Work_Comp_Loss_Runs.xls
XLS spreadsheet 143 KB Posted
- Attached to
- Property and Casualty Insurance
- Solicitation number
- RFP-2018-0369
- Issued by
- Florida
About this file
The document is a comprehensive workers' compensation loss run spreadsheet covering multiple municipal departments in Florida, spanning fiscal years from 2007 to 2018. The spreadsheet tracks individual workplace injury claims across departments including Police, Fire, Streets, Waterworks Operation, Parks and Recreation, and other city services, detailing each incident's date, nature, body part affected, and associated medical and compensation costs.
The loss run reveals a pattern of workplace injuries primarily involving strains, contusions, punctures, and occupational exposures, with most claims concentrated in public safety and public works departments. Financial implications are significant, with some individual claims exceeding $25,000 and total incurred costs ranging from minimal first aid expenses to complex medical treatments involving surgeries, rehabilitation, and potential long-term disability. The data suggests a potential need for enhanced workplace safety training, ergonomic assessments, and risk management strategies to mitigate recurring injury types and associated financial liabilities across municipal operations.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFP-2018-0369_PUR-F-216_Notice_of_Intent_to_Award.pdf | ||
| Auto_Schedule_as_of_07-05-2018.xls | XLS spreadsheet | |
| Inland_Marine_Schedule_as_of_07-05-2018.xls | XLS spreadsheet | |
| Property_Schedule_as_of_07-05-2018.xls | XLS spreadsheet | |
| Liability_Loss_Runs.xlsx | XLSX spreadsheet | |
| Addendum_1_-_RFP_2018-0369.pdf | ||
| RFP-2018-0369_-_Property_and_Casualty_Insurance.pdf | ||
| Attachment_B_-_Statement_of_Values.pdf | ||
| Attachment_C_-_Projected_Payroll.pdf | ||
| Attachment_D_-_Loss_History.pdf | ||
| Attachment_E_-_Drug_Free_Workplace.pdf | ||
| Attachment_A_-_Coverage_Document.pdf |
Show all 12
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Sheet1
| AS OF DATE | DATE | FILE | ||||||||||||||||||||
| NUMBER | SSN | DEPT | LOCATION CODE | DATE OF INJURY | CLOSE | NAT | NAT DESC | PART | PART DESC | CAUSE | CAUSE DESC | EVENT DESC | DATE RECEIVED | COMP | MEDICAL | OTHER | RECOVERIES | OUTSTANDING RESERVES | INCURRED | |||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2007106748 | XXX-XX-XXXX | Streets | 10/29/2007 | C | WCC-CNT | Contusion | 41 | Upper Back Area (Thoracic Area) | WCC-INJ-FAL | Falling Object | While trimming trees a limb fell onto the IW s upper back on his right side. | 10/29/2007 | $0.00 | $73.50 | $0.00 | $73.50 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2007106775 | XXX-XX-XXXX | Fire | 11/01/2007 | C | WCC-STR | Strain | 38 | Shoulder | WCC-STR-LFT | Lifting | While in a rescue unit IW lifted an airway kit and felt a pull in his left shoulder. | 11/01/2007 | $0.00 | $1,041.86 | $250.00 | $1,041.86 | $0.00 | $250.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2007106781 | XXX-XX-XXXX | Streets | 10/18/2007 | C | WCC-FRB | Foreign Body | 14 | Eye(s) | 87 | Miscellaneous Causes - Foreign Body in Eye | Iw sustained sawdust to his Rt eye. | 11/01/2007 | $0.00 | $318.99 | $0.00 | $318.99 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2007106952 | XXX-XX-XXXX | Waterworks Operation | 11/28/2007 | C | WCC-NPI | No Physicial Injury | 65 | Insufficient Info to Properly Identify | WCC-MVC-CFO | Collision w/ Fixed Object | Iw was in his city vehicle when he backed in a wall sustaining NO Physical injuries at this time. Iw Declines TX FA Only | 11/28/2007 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2007106955 | XXX-XX-XXXX | Police | 11/28/2007 | C | WCC-CON | Contagious Disease - Possible Exposure | 91 | Body Systems and Multiple Body Systems | WCC-MIS-ABS | Absorption | Iw was exposed to a subject with possible MRSA contagious disease/possible exposure. Iw declines TX FA only | 11/28/2007 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2007106967 | XXX-XX-XXXX | Streets | 11/29/2007 | C | WCC-NPI | No Physicial Injury | 65 | Insufficient Info to Properly Identify | WCC-MVC-MIS | Miscellaneous | iw was involved in a motor vehicle crash sustaining No physical injuries at this time iw declines TX FA only | 11/29/2007 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2007107024 | XXX-XX-XXXX | Fire | 12/05/2007 | C | WCC-PNC | Puncture | 37 | Thumb | 19 | Ct/Punc/Scp/Miscellaneous | Iw was transporting a patient in the back of the ambulance when Iw sustained a Needle stick to his Rt Thumb. | 12/05/2007 | $0.00 | $461.00 | $0.00 | $461.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2007107046 | XXX-XX-XXXX | Streets | 12/10/2007 | C | WCC-NPI | No Physicial Injury | 65 | Insufficient Info to Properly Identify | 99 | Miscellaneous Causes - Other | Iw was working with a bucket truck that was struck with a hook causing damages to the truck. No physical injuries to Iw at this time. Iw declines TX FA only | 12/10/2007 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2007107067 | XXX-XX-XXXX | Streets | 12/11/2007 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-MIS | Miscellaneous | Iw was doing tree work when he injured his Back. | 12/12/2007 | $0.00 | $255.98 | $407.50 | $255.98 | $0.00 | $407.50 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2007107124 | XXX-XX-XXXX | Streets | 12/19/2007 | C | WCC-NPI | No Physicial Injury | 65 | Insufficient Info to Properly Identify | WCC-MVC-CAV | Collision w/ Another Vehicle | Iw was driving the company vehicle when Iw back into another vehicle sustaining No physical Injuries. Iw declines TX FA only | 12/20/2007 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2007107359 | XXX-XX-XXXX | Police | 11/23/2007 | C | WCC-PNC | Puncture | 32 | Elbow | 19 | Ct/Punc/Scp/Miscellaneous | Iw was jumping a school fence responding to an alarm when Iw injured her Lt Elbow. Iw declines TX FA Only | 01/28/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008107191 | XXX-XX-XXXX | Fire | 01/03/2008 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | 81 | Struck or Injured By - Miscellaneous | Iw was in training with full fire gear on when he fell on his back causing an air pak to hit his Lower Back. | 01/07/2008 | $11,534.00 | $6,141.17 | $9,309.29 | $17,675.17 | $0.00 | $9,309.29 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008107198 | XXX-XX-XXXX | Police | 01/05/2008 | C | WCC-PNC | Puncture | 36 | Finger(s) | WCC-STK-BKG | Broken Glass | Small piece of plastic windshield cut 3 fingers of IW. FA. IW declines TX. | 01/07/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008107251 | XXX-XX-XXXX | Fire | 01/10/2008 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-MIS | Miscellaneous | Iw was in a Maze training when Iw pulled a muscle to his Lower Back. | 01/14/2008 | $0.00 | $764.14 | $250.00 | $764.14 | $0.00 | $250.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008107323 | XXX-XX-XXXX | Streets | 01/23/2008 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-PSH | Pushing | IW was trying to pull a newly planted tree up when he injured his lower back. | 01/23/2008 | $1,335.48 | $3,440.49 | $1,102.50 | $4,775.97 | $0.00 | $1,102.50 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008107343 | XXX-XX-XXXX | Police | 01/25/2008 | C | WCC-MPI | Multiple Physical Injuries Only | 90 | Multiple Body Parts | WCC-MVC-CAV | Collision w/ Another Vehicle | Iw was involved in a Motor Vehicle accident . Iw sustained injuries to his Neck and Lower Back. Multiple body parts | 01/25/2008 | $0.00 | $3,404.32 | $300.00 | $3,404.32 | $0.00 | $300.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008107425 | XXX-XX-XXXX | Waterworks Operation | 02/04/2008 | C | WCC-OSI | All Other Specific Injury | 13 | Ear(s) | WCC-STR-CNN | Continual Noise | Iw ears felt clogged and his hearing went bad due to a concrete saw that was running on the job. Iw Declines TX FA Only | 02/05/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008107556 | XXX-XX-XXXX | Fire | 02/22/2008 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-MIS | Miscellaneous | IW was picking up a patient on stretcher when she injured her lower back. | 02/22/2008 | $0.00 | $320.27 | $375.00 | $320.27 | $0.00 | $375.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008107560 | XXX-XX-XXXX | Fire | 02/24/2008 | C | WCC-MNS | Mental Stress | 91 | Body Systems and Multiple Body Systems | 99 | Miscellaneous Causes - Other | IW had high blood pressure that was brought on by a headache. | 02/25/2008 | $0.00 | $190.82 | $0.00 | $190.82 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008107638 | XXX-XX-XXXX | Police | 03/01/2008 | C | WCC-SPR | Sprain | 34 | Wrist | WCC-MVC-CAV | Collision w/ Another Vehicle | Iw was involved in a car accident sustaining injuries to his Lt Wrist. | 03/03/2008 | $0.00 | $203.00 | $0.00 | $203.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008107778 | XXX-XX-XXXX | Police | 03/14/2008 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-MIS | Miscellaneous | IW was in a foot pursuit of a suspect when she injured her lower back. | 03/19/2008 | $184.22 | $5,832.81 | $377.75 | $6,017.03 | $0.00 | $377.75 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008107790 | XXX-XX-XXXX | Police | 03/20/2008 | C | WCC-STR | Strain | 53 | Knee | 31 | Fall/Slip Miscellaneous | Iw pulled on a piece of busted concrete and fell on his Lt knee. Iw declines TX FA only. | 03/21/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008107884 | XXX-XX-XXXX | Police | 04/02/2008 | C | WCC-NPI | No Physicial Injury | 65 | Insufficient Info to Properly Identify | WCC-MVC-CAV | Collision w/ Another Vehicle | While driving IW was struck by another vehicle. FA Only. IW declines tx. | 04/02/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008107952 | XXX-XX-XXXX | Streets | 04/09/2008 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-MIS | Miscellaneous | Iw was bent over to cut wood with a saw when Iw felt a sharp pain to his Lower Back. | 04/10/2008 | $0.00 | $205.90 | $500.00 | $205.90 | $0.00 | $500.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008107996 | XXX-XX-XXXX | Police | 04/11/2008 | C | WCC-CNT | Contusion | 53 | Knee | WCC-INJ-FEL | Fellow Worker | IW was kicked in his left knee. IW Declines TX FA ONLY | 04/14/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008108000 | XXX-XX-XXXX | Police | 04/14/2008 | C | WCC-MPI | Multiple Physical Injuries Only | 90 | Multiple Body Parts | 77 | Struck or Injured By - Motor Vehicle | Iw was watching some suspect undercover when Iw was struck with a vehicle to his Left Side. Multiple physical injuries. Iw declines TX FA Only. | 04/15/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008108014 | XXX-XX-XXXX | Fire | 04/15/2008 | C | WCC-SPR | Sprain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-LFT | Lifting | IW felt pain in his back while taking the gurney out of the rescue truck. When they loaded a patient in the back of the rescue truck on the gurney he felt more pain. FIRST AID CLAIM. | 04/16/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008108026 | XXX-XX-XXXX | Streets | 04/10/2008 | C | WCC-IFL | Inflammation | 33 | Lower Arm | WCC-MIS-ANI | Animal | IW was pouring concrete when he was bitten by an insect on his left arm. | 04/17/2008 | $0.00 | $870.15 | $2,236.45 | $870.15 | $0.00 | $2,236.45 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008108273 | XXX-XX-XXXX | Police | 05/18/2008 | C | WCC-CON | Contagious Disease - Possible Exposure | 91 | Body Systems and Multiple Body Systems | WCC-MIS-ABS | Absorption | Officer may have been exposed to hepatitis C due to an accidentally sprayed saliva on a open sore that she has. | 05/19/2008 | $0.00 | $41.50 | $0.00 | $41.50 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008108369 | XXX-XX-XXXX | Streets | 06/02/2008 | C | WCC-STR | Strain | 90 | Multiple Body Parts | WCC-STR-TWS | Twisting | IW was changing a water meter curb stop. The bolt was rusty and hard to turn. He felt a pull in his right shoulder and upper back. | 06/02/2008 | $0.00 | $213.00 | $407.50 | $213.00 | $0.00 | $407.50 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008108403 | XXX-XX-XXXX | Police | 05/30/2008 | C | WCC-STR | Strain | 53 | Knee | WCC-STR-MIS | Miscellaneous | IW was participating in Dare Day activities (softball volleyball running etc.) and suffered soreness and discomfort from all activity participation for the day. IW attributed pain and soreness to his participation in the activities that he participated in | 06/05/2008 | $0.00 | $325.13 | $250.00 | $325.13 | $0.00 | $250.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008108493 | XXX-XX-XXXX | Fire | 06/14/2008 | C | WCC-STR | Strain | 31 | Upper Arm (Excl. Clavicle & Scapula) | WCC-STR-MIS | Miscellaneous | He was doing hydrant testing and while opening the hydrant he felt a sharp pain in his left shoulder. | 06/16/2008 | $5,147.40 | $19,986.51 | $269.25 | $25,000.00 | $0.00 | $403.16 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008108497 | XXX-XX-XXXX | Streets | 06/11/2008 | C | WCC-STR | Strain | 31 | Upper Arm (Excl. Clavicle & Scapula) | WCC-STR-MIS | Miscellaneous | While cleaning dirt out of a gutter IW felt pain in his upper right arm. | 06/16/2008 | $0.00 | $183.54 | $0.00 | $183.54 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008108672 | XXX-XX-XXXX | Fire | 07/06/2008 | C | WCC-PNC | Puncture | 52 | Thigh (upper leg) | 16 | Ct/Punc/Scp/Hnd Tol/Ut/Np | IW was cutting a garage with a saw and someone bumped him. The saw hit his leg and nicked his leg. FA ONLY | 07/07/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008108776 | XXX-XX-XXXX | Miscellaneous | 07/16/2008 | C | WCC-IFL | Inflammation | 33 | Lower Arm | WCC-MIS-ANI | Animal | IW was bitten by ants on both arms. | 07/17/2008 | $0.00 | $203.12 | $0.00 | $203.12 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008108785 | XXX-XX-XXXX | Police | 07/17/2008 | C | WCC-ECS | Electric Shock | 35 | Hand | WCC-INJ-OHO | Object Handled by Others | IW was trying to arrest a felon and he was tazed in the hand. There was a dart stuck in his hand. | 07/18/2008 | $407.97 | $4,401.09 | $16.50 | $4,809.06 | $0.00 | $16.50 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008108873 | XXX-XX-XXXX | Police | 05/11/2008 | C | WCC-LAC | Laceration | 33 | Lower Arm | 19 | Ct/Punc/Scp/Miscellaneous | FA ONLY. IW DECLINED TX. While arresting suspect IW was scratched on the forearm by suspect. | 07/29/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008108935 | XXX-XX-XXXX | Fire | 08/04/2008 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-LFT | Lifting | FA ONLY. IW DECLINED TX. IW was lifting a gurney the gurney became unstable and he had to shift his body and injured his lower back as a result. | 08/05/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008108978 | XXX-XX-XXXX | Fire | 08/08/2008 | C | WCC-CON | Contagious Disease - Possible Exposure | 91 | Body Systems and Multiple Body Systems | 99 | Miscellaneous Causes - Other | FA ONLY. IW DECLINED TX. During patient care blood splashed on IWs arms and an open cur. Low level exposure. | 08/08/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008109015 | XXX-XX-XXXX | Parks and Recreation | 08/12/2008 | C | WCC-OSI | All Other Specific Injury | 13 | Ear(s) | 99 | Miscellaneous Causes - Other | IW called into employer and stated that he has a spot on his ear which he believes to be skin cancer and that it was caused by his job | 08/12/2008 | $0.00 | $105.50 | $252.75 | $105.50 | $0.00 | $252.75 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008109049 | XXX-XX-XXXX | Streets | 08/12/2008 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-MIS | Miscellaneous | IW has been doing alot of grinding work which may have aggravated a previous back injury sustained in January 2008. | 08/14/2008 | $0.00 | $287.24 | $252.75 | $287.24 | $0.00 | $252.75 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008109442 | XXX-XX-XXXX | Police | 09/28/2008 | C | WCC-CNT | Contusion | 90 | Multiple Body Parts | 68 | Striking Against/Stepping On - Stationary Object | FA ONLY. IW DECLINED TX. While chasing a suspect through a dark park IW ran into a pole and another officer ran into him. | 09/29/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008109444 | XXX-XX-XXXX | Fire | 09/27/2008 | C | WCC-STR | Strain | 33 | Lower Arm | WCC-STR-TWS | Twisting | While lifting a bariatric patient IW twisted his arm. | 09/29/2008 | $0.00 | $1,940.96 | $200.00 | $1,940.96 | $0.00 | $200.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008109466 | XXX-XX-XXXX | Police | 09/30/2008 | C | WCC-NPI | No Physicial Injury | 91 | Body Systems and Multiple Body Systems | WCC-MIS-ABS | Absorption | FA ONLY. IW DECLINED TX. IW was exposed to chemicals at a methadone lab. | 10/01/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008109467 | XXX-XX-XXXX | Police | 09/30/2008 | C | WCC-NPI | No Physicial Injury | 91 | Body Systems and Multiple Body Systems | WCC-MIS-ABS | Absorption | FA ONLY. IW DECLINED TX. IW was exposed to a methadone lab. | 10/01/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008109468 | XXX-XX-XXXX | Police | 09/30/2008 | C | WCC-NPI | No Physicial Injury | 91 | Body Systems and Multiple Body Systems | WCC-MIS-ABS | Absorption | FA ONLY. IW DECLINED TX. IW was exposed to a methadone lab. | 10/01/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008109469 | XXX-XX-XXXX | Police | 09/30/2008 | C | WCC-NPI | No Physicial Injury | 91 | Body Systems and Multiple Body Systems | WCC-MIS-ABS | Absorption | FA ONLY. IW DECLINED TX. IW was exposed to a methadone lab. | 10/01/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2007 - 09/30/2008 | WC2008109470 | XXX-XX-XXXX | Police | 09/30/2008 | C | WCC-NPI | No Physicial Injury | 91 | Body Systems and Multiple Body Systems | WCC-MIS-ABS | Absorption | FA ONLY. IW DECLINED TX. IW was exposed to a methadone lab | 10/01/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2008109731 | XXX-XX-XXXX | Police | 10/25/2008 | C | WCC-CON | Contagious Disease - Possible Exposure | 91 | Body Systems and Multiple Body Systems | 99 | Miscellaneous Causes - Other | FA ONLY. IW DECLINED TX. While trying to prevent a suspect from falling IW got blood on both hands and wrist area. | 10/27/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2008109795 | XXX-XX-XXXX | Fire | 11/02/2008 | C | WCC-OCD | Occupational Disease | 44 | Chest (Incl. Ribs, clavicle & scapula, etc) | 99 | Miscellaneous Causes - Other | IW experienced chest pains. | 11/03/2008 | $0.00 | $1,609.59 | $2.75 | $1,609.59 | $0.00 | $2.75 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2008109881 | XXX-XX-XXXX | Police | 11/12/2008 | C | WCC-CNT | Contusion | 10 | Multiple Head Injury | 68 | Striking Against/Stepping On - Stationary Object | IW hit the right side of his head while getting into his patrol car. | 11/12/2008 | $0.00 | $304.50 | $0.00 | $304.50 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2008109920 | XXX-XX-XXXX | Police | 11/17/2008 | C | WCC-CNT | Contusion | 58 | Great Toe | WCC-STR-MIS | Miscellaneous | While in firearms training IW sprinted forwarded landing on his left foot pushing his weight onto his left foot injuring his toe. | 11/18/2008 | $0.00 | $201.11 | $0.00 | $201.11 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2008110185 | XXX-XX-XXXX | Police | 12/11/2008 | O | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-MIS | Miscellaneous | IW strained his lower back. | 12/22/2008 | $6,873.66 | $223,566.35 | $7,125.74 | $27,944.26 | $90,378.51 | $300,000.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2008110193 | XXX-XX-XXXX | Clerical | 12/20/2008 | C | WCC-PNC | Puncture | 11 | Skull (Bone Structure) | 19 | Ct/Punc/Scp/Miscellaneous | FA ONLY. IW was hanging something up on the ceiling when he hit his head on a chandelier. | 12/23/2008 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2008110211 | XXX-XX-XXXX | Police | 12/28/2008 | C | WCC-CNT | Contusion | 90 | Multiple Body Parts | 31 | Fall/Slip Miscellaneous | As IW pulled into his driveway he noticed someone trying to break into his home. He began to chase the suspect IW tripped over a drain landing on his left knee cap and sliding onto his right hand and elbow. | 12/29/2008 | $1,002.67 | $821.30 | $425.92 | $1,823.97 | $0.00 | $425.92 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009110488 | XXX-XX-XXXX | Police | 01/29/2009 | C | WCC-STR | Strain | 55 | Ankle | 31 | Fall/Slip Miscellaneous | While in bicycle training IW fell off of the bike twisting her ankle. | 01/30/2009 | $0.00 | $300.94 | $0.00 | $300.94 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009110502 | XXX-XX-XXXX | Fire | 01/30/2009 | O | WCC-ANP | Angina Pectoris | 49 | Heart | 99 | Miscellaneous Causes - Other | IW was transported to the hospital for possible cardiac condition. | 02/02/2009 | $12,072.27 | $64,957.52 | $1,054.35 | $25,356.18 | $12,427.07 | $65,155.03 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009110503 | XXX-XX-XXXX | Fire | 01/30/2009 | C | WCC-ANP | Angina Pectoris | 49 | Heart | 99 | Miscellaneous Causes - Other | IW was transported to hospital for possible cardiac condition. | 02/02/2009 | $0.00 | $0.00 | $2.75 | $0.00 | $0.00 | $2.75 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009110569 | XXX-XX-XXXX | Fire | 02/05/2009 | C | WCC-CON | Contagious Disease - Possible Exposure | 91 | Body Systems and Multiple Body Systems | WCC-MIS-ABS | Absorption | IW was exposed to airborne TB while transporting a patient. | 02/06/2009 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009110570 | XXX-XX-XXXX | Fire | 02/05/2009 | C | WCC-CON | Contagious Disease - Possible Exposure | 91 | Body Systems and Multiple Body Systems | WCC-MIS-ABS | Absorption | While transporting a patient IW was exposed to airborne TB. | 02/06/2009 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009110571 | XXX-XX-XXXX | Fire | 02/05/2009 | C | WCC-CON | Contagious Disease - Possible Exposure | 91 | Body Systems and Multiple Body Systems | WCC-MIS-ABS | Absorption | IW was exposed to airborne TB while transporting a patient. | 02/06/2009 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009110589 | XXX-XX-XXXX | Waterworks Operation | 02/08/2009 | C | WCC-LAC | Laceration | 36 | Finger(s) | 16 | Ct/Punc/Scp/Hnd Tol/Ut/Np | While cleaning threads out of a PVC the knife slipped cutting IW s fingers. | 02/09/2009 | $0.00 | $336.93 | $0.00 | $336.93 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009111080 | XXX-XX-XXXX | Police | 04/05/2009 | C | WCC-CON | Contagious Disease - Possible Exposure | 91 | Body Systems and Multiple Body Systems | WCC-MIS-ABS | Absorption | IW was exposed to a victim s blood. | 04/06/2009 | $0.00 | $1,858.76 | $0.00 | $1,858.76 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009111270 | XXX-XX-XXXX | Streets | 04/24/2009 | C | WCC-MPI | Multiple Physical Injuries Only | 90 | Multiple Body Parts | WCC-MVC-MIS | Miscellaneous | IW was involved in a motor vehicle accident. | 04/24/2009 | $0.00 | $348.50 | $350.00 | $348.50 | $0.00 | $350.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009111271 | XXX-XX-XXXX | Clerical | 04/24/2009 | C | WCC-MPI | Multiple Physical Injuries Only | 90 | Multiple Body Parts | WCC-MVC-MIS | Miscellaneous | IW was involved in a motor vehicle accident. | 04/24/2009 | $0.00 | $540.64 | $350.00 | $540.64 | $0.00 | $350.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009111318 | XXX-XX-XXXX | Fire | 04/29/2009 | C | WCC-STR | Strain | 37 | Thumb | WCC-STR-MIS | Miscellaneous | IW injured her thumb during a training session. | 04/30/2009 | $0.00 | $441.04 | $0.00 | $441.04 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009111335 | XXX-XX-XXXX | Police | 04/16/2009 | C | WCC-CON | Contagious Disease - Possible Exposure | 91 | Body Systems and Multiple Body Systems | WCC-MIS-ABS | Absorption | FA ONLY. While transporting a patient IW was exposed to TB. | 05/01/2009 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009111336 | XXX-XX-XXXX | Fire | 04/16/2009 | C | WCC-CON | Contagious Disease - Possible Exposure | 91 | Body Systems and Multiple Body Systems | WCC-MIS-ABS | Absorption | FA ONLY. While transporting a patient IW was exposed to TB. | 05/01/2009 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009111337 | XXX-XX-XXXX | Fire | 04/16/2009 | C | WCC-CON | Contagious Disease - Possible Exposure | 91 | Body Systems and Multiple Body Systems | WCC-MIS-ABS | Absorption | FA ONLY. While transporting a patient IW was exposed to TB. | 05/01/2009 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009111419 | XXX-XX-XXXX | Waterworks Operation | 05/11/2009 | C | WCC-LAC | Laceration | 54 | Lower Leg | 31 | Fall/Slip Miscellaneous | While cutting brush near a lakeside IW slipped and fell striking himself on the leg with the trimmer. | 05/11/2009 | $0.00 | $73.50 | $0.00 | $73.50 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009111470 | XXX-XX-XXXX | Fire | 04/28/2009 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-MIS | Miscellaneous | While in training IW pulled a muscle in his back. | 05/15/2009 | $0.00 | $955.24 | $291.75 | $955.24 | $0.00 | $291.75 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009111775 | XXX-XX-XXXX | Police | 06/15/2009 | C | WCC-CNT | Contusion | 54 | Lower Leg | WCC-MVC-CAV | Collision w/ Another Vehicle | While at a traffic stop another vehicle backed out of a driveway smashing IW s leg in the car door. | 06/15/2009 | $580.72 | $2,905.35 | $330.25 | $3,486.07 | $0.00 | $330.25 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009112356 | XXX-XX-XXXX | Police | 08/01/2009 | C | WCC-STR | Strain | 56 | Foot | WCC-STR-MIS | Miscellaneous | While escorting an inmate IW felt pain at the ball of his right foot. | 08/05/2009 | $0.00 | $737.95 | $375.00 | $737.95 | $0.00 | $375.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009112457 | XXX-XX-XXXX | Police | 08/15/2009 | C | WCC-MPI | Multiple Physical Injuries Only | 90 | Multiple Body Parts | 31 | Fall/Slip Miscellaneous | FA ONLY. While getting a suspect under control IW fell to the ground injuring his right knee and pelvis. | 08/17/2009 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009112588 | XXX-XX-XXXX | Streets | 08/24/2009 | C | WCC-OSI | All Other Specific Injury | 90 | Multiple Body Parts | 95 | Rubbed or Abraded by - Miscellanous | While cleaning debris IW developed a body rash. | 08/26/2009 | $0.00 | $260.50 | $0.00 | $260.50 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009112679 | XXX-XX-XXXX | Police | 09/02/2009 | C | WCC-STR | Strain | 38 | Shoulder | WCC-MVC-MIS | Miscellaneous | While driving IW skid to avoid striking a vehicle that had ran the light injuring her left shoulder. | 09/02/2009 | $0.00 | $233.64 | $0.00 | $233.64 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009112712 | XXX-XX-XXXX | Waterworks Operation | 09/03/2009 | C | WCC-CNT | Contusion | 35 | Hand | WCC-INJ-HAN | Hand Tool | While using an impact gun the socket came out of the gun striking IW on the hand. | 09/04/2009 | $0.00 | $252.67 | $0.00 | $252.67 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009112723 | XXX-XX-XXXX | Police | 09/06/2009 | C | WCC-STR | Strain | 34 | Wrist | WCC-STR-MIS | Miscellaneous | While handcuffing a suspect IW injured his left wrist. | 09/08/2009 | $0.00 | $2,046.51 | $375.00 | $2,046.51 | $0.00 | $375.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009112775 | XXX-XX-XXXX | Fire | 09/10/2009 | C | WCC-CNT | Contusion | 44 | Chest (Incl. Ribs, clavicle & scapula, etc) | 31 | Fall/Slip Miscellaneous | During training IW jumped on a hose and fell landing on a thermal imaging camera. | 09/11/2009 | $0.00 | $403.05 | $0.00 | $403.05 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009112790 | XXX-XX-XXXX | Fire | 09/12/2009 | C | WCC-CRS | Crushing | 35 | Hand | 81 | Struck or Injured By - Miscellaneous | While attempting to manually work a bay door IW crushed his hand. | 09/14/2009 | $0.00 | $1,994.05 | $0.00 | $1,994.05 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009112821 | XXX-XX-XXXX | Sewage Disposal Plant | 08/28/2009 | C | WCC-STR | Strain | 55 | Ankle | 31 | Fall/Slip Miscellaneous | IW slipped while moving a pump and injured his right ankle. | 09/16/2009 | $0.00 | $815.61 | $0.00 | $815.61 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009112823 | XXX-XX-XXXX | Streets | 09/15/2009 | C | WCC-CNT | Contusion | 90 | Multiple Body Parts | WCC-MIS-ANI | Animal | IW was stung by bees. | 09/16/2009 | $0.00 | $155.33 | $0.00 | $155.33 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009112925 | XXX-XX-XXXX | Police | 09/24/2009 | C | WCC-STR | Strain | 38 | Shoulder | WCC-STR-MIS | Miscellaneous | During defensive tactics training IW injured her left shoulder. | 09/25/2009 | $0.00 | $368.41 | $0.00 | $368.41 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2008 - 09/30/2009 | WC2009127689 | XXX-XX-XXXX | Police | 05/31/2009 | C | WCC-OSI | All Other Specific Injury | 49 | Heart | 99 | Miscellaneous Causes - Other | IW felt chest pain shortness of breath and nausea. He developed arterial and cardiovascular hypertension and/or heart disease. | 10/30/2013 | $0.00 | $0.00 | $2.75 | $0.00 | $0.00 | $2.75 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2009113045 | XXX-XX-XXXX | Police | 10/06/2009 | C | WCC-HTP | Heat Prostration | 91 | Body Systems and Multiple Body Systems | 99 | Miscellaneous Causes - Other | While working IW became dehydrated and passed out. | 10/06/2009 | $0.00 | $4,305.50 | $250.00 | $4,305.50 | $0.00 | $250.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2009113353 | XXX-XX-XXXX | Streets | 11/03/2009 | C | WCC-STR | Strain | 34 | Wrist | WCC-STR-LFT | Lifting | IW felt pain in his left wrist when he was lifting traffic cones out of vehicle. | 11/03/2009 | $0.00 | $273.73 | $0.00 | $273.73 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2009113511 | XXX-XX-XXXX | Fire | 11/18/2009 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-PSH | Pushing | FA ONLY. After pulling a garage door IW experienced pain in his back. | 11/19/2009 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2009113631 | XXX-XX-XXXX | Fire | 12/04/2009 | C | WCC-LAC | Laceration | 36 | Finger(s) | 19 | Ct/Punc/Scp/Miscellaneous | IW cut her right middle finger while cleaning a grill. | 12/04/2009 | $0.00 | $409.77 | $0.00 | $409.77 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010114111 | XXX-XX-XXXX | Sewage Disposal Plant | 02/01/2010 | C | WCC-CNT | Contusion | 36 | Finger(s) | 99 | Miscellaneous Causes - Other | FA ONLY. IW pinched his left ring finger while holding a valve box. CLAIM ACTIVATED 2/9/10 | 02/02/2010 | $0.00 | $466.49 | $0.00 | $466.49 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010114123 | XXX-XX-XXXX | Police | 02/03/2010 | C | WCC-STR | Strain | 41 | Upper Back Area (Thoracic Area) | WCC-STR-MIS | Miscellaneous | IW was carrying a box on his shoulder when it started to fall IW tried to catch it and injured his upper back. | 02/03/2010 | $0.00 | $1,337.21 | $250.00 | $1,337.21 | $0.00 | $250.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010114297 | XXX-XX-XXXX | Fire | 02/19/2010 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-LFT | Lifting | FA ONLY. While lifting a patient into the back of the rescue vehicle IW injured his lower back. CLAIM ACTIVATED 2/22/10 | 02/22/2010 | $0.00 | $266.97 | $625.00 | $266.97 | $0.00 | $625.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010114425 | XXX-XX-XXXX | Fire | 03/04/2010 | C | WCC-LAC | Laceration | 33 | Lower Arm | 19 | Ct/Punc/Scp/Miscellaneous | While fire fighting IW injured her right forearm. | 03/05/2010 | $5,460.98 | $17,131.83 | $13,499.13 | $22,592.81 | $0.00 | $13,499.13 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010114670 | XXX-XX-XXXX | Parks and Recreation | 03/17/2010 | C | WCC-OSI | All Other Specific Injury | 90 | Multiple Body Parts | 87 | Miscellaneous Causes - Foreign Body in Eye | Mixed bleach into concrete cleaner bottle. Bottle exploded into John s face and eyes. EMT was called to assist with treatment. I took John to Centra Care for additional treatment. | 03/29/2010 | $0.00 | $262.66 | $0.00 | $262.66 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010114785 | XXX-XX-XXXX | Police | 04/09/2010 | C | WCC-LAC | Laceration | 36 | Finger(s) | 16 | Ct/Punc/Scp/Hnd Tol/Ut/Np | Working with SWAT team on an area search for a missing juvenile in the woods when someone swung a machete and lacerated IW s right middle and index fingers. | 04/12/2010 | $10,003.30 | $22,501.53 | $35.75 | $25,000.00 | $0.00 | $7,540.58 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010114853 | XXX-XX-XXXX | Fire | 04/19/2010 | C | WCC-CON | Contagious Disease - Possible Exposure | 91 | Body Systems and Multiple Body Systems | WCC-MIS-ABS | Absorption | Responding to a stabbing bent over to help patient and felt blood on face or something on face. | 04/20/2010 | $0.00 | $649.42 | $0.00 | $649.42 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010115189 | XXX-XX-XXXX | Fire | 05/18/2010 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-LFT | Lifting | Conducting Window Rescue Training paired up with someone a lot bigger than employee and she tried to lift him out the window and pulled back | 05/19/2010 | $0.00 | $324.69 | $375.00 | $324.69 | $0.00 | $375.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010115231 | XXX-XX-XXXX | Police | 05/03/2010 | C | WCC-STR | Strain | 90 | Multiple Body Parts | WCC-STR-MIS | Miscellaneous | Taking a defensive tactics instructor class between 5/3/10 and 5/14/10 now has alot of soreness and stiffness in right shoulder and left knee. | 05/21/2010 | $0.00 | $3,511.97 | $375.00 | $3,511.97 | $0.00 | $375.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010115257 | XXX-XX-XXXX | Waterworks Operation | 05/24/2010 | C | WCC-STR | Strain | 41 | Upper Back Area (Thoracic Area) | WCC-STR-UTL | Use of Tool | Using a sledge hammer I twisted while swinging the hammer and my back gave out on me | 05/24/2010 | $0.00 | $298.75 | $475.00 | $298.75 | $0.00 | $475.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010115290 | XXX-XX-XXXX | Fire | 05/26/2010 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-MIS | Miscellaneous | Assisting a patient to the rescue stretcher the patient fainted and he caught her before she fell to the ground. | 05/26/2010 | $0.00 | $424.54 | $250.00 | $424.54 | $0.00 | $250.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010115294 | XXX-XX-XXXX | Police | 05/26/2010 | C | WCC-MPI | Multiple Physical Injuries Only | 90 | Multiple Body Parts | 31 | Fall/Slip Miscellaneous | FA ONLY. Fell when chasing suspect abrasion to the arm and scrap to the knee | 05/27/2010 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010115601 | XXX-XX-XXXX | Streets | 06/04/2010 | C | WCC-OSI | All Other Specific Injury | 32 | Elbow | 97 | Misc/Causes Repet Motion | IW has pain in both elbows due to repetitive use of arms. | 06/25/2010 | $12,750.00 | $9,750.00 | $7,572.07 | $22,500.00 | $0.00 | $7,572.07 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010115961 | XXX-XX-XXXX | Streets | 07/29/2010 | C | WCC-OSI | All Other Specific Injury | 16 | Teeth | WCC-INJ-FAL | Falling Object | He was getting a roll of vinyl material down from the holder and the roll fell down striking him on the face knocking out a left molar | 07/29/2010 | $0.00 | $78.33 | $0.00 | $78.33 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010116098 | XXX-XX-XXXX | Fire | 07/18/2010 | C | WCC-PNC | Puncture | 37 | Thumb | 19 | Ct/Punc/Scp/Miscellaneous | IW was removing an IV from a patient when he stuck his left thumb with the needle. | 08/11/2010 | $0.00 | $403.67 | $0.00 | $403.67 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010116338 | XXX-XX-XXXX | Police | 09/02/2010 | C | WCC-STR | Strain | 55 | Ankle | WCC-STR-MIS | Miscellaneous | While participating in defensive tactics training IW took someone to the ground and they rolled over onto his left ankle. | 09/02/2010 | $0.00 | $417.90 | $0.00 | $417.90 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010116470 | XXX-XX-XXXX | Parks and Recreation | 09/14/2010 | C | WCC-STR | Strain | 41 | Upper Back Area (Thoracic Area) | WCC-STR-LFT | Lifting | IW was moving equipment to the shed when he injured his back. | 09/14/2010 | $0.00 | $561.27 | $477.75 | $561.27 | $0.00 | $477.75 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010116643 | XXX-XX-XXXX | Police | 09/28/2010 | C | WCC-MPI | Multiple Physical Injuries Only | 90 | Multiple Body Parts | WCC-MVC-CAV | Collision w/ Another Vehicle | Detective stopped at a light 2 cars behind did not stop hit the car in front and pushed that vehicle into the detective vehicle. | 09/29/2010 | $0.00 | $1,502.41 | $0.00 | $1,502.41 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2009 - 09/30/2010 | WC2010116660 | XXX-XX-XXXX | Clerical | 09/29/2010 | C | WCC-STR | Strain | 90 | Multiple Body Parts | WCC-STR-TWS | Twisting | Was talking to some people went to turn around and leave ended up on the floor. | 09/30/2010 | $0.00 | $26.00 | $2.75 | $26.00 | $0.00 | $2.75 | ||
| 05/31/2018 | 10/01/2010 - 09/30/2011 | WC2010116737 | XXX-XX-XXXX | Parks and Recreation | 10/05/2010 | C | WCC-FRC | Fracture | 55 | Ankle | 31 | Fall/Slip Miscellaneous | IW was loading a trailer when he stepped off the trailer wrong and broke his right ankle. | 10/06/2010 | $0.00 | $1,215.61 | $250.00 | $1,215.61 | $0.00 | $250.00 | ||
| 05/31/2018 | 10/01/2010 - 09/30/2011 | WC2010117170 | XXX-XX-XXXX | Police | 11/04/2010 | C | WCC-FRC | Fracture | 90 | Multiple Body Parts | WCC-MVC-MIS | Miscellaneous | While transporting his child to school he was in a motor vehicle crash injuring his right leg finger and wrist (broken) | 11/16/2010 | $0.00 | $221.00 | $427.75 | $221.00 | $0.00 | $427.75 | ||
| 05/31/2018 | 10/01/2010 - 09/30/2011 | WC2011117805 | XXX-XX-XXXX | Fire | 02/03/2011 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-LFT | Lifting | Lifting stretcher during patient rescue felt a pop in the back | 02/04/2011 | $0.00 | $581.79 | $375.00 | $581.79 | $0.00 | $375.00 | ||
| 05/31/2018 | 10/01/2010 - 09/30/2011 | WC2011117936 | XXX-XX-XXXX | Streets | 02/17/2011 | C | WCC-OSI | All Other Specific Injury | 49 | Heart | 99 | Miscellaneous Causes - Other | IW was in route to the job site when he began having chest pains he stopped at a fire station and was told it could be Hypertension. IW was transported to the hospital. | 02/17/2011 | $0.00 | $0.00 | $2.75 | $0.00 | $0.00 | $2.75 | ||
| 05/31/2018 | 10/01/2010 - 09/30/2011 | WC2011118140 | XXX-XX-XXXX | Police | 03/12/2011 | C | WCC-SPR | Sprain | 36 | Finger(s) | WCC-STR-MIS | Miscellaneous | FA ONLY. When grabbing wrist of person resisting arrest suspect moved causing finger to get caught in between cuffs causing him to dislocate his right ring finger. CLAIM ACTIVATED 4/13/11 | 03/14/2011 | $0.00 | $663.85 | $0.00 | $663.85 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2010 - 09/30/2011 | WC2011118242 | XXX-XX-XXXX | Fire | 03/27/2011 | O | WCC-RUP | Rupture | 54 | Lower Leg | WCC-STR-MIS | Miscellaneous | Ruptured Achilles tendon on left lower leg at the station moving a piece on equipment on wheels. Given temporary cast and to follow up with an Ortho. | 03/28/2011 | $3,133.00 | $7,153.53 | $5,170.30 | $10,286.53 | $9,829.70 | $15,000.00 | ||
| 05/31/2018 | 10/01/2010 - 09/30/2011 | WC2011118412 | XXX-XX-XXXX | Police | 04/11/2011 | C | WCC-STR | Strain | 38 | Shoulder | WCC-STR-MIS | Miscellaneous | IW was arresting a suspect when he injured his right shoulder. | 04/12/2011 | $0.00 | $288.67 | $0.00 | $288.67 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2010 - 09/30/2011 | WC2011118995 | XXX-XX-XXXX | Fire | 06/09/2011 | C | WCC-PNC | Puncture | 35 | Hand | 16 | Ct/Punc/Scp/Hnd Tol/Ut/Np | FA ONLY. IW was repairing a hose with a screw driver when the screw driver slipped and punctured left hand CLAIM ACTIVATED 7/14/2011 | 06/09/2011 | $0.00 | $485.40 | $0.00 | $485.40 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2010 - 09/30/2011 | WC2011119310 | XXX-XX-XXXX | Fire | 07/15/2011 | C | WCC-SPR | Sprain | 55 | Ankle | WCC-STR-MIS | Miscellaneous | FA ONLY. Stepping out of fire engine ankle rolled when stepped on the ground. CLAIM ACTIVATED 7/18/11 | 07/15/2011 | $0.00 | $2,126.18 | $0.00 | $2,126.18 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2010 - 09/30/2011 | WC2011119321 | XXX-XX-XXXX | Streets | 07/18/2011 | C | WCC-LAC | Laceration | 35 | Hand | 19 | Ct/Punc/Scp/Miscellaneous | IW was working on a sewer pipe when he cut his right hand | 07/18/2011 | $0.00 | $1,249.42 | $0.00 | $1,249.42 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2010 - 09/30/2011 | WC2011119364 | XXX-XX-XXXX | Clerical | 07/19/2011 | C | WCC-STR | Strain | 34 | Wrist | WCC-STR-PSH | Pushing | I was pulling files off of a shelving unit when I felt severe pain in my right wrist | 07/21/2011 | $0.00 | $3,121.98 | $850.00 | $3,121.98 | $0.00 | $850.00 | ||
| 05/31/2018 | 10/01/2010 - 09/30/2011 | WC2011119427 | XXX-XX-XXXX | Fire | 07/31/2011 | C | WCC-PNC | Puncture | 36 | Finger(s) | 13 | Cagt/In/Bet/Miscellaneous | Training on elevator door with elevator key Right pinky finger got caught between elevator key & door key and caused the key to puncture finger | 08/01/2011 | $0.00 | $363.73 | $0.00 | $363.73 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2010 - 09/30/2011 | WC2011119620 | XXX-XX-XXXX | Police | 08/18/2011 | C | WCC-OSI | All Other Specific Injury | 91 | Body Systems and Multiple Body Systems | WCC-MIS-CRI | Criminal Assault | IW got into an altercation with a suspect and was exposed to blood saliva and sweat | 08/18/2011 | $0.00 | $523.50 | $0.00 | $523.50 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2010 - 09/30/2011 | WC2011119621 | XXX-XX-XXXX | Police | 08/17/2011 | C | WCC-OSI | All Other Specific Injury | 33 | Lower Arm | WCC-MIS-CRI | Criminal Assault | IW got into an altercation with a suspect and was exposed to blood saliva and sweat | 08/18/2011 | $0.00 | $694.12 | $0.00 | $694.12 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2010 - 09/30/2011 | WC2011119796 | XXX-XX-XXXX | Police | 08/31/2011 | C | WCC-STR | Strain | 25 | Soft Tissue (neck) | WCC-STR-TWS | Twisting | IW was sitting at a desk when someone came in and made a loud noise she turned her head quickly and pulled her neck | 09/02/2011 | $0.00 | $301.48 | $0.00 | $301.48 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2011120189 | XXX-XX-XXXX | Fire | 10/12/2011 | C | WCC-CNT | Contusion | 37 | Thumb | 99 | Miscellaneous Causes - Other | Employee was removing stretcher from the truck and pinched her right thumb. | 10/13/2011 | $0.00 | $339.13 | $0.00 | $339.13 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2011120190 | XXX-XX-XXXX | Police | 10/09/2011 | C | WCC-CNT | Contusion | 31 | Upper Arm (Excl. Clavicle & Scapula) | 31 | Fall/Slip Miscellaneous | Employee was on a call and ran up to the house and fell on the tile by the front door injuring his right shoulder and arm. | 10/13/2011 | $0.00 | $346.87 | $325.00 | $346.87 | $0.00 | $325.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2011120274 | XXX-XX-XXXX | Clerical | 10/19/2011 | C | WCC-PNC | Puncture | 31 | Upper Arm (Excl. Clavicle & Scapula) | WCC-MIS-ANI | Animal | While employee was interrupting service at a customer s home the homeowner came out with a dog the dog got loose and bit the employee on his upper left arm. | 10/20/2011 | $0.00 | $173.82 | $328.65 | $173.82 | $0.00 | $328.65 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2011120283 | XXX-XX-XXXX | Fire | 10/20/2011 | C | WCC-OCI | All Other Cumulative Injury, NOC | 49 | Heart | WCC-OTH-OTH | Other | IW was transported to South Seminole Hospital Longwood after a monitor at the station showed IW having a heart attack. | 10/21/2011 | $0.00 | $437.29 | $2.75 | $437.29 | $0.00 | $2.75 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2011120317 | XXX-XX-XXXX | Fire | 10/21/2011 | C | WCC-STR | Strain | 41 | Upper Back Area (Thoracic Area) | WCC-STR-MIS | Miscellaneous | IW climbed into an overturned vehicle to help the person inside when he injured his upper back. | 10/25/2011 | $0.00 | $1,077.95 | $275.00 | $1,077.95 | $0.00 | $275.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2011120498 | XXX-XX-XXXX | Streets | 11/02/2011 | C | WCC-FRB | Foreign Body | 14 | Eye(s) | 87 | Miscellaneous Causes - Foreign Body in Eye | Employee was cleaning the sweeper and has to use the hose to clean it and he got some debris in his left eye. | 11/09/2011 | $0.00 | $321.13 | $0.00 | $321.13 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2011120564 | XXX-XX-XXXX | Fire | 11/15/2011 | C | WCC-SPR | Sprain | 58 | Great Toe | WCC-STR-MIS | Miscellaneous | Employee was at a city sponsored training session in full turnout gear he slipped on a step going up the stairs and injured his large toe on his right foot. | 11/16/2011 | $0.00 | $998.46 | $0.00 | $998.46 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2011120663 | XXX-XX-XXXX | Police | 11/29/2011 | C | WCC-NPI | No Physicial Injury | 65 | Insufficient Info to Properly Identify | WCC-MVC-CAV | Collision w/ Another Vehicle | FA ONLY. IW was pursuing a suspect in his patrol vehicle when he got in front of the suspect to block him and was struck by another vehicle. | 11/30/2011 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2011120817 | XXX-XX-XXXX | Waterworks Operation | 12/14/2011 | C | WCC-IFL | Inflammation | 54 | Lower Leg | 81 | Struck or Injured By - Miscellaneous | IW was installing a pump at a lift station when a bar on the pump slipped and struck him on his right leg. | 12/14/2011 | $0.00 | $266.45 | $0.00 | $266.45 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012121030 | XXX-XX-XXXX | Waterworks Operation | 01/11/2012 | C | WCC-STR | Strain | 34 | Wrist | WCC-STR-MIS | Miscellaneous | IW was tightening a bolt on a meter when he injured his left wrist. | 01/18/2012 | $0.00 | $326.62 | $325.00 | $651.62 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012121463 | XXX-XX-XXXX | Police | 02/27/2012 | C | WCC-MPI | Multiple Physical Injuries Only | 90 | Multiple Body Parts | WCC-MVC-CWV | Crash of Water Vehicle | IW was driving police car stopped at intersection hit in rear end by another vehicle. | 02/27/2012 | $0.00 | $4,842.53 | $0.00 | $4,842.53 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012121584 | XXX-XX-XXXX | Parks and Recreation | 03/06/2012 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-MIS | Miscellaneous | IW was bending down to trim hedges when he injured his lower back. | 03/08/2012 | $50.28 | $3,037.61 | $13.75 | $3,087.89 | $0.00 | $13.75 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012121890 | XXX-XX-XXXX | Police | 04/08/2012 | C | WCC-PNC | Puncture | 36 | Finger(s) | 19 | Ct/Punc/Scp/Miscellaneous | FA ONLY. IW was searching a vehicle when he punctured his left pinky finger on a needle. Claim activated 5/22/12. | 04/09/2012 | $0.00 | $549.06 | $0.00 | $549.06 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012122075 | XXX-XX-XXXX | Fire | 04/24/2012 | C | WCC-STR | Strain | 55 | Ankle | WCC-STR-MIS | Miscellaneous | IW twisted ankle going down stairs in training tower. | 04/25/2012 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012122101 | XXX-XX-XXXX | Fire | 04/26/2012 | C | WCC-STR | Strain | 53 | Knee | WCC-STR-MIS | Miscellaneous | IW was coming out of a window during training. He bent his left knee back. Causing pain and swelling. | 04/26/2012 | $0.00 | $2,059.35 | $0.00 | $2,059.35 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012122337 | XXX-XX-XXXX | Waterworks Operation | 05/21/2012 | C | WCC-LAC | Laceration | 35 | Hand | 19 | Ct/Punc/Scp/Miscellaneous | IW was attempting to cut off a plastic tie from door knob he cut his hand (unknown which hand). | 05/21/2012 | $3,889.52 | $25,216.50 | $33.00 | $25,000.00 | $0.00 | $4,139.02 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012122561 | XXX-XX-XXXX | Streets | 06/11/2012 | C | WCC-CRS | Crushing | 36 | Finger(s) | 81 | Struck or Injured By - Miscellaneous | IW smashed fingers on his left hand while repairing a fence. | 06/11/2012 | $1,773.66 | $5,528.73 | $27.50 | $7,302.39 | $0.00 | $27.50 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012122975 | XXX-XX-XXXX | Fire | 07/22/2012 | C | WCC-STR | Strain | 53 | Knee | WCC-OTH-OPN | Into Openings | FA ONLY. IW fell into a hole injuring his right knee. | 07/23/2012 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012122980 | XXX-XX-XXXX | Streets | 07/23/2012 | C | WCC-CRS | Crushing | 36 | Finger(s) | 13 | Cagt/In/Bet/Miscellaneous | IW was working on concrete when he injured his left middle finger (details unknown). | 07/23/2012 | $0.00 | $2,294.34 | $0.00 | $2,294.34 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012123070 | XXX-XX-XXXX | Police | 07/31/2012 | C | WCC-OSI | All Other Specific Injury | 91 | Body Systems and Multiple Body Systems | 99 | Miscellaneous Causes - Other | IW was participating in swat training when he started cramping and vomiting. | 07/31/2012 | $0.00 | $2,222.76 | $0.00 | $2,222.76 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012123073 | XXX-XX-XXXX | Fire | 07/31/2012 | C | WCC-FRB | Foreign Body | 14 | Eye(s) | 87 | Miscellaneous Causes - Foreign Body in Eye | IW was on a call when debris flew into his left eye. | 08/01/2012 | $0.00 | $360.85 | $0.00 | $360.85 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012123185 | XXX-XX-XXXX | Streets | 08/13/2012 | C | WCC-STR | Strain | 61 | Abdomen (inc. groin) | WCC-STR-MIS | Miscellaneous | IW was unloading debris from a truck. He jumped down from the truck and felt a sharp pain in his lower abdomen. | 08/14/2012 | $1,706.76 | $21,617.89 | $22.00 | $23,324.65 | $0.00 | $22.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012123593 | XXX-XX-XXXX | Fire | 09/19/2012 | C | WCC-STR | Strain | 54 | Lower Leg | WCC-STR-MIS | Miscellaneous | IW was running for an agility test when he felt a pop in his left hamstring. | 09/19/2012 | $0.00 | $338.27 | $365.00 | $338.27 | $0.00 | $365.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012123641 | XXX-XX-XXXX | Waterworks Operation | 09/24/2012 | C | WCC-CRS | Crushing | 37 | Thumb | WCC-CIB-MAC | Machinery | IW smashed his right thumb in between machinery. | 09/25/2012 | $0.00 | $381.36 | $0.00 | $381.36 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012125259 | XXX-XX-XXXX | Streets | 04/01/2012 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-MIS | Miscellaneous | IW injured his lower back (details unknown.) | 03/06/2013 | $0.00 | $331.06 | $0.00 | $331.06 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2011 - 09/30/2012 | WC2012125533 | XXX-XX-XXXX | Police | 08/03/2012 | C | WCC-INF | Infection | 48 | Internal Organs (not separately listed) | 99 | Miscellaneous Causes - Other | IW arrested a suspect and took him/her to jail. Later that day she had cramps and bleeding. The doctor states that it a common infection contracted by women in law enforcement. | 04/02/2013 | $0.00 | $1,476.24 | $369.00 | $1,476.24 | $0.00 | $369.00 | ||
| 05/31/2018 | 10/01/2012 - 09/30/2013 | WC2012123940 | XXX-XX-XXXX | Fire | 10/18/2012 | C | WCC-OSI | All Other Specific Injury | OTH-NPI | Non Physical Injury | 99 | Miscellaneous Causes - Other | IW became feel week and not feeling well. | 10/18/2012 | $0.00 | $1,160.82 | $0.00 | $1,160.82 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2012 - 09/30/2013 | WC2012123952 | XXX-XX-XXXX | Fire | 10/19/2012 | C | WCC-LAC | Laceration | 36 | Finger(s) | 19 | Ct/Punc/Scp/Miscellaneous | IW was in training when he cut his right index finger on a knife. | 10/19/2012 | $0.00 | $235.31 | $0.00 | $235.31 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2012 - 09/30/2013 | WC2012124197 | XXX-XX-XXXX | Police | 11/13/2012 | C | WCC-MPI | Multiple Physical Injuries Only | 90 | Multiple Body Parts | 31 | Fall/Slip Miscellaneous | The K-9 training dog pulled away causing IW to fall and injure his head back and neck. | 11/14/2012 | $28,426.47 | $27,368.81 | $28,882.94 | $15,354.36 | $0.00 | $69,323.86 | ||
| 05/31/2018 | 10/01/2012 - 09/30/2013 | WC2012124283 | XXX-XX-XXXX | Police | 11/25/2012 | C | WCC-SPR | Sprain | 37 | Thumb | WCC-MIS-CRI | Criminal Assault | IW was attempting to subdue a suspect when he dislocated his right thumb. | 11/26/2012 | $1,487.82 | $11,050.25 | $24.75 | $12,538.07 | $0.00 | $24.75 | ||
| 05/31/2018 | 10/01/2012 - 09/30/2013 | WC2012124369 | XXX-XX-XXXX | Police | 11/26/2012 | C | WCC-STR | Strain | 37 | Thumb | WCC-MIS-CRI | Criminal Assault | While on a call IW was attempting to hold back a subject when he injured his left thumb. | 11/30/2012 | $0.00 | $704.21 | $0.00 | $704.21 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2012 - 09/30/2013 | WC2012124379 | XXX-XX-XXXX | Police | 12/01/2012 | C | WCC-MPI | Multiple Physical Injuries Only | 90 | Multiple Body Parts | WCC-MIS-CRI | Criminal Assault | While on call IW got into a physical altercation with a suspect and fell into the bathtub. She struck her head on the soap dish hurt her back when the suspect landed on her and cut her lip with the suspect s elbow. | 12/03/2012 | $0.00 | $5,255.23 | $0.00 | $5,255.23 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2012 - 09/30/2013 | WC2012124451 | XXX-XX-XXXX | Fire | 12/07/2012 | C | WCC-LAC | Laceration | 35 | Hand | 19 | Ct/Punc/Scp/Miscellaneous | While in training IW went to shut off a lever when he struck metal and cut his right hand. | 12/07/2012 | $0.00 | $193.77 | $0.00 | $193.77 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2012 - 09/30/2013 | WC2012124472 | XXX-XX-XXXX | Parks and Recreation | 12/10/2012 | C | WCC-OSI | All Other Specific Injury | 90 | Multiple Body Parts | 99 | Miscellaneous Causes - Other | IW was dismantling a boardwalk when he became overheated causing him to vomit and almost pass out. He also twisted his right knee. | 12/11/2012 | $1,121.92 | $9,911.03 | $499.75 | $11,018.75 | $0.00 | $513.95 | ||
| 05/31/2018 | 10/01/2012 - 09/30/2013 | WC2012124611 | XXX-XX-XXXX | Clerical | 12/20/2012 | C | WCC-BRN | Burn | 54 | Lower Leg | 27 | Fall/Slip from Liquid | IW was taking dishes out of water when the water spilled on IW s left leg burning her. | 12/21/2012 | $0.00 | $4,237.53 | $0.00 | $4,237.53 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2012 - 09/30/2013 | WC2013124991 | XXX-XX-XXXX | Fire | 01/03/2013 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-MIS | Miscellaneous | While on duty IW began to feel pain in his neck and back. He is unsure what happened. | 02/05/2013 | $35,000.00 | $25,554.93 | $4,093.90 | $12,717.59 | $0.00 | $51,931.24 | ||
| 05/31/2018 | 10/01/2012 - 09/30/2013 | WC2013125068 | XXX-XX-XXXX | Clerical | 02/13/2013 | C | WCC-MPI | Multiple Physical Injuries Only | 90 | Multiple Body Parts | 33 | Fall/Slip on Stairs | IW fell down the stairs injuring her knee left ankle and right toe. | 02/13/2013 | $0.00 | $294.88 | $0.00 | $294.88 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2012 - 09/30/2013 | WC2013125109 | XXX-XX-XXXX | Streets | 02/13/2013 | C | WCC-STR | Strain | 42 | Lower Back Area (Incl. Lumbar & Lumbo-Sacral) | WCC-STR-LFT | Lifting | IW was raising a manhole while on his knees when he felt a sharp pain in his lower back. | 02/18/2013 | $3,975.71 | $25,292.64 | $469.25 | $25,000.00 | $0.00 | $4,737.60 | ||
| 05/31/2018 | 10/01/2012 - 09/30/2013 | WC2013125167 | XXX-XX-XXXX | Police | 02/24/2013 | C | WCC-LAC | Laceration | 54 | Lower Leg | 19 | Ct/Punc/Scp/Miscellaneous | IW was going through a fence when he scratched both legs. | 02/25/2013 | $0.00 | $1,046.54 | $0.00 | $79.79 | $0.00 | $966.75 | ||
| 05/31/2018 | 10/01/2012 - 09/30/2013 | WC2013125229 | XXX-XX-XXXX | Fire | 02/22/2013 | C | WCC-OSI | All Other Specific Injury | 91 | Body Systems and Multiple Body Systems | 99 | Miscellaneous Causes - Other | IW was doing CPR on a patient when he/she vomited on him. | 03/04/2013 | $0.00 | $584.87 | $0.00 | $584.87 | $0.00 | $0.00 | ||
| 05/31/2018 | 10/01/2012 - 09/30/2013 | WC2013125276 | XXX-XX-XXXX | Fire | 03/07/2013 | C | WCC-STR | Strain | 53 | Knee | WCC-STR-LFT | Lifting | IW was lifting a patient from a sitting position when he felt a pain in his left knee. | 03/07/2013 | $2,040.00 | $6,447.50 | $19.25 | $8,487.50 | $0.00 | $19.25 |
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .