only Closed 08/26/15 12:00 AM N NY MULTIPLE HEAD INJURY

ALL OTHER CUMULATIVE

INJURIES, NOC

MISCELLANEOUS CAUSES -

ABSORPTION, INGESTION OR

INHALATION, NOC MISCELLANEOUS CAUSES

OFFICER WAS GUARDING A PRISONER IN

NYACK HOSPITAL WHEN THE PRISONERS

URINAL SPILLED AND SPLASHED IN HIS

EYES NOSE AND MOUTH. N 12/31/24 94 94 0 86 86 0 180 180 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001466118 07/02/15 07/07/15 Medical Only Closed Medical Only Closed 06/27/16 12:00 AM N NY LOWER LEG PUNCTURE

STRUCK OR INJURED BY - ANIMAL

OR INSECT STRUCK OR INJURED BY

DEPUTY WAS SERVING A WARRANT AT A

PRIVATE RESIDENCE WHEN NEIGHBORS

DOG BIT OFF ICER N 12/31/24 20 20 0 86 86 0 106 106 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001469690 07/14/15 07/15/15 Lost Time Closed Lost Time Closed 12/04/24 12:00 AM Y NY KNEE STRAIN

FALL OR SLIP INJURY - FROM

DIFFERENT LEVEL (ELEVATION) (OFF

WALL, CATWALK, BRIDGE, ETC.) FALL OR SLIP INJURY

ANCR - RIGHT KNEE. EMPLOYEE WAS

WALKING TO STATION HOUSE WHEN HE

FELT SOMETHING SNAP IN HIS KNEE. N 12/31/24 14,680 14,680 0 31,298 31,298 0 5,060 5,060 0 51,038 51,038 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001470958 07/15/15 07/17/15 Medical Only Closed Medical Only Closed 09/24/15 12:00 AM N NY MULTIPLE BODY PARTS

MULTIPLE PHYSICAL

INJURIES ONLY

FALL OR SLIP INJURY - ON SAME

LEVEL FALL OR SLIP INJURY

EMPLOYEE SLIPPED ON FLOOR TURNING

INTO OFFICE, FELL AND INJURED BACK,

KNEE AND NECK N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001484871 07/23/15 07/24/15 Lost Time Closed Lost Time Closed 12/03/15 12:00 AM N NY KNEE SPRAIN

FALL OR SLIP INJURY - FROM

DIFFERENT LEVEL (ELEVATION) (OFF

WALL, CATWALK, BRIDGE, ETC.) FALL OR SLIP INJURY

OFFICER WAS ENTERING FROM DOCK

WHEN HE STEPPED ON BOAT AND HIS

KNEE WENT OUT AND HE FELL TO

GROUND N 12/31/24 799 799 0 560 560 0 166 166 0 1,525 1,525 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001558694 09/16/15 09/17/15 Medical Only Closed Medical Only Closed 09/01/16 12:00 AM N NY

ABDOMEN INCLUDING

GROIN CONTUSION

STRUCK OR INJURED BY - ANIMAL

OR INSECT STRUCK OR INJURED BY

OFFICER WAS ON MOUNTED PATROL

WHEN HORSE BEGAN TO REAR AND

THREW OFFICER FROM HORSE. N 12/31/24 1,804 1,804 0 1,488 1,488 0 3,292 3,292 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001577457 10/10/15 10/14/15 Medical Only Closed Medical Only Closed 12/23/15 12:00 AM N NY

MULTIPLE UPPER

EXTREMITIES STRAIN

STRAIN OR INJURY BY - HOLDING OR

CARRYING STRAIN OR INJURY BY

OFFICER WAS PICKING AND CHECKING

HORSES FEET WHEN THE HORSE

JOLTED AND OFFICER FELT PAIN IN

SHOULDER N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001578654 10/10/15 10/16/15 Lost Time Closed Lost Time Closed 10/14/16 12:00 AM Y NY MULTIPLE HEAD INJURY CONCUSSION

STRUCK OR INJURED BY - STRUCK

OR INJURED BY, NOC, (INCLUDES

KICKED, STABBED, BIT, ETC.) STRUCK OR INJURED BY

SERGEANT WAS ATTEMPTING TO

RESTRAIN AN EDP WHEN HE WAS

KICKED IN THE HEAD TWICE BY EDP N 12/31/24 710 710 0 844 844 0 722 722 0 2,276 2,276 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003108 W001604695 11/18/15 12/03/15 Medical Only Closed Medical Only Closed 08/16/16 12:00 AM N NY SHOULDER(S) CRUSHING

STRUCK OR INJURED BY - MOVING

PARTS OF MACHINE STRUCK OR INJURED BY

EMPLOYEE WAS ENTERING ELEVATOR IN

BUILDING A. WHEN ELEVATOR DOORS

CLOSED ON HER CRUSHING

SHOULDERS AND THIGHS. N 12/31/24 4,002 4,002 0 1,717 1,717 0 5,719 5,719 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003140 W001419552 04/11/15 04/17/15 Medical Only Closed Medical Only Closed 05/12/16 12:00 AM N NY ELBOW STRAIN

STRAIN OR INJURY BY - STRAIN OR

INJURY BY, NOC STRAIN OR INJURY BY

INJURED LEFT ELBOW WHEN EXITING

REAR OF POLICE CAR. N 12/31/24 101 101 0 113 113 0 214 214 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003140 W001612110 12/17/15 12/22/15 Record Only Record Only Closed 12/22/15 12:00 AM N NY HIP

MULTIPLE PHYSICAL

INJURIES ONLY

FALL OR SLIP INJURY - ON SAME

LEVEL FALL OR SLIP INJURY

RAINING OUTSIDE, EMPLOYEE STATED

WALKED INSIDE AND SLIPPED ON WET

FLOOR WITH W ET BOOTS. FELL ON

FLOOR ON LEFT SIDE GOT UP AND FELL

AGAIN ON THE SAME SIDE.FI RST FALL-

SHE TWISTED AND FELL HARD ON HER

HIP.2ND FALL, SHE DID NOT FEEL SECUR N 12/31/24 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001375564 01/27/15 01/27/15 Medical Only Closed Medical Only Closed 10/01/15 12:00 AM N NY

UPPER BACK AREA

(THORACIC AREA) CONTUSION

STRUCK OR INJURED BY - FELLOW

WORKER, PATIENT, (NOT IN ACT OF

A CRIME) STRUCK OR INJURED BY

WHILE RESTRAINING AN INMATE THE

INMATE KICKED OFF THE WALL NEXT TO

TIMES SQUAR E WHILE THROWING HIS

BODY WEIGHT INTO THE OFFICER .

IMPACT RESULTED IN OFFICER LOSING

HIS BREATH AND SUFFERING

SUBSTANTIAL PAIN ALONG SPINE AND

RIBS ON BACK N 12/31/24 323 323 0 586 586 0 909 909 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001393208 02/17/15 02/17/15 Lost Time Closed Lost Time Closed 08/10/16 12:00 AM Y NY LOWER ARM CONTUSION

STRUCK OR INJURED BY - FELLOW

WORKER, PATIENT, (NOT IN ACT OF

A CRIME) STRUCK OR INJURED BY

RESTRAINING AN INMATE WHO WAS

RESITING AND TRYING TO BITE. DURING

THE STRUGGLE INJURED HIS LEFT

WRIST/ARM. N 12/31/24 1,553 1,553 0 46,861 46,861 0 1,442 1,442 0 49,856 49,857 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001393992 02/17/15 02/19/15 Medical Only Closed Medical Only Closed 05/05/15 12:00 AM N NY WRIST(S) & HAND(S LACERATION

STRUCK OR INJURED BY - FELLOW

WORKER, PATIENT, (NOT IN ACT OF

A CRIME) STRUCK OR INJURED BY

WHILE RESTRAINING AN INMATE THE

INMATES TEETH SCRATCHED THE TOP

OF HIS RIGHT H AND NEAR HIS THUMB. N 12/31/24 0 0 0 60 60 0 60 60 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001394272 02/17/15 02/19/15 Medical Only Closed Medical Only Closed 05/05/15 12:00 AM N NY WRIST LACERATION

CUT, PUNCTURE, SCRAPE - CAUGHT,

PUNCTURED, SCRAPED, NOC

CUT, PUNCTURE, SCRAPE

INJURED BY

WHILE RESTRAINING AN INMATE GOT A

CUT ON WRIST. N 12/31/24 0 0 0 60 60 0 60 60 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001405976 03/13/15 03/16/15 Lost Time Closed Lost Time Closed 09/05/17 12:00 AM Y NY KNEE

MULTIPLE PHYSICAL

INJURIES ONLY

MISCELLANEOUS CAUSES - OTHER

MISCELLANEOUS, NOC MISCELLANEOUS CAUSES

WHILE ATTEMPTING TO RESTRAIN AN

INMATE WHO WAS RESISTING HIS LEFT

KNEE HIT THE FLOOR WITH FORCE AND

THE INMATE BIT HIS LEFT HAND. N 12/31/24 3,400 3,400 0 51,627 51,627 0 4,254 4,254 0 59,281 59,281 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001407347 03/16/15 03/18/15 Lost Time Closed Lost Time Closed 02/17/17 12:00 AM N NY HAND INFLAMMATION

STRIKING AGAINST OR STEPPING ON

- STATIONARY OBJECT

STRIKING AGAINST OR

STEPPING ON

BANGED MIDDLE FINGER ON LEFT HAND

ON SHELVING IN SUPPLY ROOM. HURT

LEFT MIDDLE FINGER, LEFT FINGER AND

LEFT THUMB AND HAND N 12/31/24 1,892 1,892 0 29,597 29,597 0 1,082 1,082 0 32,571 32,571 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001412729 03/28/15 03/31/15 Medical Only Closed Medical Only Closed 08/10/15 12:00 AM N NY

BODY SYSTEMS &

MULTIPLE BODY SYSTEMS NO PHYSICAL INJURY

MISCELLANEOUS CAUSES -

ABSORPTION, INGESTION OR

INHALATION, NOC MISCELLANEOUS CAUSES

GAVE MOUTH TO MOUTH CPR TO INMATE

ON SUICIDE WATCH WITHOUT MASK N 12/31/24 355 355 0 445 445 0 800 800 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001415641 04/07/15 04/08/15 Lost Time Closed Lost Time Closed 07/17/19 12:00 AM Y NY LOWER BACK AREA CONTUSION

STRUCK OR INJURED BY - OBJECT

HANDLED BY OTHERS STRUCK OR INJURED BY

ANCR - LOW BACK WHILE ESCORTING AN

INMATE ON SUICIDE WATCH SHE WAS

STANDING IN THE HALL IN THE AREA

NEAR THE VISITING SEARCH 1 DOOR.

THE DOOR OPENED AND STRUCK HER IN

THE BACK. N 12/31/24 9,611 9,611 0 6,528 6,528 0 2,995 2,995 0 19,134 19,133 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001419071 04/16/15 04/16/15 Medical Only Closed Medical Only Closed 11/20/15 12:00 AM N NY EYE(S)

MULTIPLE PHYSICAL

INJURIES ONLY

STRUCK OR INJURED BY - STRUCK

OR INJURED BY, NOC, (INCLUDES

KICKED, STABBED, BIT, ETC.) STRUCK OR INJURED BY

WHILE RESTRAINING AND SEPARTING 2

INMATES ONE INMATE PUNCHED HIM IN

THE EYE N 12/31/24 802 802 0 252 252 0 1,054 1,054 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001429531 04/17/15 04/21/15 Medical Only Closed Medical Only Closed 08/10/15 12:00 AM N NY ELBOW LACERATION

CUT, PUNCTURE, SCRAPE - CAUGHT,

PUNCTURED, SCRAPED, NOC

CUT, PUNCTURE, SCRAPE

INJURED BY

WHILE RESTRAINING AN UNRLULY

INMATED SUSTAINED A SMALL

LACERATION AND ABRASION TO HIS

LEFT ELBOW AND WAS BLEEDING.

THERE WAS EXPOSURE TO FECEC IN

CELL. N 12/31/24 334 334 0 424 424 0 758 758 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001443700 05/24/15 05/25/15 Medical Only Closed Medical Only Closed 01/18/16 12:00 AM N NY UPPER ARM

MULTIPLE PHYSICAL

INJURIES ONLY

STRUCK OR INJURED BY - FELLOW

WORKER, PATIENT, (NOT IN ACT OF

A CRIME) STRUCK OR INJURED BY

WHILE HELPING TO GAIN CONTROL OF A

COMBATIVE INMATE EMPLOYEE WAS

SCRATCHED ON UPPER RITHT ARM,BY

THE INMATE AND HIT HIS LEFT KNEE ON

THE BED BUNK AS OFFICER AND

INMATE FELL TO THE GROUND N 12/31/24 363 363 0 461 461 0 824 824 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001443703 05/13/15 05/25/15 Medical Only Closed Medical Only Closed 01/14/16 12:00 AM N NY

MULTIPLE UPPER

EXTREMITIES CONTUSION

FALL OR SLIP INJURY - FALL, SLIP

OR TRIP INJURY, NOC FALL OR SLIP INJURY

OFFICER STATED CHAIR HE WAS SITTING

ON IN VISITING INSIDE BOOTH HAD A

BROKEN W HEEL AND HE FELL OUT OF

IT AS HE SAT DOWN N 12/31/24 0 0 0 68 68 0 68 68 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001443704 05/24/15 05/25/15 Medical Only Closed Medical Only Closed 01/14/16 12:00 AM N NY HAND CONTUSION

STRUCK OR INJURED BY - FELLOW

WORKER, PATIENT, (NOT IN ACT OF

A CRIME) STRUCK OR INJURED BY

WHILE RESTRAINING AN INMATE HURT

RT. HAND N 12/31/24 420 420 0 814 814 0 1,234 1,234 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001444545 05/24/15 05/27/15 Medical Only Closed Medical Only Closed 08/10/15 12:00 AM N NY LOWER LEG LACERATION

CUT, PUNCTURE, SCRAPE - CAUGHT,

PUNCTURED, SCRAPED, NOC

CUT, PUNCTURE, SCRAPE

INJURED BY

WHILE RESTRAINING AN INMATE

RECEIVED SCRAPS AND BRUISING TO

LEFT SHIN N 12/31/24 242 242 0 396 396 0 638 638 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001445454 05/26/15 05/28/15 Medical Only Closed Medical Only Closed 02/17/17 12:00 AM Y NY HAND LACERATION

CUT, PUNCTURE, SCRAPE - CAUGHT,

PUNCTURED, SCRAPED, NOC

CUT, PUNCTURE, SCRAPE

INJURED BY

RESTRAINING AN INMATE OFFICER GOT A

CUT ON BACK OF HAND AND INMATE

WAS BLEEDING AND OFFICER WAS

BLEEDING AND EXPOSED TO INMATES

BLOOD. N 12/31/24 3,068 3,068 0 0 0 0 840 840 0 3,908 3,908 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001451044 05/26/15 06/01/15 Medical Only Closed Medical Only Closed 01/18/16 12:00 AM N NY CHEST

ALL OTHER SPECIFIC

INJURIES, NOC

MISCELLANEOUS CAUSES - OTHER

MISCELLANEOUS, NOC MISCELLANEOUS CAUSES

WHILE RESTRAINING AN UNCOMPLIANT

INMATE WHO HAD BEEN SPRAYED THE

OFFICER STARTED TO GET CHEST PAINS.

THIS ALSO HAPPENED TO THE OFFICER

IN 2011 SAME SITUATION. N 12/31/24 2,002 2,002 0 1,167 1,167 0 3,169 3,169 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001451156 05/24/15 06/01/15 Medical Only Closed Medical Only Closed 10/27/15 12:00 AM N NY LOWER LEG

MULTIPLE PHYSICAL

INJURIES ONLY

STRUCK OR INJURED BY - FELLOW

WORKER, PATIENT, (NOT IN ACT OF

A CRIME) STRUCK OR INJURED BY

INMATE ATTACKED SERGEANT AND

TRIED TO STRANGLE HIM. SCRATCHES

OF NECK AND ARMS . SERGEANT

BANGED LEG ON BUNK AND HAD A

CONTUSION ON RT. SHIN AND SPRAINED

RT KNEE. N 12/31/24 441 441 0 635 635 0 1,076 1,075 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001451393 05/25/15 06/02/15 Medical Only Closed Medical Only Closed 01/14/16 12:00 AM N NY SOFT TISSUE STRAIN

STRAIN OR INJURY BY - STRAIN OR

INJURY BY, NOC STRAIN OR INJURY BY

ELEVATOR STOPPED SUDDENLY AND

DROPPED,JOLTING OFFICER N 12/31/24 0 0 0 68 68 0 68 68 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001461822 06/20/15 06/24/15 Medical Only Closed Medical Only Closed 10/01/15 12:00 AM N NY LOWER LEG

ALL OTHER SPECIFIC

INJURIES, NOC

MISCELLANEOUS CAUSES - OTHER

MISCELLANEOUS, NOC MISCELLANEOUS CAUSES

WHILE OBSERVING RECREATION YARD

ACTIVITIES A WASP FLEW UP HER PANT

LEG STINGING TWICE N 12/31/24 0 0 0 120 120 0 120 120 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001462153 06/16/15 06/25/15 Medical Only Closed Medical Only Closed 08/16/15 12:00 AM N NY UPPER ARM STRAIN STRAIN OR INJURY BY - LIFTING STRAIN OR INJURY BY

LIFTING A 50LB. SACK OF ONIONS INTO

BIN FELT SHARP PAIN IN LEFT

SHOULDER N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001469191 07/12/15 07/14/15 Lost Time Closed Lost Time Closed 06/27/16 12:00 AM N NY KNEE STRAIN

STRAIN OR INJURY BY - STRAIN OR

INJURY BY, NOC STRAIN OR INJURY BY

DID SOMETHING RUNNING FROM INTAKE

CLASSIFICATION HALLWAY TO BRAVO

HOUSING TO RIGHT KNEE AND RIGHT

ANKLE N 12/31/24 423 423 0 3,028 3,028 0 187 187 0 3,638 3,639 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001469648 07/09/15 07/15/15 Medical Only Closed Medical Only Closed 06/27/16 12:00 AM N NY UPPER LEG (THIGH) STRAIN

STRAIN OR INJURY BY - HOLDING OR

CARRYING STRAIN OR INJURY BY

WHILE RESPONDING TO A MEDICAL

EMERGENCY CARRYING THE BLOOD

PRESSURE MACHINE FO R THE NURSES

FELT A PULL/PAIN IN LEFT LEG WHILE

DELIVERING THE EQUIPMENT N 12/31/24 0 0 0 85 85 0 85 85 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001470047 07/12/15 07/15/15 Lost Time Closed Lost Time Closed 06/15/17 12:00 AM N NY ANKLE STRAIN

STRAIN OR INJURY BY - STRAIN OR

INJURY BY, NOC STRAIN OR INJURY BY

RUNNING TO AN INMATE FIGHT FELT

PAIN IN RIGHT ANKLE AND RIGHT FOOT N 12/31/24 65 65 0 844 844 0 200 200 0 1,109 1,109 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001470300 07/08/15 07/16/15 Medical Only Closed Medical Only Closed 10/06/15 12:00 AM N NY

UPPER BACK AREA

(THORACIC AREA)

ALL OTHER SPECIFIC

INJURIES, NOC STRAIN OR INJURY BY - LIFTING STRAIN OR INJURY BY

PUTTING AWAY STOCK LIFTING HEAVING

BOXES UPPER AND LOWER BACK HURT N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001502098 07/31/15 08/03/15 Medical Only Closed Medical Only Closed 06/27/16 12:00 AM N NY UPPER LEG (THIGH) STRAIN

STRAIN OR INJURY BY - STRAIN OR

INJURY BY, NOC STRAIN OR INJURY BY

INJURED WHILE RUNNING TO A FIGHT

AND SECURING INMATE N 12/31/24 100 100 0 85 85 0 185 185 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001502474 07/31/15 08/04/15 Medical Only Closed Medical Only Closed 01/18/16 12:00 AM N NY MULTIPLE HEAD INJURY CONTUSION

STRUCK OR INJURED BY - FELLOW

WORKER, PATIENT, (NOT IN ACT OF

A CRIME) STRUCK OR INJURED BY

PUNCHED IN THE FACE, HURT BACK,

HURT KNEE HITTING KNEE AGAINST

CONCRETE, ALL TRYING TO RESTRAIN A

COMBATIVE INMATE. (PAPERR WORK

DOES NOT STATE WHAT KNEE) N 12/31/24 1,560 1,560 0 2,281 2,281 0 3,841 3,841 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001520633 08/21/15 08/24/15 Lost Time Closed Lost Time Closed 04/20/18 12:00 AM N NY SHOULDER(S)

MULTIPLE PHYSICAL

INJURIES ONLY

STRUCK OR INJURED BY - STRUCK

OR INJURED BY, NOC, (INCLUDES

KICKED, STABBED, BIT, ETC.) STRUCK OR INJURED BY

SERGEANT WAS ATTEMPTING TO

RESTRAIN PRISONER WHEN HE HURT

LEFT SIDE OF BODY WHILE TRYING TO

LIFT A STRUGGLING INMATE N 12/31/24 7,842 7,842 0 35,291 35,291 0 7,444 7,444 0 50,577 50,578 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001548349 08/24/15 08/31/15 Lost Time Closed Lost Time Closed 02/15/18 12:00 AM N NY SHOULDER(S)

MULTIPLE PHYSICAL

INJURIES ONLY FALL OR SLIP INJURY - ON STAIRS FALL OR SLIP INJURY

FELL GOING UP STEPS AND USED

HANDS TO BREAK THE FALL. HAD DULL

PAIN IN LEFT SHOULDER,ELBOW AND

TINGLING IN FINGERS. N 12/31/24 6,321 6,321 0 844 844 0 2,226 2,226 0 9,391 9,392 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001559933 09/17/15 09/21/15 Medical Only Closed Medical Only Closed 01/18/16 12:00 AM N NY WRIST(S) & HAND(S STRAIN

STRAIN OR INJURY BY - STRAIN OR

INJURY BY, NOC STRAIN OR INJURY BY

DURING AM EXCERISE IN HAND CUFFING

TRAINING HE EXPERIENCED PAIN

AROUND RIGHT W RIST AND A NUMBING

SENSATION ON THE TOP OF HIS RIGHT

HAND. RIGHT WRIST AND THE LOWER

PART OF HIS HAND BEGAN TO SWELL. N 12/31/24 46 46 0 92 92 0 138 138 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001560325 09/17/15 09/21/15 Medical Only Closed Medical Only Closed 01/18/16 12:00 AM N NY MULTIPLE BODY PARTS STRAIN

STRAIN OR INJURY BY - STRAIN OR

INJURY BY, NOC STRAIN OR INJURY BY

WHILE PARTICIPATING IN A TIMED HAND

CUFFING DRILL, FELT HAMSTRING

TIGHTEN WHIL E RUNNING CAUSING HIM

TO FALL FORWARD ON THE ASPHALT N 12/31/24 65 65 0 83 83 0 148 148 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001565076 09/29/15 09/30/15 Lost Time Closed Lost Time Closed 09/29/23 12:00 AM N NY

ABDOMEN INCLUDING

GROIN STRAIN

STRAIN OR INJURY BY - STRAIN OR

INJURY BY, NOC STRAIN OR INJURY BY

RUNNING TO AN INMATE SUICIDE

ATTEMPT - FELT SHARP PAIN IN LEFT

GROIN AREA AND BACK N 12/31/24 55,221 55,221 0 109,420 109,420 0 49,012 49,012 0 213,653 213,653 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001565546 09/29/15 10/01/15 Medical Only Closed Medical Only Closed 03/30/16 12:00 AM N NY

MULTIPLE LOWER

EXTREMITIES STRAIN

STRAIN OR INJURY BY - STRAIN OR

INJURY BY, NOC STRAIN OR INJURY BY

RUNNING DOWN THE A-WING HALLWAY

RESPONDING TO AN ATTEMPTED

SUICIDE AND FELT A PAIN IN THE BACK

OF MY RT. FOOT THAT TRAVELED UP TO

HIS CALF. N 12/31/24 912 912 0 435 435 0 1,347 1,347 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001565578 09/29/15 10/01/15 Medical Only Closed Medical Only Closed 01/18/16 12:00 AM N NY FINGERS INFLAMMATION

CAUGHT IN OR BETWEEN - CAUGHT

IN, UNDER OR BETWEEN, NOC CAUGHT IN OR BETWEEN

WHILE WALKING THROUGH THE SALLY

PORT IN CENTRAL HE ATTEMPTED TO

HOLD THE DOOR FOR ANOTHER

OFFICER. UPON DOING SO THE DOOR

SLAMMED CLOSED ON HIS LEFT MIDDLE

FINGER N 12/31/24 0 0 0 68 68 0 68 68 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001584647 10/28/15 10/30/15 Medical Only Closed Medical Only Closed 12/08/15 12:00 AM N NY EYE(S) FOREIGN BODY

MISCELLANEOUS CAUSES -

ABSORPTION, INGESTION OR

INHALATION, NOC MISCELLANEOUS CAUSES

FELT BURNING SENSATION IN EYES.FELT

SMALL PARTICLES BLOW INTO EYE

WHILE PASSIN G CLEANING

SUPPLIES(SOAP BALLS) THROUGH PASS

TO INMATE . THERE IS A STRONG AIR

CURRENT COMING IN THROUGH PASS. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001585993 11/01/15 11/03/15 Lost Time Closed Lost Time Closed 09/21/16 12:00 AM N NY LOWER BACK AREA CONTUSION FALL OR SLIP INJURY - ON STAIRS FALL OR SLIP INJURY

ANCR W/O PREJUDICE FOR LOW BACK

AND RIGHT ANKLE. WALKING DOWN

STAIRS TO GO TO LINEUP, SLIPPED ON

WATER ON STEP AND SLID DOWN THE

STEPS ON HIS BACK. N 12/31/24 1,870 1,870 0 3,901 3,901 0 2,958 2,958 0 8,729 8,729 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001599242 11/19/15 11/20/15 Medical Only Closed Medical Only Closed 12/21/15 12:00 AM N NY UPPER LEG (THIGH) LACERATION

FALL OR SLIP INJURY - SLIPPED, DID

NOT FALL FALL OR SLIP INJURY

SLIPED IN BATHROOM ON OIL CLEANER

ON FLOOR N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001599264 11/17/15 11/20/15 Lost Time Closed Lost Time Closed 12/02/20 12:00 AM Y NY LOWER ARM STRAIN

MISCELLANEOUS CAUSES - OTHER

MISCELLANEOUS, NOC MISCELLANEOUS CAUSES

*RIGHT ELBOW* AFTER OPENING FOOD

PASSES FELT SHARP PAIN IN RIGHT

FOREARM N 12/31/24 7,935 7,935 0 113,270 113,270 0 4,144 4,144 0 125,349 125,350 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001599294 11/19/15 11/20/15 Lost Time Closed Lost Time Closed 12/09/17 12:00 AM N NY LOWER BACK AREA SPRAIN STRAIN OR INJURY BY - LIFTING STRAIN OR INJURY BY

WHILE CUFFING AN INMATE AND

HOLDING HIM INMATE STARTED TO

FAINT. WHILE LOWERING THE INMATE TO

THE FLOOR OFFICER FELT A SHARP PAIN

IN HIS LOWER RIGHT SIDE OF BACK N 12/31/24 468 468 0 169 169 0 244 244 0 881 881 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001609708 12/03/15 12/16/15 Record Only Record Only Closed 12/16/15 12:00 AM N NY LOWER ARM BURN

HEAT OR COLD EXPOSURE - STEAM

OR HOT FLUIDS

BURN OR SCALD-HEAT OR

COLD EXPOSURE

WHILE WASHING POTS TRIED TO REACH

A POT IN THE HOT SINK.

MISCALCULATED THE DEP TH OF THE

SINK AND PUT MY ARM TO LOW IN THE

HOT WATER. HAD BLACK RUBBER

GLOVES ON BUT THE WATER WENT

INSIDE THE GLOVE. N 12/31/24 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001613634 12/24/15 12/28/15 Lost Time Open Lost Time Open Y NY HAND

ALL OTHER SPECIFIC

INJURIES, NOC

STRAIN OR INJURY BY - PUSHING OR

PULLING STRAIN OR INJURY BY

*RIGHT HAND, LOW BACK AND UPPER

BACK.* WHILE PUSHING THE DOOR

GOING THRU DOOR STD3, IT ABRUPTLY

STOPPED MIDWAY FROM THE FULLY

OPEN POSITION. FELT PAIN ON MY RT.

HAND AND SOME PAIN TO MY LOWER

AND UPPER BACK. N 12/31/24 73,702 16,735 56,967 423,159 355,584 67,575 27,201 13,510 13,691 524,062 385,828 138,234

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000003150 W001685848 08/30/15 05/19/16 Lost Time Closed Lost Time Closed 02/14/22 12:00 AM N NY ANKLE FRACTURE

CAUGHT IN OR BETWEEN - CAUGHT

IN, UNDER OR BETWEEN, NOC CAUGHT IN OR BETWEEN

COMMUNITY SERVICE INMATE WAS ON

THE LIFT OF TRUCK WITH ANOTHER

WORKER AND A RACK OF FOLDING

CHAIRS WHEN THE DRIVER SIDE OF THE

LIFT BROKE, HE FELL TO THE GROUND

AND HIS LEFT ANKLE WAS TRAPPED

UNDER THE LIFT AND CHAIRS N 12/31/24 3,918 3,918 0 57,717 57,717 0 2,684 2,684 0 64,319 64,319 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004010 W001439285 05/12/15 05/13/15 Lost Time Closed Lost Time Closed 09/27/16 12:00 AM Y NY ANKLE SPRAIN

FALL OR SLIP INJURY - ON SAME

LEVEL FALL OR SLIP INJURY

ATTEMPTED TO GET OUT OF THE WAY

OF A SPEEDING VEHICLE - STUMBLED

FORWARD AND ROLLED LEFT ANKLE IN

THE ROADWAY N 12/31/24 4,876 4,876 0 5,984 5,984 0 606 606 0 11,466 11,466 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004010 W001441941 05/18/15 05/19/15 Medical Only Closed Medical Only Closed 06/29/15 12:00 AM N NY KNEE CONTUSION

FALL OR SLIP INJURY - FROM LIQUID

OR GREASE SPILLS FALL OR SLIP INJURY

WAS FAXING PAPERWORK IN ROOM 15 -

RUG WAS WET FROM BROKEN WATER

PIPE EARLIER I N THE DAY. LINOLEUM

FLOOR BECOMES SLIPPERY WITH WET

SHOES. FELL ON LEFT KNEE. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004010 W001441954 05/18/15 05/19/15 Medical Only Closed Medical Only Closed 06/29/15 12:00 AM N NY MULTIPLE BODY PARTS

MULTIPLE PHYSICAL

INJURIES ONLY

FALL OR SLIP INJURY - FROM LIQUID

OR GREASE SPILLS FALL OR SLIP INJURY

LEFT SUPERVISOR''S OFFICE, SLIPPED

AND FELL DOWN OUTSIDE ROOM 20.

RUG WAS WET FROM BROKEN WATER

PIPE EARLIER IN THE DAY. LINOLEUM

FLOOR BECOMES SLIPPERY WIT H WET

SHOES. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004010 W001470580 07/15/15 07/16/15 Medical Only Closed Medical Only Closed 09/28/15 12:00 AM N NY FINGERS LACERATION

CUT, PUNCTURE, SCRAPE - HAND

TOOL, UTENSIL; NOT POWERED

CUT, PUNCTURE, SCRAPE

INJURED BY

EMPLOYEE WAS CUTTING CORNERS ON

PAPERS THAT WERE STAPLED SO THEY

COULD BE RECY CLED INTO PADS. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004010 W001503131 07/27/15 08/05/15 Medical Only Closed Medical Only Closed 09/20/15 12:00 AM N NY MULTIPLE BODY PARTS CONTUSION

FALL OR SLIP INJURY - FROM

DIFFERENT LEVEL (ELEVATION) (OFF

WALL, CATWALK, BRIDGE, ETC.) FALL OR SLIP INJURY

WHEN CLINICIAN WENT TO SIT DOWN ON

THE STOOL (WITH WHEELS) IN EXAM

ROOM IT SLIPPED OUT FROM

UNDERNEATH HER. THEN SHE FELL

BACKWARD ONTO THE FLOOR. THE

BOTTOM (METAL PORTION) OF THE

STOOL HIT HER LOWER BACK. THE

UPPER MIDDLE AND LEFT SIDE OF BACK

HIT THE FLOOR AS DID HER RIGHT ARM.

THERE IS AN ABRASION ON HER LOWER

MIDDLE BACK. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004010 W001565932 09/30/15 10/01/15 Medical Only Closed Medical Only Closed 10/14/16 12:00 AM N NY SOFT TISSUE

MULTIPLE PHYSICAL

INJURIES ONLY

FALL OR SLIP INJURY - ON SAME

LEVEL FALL OR SLIP INJURY

TRIPPED AND FELL IN HALLWAY OF

BUILDING J - OUTSIDE ROOM 38 N 12/31/24 775 775 0 92 92 0 867 867 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004010 W001591844 11/12/15 11/13/15 Lost Time Closed Lost Time Closed 06/06/17 12:00 AM N NY HAND FRACTURE

MOTOR VEHICLE - COLLISION OR

SIDESWIPE WITH ANOTHER

VEHICLE, (BOTH VEHICLES IN

MOTION) MOTOR VEHICLE

ON PALISADES PARKWAY EXIT 6W THERE

WAS A CAR STOPPED ON THE RIGHT

LANE AND HE SKIDDED INTO HER CAR. N 12/31/24 1,418 1,418 0 2,477 2,477 0 1,122 1,122 0 5,017 5,018 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004010 W001620274 12/30/15 01/14/16 Lost Time Open Lost Time Open N NY SHOULDER(S) STRAIN STRAIN OR INJURY BY - LIFTING STRAIN OR INJURY BY

LIFTED CHAIR THAT WAS HOLDING

DOOR OPEN WHEN CALLED TO ASSIST

PUBLIC HEALTH NURSE MAUREEN

DULAK IN HER OFFICE. N 12/31/24 35,396 29,174 6,222 14,269 14,269 0 16,645 12,311 4,334 66,310 55,754 10,556

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004300 W001584128 10/26/15 10/29/15 Record Only Record Only Closed 10/29/15 12:00 AM N NY KNEE LACERATION

FALL OR SLIP INJURY - FALL, SLIP

OR TRIP INJURY, NOC FALL OR SLIP INJURY

WAS WALKING INTO BUILDING F OF

POMONA CAMPUS FROM THE PARKING

LOT AND TRIPPED AND FELL SCRAPING

RIGHT KNEE, RIGHT ELBOW AND RIGHT

HAND. N 12/31/24 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004980 W001372441 01/12/15 01/20/15 Medical Only Closed Medical Only Closed 01/21/15 12:00 AM N NY

UPPER BACK AREA

(THORACIC AREA) CONTUSION

STRIKING AGAINST OR STEPPING ON

- STATIONARY OBJECT

STRIKING AGAINST OR

STEPPING ON

EMPLOYEE WAS HELPING COWORKER

WITH A PATIENT TAKING HER OUT OF

THE BATHROOM. T HEIR WAS A HOOK

ON THE DOOR OF THE BATHROOM WALL

AND SHE HIT HER BACK ON IT. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004980 W001372492 01/05/15 01/20/15 Lost Time Closed Lost Time Closed 03/08/21 12:00 AM N NY LOWER BACK AREA SPRAIN

STRAIN OR INJURY BY - HOLDING OR

CARRYING STRAIN OR INJURY BY

EMPLOYEE WAS WALKING A RESIDENT,

WHEN THE PATIENT STARTED TO LOSE

HER BALANCE. THEY HELD ONTO HER

TO BREAK THE FALL WHEN THE

EMPLOYEE PULLED THE MUSSELS IN

HER SHOULDERS AND BACK. N 12/31/24 28,808 28,808 0 60,393 60,393 0 59,420 59,420 0 148,621 148,620 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004980 W001373044 01/01/15 01/21/15 Medical Only Closed Medical Only Closed 04/28/15 12:00 AM N NY

ABDOMEN INCLUDING

GROIN

ALL OTHER SPECIFIC

INJURIES, NOC

STRUCK OR INJURED BY - FELLOW

WORKER, PATIENT, (NOT IN ACT OF

A CRIME) STRUCK OR INJURED BY

EMPLOYEE TURNING RESIDENT ON HIS

SIDE, WHEN HE TURNED HITTING HER

ON THE LEFT SIDE OF HER ABDOMEN. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004980 W001376437 01/18/15 01/29/15 Lost Time Open Lost Time Open N NY SHOULDER(S)

MULTIPLE PHYSICAL

INJURIES ONLY

FALL OR SLIP INJURY - ON ICE OR

SNOW FALL OR SLIP INJURY

ANCR - RIGHT SHOULDER/ARM, NECK,

HEAD, BACK, RIGHT KNEE AND RIGHT

UPPER LEG. EMPLOYEE WAS ON HER

BREAK, GOING TO HER CAR WHEN SHE

SLIPPED ON ICE. HURTING HER RIGHT

SIDE OF HEAD, NECK, SHOULDER,LEG

AND BACK. N 12/31/24 224,542 105,933 118,609 243,857 131,526 112,331 90,940 62,283 28,657 559,339 299,742 259,597

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004980 W001379364 01/17/15 02/04/15 Medical Only Closed Medical Only Closed 02/27/15 12:00 AM N NY LOWER ARM

ALL OTHER SPECIFIC

INJURIES, NOC

STRUCK OR INJURED BY - FELLOW

WORKER, PATIENT, (NOT IN ACT OF

A CRIME) STRUCK OR INJURED BY

EMPLOYEE WHILE GIVING CARE TO A

RESIDENT, WAS SCRATCHED ON HIS

LOWER ARM. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004980 W001386760 02/04/15 02/12/15 Medical Only Closed Medical Only Closed 03/22/15 12:00 AM N NY NOSE NO PHYSICAL INJURY

STRUCK OR INJURED BY - FELLOW

WORKER, PATIENT, (NOT IN ACT OF

A CRIME) STRUCK OR INJURED BY

WHILE PROVIDING ONE-TO-ONE

OBSERVATION THE RESIDENT

UNEXPECTEDLY HIT THE EMPLO YEE ON

THE BRIDGE OF HER NOSE N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004980 W001386776 02/08/15 02/12/15 Medical Only Closed Medical Only Closed 03/22/15 12:00 AM N NY HAND CONTUSION

CAUGHT IN OR BETWEEN - CAUGHT

IN, UNDER OR BETWEEN, NOC CAUGHT IN OR BETWEEN

EMPLOYEE WAS PROVIDING ROUTINE

PATIENT CARE WHEN, AFTER ROLLING

THE PATIENT TO HER SIDE, THE PATIENT

ROLLED BACK ONTO THE EMPLOYEE''S

HAND. THE EMPLOYEE PUL LED HER

HAND OUT FROM UNDER THE PATIENT

AND HIT HER LEFT HAND ON THE BED. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004980 W001386800 02/03/15 02/12/15 Lost Time Closed Lost Time Closed 03/24/16 12:00 AM Y NY FINGERS

ALL OTHER SPECIFIC

INJURIES, NOC

CUT, PUNCTURE, SCRAPE - OBJECT

BEING LIFTED OR HANDLED

CUT, PUNCTURE, SCRAPE

INJURED BY

EMPLOYEE WAS PUTTING AWAY SNACKS

WHEN SHE FELT A (PRICK) PAIN WHEN

SHE TOUCHED THE TRAY. THE NEXT DAY

WHILE PASSING THE TRAY SHE FELT A

SHARP PAIN ON THE SAME FINGER

(RIGHT THUMB). MS. FORBES ARRIVED

ON N 12/31/24 1,188 1,188 0 6,011 6,011 0 945 945 0 8,144 8,145 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004980 W001386956 02/11/15 02/12/15 Medical Only Closed Medical Only Closed 08/20/15 12:00 AM N NY EYE(S) CONTUSION

STRUCK OR INJURED BY - OBJECT

BEING LIFTED OR HANDLED STRUCK OR INJURED BY

WHILE MOVING A WIRE THE WIRE

STRUCK HIS LEFT EYEBALL N 12/31/24 321 321 0 85 85 0 406 407 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004980 W001394055 02/07/15 02/19/15 Medical Only Closed Medical Only Closed 03/18/15 12:00 AM N NY SOFT TISSUE

ALL OTHER SPECIFIC

INJURIES, NOC

STRUCK OR INJURED BY - FELLOW

WORKER, PATIENT, (NOT IN ACT OF

A CRIME) STRUCK OR INJURED BY

EMPLOYEE WAS CARING FOR RESIDENT

WHEN HE SLAPPED HER ON THE RIGHT

SIDE OF HER NECK. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004980 W001394090 02/08/15 02/19/15 Medical Only Closed Medical Only Closed 03/25/15 12:00 AM N NY KNEE SPRAIN

FALL OR SLIP INJURY - FALL, SLIP

OR TRIP INJURY, NOC FALL OR SLIP INJURY

EMPLOYEE WAS FEEDING PATIENT, AND

WHEN TURNING TO THROW AWAY A CUP

INTO THE GA RBAGE SHE TRIPPED ON

THE BED ALARM CORD, AND FELL

HURTING HER LEFT KNEE. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004980 W001394123 02/17/15 02/19/15 Medical Only Closed Medical Only Closed 03/18/15 12:00 AM N NY HAND LACERATION

CUT, PUNCTURE, SCRAPE - CAUGHT,

PUNCTURED, SCRAPED, NOC

CUT, PUNCTURE, SCRAPE

INJURED BY

EMPLOYEE WAS TRYING TO ADJUST THE

HEIGHT OF ARMREST ON A W/C THAT

WAS STUCK, W HEN SUDDENLY THE ARM

REST MOVED. CAUSING A LACERATION

AND PUNCTURE TO HER LEFT HAND. N 12/31/24 0 0 0 0 0 0 0 0 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004980 W001394160 02/19/15 02/19/15 Lost Time Closed Lost Time Closed 10/04/16 12:00 AM N NY KNEE STRAIN

FALL OR SLIP INJURY - SLIPPED, DID

NOT FALL FALL OR SLIP INJURY

EMPLOYEE WENT TO RESIDENTS ROOM

DO TO THE BED ALARM RINGING. WHEN

SHE ENTERED THE ROOM HER LEFT

FOOT SLIDE FORWARD HURTING THE

BACK OF HER LEFT KNEE. N 12/31/24 6,079 6,079 0 8,397 8,397 0 2,635 2,635 0 17,111 17,112 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004980 W001402606 03/03/15 03/09/15 Lost Time Closed Lost Time Closed 01/13/20 12:00 AM Y NY LOWER BACK AREA STRAIN STRAIN OR INJURY BY - REACHING STRAIN OR INJURY BY

EMPLOYEE CLAIMS THAT SHE WAS

WORKING IN THE DISH ROOM OF THE

KITCHEN, AND WHEN SHE REACHED FOR

PLATE COVERS FELT PAIN IN HER

LOWER BACK. N 12/31/24 9,111 9,111 0 11,636 11,636 0 13,871 13,871 0 34,618 34,618 0

ROCKLAND COUNTY WC 7099054 291500 01/01/15 01/01/16 0000004980 W001402891 03/05/15 03/09/15 Medical Only Closed Medical Only Closed 03/01/16 12:00 AM N NY LOWER BACK AREA STRAIN STRAIN OR INJURY BY - LIFTING STRAIN OR INJURY BY

EMPLOYEE WAS LOADING BAGS OF

GARBAGE INTO A VAN FOR TRANSPORT

TO DUMPSTER WHEN HE FELT A TWINGE

IN HIS LOWER BACK, RIGHT SIDE. N 12/31/24 2,583 2,583 0 66 66 0 2,649 2,649 0