工(gong)(gong)(gong)傷(shang)(shang)保險(xian)事關每(mei)一名職工(gong)(gong)(gong),但(dan)很多(duo)人(ren)認(ren)(ren)為(wei)“工(gong)(gong)(gong)傷(shang)(shang)”距(ju)離自己很遠,甚至發生傷(shang)(shang)害(hai)后(hou),毫無工(gong)(gong)(gong)傷(shang)(shang)認(ren)(ren)定的(de)(de)意識。誠然,工(gong)(gong)(gong)傷(shang)(shang)認(ren)(ren)定具有極(ji)強(qiang)的(de)(de)專業性,不乏因看(kan)法不同而對簿公堂的(de)(de)案例(li),許(xu)多(duo)看(kan)似擦(ca)邊球的(de)(de)傷(shang)(shang)害(hai)案例(li),實(shi)則在工(gong)(gong)(gong)傷(shang)(shang)認(ren)(ren)定中都有章(zhang)可循。為(wei)了讓職工(gong)(gong)(gong)了解工(gong)(gong)(gong)傷(shang)(shang)保險(xian),青島市人(ren)力(li)資源(yuan)和社會保障局在青島早報推出系列宣傳報道(dao),通過工(gong)(gong)(gong)傷(shang)(shang)認(ren)(ren)定案例(li)、工(gong)(gong)(gong)傷(shang)(shang)保險(xian)政策(ce)的(de)(de)講解,解答(da)職工(gong)(gong)(gong)心中的(de)(de)疑惑(huo)。
超過1年時限是否還可認定工傷
某(mou)市機械設備有(you)限公司職工(gong)張某(mou)在(zai)工(gong)作中突感不(bu)適,送醫(yi)院搶(qiang)救無效(xiao)后(hou)(hou)死亡。因張某(mou)與單位是否存在(zai)勞(lao)動(dong)關(guan)系(xi)發生(sheng)爭議,經(jing)過了勞(lao)動(dong)仲(zhong)裁(cai)、一審(shen)(shen)、二審(shen)(shen)等法律(lv)程(cheng)序(xu),兩(liang)年(nian)后(hou)(hou)法院最終確認(ren)(ren)張某(mou)與該(gai)單位存在(zai)勞(lao)動(dong)關(guan)系(xi)。確認(ren)(ren)勞(lao)動(dong)關(guan)系(xi)后(hou)(hou),申請人到當(dang)地工(gong)傷認(ren)(ren)定(ding)機構申請工(gong)傷認(ren)(ren)定(ding),當(dang)地工(gong)傷認(ren)(ren)定(ding)部門以超過1年(nian)時(shi)限為由做(zuo)出了不(bu)予工(gong)傷受理決定(ding)。
張(zhang)某(mou)家屬(shu)不(bu)(bu)服,向上(shang)級機關(guan)(guan)(guan)提起行(xing)政(zheng)復(fu)議申請。上(shang)級機關(guan)(guan)(guan)認(ren)為(wei):因用人單位不(bu)(bu)承認(ren)與(yu)張(zhang)某(mou)的(de)(de)勞(lao)動關(guan)(guan)(guan)系(xi)(xi),張(zhang)某(mou)家屬(shu)不(bu)(bu)得不(bu)(bu)通過法(fa)律(lv)途徑確認(ren)勞(lao)動關(guan)(guan)(guan)系(xi)(xi),其(qi)最終目的(de)(de)就是為(wei)了(le)能夠順利申報工(gong)傷(shang)。因此(ci),其(qi)要(yao)求(qiu)確定(ding)(ding)(ding)(ding)勞(lao)動關(guan)(guan)(guan)系(xi)(xi)行(xing)為(wei)與(yu)其(qi)主張(zhang)工(gong)傷(shang)認(ren)定(ding)(ding)(ding)(ding)權利密不(bu)(bu)可分,不(bu)(bu)能割裂。當(dang)地工(gong)傷(shang)認(ren)定(ding)(ding)(ding)(ding)部(bu)門作(zuo)出的(de)(de)不(bu)(bu)予(yu)受理的(de)(de)決(jue)定(ding)(ding)(ding)(ding)不(bu)(bu)符合《工(gong)傷(shang)保險條例》的(de)(de)立法(fa)精神(shen)及相關(guan)(guan)(guan)規定(ding)(ding)(ding)(ding),撤(che)銷當(dang)地工(gong)傷(shang)認(ren)定(ding)(ding)(ding)(ding)機構(gou)不(bu)(bu)予(yu)受理決(jue)定(ding)(ding)(ding)(ding),責(ze)令在規定(ding)(ding)(ding)(ding)時(shi)間內重新(xin)做(zuo)出具(ju)體行(xing)政(zheng)行(xing)為(wei)。
五種情況可不計算在工傷認定申請期限內
記者(zhe)從(cong)市人(ren)社(she)局工(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)部(bu)門(men)了(le)解到,該(gai)案(an)件(jian)(jian)的(de)主要(yao)分(fen)歧由于個人(ren)與單位確認(ren)(ren)勞(lao)(lao)動(dong)(dong)關系(xi),導致超(chao)過了(le)1年(nian)工(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)申(shen)請(qing)(qing)(qing)期(qi)(qi)限(xian)。那么,在(zai)確認(ren)(ren)勞(lao)(lao)動(dong)(dong)關系(xi)訴訟期(qi)(qi)間(jian)(jian)(jian)的(de)時(shi)間(jian)(jian)(jian)是否(fou)應(ying)(ying)該(gai)扣(kou)除?根據最高人(ren)民法院(yuan) 《關于審理工(gong)傷(shang)(shang)(shang)保險(xian)行(xing)政(zheng)(zheng)案(an)件(jian)(jian)若干問題的(de)規定(ding) 》(法釋〔2014〕9號 )的(de)規定(ding):由于不(bu)屬于職工(gong)或者(zhe)其近親屬自身(shen)原(yuan)因(yin)超(chao)過工(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)申(shen)請(qing)(qing)(qing)期(qi)(qi)限(xian)的(de),被耽誤的(de)時(shi)間(jian)(jian)(jian)不(bu)計算在(zai)工(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)申(shen)請(qing)(qing)(qing)期(qi)(qi)限(xian)內。 有下列(lie)情形之一的(de),應(ying)(ying)當(dang)從(cong)工(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)申(shen)請(qing)(qing)(qing)期(qi)(qi)中扣(kou)除。一是不(bu)可(ke)抗力(li);二是人(ren)身(shen)自由受到限(xian)制;三是屬于用人(ren)單位原(yuan)因(yin);四是社(she)會保險(xian)行(xing)政(zheng)(zheng)部(bu)門(men)登記制度不(bu)完(wan)善;五是當(dang)事人(ren)對是否(fou)存在(zai)勞(lao)(lao)動(dong)(dong)關系(xi)申(shen)請(qing)(qing)(qing)仲裁、提起民事訴訟。 因(yin)此,張某確認(ren)(ren)勞(lao)(lao)動(dong)(dong)關系(xi)的(de)時(shi)間(jian)(jian)(jian)應(ying)(ying)當(dang)從(cong)工(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)申(shen)請(qing)(qing)(qing)期(qi)(qi)限(xian)中扣(kou)除,扣(kou)除后工(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)申(shen)請(qing)(qing)(qing)期(qi)(qi)限(xian)不(bu)超(chao)過一年(nian)的(de),工(gong)傷(shang)(shang)(shang)認(ren)(ren)定(ding)部(bu)門(men)應(ying)(ying)當(dang)受理。
勞動能力鑒定
勞動(dong)能(neng)力鑒定作為工(gong)(gong)傷(shang)(shang)保險工(gong)(gong)作的“三(san)個環節(jie)”(工(gong)(gong)傷(shang)(shang)認定、勞動(dong)能(neng)力鑒定、待(dai)遇(yu)給(gei)付)之一,是工(gong)(gong)傷(shang)(shang)職(zhi)工(gong)(gong)領取工(gong)(gong)傷(shang)(shang)待(dai)遇(yu)的必要(yao)環節(jie),為便(bian)于工(gong)(gong)傷(shang)(shang)職(zhi)工(gong)(gong)更(geng)好地(di)維護工(gong)(gong)傷(shang)(shang)權益,下面介紹我市勞動(dong)能(neng)力鑒定相關(guan)知識(shi)及(ji)政策。
勞(lao)動(dong)能力鑒定(ding)是指勞(lao)動(dong)者(zhe)(zhe)因工負傷(shang)或(huo)患職(zhi)業(ye)(ye)病(bing)等原因,導致(zhi)本人(ren)勞(lao)動(dong)與(yu)社會生活(huo)能力受到不同(tong)影(ying)響,為享受相應的(de)工傷(shang)保險待(dai)遇(yu),由市勞(lao)動(dong)能力鑒定(ding)機(ji)構根據勞(lao)動(dong)者(zhe)(zhe)本人(ren)或(huo)者(zhe)(zhe)近(jin)親屬的(de)申請,組織有資質的(de)醫療衛生專(zhuan)家,依據國家《職(zhi)工工傷(shang)與(yu)職(zhi)業(ye)(ye)病(bing)鑒定(ding)致(zhi)殘(can)程(cheng)度(du)標(biao)準》(GB/T16180-2014),運用醫學科學技術的(de)檢查方法和手段做出的(de)技術性結論,對工傷(shang)職(zhi)工的(de)勞(lao)動(dong)功能障礙程(cheng)度(du)和生活(huo)自理障礙的(de)程(cheng)度(du)做出等級鑒定(ding)。
勞動能力的等級
勞(lao)動(dong)能(neng)力(li)分(fen)為勞(lao)動(dong)功能(neng)障(zhang)礙程度和生(sheng)(sheng)活自(zi)(zi)(zi)(zi)理障(zhang)礙程度兩(liang)方面。其中,勞(lao)動(dong)功能(neng)障(zhang)礙程度分(fen)為十個傷殘等級,最重的為一級,最輕的為十級。生(sheng)(sheng)活自(zi)(zi)(zi)(zi)理障(zhang)礙分(fen)為三個等級:生(sheng)(sheng)活完全不能(neng)自(zi)(zi)(zi)(zi)理、生(sheng)(sheng)活大部分(fen)不能(neng)自(zi)(zi)(zi)(zi)理和生(sheng)(sheng)活部分(fen)不能(neng)自(zi)(zi)(zi)(zi)理。
勞動能力鑒定的申請條件
職工(gong)發生工(gong)傷,經治療傷情相對穩定或停工(gong)留薪期滿后,存在殘疾、影響勞動(dong)能力(li)(li)的(de),均可(ke)以申請勞動(dong)能力(li)(li)鑒定。
勞動能力鑒定的一般程序
髴(fu)申(shen)(shen)(shen)請(qing)及(ji)(ji)受理:職(zhi)(zhi)工(gong)(gong)(gong)(gong)(gong)傷(shang)(shang)情相(xiang)對穩定或停(ting)工(gong)(gong)(gong)(gong)(gong)留(liu)薪(xin)期滿后(hou),由用(yong)(yong)人單位(wei)(wei)、工(gong)(gong)(gong)(gong)(gong)傷(shang)(shang)職(zhi)(zhi)工(gong)(gong)(gong)(gong)(gong)或者其近親屬向單位(wei)(wei)繳(jiao)納工(gong)(gong)(gong)(gong)(gong)傷(shang)(shang)保險所(suo)在(zai)區市社會(hui)保險經辦機構提(ti)交《青島市勞(lao)動(dong)能力鑒(jian)定申(shen)(shen)(shen)請(qing)表(biao)》一(yi)式一(yi)份(fen),加蓋單位(wei)(wei)公(gong)章、粘貼申(shen)(shen)(shen)請(qing)人近期一(yi)寸彩(cai)照一(yi)張。同時(shi)提(ti)交以(yi)下材(cai)料(liao):1、《工(gong)(gong)(gong)(gong)(gong)傷(shang)(shang)認定書(shu)》原(yuan)件及(ji)(ji)復印(yin)(yin)件;2、用(yong)(yong)人單位(wei)(wei)開(kai)具的(de)(de)(de) 《工(gong)(gong)(gong)(gong)(gong)傷(shang)(shang)職(zhi)(zhi)工(gong)(gong)(gong)(gong)(gong)停(ting)工(gong)(gong)(gong)(gong)(gong)留(liu)薪(xin)期確認通知(zhi)書(shu)》,用(yong)(yong)人單位(wei)(wei)不給(gei)(gei)開(kai)具的(de)(de)(de),本人應(ying)提(ti)交申(shen)(shen)(shen)請(qing)書(shu)面材(cai)料(liao);3、受傷(shang)(shang)部(bu)位(wei)(wei)恢復穩定的(de)(de)(de)彩(cai)色照片;4、發生(sheng)工(gong)(gong)(gong)(gong)(gong)傷(shang)(shang)后(hou)的(de)(de)(de)原(yuan)始病(bing)歷以(yi)及(ji)(ji)相(xiang)關(guan)(guan)的(de)(de)(de)檢查(cha)、化(hua)驗報告等有(you)(you)效復印(yin)(yin)件;5、職(zhi)(zhi)業(ye)病(bing)的(de)(de)(de)應(ying)提(ti)供《青島市職(zhi)(zhi)業(ye)病(bing)診斷證明(ming)(ming)》復印(yin)(yin)件;6、住院病(bing)歷需(xu)加蓋醫院公(gong)章。對申(shen)(shen)(shen)請(qing)材(cai)料(liao)齊(qi)(qi)全有(you)(you)效的(de)(de)(de),發給(gei)(gei)申(shen)(shen)(shen)請(qing)人《青島市勞(lao)動(dong)能力鑒(jian)定通知(zhi)書(shu)》,載明(ming)(ming)鑒(jian)定時(shi)間、地點及(ji)(ji)相(xiang)關(guan)(guan)要(yao)求;對材(cai)料(liao)不齊(qi)(qi)全的(de)(de)(de),發給(gei)(gei)申(shen)(shen)(shen)請(qing)人 《青島市勞(lao)動(dong)能力鑒(jian)定申(shen)(shen)(shen)請(qing)材(cai)料(liao)收(shou)訖(qi)補(bu)正(zheng)告知(zhi)書(shu)》,一(yi)次性告知(zhi)申(shen)(shen)(shen)請(qing)人及(ji)(ji)時(shi)補(bu)齊(qi)(qi)材(cai)料(liao)。
髵組(zu)織(zhi)醫(yi)(yi)療檢(jian)查(cha)及鑒(jian)(jian)(jian)定:市勞(lao)(lao)動(dong)(dong)能(neng)力(li)鑒(jian)(jian)(jian)定委員會(hui)收到勞(lao)(lao)動(dong)(dong)能(neng)力(li)鑒(jian)(jian)(jian)定申請后,從市醫(yi)(yi)療衛生專(zhuan)家(jia)(jia)(jia)庫中隨機抽取相關醫(yi)(yi)療專(zhuan)家(jia)(jia)(jia)組(zu)成專(zhuan)家(jia)(jia)(jia)組(zu),由專(zhuan)家(jia)(jia)(jia)組(zu)根據(ju)現場(chang)醫(yi)(yi)學檢(jian)查(cha)情(qing)況提出(chu)勞(lao)(lao)動(dong)(dong)能(neng)力(li)鑒(jian)(jian)(jian)定意見,市勞(lao)(lao)動(dong)(dong)能(neng)力(li)鑒(jian)(jian)(jian)定委員會(hui)根據(ju)專(zhuan)家(jia)(jia)(jia)組(zu)的鑒(jian)(jian)(jian)定意見作出(chu)工(gong)傷職工(gong)勞(lao)(lao)動(dong)(dong)能(neng)力(li)鑒(jian)(jian)(jian)定結(jie)論。
髶作出(chu)結(jie)論(lun)(lun):市(shi)(shi)勞(lao)(lao)(lao)動(dong)(dong)能(neng)(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)定(ding)(ding)(ding)委員(yuan)(yuan)會應(ying)當自收到勞(lao)(lao)(lao)動(dong)(dong)能(neng)(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)定(ding)(ding)(ding)申(shen)(shen)請之(zhi)日(ri)(ri)起(qi)60日(ri)(ri)內(nei)作出(chu)勞(lao)(lao)(lao)動(dong)(dong)能(neng)(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)定(ding)(ding)(ding)結(jie)論(lun)(lun),必要(yao)時,作出(chu)勞(lao)(lao)(lao)動(dong)(dong)能(neng)(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)定(ding)(ding)(ding)結(jie)論(lun)(lun)的期限可(ke)(ke)以(yi)延長30日(ri)(ri)。勞(lao)(lao)(lao)動(dong)(dong)能(neng)(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)定(ding)(ding)(ding)結(jie)論(lun)(lun)可(ke)(ke)在(zai)(zai)“青島(dao)市(shi)(shi)人(ren)(ren)力(li)(li)(li)(li)資源和(he)社會保障局”網站“個人(ren)(ren)查(cha)詢”中查(cha)詢。申(shen)(shen)請鑒(jian)(jian)(jian)定(ding)(ding)(ding)的單位或者個人(ren)(ren)對市(shi)(shi)勞(lao)(lao)(lao)動(dong)(dong)能(neng)(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)定(ding)(ding)(ding)委員(yuan)(yuan)會作出(chu)的鑒(jian)(jian)(jian)定(ding)(ding)(ding)結(jie)論(lun)(lun)不服的,可(ke)(ke)以(yi)在(zai)(zai)收到該鑒(jian)(jian)(jian)定(ding)(ding)(ding)結(jie)論(lun)(lun)之(zhi)日(ri)(ri)起(qi)15日(ri)(ri)內(nei)向省勞(lao)(lao)(lao)動(dong)(dong)能(neng)(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)定(ding)(ding)(ding)委員(yuan)(yuan)會提出(chu)再次鑒(jian)(jian)(jian)定(ding)(ding)(ding)申(shen)(shen)請,省勞(lao)(lao)(lao)動(dong)(dong)能(neng)(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)定(ding)(ding)(ding)委員(yuan)(yuan)會作出(chu)的勞(lao)(lao)(lao)動(dong)(dong)能(neng)(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)定(ding)(ding)(ding)結(jie)論(lun)(lun)為(wei)(wei)最終結(jie)論(lun)(lun)。自勞(lao)(lao)(lao)動(dong)(dong)能(neng)(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)定(ding)(ding)(ding)結(jie)論(lun)(lun)做出(chu)之(zhi)日(ri)(ri)起(qi)1年后,工傷(shang)職工或者其(qi)近(jin)親屬、所在(zai)(zai)單位或者經辦機構認為(wei)(wei)傷(shang)殘情況發生變化(hua)的,可(ke)(ke)以(yi)申(shen)(shen)請勞(lao)(lao)(lao)動(dong)(dong)能(neng)(neng)力(li)(li)(li)(li)復查(cha)鑒(jian)(jian)(jian)定(ding)(ding)(ding),程(cheng)(cheng)序(xu)同勞(lao)(lao)(lao)動(dong)(dong)能(neng)(neng)力(li)(li)(li)(li)鑒(jian)(jian)(jian)定(ding)(ding)(ding)的一(yi)般程(cheng)(cheng)序(xu) 。
髷送(song)(song)達(da)結論:勞動(dong)能力鑒定(ding)結論我市一般通過(guo)郵(you)政部門直接郵(you)寄送(song)(song)達(da),具體(ti)時間和(he)領(ling)取方(fang)式在《青島市勞動(dong)能力鑒定(ding)受理通知(zhi)書》中告知(zhi)。
工傷維權
如果在工作(zuo)中(zhong)不(bu)幸發(fa)生了(le)事故傷害,用(yong)人單位和職工應該怎樣做,才能更好地維護(hu)職工的工傷權益?
報告施救
職(zhi)工(gong)發生工(gong)傷事故后,本人或同事應當在(zai)第(di)一時(shi)間(jian)通知所在(zai)單位的(de)安全生產管理(li)部門的(de)負責人,保(bao)(bao)護好(hao)事故現場(chang),并根據職(zhi)工(gong)受傷情況(kuang),及(ji)時(shi)將受傷職(zhi)工(gong)送往工(gong)傷保(bao)(bao)險協議(yi)醫療(liao)(liao)機構(gou)進行救治(zhi),情況(kuang)緊急時(shi),可以先到就近醫院急救,病情穩定后應及(ji)時(shi)轉入工(gong)傷保(bao)(bao)險協議(yi)醫療(liao)(liao)機構(gou)治(zhi)療(liao)(liao)。
事故調查
用人單位(wei)對工傷事故現(xian)場(chang)進行調查(cha)(cha),對事故現(xian)場(chang)進行拍(pai)照、錄(lu)音、錄(lu)像等,做好(hao)調查(cha)(cha)取證(zheng)(zheng)(zheng)等工作,分析事故原因,寫出工傷事故報告,并準(zhun)備好(hao)工傷認(ren)定的相關材料(liao)。一(yi)是(shi)填(tian)寫《工傷認(ren)定申(shen)請表》;二(er)是(shi)受傷害職工的有(you)效(xiao)(xiao)身份(fen)證(zheng)(zheng)(zheng)明(ming);三是(shi)勞動(dong)合同文(wen)本復印件或者與用人單位(wei)存在勞動(dong)關系 (包括事實勞動(dong)關系)的有(you)效(xiao)(xiao)證(zheng)(zheng)(zheng)明(ming)材料(liao);四是(shi)用人單位(wei)事故調查(cha)(cha)報告書 (個人申(shen)報的不必提供);五是(shi)兩人以上的證(zheng)(zheng)(zheng)人證(zheng)(zheng)(zheng)言(附身份(fen)證(zheng)(zheng)(zheng)明(ming)復印件);六是(shi)醫療機(ji)構出具的受傷后診(zhen)(zhen)斷證(zheng)(zheng)(zheng)明(ming)書、初診(zhen)(zhen)病(bing)歷、住院病(bing)歷,屬職業病(bing)的提供合法(fa)有(you)效(xiao)(xiao)的職業病(bing)診(zhen)(zhen)斷證(zheng)(zheng)(zheng)明(ming)書或鑒(jian)定書。
特殊情況的(de)(de)(de)除提(ti)(ti)(ti)供(gong)上述材料(liao)外,還(huan)應(ying)當分(fen)別(bie)提(ti)(ti)(ti)交(jiao)(jiao)(jiao)(jiao)相(xiang)(xiang)應(ying)證據。一是(shi)(shi)職工(gong)死(si)亡的(de)(de)(de),提(ti)(ti)(ti)交(jiao)(jiao)(jiao)(jiao)死(si)亡證明;二是(shi)(shi)因(yin)(yin)履行(xing)工(gong)作(zuo)職責或因(yin)(yin)工(gong)外出(chu)受到(dao)(dao)暴力傷(shang)害(hai)的(de)(de)(de),提(ti)(ti)(ti)交(jiao)(jiao)(jiao)(jiao)公(gong)(gong)安部(bu)門(men)的(de)(de)(de)證明或其(qi)(qi)他(ta)(ta)相(xiang)(xiang)關(guan)證明;三是(shi)(shi)上下(xia)班途中,受到(dao)(dao)交(jiao)(jiao)(jiao)(jiao)通(tong)事(shi)(shi)故(gu)或者(zhe)客運輪渡、火(huo)車事(shi)(shi)故(gu)傷(shang)害(hai)的(de)(de)(de),提(ti)(ti)(ti)交(jiao)(jiao)(jiao)(jiao)公(gong)(gong)安交(jiao)(jiao)(jiao)(jiao)警(jing)部(bu)門(men)出(chu)具(ju)的(de)(de)(de) 《交(jiao)(jiao)(jiao)(jiao)通(tong)事(shi)(shi)故(gu)責任(ren)認定(ding)書》或其(qi)(qi)他(ta)(ta)主(zhu)管(guan)行(xing)政部(bu)門(men)的(de)(de)(de)事(shi)(shi)故(gu)責任(ren)認定(ding)證明;四是(shi)(shi)在搶險救(jiu)災等(deng)維護國(guo)家利益(yi)(yi)、公(gong)(gong)共利益(yi)(yi)活動(dong)中受到(dao)(dao)傷(shang)害(hai)的(de)(de)(de),提(ti)(ti)(ti)交(jiao)(jiao)(jiao)(jiao)民政部(bu)門(men)或者(zhe)其(qi)(qi)他(ta)(ta)相(xiang)(xiang)關(guan)部(bu)門(men)的(de)(de)(de)證明;五是(shi)(shi)在工(gong)作(zuo)時間(jian)和工(gong)作(zuo)崗位、突(tu)發疾病死(si)亡或者(zhe)在48小時之內經(jing)搶救(jiu)無(wu)效死(si)亡的(de)(de)(de),提(ti)(ti)(ti)交(jiao)(jiao)(jiao)(jiao)醫療機(ji)構(gou)的(de)(de)(de)搶救(jiu)證明;六是(shi)(shi)屬于(yu)因(yin)(yin)戰(zhan)、因(yin)(yin)公(gong)(gong)負傷(shang)致殘的(de)(de)(de)轉業、復(fu)員(yuan)軍(jun)人,舊傷(shang)復(fu)發的(de)(de)(de),提(ti)(ti)(ti)交(jiao)(jiao)(jiao)(jiao)《革命傷(shang)殘軍(jun)人證》以(yi)及勞(lao)動(dong)能(neng)力鑒(jian)定(ding)機(ji)構(gou)對(dui)舊傷(shang)復(fu)發的(de)(de)(de)確認;七是(shi)(shi)單位未參(can)加工(gong)傷(shang)保險的(de)(de)(de),應(ying)當提(ti)(ti)(ti)交(jiao)(jiao)(jiao)(jiao)營業執照副本(ben)或者(zhe)工(gong)商行(xing)政管(guan)理部(bu)門(men)出(chu)具(ju)的(de)(de)(de)查詢證明。
按時申報
職(zhi)工(gong)發(fa)生事故傷(shang)(shang)害或者(zhe)被診斷、鑒定為職(zhi)業病(bing)的,所(suo)在單(dan)位(wei)應當自事故傷(shang)(shang)害發(fa)生之日或者(zhe)被診斷、鑒定為職(zhi)業病(bing)之日起30日內,向用人(ren)單(dan)位(wei)所(suo)在地工(gong)傷(shang)(shang)認定部門(men)提出工(gong)傷(shang)(shang)認定申請。遇有特殊(shu)情況(kuang),經報工(gong)傷(shang)(shang)認定部門(men)同意,申請時限可以適當延(yan)長,但延(yan)長時間不得超(chao)過30日。
用(yong)人(ren)(ren)(ren)單(dan)位未在(zai)(zai)規定(ding)(ding)的(de)(de)30日(ri)內提出(chu)工(gong)(gong)傷(shang)(shang)認(ren)(ren)定(ding)(ding)申(shen)(shen)請(qing)(qing)的(de)(de),工(gong)(gong)傷(shang)(shang)職工(gong)(gong)或者其(qi)近(jin)親屬(shu)(shu)、工(gong)(gong)會組(zu)織在(zai)(zai)事故(gu)傷(shang)(shang)害(hai)發生(sheng)之日(ri)或被診斷、鑒(jian)定(ding)(ding)為職業病之日(ri)起1年內,可(ke)以(yi)直(zhi)接向用(yong)人(ren)(ren)(ren)單(dan)位所(suo)在(zai)(zai)地(di)工(gong)(gong)傷(shang)(shang)認(ren)(ren)定(ding)(ding)部門提出(chu)工(gong)(gong)傷(shang)(shang)認(ren)(ren)定(ding)(ding)申(shen)(shen)請(qing)(qing)。用(yong)人(ren)(ren)(ren)單(dan)位未在(zai)(zai)規定(ding)(ding)時限內提交工(gong)(gong)傷(shang)(shang)認(ren)(ren)定(ding)(ding)申(shen)(shen)請(qing)(qing),在(zai)(zai)此(ci)(ci)期間發生(sheng)符(fu)合工(gong)(gong)傷(shang)(shang)保險條例規定(ding)(ding)的(de)(de)工(gong)(gong)傷(shang)(shang)待遇等有(you)關費(fei)用(yong)由(you)該用(yong)人(ren)(ren)(ren)單(dan)位負擔。發生(sheng)工(gong)(gong)傷(shang)(shang)事故(gu)或確(que)診為職業病之日(ri)起,超過(guo)(guo)一年未提出(chu)工(gong)(gong)傷(shang)(shang)認(ren)(ren)定(ding)(ding)申(shen)(shen)請(qing)(qing)的(de)(de),工(gong)(gong)傷(shang)(shang)認(ren)(ren)定(ding)(ding)部門部門不予受(shou)理,由(you)此(ci)(ci)發生(sheng)的(de)(de)待遇問(wen)題由(you)受(shou)傷(shang)(shang)職工(gong)(gong)或其(qi)親屬(shu)(shu)、工(gong)(gong)會組(zu)織與用(yong)人(ren)(ren)(ren)單(dan)位協商(shang)解決或通過(guo)(guo)法律途(tu)徑(jing)解決。
工(gong)(gong)傷(shang)(shang)認(ren)定(ding)按照屬(shu)地(di)(di)(di)(di)(di)原則管理。用人單(dan)位(wei)(wei)工(gong)(gong)商登(deng)記注冊地(di)(di)(di)(di)(di)與(yu)生(sheng)產(chan)經(jing)(jing)(jing)營(ying)地(di)(di)(di)(di)(di)不(bu)在(zai)同一行政地(di)(di)(di)(di)(di)域,用人單(dan)位(wei)(wei)參(can)加(jia)工(gong)(gong)傷(shang)(shang)保險(xian)(xian)的,向參(can)保地(di)(di)(di)(di)(di)工(gong)(gong)傷(shang)(shang)認(ren)定(ding)機構提出申(shen)(shen)請(qing);未(wei)參(can)加(jia)工(gong)(gong)傷(shang)(shang)保險(xian)(xian)的,向生(sheng)產(chan)經(jing)(jing)(jing)營(ying)地(di)(di)(di)(di)(di)工(gong)(gong)傷(shang)(shang)認(ren)定(ding)機構進(jin)行申(shen)(shen)請(qing)。生(sheng)產(chan)經(jing)(jing)(jing)營(ying)地(di)(di)(di)(di)(di)在(zai)國外且(qie)受傷(shang)(shang)害(hai)職(zhi)工(gong)(gong)未(wei)在(zai)生(sheng)產(chan)經(jing)(jing)(jing)營(ying)地(di)(di)(di)(di)(di)參(can)加(jia)工(gong)(gong)傷(shang)(shang)保險(xian)(xian)的,向用人單(dan)位(wei)(wei)工(gong)(gong)商登(deng)記注冊所在(zai)地(di)(di)(di)(di)(di)的工(gong)(gong)傷(shang)(shang)認(ren)定(ding)機構進(jin)行申(shen)(shen)請(qing)。青島市(shi)工(gong)(gong)傷(shang)(shang)認(ren)定(ding)部門負責(ze)受理市(shi)內(nei)三區(qu)(qu)(qu)(市(shi)南區(qu)(qu)(qu)、市(shi)北區(qu)(qu)(qu)、李滄(cang)區(qu)(qu)(qu))工(gong)(gong)傷(shang)(shang)認(ren)定(ding)申(shen)(shen)請(qing),其(qi)他(ta)區(qu)(qu)(qu)市(shi)負責(ze)本(ben)轄區(qu)(qu)(qu)內(nei)工(gong)(gong)傷(shang)(shang)認(ren)定(ding)申(shen)(shen)請(qing)。
配合調查
工(gong)傷(shang)認(ren)定機(ji)構(gou)受(shou)理工(gong)傷(shang)認(ren)定申請后,可以(yi)(yi)根據審(shen)核需要對事故傷(shang)害(hai)進行調查核實,用人(ren)單位、職工(gong)、工(gong)會(hui)組(zu)織、醫療機(ji)構(gou)以(yi)(yi)及有關部門應當予以(yi)(yi)協(xie)助。對拒不協(xie)助調查的,由(you)社會(hui)保險行政(zheng)部門責令(ling)改正,處2000元以(yi)(yi)上2萬元以(yi)(yi)下(xia)的罰款。
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