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Occupational Injuries - *Immediate Actions*

We all do our best to protect ourselves and have a work life that is injury free.  Our mobile work environment with full flights, reduced staffing, excess carry on baggage, turbulence, faulty carts and equipment all contribute to circumstances that lead to accidents and injury, through no fault of our own.

Below, are listed the “IMMEDIATE ACTION” procedures that we suggest you should follow to have your Occupational Injury paperwork processed in a timely fashion.  We strongly urge you to carry a copy of this with you at all times to ensure that you (and your flying partners who may be injured while on duty) can follow the step-by-step procedures.

• Report any accident promptly.  Notify UAL Management ASAP of your work related injury/illness, even if you will not miss work.  Complete a Flight Attendant Report, and FAX to the appropriate supervisor in your local domicile.  Follow up with a phone call to ensure they have received your report.  Assist the supervisor in filing your report with Gallagher Bassett and the Occupational Service Center.
• Request, from the supervisor, a copy of the report that they are filing.  Review the supervisor’s report to ensure that it accurately reflects what you have reported.  If it does not, contact the supervisor immediately and request that they make the necessary corrections.
• Seek medical care/treatment immediately.  Do not delay.  Obtain copies of all reports and testing results for your own records.  With each visit to your medical professional, ensure that you take an Employee Status Form (ESF) with you and have it accurately completed.  The ESF form is found in the Occupational Injury Packet. (see instructions in next paragraph on how to obtain).  The company requires that the form be FAXED to the Occupational Service Center within 24 hours of each visit to your medical professional.
• You may request a copy of United’s Occupational Injury Packet from your supervisor, or on SkyNet.  Review the packet carefully to ensure that you have followed all of the instructions / procedures.
• Go to the MEC website, (www.unitedafa.org) Committee page to obtain the AFA Occupational Benefits Package.  The package is also posted on the Benefits Committee homepage and it is currently being revised for additional guidelines and instructions.
• Review, complete and FAX the Pay Options Form to the Occupational Service Center number listed in the packet.  While individual financial circumstances may vary, we recommend that you consider choosing one of the pay options that allow you to use your sick leave pay to supplement your income while your claim is being investigated. Not doing so, could have you put on Medical Leave of Absence.  This may prevent you from using your sick leave during your Occupational Sick Leave time off of work.
• A UAL Occupational Team representative, Gallagher Bassett representative or Corvel Nurse may contact you within a few days of filing your claim. Keep your conversations “brief and factual” (i.e. “I have seen my doctor and am following his instructions/treatment plan”).  Adamantly refuse any request to record your conversation.
• You may receive a letter from Gallagher Bassett that states they are delaying your claim pending receipt of additional medical documents.  If a Medical Records Release form is included, do not complete and return this form.  Immediately contact an AFA Occupational Committee member, and obtain an AFA “Medical Records Release Form.” Complete this form and FAX to the appropriate Gallagher Bassett representative.
• Keep a record of all phone conversations (names, dates, and times).  Retain all documents, including receipts of all faxes and ESF forms.
• Most important, do not hesitate to contact your Local AFA Occupational Committee Volunteer for assistance as soon as possible.