Any person who has entered into a contract of service with an employer. The service contract can be in writing, expressed or implied and applies to temporary, permanent and under aged workers and is defined in section 1 of the Act.
This Act is not applicable to domestic employees employed as such in a private household.
Any person including the State, who employs an employee.
It is a personal injury sustained as a result of an accident during the course of employment of which a date, time and place can be determined.
Any reasonable costs incurred by or on behalf of an employee in respect of medical aid necessitated by an accident or disease occurring during the course of employment.
All occupational injuries or alleged occupational injuries that entail medical expenses and/or
absence from work for more than three days must be
reported within seven days in the prescribed manner.
The delay to report an accident or alleged accident is a criminal
offence. The Commissioner may also impose a penalty on the employer
which could be the full amount of the claim.
| Step 1: | Complete EMPLOYER'S REPORT In full |
| Step 2: | Sign and date form where indicated. |
| Step 3: |
Hand "Part B" to the injured employee before he goes for initial medical treatment and instruct him to hand "Part B" to the medical practitioner or hospital concerned. In serious cases "Part B" must be forwarded to the medical practitioner or hospital without delay. |
| Step 4: | Complete the rest of Part A, pages 1 and 2. |
| Step 5: |
Forward completed form together with a First Medical Report (if available) to your Regional office of the Federated Employers Mutual Assurance Company LTD (FEM) With whom you have insured your liability in terms of the compensation for occupational injuries and diseases act, 1993. See Reverse Part B Page 1 for addresses. |
The employer is liable for the payment of compensation for the first three months from the date of the occupational injury.
The compensation paid by the employer shall be reimbursed by the FEM.
Upon receipt of the Employer's Report of an Occupational
injury and a First Medical Report, the
claim will be considered
and if liability is accepted, notification will be addressed to the employer. The
claim number allocated will appear on this notification.
If liability cannot at that stage be accepted an acknowledgement will be addressed to the employer, providing the claim number allocated.
This will greatly facilitate the filing of correspondence and relevant documents on
the appropriate file and will expedite finalisation of the claim.
The basic information to identify a claim is as follows:
The registered trade name and registration number as registered with FEM.
The full names and surname of the injured employee (not nicknames).
The employee's identity number/personnel number and date of birth.
The date the occupational injury was sustained.
The above mentioned information is captured on the computer and any discrepancies
can result in duplication of claims, or that documents cannot be associated
with an existing claim.
It is a disease arising out of and contracted in the course of an employee's employment and which is listed in Schedule 3 to the Act.
An employer must within 14 days after he gained knowledge of an alleged occupational disease complete an “Employer's Report of an Occupational Disease form1 and form2” and forward it to your Regional office of the Federated Employers Mutual Assurance Company LTD (FEM)
The commencement of the disease shall be the date on which the doctor first diagnosed the illness.
The occupational disease will be recorded in the same way as discussed in paragraphs 6.1-6.4.
The accident frequency is the number of employees injured per hundred and is calculated as follows:
Number of employee accidents⁄Number of Employees × 100 = Accident Frequency
For example with a total of 10 accidents and 100 employees your accident frequency will be 10%.
The loss ratio is the percentage of premium used to pay claims and is calculated as follows:
Claims Cost⁄Premium × 100 = Loss Ratio
For example with Claims costs of R10 and Premium paid of R100 your loss ratio would be 10%.
Occupational Injuries (ACCIDENTS)
When the First Medical Report was not posted together with the employer's report of an occupational injury, it must be obtained without delay and submitted to FEM. In cases of prolonged absence, a Progress Medical report must be obtained monthly from the practitioner and submitted. When the employee resumes work, a Resumption Report must be completed and submitted to FEM together with the Final Medical Report.
The Employer's Report of an Occupational Injury must not be kept in abeyance awaiting the medical report.
The medical reports must not be kept in abeyance until the employee's condition has stabilized or when he has resumed work.
Fatal Occupational Injuries (ACCIDENTS)
If the accident resulted in the employee's death, documentary proof indicating the cause of death must be submitted without delay to your Regional office of the Federated Employers Mutual Assurance Company LTD (FEM).