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W o r k - Relat ed I n j u r y / I l ln essCase Man a em en t Pr o ced u r e(TSP-21)

For Contractor Communication

Thailand Profit CenterMarch 2011

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Case Management - Purpose and Objectives

to the injured / ill person

To ensure appropriate follow up on cases until the injured / illperson is fit for returning to work

To ensure effective coordination and communication between

person, CTEPs OE/HES Department, CTEP Medical staff, along withmanagement of contractor companies, 3rd Party Contracted MedicalServices and Treatin Doctors in onshore clinics or hos itals

To ensure injuries or illnesses are classified in an accurate and

consistent manner according to the Chevron OE Data Requirements.

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Case Management - Scope

-affecting all employees and Contractor personnel working under

Chevron Thailand Exploration and Production, Ltd. (CTEP),the Bangkok office.

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Initial Treatment Facility for Work-Related

Injuries/Illnesses

-treatment by a Chevron Doctor or Medic will initially be sent to only thefollowing designated hospitals:

- ,

Bangkok -Pattaya Hospital, Chonburi

Nakharin Hos ital Nakorn Sri Thammarat

Vibhavadi Hospital, Bangkok

In cases where a work-related injury or illness occurs at onshore locations, . ., ,

consideration should always be given to use the nearest hospital available,

depending on location of incident and the severity of injury or illness.

Chevron designated hospitals will be considered on a case-by-case basisafter discussion and approval from CTEP Health and Medical ServicesH&MS De artment.

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Follow-up Treatment Facility for Work-Relatedn ur es nesses

,Injured/Ill Person (IP) to another hospital for further treatment and followup with concurrence from the Chevron on duty Medical Doctor and relevant

Chevron Departmental Manager. The IPs employer must coordinate with theChevron H&MS staff in providing the IPs status on a daily basis untiltreatment is concluded or the IP is discharged from the hospital. A medicalcertificate or discharge summary should be obtained and sent to Chevron

.

If the IP is due to go off duty and the injury/illness has not completelyhealed or a full recovery made, the supervisor of the IP shall consult the

with pay at an onshore facility which has access to a medical facility.

In any case where the IP is released to go home with medical precautions,.

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Follow-up Treatment Facility for Work-Relatedn ur es nesses

,return to work or final medical certificate received from the treating

hospital/clinic to the Chevron H&MS (Sattahip, Songkhla, Nakorn Sri

to returning to work. Medical decisions on fitness for duty will bemade by the Chevron on duty Medical Doctor only.

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CTEP Medical Personnel and Third Party Medical

Service Provider Personnel

,

with the Chevron on duty Medical Doctor. If the Facility Medic is under a third party

medical service provider, the Contract Medic shall consult with the third party Medical

Service Provider Doctor who will contact and discuss the treatment options with theChevron on duty Medical Doctor.

I n t e ract i on be tw een CTEP Med ica l Personne l and Trea t in g Doc to r ( s )

and it must be done in a professional and ethical manner. Authority and decision totreat an IP lies with Treating Doctors with the concurrence of the injured/ill person;

however, Chevron medical personnel may consult with Treating Doctors to ensure

cons s en case managemen .

To avoid confusion and misunderstanding, no one other than assigned Chevron medical

personnel shall interfere with Treating Doctors. Contractors representatives or 3rd party

medical personnel.

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Role and Responsibilities All Employees and

Contractors

following an injury or suspected work-related injury or illness

Provide an accurate description of the suspected work-related injuryor illness to supervisor and medical provider

Provide an accurate description of any concurrent medical

Adhere to treatment prescribed, work restrictions, andcommunication requests of Treating Doctor / Medic

Complete Permission to Release Information Form

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Role and Responsibilities Supervisor of

Ill/Injured Person

-notification and investigation procedure

Conduct incident investigation of work-related injury/illness and record

If there is reason to believe drugs or alcohol may be a contributing factor tothe incident, consideration should always be given to requesting the

IP and/or any other personnel directly involved in the incident, when the IPis referred to an onshore medical facility. This should be done following theDrug & Alcohol Testing and Substance Abuse Policy

If the case involves a contract employee, ensure the Contract Company

Representative has been notified. - ,

including sick leave, compensation, etc.

Discuss with CTEP Doctor to assign appropriate duties to the IP following

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.

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Role and Responsibilities Manager of the

Ill/Injured Person

transportation arrangements

Ensure appropriate resources are allocated to manage the case upon-

Communicate to all personnel at the facility that a Drug & Alcohol test maybe conducted on the IP and any other personnel directly involved in the

Review facts with Facility Medic or with Chevron on duty Medical Doctor or3rd Party Medical Doctor immediately following diagnosis and treatment for

-work restrictions

Review Work Restrictions or Fit to Return to Work status with Chevron on.

management of any IP whose injury/illness may result in work restrictions

Support the assignment of appropriate duties to the IP following approval

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Roles & Responsibilities - 3r d Party Medical

Services Doctor

treatment before advising the Facility Medic at the offshore location

Advise 3rd

party Medic on diagnosis and treatment in writing. The only,

communications breakdown (e-mail). In this case, verbal communicationsfrom the Doctor is acceptable, but must be documented and forwarded oncecommunications have been established

I f r equ i r ed , coo rd i na te case m anagem en t w i t h t he hosp i t a l Trea t i ngDoct o r on shore t h r ough t he Chev r on Onshor e Med ica l Coord ina t o ron l y ( no d i r ect con tact w i t h T rea t i ng D octo r )

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