工(gong)傷保(bao)險事關每一名職(zhi)(zhi)工(gong),但很多人認(ren)為“工(gong)傷”距(ju)離自己很遠,甚至(zhi)發(fa)生傷害后,毫無(wu)工(gong)傷認(ren)定(ding)的(de)意識。誠(cheng)然,工(gong)傷認(ren)定(ding)具(ju)有極強的(de)專業性,不乏因看(kan)法(fa)不同而對簿公堂的(de)案例,許(xu)多看(kan)似擦邊(bian)球的(de)傷害案例,實則在工(gong)傷認(ren)定(ding)中都有章可循。為了(le)讓職(zhi)(zhi)工(gong)了(le)解(jie)(jie)工(gong)傷保(bao)險,青島(dao)(dao)市(shi)人力資源和社會保(bao)障局在青島(dao)(dao)早報推出系列宣傳報道,通(tong)過工(gong)傷認(ren)定(ding)案例、工(gong)傷保(bao)險政策的(de)講(jiang)解(jie)(jie),解(jie)(jie)答(da)職(zhi)(zhi)工(gong)心中的(de)疑惑。
超過1年時限是否還可認定工傷
某(mou)市機(ji)械設備(bei)有限公司(si)職工(gong)(gong)張(zhang)某(mou)在工(gong)(gong)作中突感不(bu)(bu)適,送醫院搶救無效后死亡。因(yin)張(zhang)某(mou)與(yu)單位是(shi)否存(cun)在勞(lao)動(dong)(dong)關(guan)系發生爭議(yi),經過了勞(lao)動(dong)(dong)仲裁、一審、二(er)審等法律(lv)程序(xu),兩年后法院最終確(que)認張(zhang)某(mou)與(yu)該單位存(cun)在勞(lao)動(dong)(dong)關(guan)系。確(que)認勞(lao)動(dong)(dong)關(guan)系后,申請人到(dao)當地(di)(di)工(gong)(gong)傷認定機(ji)構申請工(gong)(gong)傷認定,當地(di)(di)工(gong)(gong)傷認定部(bu)門以超過1年時限為由做出了不(bu)(bu)予(yu)工(gong)(gong)傷受理決定。
張(zhang)(zhang)某(mou)家屬不(bu)(bu)服(fu),向(xiang)上級機(ji)關提起(qi)行政復議申(shen)請。上級機(ji)關認(ren)為(wei):因用人單位(wei)不(bu)(bu)承認(ren)與(yu)張(zhang)(zhang)某(mou)的勞動(dong)關系(xi),張(zhang)(zhang)某(mou)家屬不(bu)(bu)得不(bu)(bu)通(tong)過法律途徑確(que)認(ren)勞動(dong)關系(xi),其最終目的就(jiu)是為(wei)了能夠順利申(shen)報工傷。因此,其要求確(que)定(ding)(ding)勞動(dong)關系(xi)行為(wei)與(yu)其主(zhu)張(zhang)(zhang)工傷認(ren)定(ding)(ding)權利密(mi)不(bu)(bu)可(ke)分,不(bu)(bu)能割裂。當地工傷認(ren)定(ding)(ding)部門作出的不(bu)(bu)予(yu)受理的決定(ding)(ding)不(bu)(bu)符合《工傷保險條例》的立法精神及相(xiang)關規(gui)定(ding)(ding),撤(che)銷當地工傷認(ren)定(ding)(ding)機(ji)構(gou)不(bu)(bu)予(yu)受理決定(ding)(ding),責(ze)令(ling)在規(gui)定(ding)(ding)時間內重(zhong)新(xin)做(zuo)出具體行政行為(wei)。
五種情況可不計算在工傷認定申請期限內
記者從(cong)市人(ren)(ren)(ren)社(she)局工傷(shang)(shang)(shang)認(ren)(ren)(ren)定(ding)(ding)部(bu)門(men)(men)了(le)解到,該(gai)案件的(de)(de)主要分歧由于(yu)個人(ren)(ren)(ren)與單位(wei)確認(ren)(ren)(ren)勞動關(guan)(guan)系,導致(zhi)超(chao)(chao)過了(le)1年(nian)工傷(shang)(shang)(shang)認(ren)(ren)(ren)定(ding)(ding)申請(qing)期(qi)(qi)(qi)限(xian)。那么,在(zai)確認(ren)(ren)(ren)勞動關(guan)(guan)系訴訟期(qi)(qi)(qi)間(jian)(jian)的(de)(de)時間(jian)(jian)是(shi)否(fou)應(ying)該(gai)扣(kou)除(chu)?根據最高人(ren)(ren)(ren)民(min)法(fa)院 《關(guan)(guan)于(yu)審理工傷(shang)(shang)(shang)保險行政(zheng)案件若(ruo)干問題(ti)的(de)(de)規(gui)定(ding)(ding) 》(法(fa)釋(shi)〔2014〕9號 )的(de)(de)規(gui)定(ding)(ding):由于(yu)不(bu)(bu)屬(shu)于(yu)職(zhi)工或者其近親屬(shu)自身原(yuan)因(yin)(yin)超(chao)(chao)過工傷(shang)(shang)(shang)認(ren)(ren)(ren)定(ding)(ding)申請(qing)期(qi)(qi)(qi)限(xian)的(de)(de),被耽(dan)誤的(de)(de)時間(jian)(jian)不(bu)(bu)計算(suan)在(zai)工傷(shang)(shang)(shang)認(ren)(ren)(ren)定(ding)(ding)申請(qing)期(qi)(qi)(qi)限(xian)內。 有下列(lie)情(qing)形之一的(de)(de),應(ying)當從(cong)工傷(shang)(shang)(shang)認(ren)(ren)(ren)定(ding)(ding)申請(qing)期(qi)(qi)(qi)中(zhong)(zhong)扣(kou)除(chu)。一是(shi)不(bu)(bu)可抗力;二(er)是(shi)人(ren)(ren)(ren)身自由受到限(xian)制;三(san)是(shi)屬(shu)于(yu)用人(ren)(ren)(ren)單位(wei)原(yuan)因(yin)(yin);四是(shi)社(she)會保險行政(zheng)部(bu)門(men)(men)登記制度不(bu)(bu)完善(shan);五是(shi)當事人(ren)(ren)(ren)對是(shi)否(fou)存在(zai)勞動關(guan)(guan)系申請(qing)仲裁、提起民(min)事訴訟。 因(yin)(yin)此,張某確認(ren)(ren)(ren)勞動關(guan)(guan)系的(de)(de)時間(jian)(jian)應(ying)當從(cong)工傷(shang)(shang)(shang)認(ren)(ren)(ren)定(ding)(ding)申請(qing)期(qi)(qi)(qi)限(xian)中(zhong)(zhong)扣(kou)除(chu),扣(kou)除(chu)后工傷(shang)(shang)(shang)認(ren)(ren)(ren)定(ding)(ding)申請(qing)期(qi)(qi)(qi)限(xian)不(bu)(bu)超(chao)(chao)過一年(nian)的(de)(de),工傷(shang)(shang)(shang)認(ren)(ren)(ren)定(ding)(ding)部(bu)門(men)(men)應(ying)當受理。
勞動能力鑒定
勞動(dong)能(neng)力(li)鑒(jian)定(ding)作(zuo)為工(gong)(gong)傷(shang)(shang)保險(xian)工(gong)(gong)作(zuo)的“三個環節(jie)”(工(gong)(gong)傷(shang)(shang)認(ren)定(ding)、勞動(dong)能(neng)力(li)鑒(jian)定(ding)、待遇(yu)給付)之一(yi),是(shi)工(gong)(gong)傷(shang)(shang)職工(gong)(gong)領(ling)取工(gong)(gong)傷(shang)(shang)待遇(yu)的必要環節(jie),為便(bian)于工(gong)(gong)傷(shang)(shang)職工(gong)(gong)更(geng)好(hao)地(di)維護工(gong)(gong)傷(shang)(shang)權益,下面介紹我市勞動(dong)能(neng)力(li)鑒(jian)定(ding)相關知(zhi)識及政策。
勞(lao)動能(neng)力鑒定(ding)是指勞(lao)動者因(yin)工(gong)負傷(shang)或(huo)患職業病(bing)等(deng)原因(yin),導致本人勞(lao)動與(yu)社會生活(huo)能(neng)力受到(dao)不同影(ying)響,為享受相應(ying)的工(gong)傷(shang)保險待(dai)遇(yu),由市勞(lao)動能(neng)力鑒定(ding)機(ji)構根據勞(lao)動者本人或(huo)者近親屬(shu)的申請,組織有資質的醫療衛生專家(jia),依據國家(jia)《職工(gong)工(gong)傷(shang)與(yu)職業病(bing)鑒定(ding)致殘程(cheng)度標準》(GB/T16180-2014),運用醫學科學技術的檢查方法和手(shou)段做(zuo)出的技術性結論,對工(gong)傷(shang)職工(gong)的勞(lao)動功能(neng)障礙程(cheng)度和生活(huo)自(zi)理障礙的程(cheng)度做(zuo)出等(deng)級鑒定(ding)。
勞動能力的等級
勞(lao)(lao)動能(neng)力分(fen)為(wei)勞(lao)(lao)動功(gong)能(neng)障礙(ai)程(cheng)(cheng)度和生(sheng)活(huo)(huo)(huo)自(zi)理(li)障礙(ai)程(cheng)(cheng)度兩方面(mian)。其(qi)中,勞(lao)(lao)動功(gong)能(neng)障礙(ai)程(cheng)(cheng)度分(fen)為(wei)十個(ge)傷殘等(deng)級,最重(zhong)的為(wei)一級,最輕的為(wei)十級。生(sheng)活(huo)(huo)(huo)自(zi)理(li)障礙(ai)分(fen)為(wei)三個(ge)等(deng)級:生(sheng)活(huo)(huo)(huo)完全不(bu)能(neng)自(zi)理(li)、生(sheng)活(huo)(huo)(huo)大部分(fen)不(bu)能(neng)自(zi)理(li)和生(sheng)活(huo)(huo)(huo)部分(fen)不(bu)能(neng)自(zi)理(li)。
勞動能力鑒定的申請條件
職工發生工傷,經治療傷情相對穩定(ding)或停工留薪期(qi)滿后,存在殘疾、影(ying)響勞(lao)動(dong)能(neng)(neng)力(li)的,均(jun)可以申請勞(lao)動(dong)能(neng)(neng)力(li)鑒定(ding)。
勞動能力鑒定的一般程序
髴申請及受理:職工(gong)(gong)傷(shang)(shang)情相對(dui)(dui)穩定(ding)(ding)(ding)或停(ting)工(gong)(gong)留薪(xin)期滿后(hou),由用人單(dan)位(wei)、工(gong)(gong)傷(shang)(shang)職工(gong)(gong)或者(zhe)其近親屬向單(dan)位(wei)繳納工(gong)(gong)傷(shang)(shang)保險所在區市(shi)社(she)會保險經(jing)辦機構提交(jiao)《青(qing)(qing)島(dao)(dao)市(shi)勞(lao)動能(neng)力(li)鑒定(ding)(ding)(ding)申請表》一(yi)式一(yi)份,加(jia)蓋(gai)單(dan)位(wei)公章、粘貼申請人近期一(yi)寸彩照(zhao)一(yi)張。同時(shi)提交(jiao)以下材料(liao)(liao):1、《工(gong)(gong)傷(shang)(shang)認(ren)定(ding)(ding)(ding)書》原件及復(fu)(fu)(fu)印件;2、用人單(dan)位(wei)開具(ju)的(de) 《工(gong)(gong)傷(shang)(shang)職工(gong)(gong)停(ting)工(gong)(gong)留薪(xin)期確認(ren)通知書》,用人單(dan)位(wei)不(bu)(bu)給(gei)開具(ju)的(de),本人應提交(jiao)申請書面(mian)材料(liao)(liao);3、受傷(shang)(shang)部(bu)位(wei)恢(hui)復(fu)(fu)(fu)穩定(ding)(ding)(ding)的(de)彩色照(zhao)片(pian);4、發生工(gong)(gong)傷(shang)(shang)后(hou)的(de)原始(shi)病(bing)歷以及相關(guan)(guan)的(de)檢查、化驗報告等有(you)(you)效(xiao)復(fu)(fu)(fu)印件;5、職業(ye)病(bing)的(de)應提供《青(qing)(qing)島(dao)(dao)市(shi)職業(ye)病(bing)診斷(duan)證明》復(fu)(fu)(fu)印件;6、住院病(bing)歷需(xu)加(jia)蓋(gai)醫院公章。對(dui)(dui)申請材料(liao)(liao)齊(qi)全有(you)(you)效(xiao)的(de),發給(gei)申請人《青(qing)(qing)島(dao)(dao)市(shi)勞(lao)動能(neng)力(li)鑒定(ding)(ding)(ding)通知書》,載明鑒定(ding)(ding)(ding)時(shi)間、地點(dian)及相關(guan)(guan)要求;對(dui)(dui)材料(liao)(liao)不(bu)(bu)齊(qi)全的(de),發給(gei)申請人 《青(qing)(qing)島(dao)(dao)市(shi)勞(lao)動能(neng)力(li)鑒定(ding)(ding)(ding)申請材料(liao)(liao)收訖補正告知書》,一(yi)次(ci)性告知申請人及時(shi)補齊(qi)材料(liao)(liao)。
髵組(zu)織醫療檢查及鑒(jian)(jian)(jian)定(ding)(ding):市(shi)(shi)勞(lao)(lao)動(dong)能(neng)力(li)鑒(jian)(jian)(jian)定(ding)(ding)委員(yuan)會收(shou)到(dao)勞(lao)(lao)動(dong)能(neng)力(li)鑒(jian)(jian)(jian)定(ding)(ding)申請后(hou),從市(shi)(shi)醫療衛生專(zhuan)家庫(ku)中(zhong)隨機抽取相(xiang)關醫療專(zhuan)家組(zu)成專(zhuan)家組(zu),由專(zhuan)家組(zu)根據現場(chang)醫學檢查情況提出勞(lao)(lao)動(dong)能(neng)力(li)鑒(jian)(jian)(jian)定(ding)(ding)意見,市(shi)(shi)勞(lao)(lao)動(dong)能(neng)力(li)鑒(jian)(jian)(jian)定(ding)(ding)委員(yuan)會根據專(zhuan)家組(zu)的鑒(jian)(jian)(jian)定(ding)(ding)意見作出工(gong)傷職工(gong)勞(lao)(lao)動(dong)能(neng)力(li)鑒(jian)(jian)(jian)定(ding)(ding)結論(lun)。
髶(rong)作(zuo)出(chu)結論:市(shi)勞(lao)(lao)(lao)(lao)動(dong)(dong)(dong)能(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding)委員(yuan)(yuan)會(hui)應當自(zi)收到勞(lao)(lao)(lao)(lao)動(dong)(dong)(dong)能(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding)申(shen)(shen)(shen)請(qing)之日起(qi)60日內(nei)(nei)作(zuo)出(chu)勞(lao)(lao)(lao)(lao)動(dong)(dong)(dong)能(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding)結論,必要時,作(zuo)出(chu)勞(lao)(lao)(lao)(lao)動(dong)(dong)(dong)能(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding)結論的(de)期限可(ke)以延長30日。勞(lao)(lao)(lao)(lao)動(dong)(dong)(dong)能(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding)結論可(ke)在“青島市(shi)人(ren)力(li)(li)(li)(li)資源和社會(hui)保障局(ju)”網站“個人(ren)查詢”中查詢。申(shen)(shen)(shen)請(qing)鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding)的(de)單位或(huo)者(zhe)(zhe)個人(ren)對市(shi)勞(lao)(lao)(lao)(lao)動(dong)(dong)(dong)能(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding)委員(yuan)(yuan)會(hui)作(zuo)出(chu)的(de)鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding)結論不服的(de),可(ke)以在收到該鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding)結論之日起(qi)15日內(nei)(nei)向省(sheng)勞(lao)(lao)(lao)(lao)動(dong)(dong)(dong)能(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding)委員(yuan)(yuan)會(hui)提(ti)出(chu)再次鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding)申(shen)(shen)(shen)請(qing),省(sheng)勞(lao)(lao)(lao)(lao)動(dong)(dong)(dong)能(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding)委員(yuan)(yuan)會(hui)作(zuo)出(chu)的(de)勞(lao)(lao)(lao)(lao)動(dong)(dong)(dong)能(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding)結論為(wei)最(zui)終結論。自(zi)勞(lao)(lao)(lao)(lao)動(dong)(dong)(dong)能(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding)結論做(zuo)出(chu)之日起(qi)1年后,工(gong)傷(shang)職工(gong)或(huo)者(zhe)(zhe)其近(jin)親屬(shu)、所在單位或(huo)者(zhe)(zhe)經辦機構認為(wei)傷(shang)殘(can)情(qing)況發生(sheng)變化的(de),可(ke)以申(shen)(shen)(shen)請(qing)勞(lao)(lao)(lao)(lao)動(dong)(dong)(dong)能(neng)力(li)(li)(li)(li)復查鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding),程(cheng)序同勞(lao)(lao)(lao)(lao)動(dong)(dong)(dong)能(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定(ding)(ding)(ding)(ding)(ding)的(de)一般程(cheng)序 。
髷(qu)送(song)達結論:勞動能力鑒(jian)定結論我(wo)市(shi)一般通過郵政部門直接郵寄送(song)達,具體時間和領(ling)取(qu)方式在《青島市(shi)勞動能力鑒(jian)定受理通知書》中告(gao)知。
工傷維權
如果在工作中不幸發生了事故傷害,用人單位和職工應(ying)該怎樣做,才能更好(hao)地維護職工的工傷權益?
報告施救
職工(gong)發(fa)生工(gong)傷(shang)事(shi)(shi)故后,本人或同事(shi)(shi)應當在第一時(shi)(shi)間通知所在單(dan)位(wei)的(de)安全生產管理部門(men)的(de)負責(ze)人,保(bao)護好(hao)事(shi)(shi)故現場,并(bing)根據(ju)職工(gong)受傷(shang)情況,及時(shi)(shi)將受傷(shang)職工(gong)送往工(gong)傷(shang)保(bao)險協議(yi)醫(yi)(yi)療機構進行救治,情況緊急時(shi)(shi),可以先到(dao)就近醫(yi)(yi)院急救,病(bing)情穩定后應及時(shi)(shi)轉入工(gong)傷(shang)保(bao)險協議(yi)醫(yi)(yi)療機構治療。
事故調查
用(yong)人(ren)單位對(dui)工(gong)(gong)(gong)傷(shang)(shang)事故(gu)(gu)現(xian)場進行調查,對(dui)事故(gu)(gu)現(xian)場進行拍照(zhao)、錄音、錄像(xiang)等(deng),做好(hao)調查取證(zheng)(zheng)等(deng)工(gong)(gong)(gong)作,分析事故(gu)(gu)原因(yin),寫出工(gong)(gong)(gong)傷(shang)(shang)事故(gu)(gu)報告,并準(zhun)備好(hao)工(gong)(gong)(gong)傷(shang)(shang)認定(ding)的(de)(de)相關材料。一是(shi)填寫《工(gong)(gong)(gong)傷(shang)(shang)認定(ding)申(shen)請表》;二是(shi)受傷(shang)(shang)害職(zhi)(zhi)工(gong)(gong)(gong)的(de)(de)有效(xiao)身份證(zheng)(zheng)明(ming);三是(shi)勞動(dong)合同文本復印件或(huo)者與(yu)用(yong)人(ren)單位存在勞動(dong)關系(xi) (包括事實勞動(dong)關系(xi))的(de)(de)有效(xiao)證(zheng)(zheng)明(ming)材料;四是(shi)用(yong)人(ren)單位事故(gu)(gu)調查報告書(shu)(shu)(shu) (個人(ren)申(shen)報的(de)(de)不必(bi)提供);五是(shi)兩人(ren)以上的(de)(de)證(zheng)(zheng)人(ren)證(zheng)(zheng)言(附身份證(zheng)(zheng)明(ming)復印件);六是(shi)醫療(liao)機(ji)構出具的(de)(de)受傷(shang)(shang)后診斷證(zheng)(zheng)明(ming)書(shu)(shu)(shu)、初診病歷、住院病歷,屬(shu)職(zhi)(zhi)業病的(de)(de)提供合法有效(xiao)的(de)(de)職(zhi)(zhi)業病診斷證(zheng)(zheng)明(ming)書(shu)(shu)(shu)或(huo)鑒(jian)定(ding)書(shu)(shu)(shu)。
特殊情況的(de)(de)除(chu)提供上(shang)述材(cai)料外(wai),還(huan)應(ying)當(dang)分別提交(jiao)相(xiang)應(ying)證(zheng)據。一(yi)是(shi)職(zhi)工(gong)(gong)死亡(wang)的(de)(de),提交(jiao)死亡(wang)證(zheng)明;二是(shi)因(yin)(yin)履(lv)行(xing)工(gong)(gong)作(zuo)職(zhi)責或(huo)(huo)因(yin)(yin)工(gong)(gong)外(wai)出(chu)受到暴(bao)力(li)(li)傷(shang)害的(de)(de),提交(jiao)公(gong)(gong)安部(bu)門(men)(men)(men)(men)的(de)(de)證(zheng)明或(huo)(huo)其(qi)(qi)他(ta)相(xiang)關(guan)證(zheng)明;三是(shi)上(shang)下班途中(zhong)(zhong),受到交(jiao)通事故(gu)或(huo)(huo)者(zhe)(zhe)(zhe)客運輪(lun)渡、火車事故(gu)傷(shang)害的(de)(de),提交(jiao)公(gong)(gong)安交(jiao)警部(bu)門(men)(men)(men)(men)出(chu)具的(de)(de) 《交(jiao)通事故(gu)責任認定書》或(huo)(huo)其(qi)(qi)他(ta)主管行(xing)政(zheng)部(bu)門(men)(men)(men)(men)的(de)(de)事故(gu)責任認定證(zheng)明;四是(shi)在(zai)(zai)(zai)搶險救(jiu)(jiu)(jiu)災等維(wei)護國家利(li)(li)益、公(gong)(gong)共利(li)(li)益活動中(zhong)(zhong)受到傷(shang)害的(de)(de),提交(jiao)民政(zheng)部(bu)門(men)(men)(men)(men)或(huo)(huo)者(zhe)(zhe)(zhe)其(qi)(qi)他(ta)相(xiang)關(guan)部(bu)門(men)(men)(men)(men)的(de)(de)證(zheng)明;五是(shi)在(zai)(zai)(zai)工(gong)(gong)作(zuo)時間和工(gong)(gong)作(zuo)崗位、突發(fa)疾(ji)病(bing)死亡(wang)或(huo)(huo)者(zhe)(zhe)(zhe)在(zai)(zai)(zai)48小時之內經搶救(jiu)(jiu)(jiu)無效死亡(wang)的(de)(de),提交(jiao)醫療機(ji)構的(de)(de)搶救(jiu)(jiu)(jiu)證(zheng)明;六是(shi)屬于因(yin)(yin)戰(zhan)、因(yin)(yin)公(gong)(gong)負傷(shang)致(zhi)殘的(de)(de)轉業、復(fu)員軍人(ren),舊(jiu)傷(shang)復(fu)發(fa)的(de)(de),提交(jiao)《革命傷(shang)殘軍人(ren)證(zheng)》以及勞動能力(li)(li)鑒定機(ji)構對(dui)舊(jiu)傷(shang)復(fu)發(fa)的(de)(de)確認;七是(shi)單位未參加工(gong)(gong)傷(shang)保險的(de)(de),應(ying)當(dang)提交(jiao)營(ying)業執照副本或(huo)(huo)者(zhe)(zhe)(zhe)工(gong)(gong)商行(xing)政(zheng)管理(li)部(bu)門(men)(men)(men)(men)出(chu)具的(de)(de)查詢(xun)證(zheng)明。
按時申報
職(zhi)工發生事故傷(shang)害或(huo)者被(bei)診(zhen)斷(duan)、鑒定(ding)(ding)為(wei)職(zhi)業病(bing)的,所(suo)在(zai)單位(wei)應當自事故傷(shang)害發生之日或(huo)者被(bei)診(zhen)斷(duan)、鑒定(ding)(ding)為(wei)職(zhi)業病(bing)之日起30日內,向用人單位(wei)所(suo)在(zai)地工傷(shang)認定(ding)(ding)部(bu)門(men)提出工傷(shang)認定(ding)(ding)申請(qing)。遇(yu)有特殊(shu)情況(kuang),經報工傷(shang)認定(ding)(ding)部(bu)門(men)同意,申請(qing)時限可以適當延長(chang)(chang),但延長(chang)(chang)時間不得超過30日。
用(yong)(yong)人(ren)(ren)單(dan)位(wei)(wei)(wei)(wei)未在規(gui)定(ding)的30日(ri)內(nei)提出(chu)(chu)工(gong)(gong)傷(shang)(shang)認(ren)定(ding)申請的,工(gong)(gong)傷(shang)(shang)職(zhi)(zhi)工(gong)(gong)或者其(qi)近親(qin)屬(shu)、工(gong)(gong)會(hui)組織(zhi)(zhi)在事故(gu)傷(shang)(shang)害發(fa)(fa)生(sheng)之日(ri)或被診斷、鑒定(ding)為職(zhi)(zhi)業(ye)病(bing)之日(ri)起1年內(nei),可以直接向用(yong)(yong)人(ren)(ren)單(dan)位(wei)(wei)(wei)(wei)所(suo)在地工(gong)(gong)傷(shang)(shang)認(ren)定(ding)部門提出(chu)(chu)工(gong)(gong)傷(shang)(shang)認(ren)定(ding)申請。用(yong)(yong)人(ren)(ren)單(dan)位(wei)(wei)(wei)(wei)未在規(gui)定(ding)時限內(nei)提交工(gong)(gong)傷(shang)(shang)認(ren)定(ding)申請,在此期間發(fa)(fa)生(sheng)符合工(gong)(gong)傷(shang)(shang)保險(xian)條例規(gui)定(ding)的工(gong)(gong)傷(shang)(shang)待(dai)遇(yu)等有(you)關(guan)費用(yong)(yong)由(you)該用(yong)(yong)人(ren)(ren)單(dan)位(wei)(wei)(wei)(wei)負擔(dan)。發(fa)(fa)生(sheng)工(gong)(gong)傷(shang)(shang)事故(gu)或確診為職(zhi)(zhi)業(ye)病(bing)之日(ri)起,超(chao)過一(yi)年未提出(chu)(chu)工(gong)(gong)傷(shang)(shang)認(ren)定(ding)申請的,工(gong)(gong)傷(shang)(shang)認(ren)定(ding)部門部門不予受理(li),由(you)此發(fa)(fa)生(sheng)的待(dai)遇(yu)問題由(you)受傷(shang)(shang)職(zhi)(zhi)工(gong)(gong)或其(qi)親(qin)屬(shu)、工(gong)(gong)會(hui)組織(zhi)(zhi)與用(yong)(yong)人(ren)(ren)單(dan)位(wei)(wei)(wei)(wei)協(xie)商解(jie)決或通過法律(lv)途徑解(jie)決。
工(gong)(gong)傷(shang)(shang)認定(ding)按照屬地(di)原則管理。用(yong)人單位工(gong)(gong)商(shang)登(deng)記注冊(ce)地(di)與(yu)生產經(jing)營(ying)地(di)不在同一行政(zheng)地(di)域,用(yong)人單位參(can)加(jia)工(gong)(gong)傷(shang)(shang)保險的(de),向(xiang)參(can)保地(di)工(gong)(gong)傷(shang)(shang)認定(ding)機(ji)構(gou)提出申(shen)(shen)請;未參(can)加(jia)工(gong)(gong)傷(shang)(shang)保險的(de),向(xiang)生產經(jing)營(ying)地(di)工(gong)(gong)傷(shang)(shang)認定(ding)機(ji)構(gou)進(jin)行申(shen)(shen)請。生產經(jing)營(ying)地(di)在國外(wai)且(qie)受傷(shang)(shang)害職工(gong)(gong)未在生產經(jing)營(ying)地(di)參(can)加(jia)工(gong)(gong)傷(shang)(shang)保險的(de),向(xiang)用(yong)人單位工(gong)(gong)商(shang)登(deng)記注冊(ce)所在地(di)的(de)工(gong)(gong)傷(shang)(shang)認定(ding)機(ji)構(gou)進(jin)行申(shen)(shen)請。青島市(shi)工(gong)(gong)傷(shang)(shang)認定(ding)部(bu)門負責(ze)受理市(shi)內三區(qu)(市(shi)南區(qu)、市(shi)北區(qu)、李滄區(qu))工(gong)(gong)傷(shang)(shang)認定(ding)申(shen)(shen)請,其他區(qu)市(shi)負責(ze)本轄區(qu)內工(gong)(gong)傷(shang)(shang)認定(ding)申(shen)(shen)請。
配合調查
工(gong)傷認定(ding)機(ji)(ji)構受理工(gong)傷認定(ding)申請后(hou),可以(yi)(yi)根據審核需要(yao)對事故傷害進行調查核實,用人單位、職工(gong)、工(gong)會組織、醫療機(ji)(ji)構以(yi)(yi)及有(you)關(guan)部門(men)應當予以(yi)(yi)協(xie)助。對拒不(bu)協(xie)助調查的,由社會保險行政部門(men)責令(ling)改正,處2000元以(yi)(yi)上2萬元以(yi)(yi)下(xia)的罰款。
推薦閱讀