Free PART NATURE CAUSE TABLE - Alabama


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Pages: 4
File Format: PDF
State: Alabama
Category: Workers Compensation
Author: pcrb user
Word Count: 478 Words, 3,311 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://dir.alabama.gov/docs/forms/wcio_cause_table.pdf

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Preview PART NATURE CAUSE TABLE
Workers Compensation Insurance Organizations

Injury Description Codes Cause of Injury
Code I. Burn or Scald Heat or Cold Exposures Contact With Narrative Description

01. Chemicals 02. Hot Objects or Substances 03. Temperature Extremes 04. Fire or Flame 05. Steam or Hot Fluids 06. Dust, Gases, Fumes or Vapors 07. Welding Operation 08. Radiation 09. Contact With, NOC. 11. Cold Objects or Substances 14. Abnormal Air Pressure 84. Electrical Current

II. Caught In, Under or Between 10. Machine or Machinery 12. Object Handled 13. Caught In, Under or Between, NOC. 20. Collapsing Materials (Slides of Earth) Either Man Made or Natural

III. Cut, Puncture, Scrape Injured By 15. Broken Glass 16. Hand Tool, Utensil; Not Powered 17. Object Being Lifted or Handled 18. Powered Hand Tool, Appliance 19. Caught, Puncture, Scrape, NOC.

Page 1

Effective September 23, 2002

Workers Compensation Insurance Organizations

Injury Description Codes Cause of Injury
Code IV. Fall, Slip or Trip Injury 25. From Different Level (Elevation) 26. From Ladder or Scaffolding 27. From Liquid or Grease Spills 28. Into Openings 29. On Same Level 30. Slipped, Do Not Fall 31. Fall, Slip or Trip, NOC. 32. On Ice or Snow 33. On Stairs Shafts, Excavations, Floor Openings, Etc. Off Wall, Catwalk, Bridge, Etc. Narrative Description

V. Motor Vehicle 40. Crash of Water Vehicle 41. Crash of Rail Vehicle 45. Collision or Sideswipe With Another Vehicle 46. Collision with a Fixed Object 47. Crash of Airplane 48. Vehicle Upset 50. Motor Vehicle, NOC. Overturned or Jackknifed Both Vehicles in Motion Standing Vehicle or Stationary Object

VI. Strain or Injury By 52. Continual Noise 53. Twisting 54. Jumping 55. Holding or Carrying

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Effective September 23, 2002

Workers Compensation Insurance Organizations
Injury Description Codes Cause of Injury
Code 56. Lifting 57. Pushing or Pulling 58. Reaching 59. Using Tool or Machinery 60. Strain or Injury By, NOC. 61. Wielding or Throwing 97. Repetitive Motion Carpel Tunnel Syndrome Narrative Description

VII. Striking Against or Stepping On 65. Moving Part of Machine 66. Object Being Lifted or Handled 67. Sanding, Scraping, Cleaning Operation 68. Stationary Object 69. Stepping on Sharp Object 70. Striking Against or Stepping On, NOC.

VIII. Struck or Injured By 74. Fellow Worker; Patient 75. Falling or Flying Object 76. Hand Tool or Machine in Use 77. Motor Vehicle 78. Moving Parts of Machine 79. Object Being Lifted or Handled 80. Object Handled By Others 81. Struck or Injured, NOC. 85. Animal or Insect 86. Explosion or Flare Back

Includes Kicked, Stabbed, Bit, Etc. Not in Act of a Crime

Includes Kicked, Stabbed, Bit, Etc.

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Effective September 23, 2002

Workers Compensation Insurance Organizations
Injury Description Codes Cause of Injury
Code IX. Rubbed or Abraded By 94. Repetitive Motion 95. Rubbed or Abraded, NOC. Callous, Blister, Etc. Narrative Description

X. Miscellaneous Causes 82. Absorption, Ingestion or Inhalation, NOC 87. Foreign Matter (Body) in Eye(s) 88. Natural Disasters 89. Person in Act of a Crime 90. Other Than Physical Cause of Injury 91. Mold 96. Terrorism 98. Cumulative, NOC 99. Other - Miscellaneous, NOC All Other Earthquake, Hurricane, Tornado, Etc. Robbery or Criminal Assault

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Effective September 23, 2002