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工(gong)(gong)(gong)(gong)(gong)(gong)傷保險事關每一名職(zhi)工(gong)(gong)(gong)(gong)(gong)(gong)，但很多人(ren)認(ren)為“工(gong)(gong)(gong)(gong)(gong)(gong)傷”距離自(zi)己很遠，甚至發生(sheng)傷害后(hou)，毫(hao)無工(gong)(gong)(gong)(gong)(gong)(gong)傷認(ren)定(ding)的(de)意識。誠然，工(gong)(gong)(gong)(gong)(gong)(gong)傷認(ren)定(ding)具有極強的(de)專(zhuan)業(ye)性，不(bu)乏因(yin)看法不(bu)同而對簿公(gong)堂的(de)案(an)例(li)(li)，許(xu)多看似擦邊球(qiu)的(de)傷害案(an)例(li)(li)，實(shi)則在(zai)工(gong)(gong)(gong)(gong)(gong)(gong)傷認(ren)定(ding)中(zhong)都有章可循。為了讓(rang)職(zhi)工(gong)(gong)(gong)(gong)(gong)(gong)了解(jie)(jie)工(gong)(gong)(gong)(gong)(gong)(gong)傷保險，青(qing)島市人(ren)力(li)資源和社會保障(zhang)局在(zai)青(qing)島早報(bao)推(tui)出系列宣傳(chuan)報(bao)道(dao)，通過(guo)工(gong)(gong)(gong)(gong)(gong)(gong)傷認(ren)定(ding)案(an)例(li)(li)、工(gong)(gong)(gong)(gong)(gong)(gong)傷保險政策的(de)講解(jie)(jie)，解(jie)(jie)答職(zhi)工(gong)(gong)(gong)(gong)(gong)(gong)心中(zhong)的(de)疑惑。

超過1年時限是否還可認定工傷

某(mou)市(shi)機(ji)械設(she)備有限公司職工(gong)(gong)張(zhang)某(mou)在工(gong)(gong)作(zuo)中突感不(bu)適，送(song)醫院搶救(jiu)無效后死(si)亡。因張(zhang)某(mou)與(yu)單(dan)位是(shi)否存在勞動(dong)關(guan)系(xi)發生爭議，經(jing)過(guo)了勞動(dong)仲裁、一審、二審等(deng)法(fa)律程序，兩年后法(fa)院最終確(que)認張(zhang)某(mou)與(yu)該單(dan)位存在勞動(dong)關(guan)系(xi)。確(que)認勞動(dong)關(guan)系(xi)后，申請(qing)人到當地工(gong)(gong)傷(shang)認定機(ji)構申請(qing)工(gong)(gong)傷(shang)認定，當地工(gong)(gong)傷(shang)認定部門以超過(guo)1年時限為由做出(chu)了不(bu)予工(gong)(gong)傷(shang)受理決定。

張某家屬不(bu)服，向上(shang)級機(ji)(ji)關(guan)提起行(xing)政(zheng)復議(yi)申請。上(shang)級機(ji)(ji)關(guan)認(ren)為：因用人單位不(bu)承認(ren)與(yu)張某的勞(lao)動(dong)(dong)關(guan)系，張某家屬不(bu)得不(bu)通過(guo)法律途(tu)徑確認(ren)勞(lao)動(dong)(dong)關(guan)系，其(qi)(qi)最終目的就是(shi)為了能(neng)夠順利申報(bao)工(gong)傷。因此，其(qi)(qi)要(yao)求確定(ding)勞(lao)動(dong)(dong)關(guan)系行(xing)為與(yu)其(qi)(qi)主張工(gong)傷認(ren)定(ding)權(quan)利密不(bu)可分(fen)，不(bu)能(neng)割裂。當地(di)工(gong)傷認(ren)定(ding)部門作出的不(bu)予受理的決定(ding)不(bu)符(fu)合(he)《工(gong)傷保險條(tiao)例》的立法精神(shen)及相關(guan)規定(ding)，撤銷當地(di)工(gong)傷認(ren)定(ding)機(ji)(ji)構不(bu)予受理決定(ding)，責令在規定(ding)時間內重新(xin)做出具體行(xing)政(zheng)行(xing)為。

五種情況可不計算在工傷認定申請期限內

記者從市人(ren)(ren)(ren)(ren)社(she)局工(gong)(gong)(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)(ding)部門(men)了解到，該案件(jian)的(de)(de)主要分歧(qi)由(you)于個人(ren)(ren)(ren)(ren)與單位確(que)認(ren)(ren)勞動(dong)關(guan)(guan)系，導致超過(guo)(guo)了1年(nian)工(gong)(gong)(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)(ding)申(shen)請(qing)期(qi)限(xian)(xian)。那么(me)，在確(que)認(ren)(ren)勞動(dong)關(guan)(guan)系訴訟(song)期(qi)間的(de)(de)時間是(shi)否應(ying)(ying)該扣(kou)除(chu)？根據最(zui)高人(ren)(ren)(ren)(ren)民法院 《關(guan)(guan)于審理(li)工(gong)(gong)(gong)傷(shang)(shang)(shang)保險(xian)(xian)行政案件(jian)若(ruo)干問題的(de)(de)規定(ding)(ding) 》（法釋〔2014〕9號(hao) ）的(de)(de)規定(ding)(ding)：由(you)于不屬于職工(gong)(gong)(gong)或者其近親屬自(zi)身原因超過(guo)(guo)工(gong)(gong)(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)(ding)申(shen)請(qing)期(qi)限(xian)(xian)的(de)(de)，被耽誤的(de)(de)時間不計算在工(gong)(gong)(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)(ding)申(shen)請(qing)期(qi)限(xian)(xian)內。 有下列(lie)情形之一(yi)的(de)(de)，應(ying)(ying)當(dang)(dang)從工(gong)(gong)(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)(ding)申(shen)請(qing)期(qi)中扣(kou)除(chu)。一(yi)是(shi)不可抗力；二是(shi)人(ren)(ren)(ren)(ren)身自(zi)由(you)受到限(xian)(xian)制(zhi)；三是(shi)屬于用人(ren)(ren)(ren)(ren)單位原因；四是(shi)社(she)會保險(xian)(xian)行政部門(men)登(deng)記制(zhi)度不完善(shan)；五是(shi)當(dang)(dang)事(shi)人(ren)(ren)(ren)(ren)對是(shi)否存(cun)在勞動(dong)關(guan)(guan)系申(shen)請(qing)仲裁、提起民事(shi)訴訟(song)。 因此，張某確(que)認(ren)(ren)勞動(dong)關(guan)(guan)系的(de)(de)時間應(ying)(ying)當(dang)(dang)從工(gong)(gong)(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)(ding)申(shen)請(qing)期(qi)限(xian)(xian)中扣(kou)除(chu)，扣(kou)除(chu)后工(gong)(gong)(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)(ding)申(shen)請(qing)期(qi)限(xian)(xian)不超過(guo)(guo)一(yi)年(nian)的(de)(de)，工(gong)(gong)(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)(ding)部門(men)應(ying)(ying)當(dang)(dang)受理(li)。

勞動能力鑒定

勞(lao)動能力鑒定(ding)作(zuo)(zuo)為工(gong)(gong)傷(shang)(shang)保(bao)險工(gong)(gong)作(zuo)(zuo)的(de)(de)“三個環節”（工(gong)(gong)傷(shang)(shang)認定(ding)、勞(lao)動能力鑒定(ding)、待遇(yu)給(gei)付）之一，是(shi)工(gong)(gong)傷(shang)(shang)職(zhi)工(gong)(gong)領取(qu)工(gong)(gong)傷(shang)(shang)待遇(yu)的(de)(de)必要環節，為便于工(gong)(gong)傷(shang)(shang)職(zhi)工(gong)(gong)更好地(di)維護工(gong)(gong)傷(shang)(shang)權(quan)益，下面(mian)介紹我市勞(lao)動能力鑒定(ding)相關知識及政策。

勞(lao)動(dong)(dong)能(neng)力鑒(jian)定是指勞(lao)動(dong)(dong)者因(yin)工負傷或患(huan)職業病等原因(yin)，導致本(ben)人(ren)勞(lao)動(dong)(dong)與社會生(sheng)活能(neng)力受(shou)到不同影響(xiang)，為享受(shou)相應的(de)工傷保險待遇，由(you)市勞(lao)動(dong)(dong)能(neng)力鑒(jian)定機構(gou)根據(ju)勞(lao)動(dong)(dong)者本(ben)人(ren)或者近親(qin)屬的(de)申請，組(zu)織有(you)資質(zhi)的(de)醫療衛生(sheng)專家(jia)，依據(ju)國家(jia)《職工工傷與職業病鑒(jian)定致殘程(cheng)度標準》（GB/T16180-2014），運用(yong)醫學(xue)科學(xue)技(ji)(ji)術的(de)檢查方法和手段做出(chu)的(de)技(ji)(ji)術性結論，對工傷職工的(de)勞(lao)動(dong)(dong)功能(neng)障(zhang)礙(ai)程(cheng)度和生(sheng)活自(zi)理障(zhang)礙(ai)的(de)程(cheng)度做出(chu)等級鑒(jian)定。

勞動能力的等級

勞(lao)動(dong)能(neng)(neng)(neng)(neng)力分(fen)為(wei)(wei)勞(lao)動(dong)功能(neng)(neng)(neng)(neng)障礙程度(du)和生(sheng)活自(zi)(zi)(zi)理(li)障礙程度(du)兩方面。其(qi)中，勞(lao)動(dong)功能(neng)(neng)(neng)(neng)障礙程度(du)分(fen)為(wei)(wei)十個傷(shang)殘等級，最重的為(wei)(wei)一級，最輕(qing)的為(wei)(wei)十級。生(sheng)活自(zi)(zi)(zi)理(li)障礙分(fen)為(wei)(wei)三(san)個等級：生(sheng)活完全(quan)不(bu)(bu)能(neng)(neng)(neng)(neng)自(zi)(zi)(zi)理(li)、生(sheng)活大部(bu)分(fen)不(bu)(bu)能(neng)(neng)(neng)(neng)自(zi)(zi)(zi)理(li)和生(sheng)活部(bu)分(fen)不(bu)(bu)能(neng)(neng)(neng)(neng)自(zi)(zi)(zi)理(li)。

勞動能力鑒定的申請條件

職工發生(sheng)工傷，經治療傷情(qing)相對穩定(ding)或停工留薪(xin)期滿后，存在(zai)殘疾、影響勞動能力的，均可以申請勞動能力鑒定(ding)。

勞動能力鑒定的一般程序

髴(fu)申(shen)(shen)(shen)(shen)請(qing)(qing)(qing)(qing)及(ji)受(shou)(shou)理：職(zhi)(zhi)工(gong)(gong)(gong)傷(shang)(shang)情(qing)相(xiang)對穩定(ding)(ding)(ding)或停(ting)工(gong)(gong)(gong)留薪期滿后，由用人(ren)(ren)單(dan)(dan)位(wei)、工(gong)(gong)(gong)傷(shang)(shang)職(zhi)(zhi)工(gong)(gong)(gong)或者其近親(qin)屬向單(dan)(dan)位(wei)繳納工(gong)(gong)(gong)傷(shang)(shang)保險所在區市(shi)(shi)社(she)會保險經辦(ban)機構提交《青(qing)島市(shi)(shi)勞(lao)動(dong)(dong)能力(li)鑒(jian)定(ding)(ding)(ding)申(shen)(shen)(shen)(shen)請(qing)(qing)(qing)(qing)表》一(yi)式一(yi)份，加蓋單(dan)(dan)位(wei)公(gong)章(zhang)、粘貼申(shen)(shen)(shen)(shen)請(qing)(qing)(qing)(qing)人(ren)(ren)近期一(yi)寸彩照一(yi)張。同時提交以下材(cai)料(liao)：1、《工(gong)(gong)(gong)傷(shang)(shang)認定(ding)(ding)(ding)書(shu)》原件(jian)及(ji)復(fu)(fu)印件(jian)；2、用人(ren)(ren)單(dan)(dan)位(wei)開(kai)具的(de)(de) 《工(gong)(gong)(gong)傷(shang)(shang)職(zhi)(zhi)工(gong)(gong)(gong)停(ting)工(gong)(gong)(gong)留薪期確認通知(zhi)書(shu)》，用人(ren)(ren)單(dan)(dan)位(wei)不給(gei)開(kai)具的(de)(de)，本人(ren)(ren)應(ying)提交申(shen)(shen)(shen)(shen)請(qing)(qing)(qing)(qing)書(shu)面材(cai)料(liao)；3、受(shou)(shou)傷(shang)(shang)部位(wei)恢復(fu)(fu)穩定(ding)(ding)(ding)的(de)(de)彩色照片；4、發(fa)生工(gong)(gong)(gong)傷(shang)(shang)后的(de)(de)原始病歷以及(ji)相(xiang)關(guan)的(de)(de)檢(jian)查、化驗報告(gao)等有效復(fu)(fu)印件(jian)；5、職(zhi)(zhi)業病的(de)(de)應(ying)提供《青(qing)島市(shi)(shi)職(zhi)(zhi)業病診(zhen)斷證明》復(fu)(fu)印件(jian)；6、住院(yuan)病歷需(xu)加蓋醫院(yuan)公(gong)章(zhang)。對申(shen)(shen)(shen)(shen)請(qing)(qing)(qing)(qing)材(cai)料(liao)齊(qi)全有效的(de)(de)，發(fa)給(gei)申(shen)(shen)(shen)(shen)請(qing)(qing)(qing)(qing)人(ren)(ren)《青(qing)島市(shi)(shi)勞(lao)動(dong)(dong)能力(li)鑒(jian)定(ding)(ding)(ding)通知(zhi)書(shu)》，載(zai)明鑒(jian)定(ding)(ding)(ding)時間、地點及(ji)相(xiang)關(guan)要求；對材(cai)料(liao)不齊(qi)全的(de)(de)，發(fa)給(gei)申(shen)(shen)(shen)(shen)請(qing)(qing)(qing)(qing)人(ren)(ren) 《青(qing)島市(shi)(shi)勞(lao)動(dong)(dong)能力(li)鑒(jian)定(ding)(ding)(ding)申(shen)(shen)(shen)(shen)請(qing)(qing)(qing)(qing)材(cai)料(liao)收訖補(bu)正告(gao)知(zhi)書(shu)》，一(yi)次性告(gao)知(zhi)申(shen)(shen)(shen)(shen)請(qing)(qing)(qing)(qing)人(ren)(ren)及(ji)時補(bu)齊(qi)材(cai)料(liao)。

髵組(zu)(zu)(zu)織醫(yi)療(liao)檢查及鑒(jian)定(ding)：市(shi)勞動(dong)能(neng)力(li)鑒(jian)定(ding)委員(yuan)會(hui)(hui)收到(dao)勞動(dong)能(neng)力(li)鑒(jian)定(ding)申請后，從市(shi)醫(yi)療(liao)衛生專(zhuan)家(jia)庫中隨機抽(chou)取相關醫(yi)療(liao)專(zhuan)家(jia)組(zu)(zu)(zu)成(cheng)專(zhuan)家(jia)組(zu)(zu)(zu)，由專(zhuan)家(jia)組(zu)(zu)(zu)根據(ju)現場醫(yi)學(xue)檢查情(qing)況提出勞動(dong)能(neng)力(li)鑒(jian)定(ding)意見，市(shi)勞動(dong)能(neng)力(li)鑒(jian)定(ding)委員(yuan)會(hui)(hui)根據(ju)專(zhuan)家(jia)組(zu)(zu)(zu)的鑒(jian)定(ding)意見作出工傷(shang)職工勞動(dong)能(neng)力(li)鑒(jian)定(ding)結論。

髶作(zuo)(zuo)出(chu)(chu)(chu)結(jie)(jie)論(lun)(lun)(lun)：市勞(lao)(lao)(lao)動(dong)(dong)(dong)(dong)(dong)(dong)(dong)能(neng)(neng)(neng)(neng)(neng)力(li)(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定委(wei)員會應當自(zi)收到(dao)勞(lao)(lao)(lao)動(dong)(dong)(dong)(dong)(dong)(dong)(dong)能(neng)(neng)(neng)(neng)(neng)力(li)(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定申請之日(ri)起60日(ri)內(nei)作(zuo)(zuo)出(chu)(chu)(chu)勞(lao)(lao)(lao)動(dong)(dong)(dong)(dong)(dong)(dong)(dong)能(neng)(neng)(neng)(neng)(neng)力(li)(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定結(jie)(jie)論(lun)(lun)(lun)，必要(yao)時，作(zuo)(zuo)出(chu)(chu)(chu)勞(lao)(lao)(lao)動(dong)(dong)(dong)(dong)(dong)(dong)(dong)能(neng)(neng)(neng)(neng)(neng)力(li)(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定結(jie)(jie)論(lun)(lun)(lun)的期(qi)限可(ke)以延(yan)長30日(ri)。勞(lao)(lao)(lao)動(dong)(dong)(dong)(dong)(dong)(dong)(dong)能(neng)(neng)(neng)(neng)(neng)力(li)(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定結(jie)(jie)論(lun)(lun)(lun)可(ke)在“青島市人(ren)力(li)(li)(li)(li)(li)資源和社會保障局”網站“個(ge)人(ren)查(cha)(cha)詢”中查(cha)(cha)詢。申請鑒(jian)(jian)(jian)(jian)(jian)定的單位或者個(ge)人(ren)對市勞(lao)(lao)(lao)動(dong)(dong)(dong)(dong)(dong)(dong)(dong)能(neng)(neng)(neng)(neng)(neng)力(li)(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定委(wei)員會作(zuo)(zuo)出(chu)(chu)(chu)的鑒(jian)(jian)(jian)(jian)(jian)定結(jie)(jie)論(lun)(lun)(lun)不服的，可(ke)以在收到(dao)該鑒(jian)(jian)(jian)(jian)(jian)定結(jie)(jie)論(lun)(lun)(lun)之日(ri)起15日(ri)內(nei)向省勞(lao)(lao)(lao)動(dong)(dong)(dong)(dong)(dong)(dong)(dong)能(neng)(neng)(neng)(neng)(neng)力(li)(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定委(wei)員會提(ti)出(chu)(chu)(chu)再(zai)次鑒(jian)(jian)(jian)(jian)(jian)定申請，省勞(lao)(lao)(lao)動(dong)(dong)(dong)(dong)(dong)(dong)(dong)能(neng)(neng)(neng)(neng)(neng)力(li)(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定委(wei)員會作(zuo)(zuo)出(chu)(chu)(chu)的勞(lao)(lao)(lao)動(dong)(dong)(dong)(dong)(dong)(dong)(dong)能(neng)(neng)(neng)(neng)(neng)力(li)(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定結(jie)(jie)論(lun)(lun)(lun)為最終結(jie)(jie)論(lun)(lun)(lun)。自(zi)勞(lao)(lao)(lao)動(dong)(dong)(dong)(dong)(dong)(dong)(dong)能(neng)(neng)(neng)(neng)(neng)力(li)(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定結(jie)(jie)論(lun)(lun)(lun)做出(chu)(chu)(chu)之日(ri)起1年后，工傷職工或者其近(jin)親屬、所在單位或者經辦機構認(ren)為傷殘(can)情況(kuang)發生(sheng)變化(hua)的，可(ke)以申請勞(lao)(lao)(lao)動(dong)(dong)(dong)(dong)(dong)(dong)(dong)能(neng)(neng)(neng)(neng)(neng)力(li)(li)(li)(li)(li)復查(cha)(cha)鑒(jian)(jian)(jian)(jian)(jian)定，程序同勞(lao)(lao)(lao)動(dong)(dong)(dong)(dong)(dong)(dong)(dong)能(neng)(neng)(neng)(neng)(neng)力(li)(li)(li)(li)(li)鑒(jian)(jian)(jian)(jian)(jian)定的一般程序 。

髷送(song)達(da)結論(lun)：勞(lao)動能力(li)(li)鑒(jian)(jian)定(ding)結論(lun)我市一般通(tong)過郵(you)政部門(men)直接郵(you)寄送(song)達(da)，具體時間和領取方(fang)式在《青島市勞(lao)動能力(li)(li)鑒(jian)(jian)定(ding)受(shou)理通(tong)知(zhi)書》中告知(zhi)。

工傷維權

如(ru)果在(zai)工作(zuo)中不幸發生了事故傷害，用人單位和職工應該怎樣做，才能(neng)更(geng)好地維護職工的工傷權益(yi)？

報告施救

職工(gong)(gong)發生(sheng)工(gong)(gong)傷事(shi)故后，本人(ren)或同事(shi)應當(dang)在第一時(shi)(shi)間通知所在單位的(de)安全(quan)生(sheng)產管理部門的(de)負責人(ren)，保護好事(shi)故現場(chang)，并根據職工(gong)(gong)受傷情況，及(ji)時(shi)(shi)將受傷職工(gong)(gong)送往工(gong)(gong)傷保險(xian)協議(yi)醫療(liao)(liao)機構進行(xing)救治，情況緊急時(shi)(shi)，可以先到(dao)就近醫院急救，病情穩(wen)定后應及(ji)時(shi)(shi)轉入工(gong)(gong)傷保險(xian)協議(yi)醫療(liao)(liao)機構治療(liao)(liao)。

事故調查

用(yong)人單位(wei)對工(gong)傷事(shi)(shi)(shi)故現場(chang)進(jin)行調(diao)查，對事(shi)(shi)(shi)故現場(chang)進(jin)行拍(pai)照、錄(lu)音(yin)、錄(lu)像等，做好調(diao)查取證(zheng)(zheng)等工(gong)作，分(fen)析事(shi)(shi)(shi)故原因，寫出工(gong)傷事(shi)(shi)(shi)故報告，并準備好工(gong)傷認定的(de)相關材料。一是(shi)填(tian)寫《工(gong)傷認定申(shen)請表》；二是(shi)受傷害職工(gong)的(de)有效(xiao)身份證(zheng)(zheng)明(ming)；三(san)是(shi)勞動合同文本復印件(jian)或者與用(yong)人單位(wei)存在(zai)勞動關系(xi) （包括事(shi)(shi)(shi)實(shi)勞動關系(xi)）的(de)有效(xiao)證(zheng)(zheng)明(ming)材料；四是(shi)用(yong)人單位(wei)事(shi)(shi)(shi)故調(diao)查報告書(shu)(shu)(shu) （個人申(shen)報的(de)不必提供(gong)）；五是(shi)兩人以上的(de)證(zheng)(zheng)人證(zheng)(zheng)言（附身份證(zheng)(zheng)明(ming)復印件(jian)）；六是(shi)醫(yi)療機構(gou)出具的(de)受傷后診斷(duan)證(zheng)(zheng)明(ming)書(shu)(shu)(shu)、初診病(bing)歷、住院病(bing)歷，屬(shu)職業(ye)病(bing)的(de)提供(gong)合法有效(xiao)的(de)職業(ye)病(bing)診斷(duan)證(zheng)(zheng)明(ming)書(shu)(shu)(shu)或鑒定書(shu)(shu)(shu)。

特殊情況的(de)(de)除提(ti)(ti)供上述材料外，還(huan)應(ying)當(dang)分(fen)別提(ti)(ti)交(jiao)(jiao)相(xiang)(xiang)應(ying)證(zheng)(zheng)(zheng)據。一(yi)是(shi)(shi)職工(gong)(gong)(gong)死(si)亡的(de)(de)，提(ti)(ti)交(jiao)(jiao)死(si)亡證(zheng)(zheng)(zheng)明；二(er)是(shi)(shi)因(yin)(yin)履行(xing)工(gong)(gong)(gong)作職責或(huo)因(yin)(yin)工(gong)(gong)(gong)外出(chu)受到暴力(li)傷(shang)害的(de)(de)，提(ti)(ti)交(jiao)(jiao)公(gong)(gong)安(an)部(bu)門(men)的(de)(de)證(zheng)(zheng)(zheng)明或(huo)其他相(xiang)(xiang)關(guan)證(zheng)(zheng)(zheng)明；三是(shi)(shi)上下班途中(zhong)，受到交(jiao)(jiao)通事(shi)故或(huo)者客運輪渡、火車(che)事(shi)故傷(shang)害的(de)(de)，提(ti)(ti)交(jiao)(jiao)公(gong)(gong)安(an)交(jiao)(jiao)警部(bu)門(men)出(chu)具(ju)的(de)(de) 《交(jiao)(jiao)通事(shi)故責任(ren)認定書》或(huo)其他主管行(xing)政部(bu)門(men)的(de)(de)事(shi)故責任(ren)認定證(zheng)(zheng)(zheng)明；四(si)是(shi)(shi)在搶(qiang)險救(jiu)災等維護國家利(li)益、公(gong)(gong)共利(li)益活動中(zhong)受到傷(shang)害的(de)(de)，提(ti)(ti)交(jiao)(jiao)民政部(bu)門(men)或(huo)者其他相(xiang)(xiang)關(guan)部(bu)門(men)的(de)(de)證(zheng)(zheng)(zheng)明；五是(shi)(shi)在工(gong)(gong)(gong)作時(shi)間和(he)工(gong)(gong)(gong)作崗位、突(tu)發疾病死(si)亡或(huo)者在48小時(shi)之內經(jing)搶(qiang)救(jiu)無效死(si)亡的(de)(de)，提(ti)(ti)交(jiao)(jiao)醫療機構的(de)(de)搶(qiang)救(jiu)證(zheng)(zheng)(zheng)明；六是(shi)(shi)屬于因(yin)(yin)戰、因(yin)(yin)公(gong)(gong)負傷(shang)致(zhi)殘的(de)(de)轉業(ye)、復員軍人，舊(jiu)傷(shang)復發的(de)(de)，提(ti)(ti)交(jiao)(jiao)《革命傷(shang)殘軍人證(zheng)(zheng)(zheng)》以及勞動能力(li)鑒(jian)定機構對舊(jiu)傷(shang)復發的(de)(de)確認；七是(shi)(shi)單位未參加工(gong)(gong)(gong)傷(shang)保險的(de)(de)，應(ying)當(dang)提(ti)(ti)交(jiao)(jiao)營業(ye)執照(zhao)副本(ben)或(huo)者工(gong)(gong)(gong)商(shang)行(xing)政管理部(bu)門(men)出(chu)具(ju)的(de)(de)查詢證(zheng)(zheng)(zheng)明。

按時申報

職工發生事故(gu)傷(shang)害(hai)或者(zhe)被診(zhen)斷、鑒定為職業病的，所在單(dan)位應當自(zi)事故(gu)傷(shang)害(hai)發生之日或者(zhe)被診(zhen)斷、鑒定為職業病之日起(qi)30日內，向用人單(dan)位所在地工傷(shang)認(ren)定部(bu)門提出工傷(shang)認(ren)定申(shen)請(qing)(qing)。遇有特殊情況(kuang)，經報工傷(shang)認(ren)定部(bu)門同(tong)意，申(shen)請(qing)(qing)時限可以適(shi)當延(yan)長，但延(yan)長時間不得超過30日。

用人單位(wei)(wei)未在(zai)規定(ding)的30日(ri)(ri)內提出(chu)工(gong)(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)申(shen)請的，工(gong)(gong)傷(shang)(shang)(shang)職(zhi)(zhi)工(gong)(gong)或(huo)(huo)者其(qi)(qi)近親屬(shu)、工(gong)(gong)會組織在(zai)事故傷(shang)(shang)(shang)害發生(sheng)之(zhi)日(ri)(ri)或(huo)(huo)被診斷、鑒定(ding)為職(zhi)(zhi)業病之(zhi)日(ri)(ri)起(qi)1年內，可以(yi)直接向用人單位(wei)(wei)所在(zai)地工(gong)(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)部(bu)門提出(chu)工(gong)(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)申(shen)請。用人單位(wei)(wei)未在(zai)規定(ding)時限內提交(jiao)工(gong)(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)申(shen)請，在(zai)此期(qi)間發生(sheng)符合工(gong)(gong)傷(shang)(shang)(shang)保險條(tiao)例規定(ding)的工(gong)(gong)傷(shang)(shang)(shang)待(dai)遇等有關費用由該用人單位(wei)(wei)負擔。發生(sheng)工(gong)(gong)傷(shang)(shang)(shang)事故或(huo)(huo)確診為職(zhi)(zhi)業病之(zhi)日(ri)(ri)起(qi)，超過(guo)一年未提出(chu)工(gong)(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)申(shen)請的，工(gong)(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)部(bu)門部(bu)門不予受理，由此發生(sheng)的待(dai)遇問(wen)題由受傷(shang)(shang)(shang)職(zhi)(zhi)工(gong)(gong)或(huo)(huo)其(qi)(qi)親屬(shu)、工(gong)(gong)會組織與用人單位(wei)(wei)協商解決(jue)或(huo)(huo)通過(guo)法律途徑解決(jue)。

工(gong)(gong)傷(shang)(shang)(shang)(shang)認(ren)(ren)定(ding)(ding)(ding)按照(zhao)屬地原則管理。用人單(dan)位(wei)工(gong)(gong)商登(deng)記注冊地與生(sheng)產(chan)(chan)經營(ying)地不在(zai)(zai)同一行(xing)政地域，用人單(dan)位(wei)參加工(gong)(gong)傷(shang)(shang)(shang)(shang)保險的，向參保地工(gong)(gong)傷(shang)(shang)(shang)(shang)認(ren)(ren)定(ding)(ding)(ding)機(ji)構(gou)提出申(shen)(shen)請；未參加工(gong)(gong)傷(shang)(shang)(shang)(shang)保險的，向生(sheng)產(chan)(chan)經營(ying)地工(gong)(gong)傷(shang)(shang)(shang)(shang)認(ren)(ren)定(ding)(ding)(ding)機(ji)構(gou)進(jin)行(xing)申(shen)(shen)請。生(sheng)產(chan)(chan)經營(ying)地在(zai)(zai)國外且受傷(shang)(shang)(shang)(shang)害職工(gong)(gong)未在(zai)(zai)生(sheng)產(chan)(chan)經營(ying)地參加工(gong)(gong)傷(shang)(shang)(shang)(shang)保險的，向用人單(dan)位(wei)工(gong)(gong)商登(deng)記注冊所在(zai)(zai)地的工(gong)(gong)傷(shang)(shang)(shang)(shang)認(ren)(ren)定(ding)(ding)(ding)機(ji)構(gou)進(jin)行(xing)申(shen)(shen)請。青(qing)島(dao)市工(gong)(gong)傷(shang)(shang)(shang)(shang)認(ren)(ren)定(ding)(ding)(ding)部門(men)負責受理市內(nei)三區(qu)（市南區(qu)、市北區(qu)、李滄區(qu)）工(gong)(gong)傷(shang)(shang)(shang)(shang)認(ren)(ren)定(ding)(ding)(ding)申(shen)(shen)請，其他區(qu)市負責本轄區(qu)內(nei)工(gong)(gong)傷(shang)(shang)(shang)(shang)認(ren)(ren)定(ding)(ding)(ding)申(shen)(shen)請。

配合調查

工(gong)傷(shang)認(ren)(ren)定(ding)機構受理工(gong)傷(shang)認(ren)(ren)定(ding)申請后，可以(yi)(yi)根據(ju)審核需要對事故傷(shang)害進行調(diao)查核實，用人(ren)單位、職工(gong)、工(gong)會(hui)組織、醫療機構以(yi)(yi)及有關(guan)部門(men)應(ying)當(dang)予以(yi)(yi)協助。對拒不協助調(diao)查的，由(you)社會(hui)保險行政部門(men)責令改正，處(chu)2000元以(yi)(yi)上2萬元以(yi)(yi)下的罰款。