ML18032A293
| ML18032A293 | |
| Person / Time | |
|---|---|
| Site: | Browns Ferry  |
| Issue date: | 05/15/1987 |
| From: | Brown W, Russell Gibbs, Peoples H TENNESSEE VALLEY AUTHORITY |
| To: | |
| Shared Package | |
| ML18032A274 | List: |
| References | |
| 71300, 71300-R03, 71300-R3, NUDOCS 8706040287 | |
| Download: ML18032A293 (88) | |
Text
TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUMBERS 71300 REPORT TYPE:
Management and Personnel Subcategory REVISION NUMBER:
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TITLE:. Medical PAGE 1
OF 28 REASON FOR REVISION:
IncorPoration of Revision 2 comments from TAS.
PREPAR BY:
PREPARATION SIGNATURE DATE REVIEWS S
NATURE TAS:
SIGNATURE CONCURRENCES D TE SIGNATURE DATE CEG-H:
SRP:
"SIGNATUR LA~
mL.SP DATE APPROVED BY:
SP AGER AT N/A MANAGER OF NUCLEAR POWER CONCURRENCE (FINAL REPORT ONLY)
DATE
~SRP Secretary's signature denotes SRP concurrences are in files.
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8706040287 870522 l PDR ADOCK 05000259 P'DQ
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TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUMBER:
71300 FRONT MATTER REV:
2 PAGE i OF viii Preface This subcategory report is one of a series of reports prepared for the Employee Concerns Special Program (ECSP) of the Tennessee Valley Authority (TVA),
The ECSP and the organization which carried out the program, the Employee Concerns Task Group (ECTG), were established by TVA's Manager of Nuclear Power to evaluate and report on those Office of Nuclear Power (ONP) employee concerns. filed before February 1, 1986.
Concerns filed after that date are handled by the ongoing ONP Employee Concerns Program (ECP).
The ECSP addressed over 5800 employee concerns.
Each of the concerns was a
formal, written description of a circumstance or circumstances that an employee thought was unsafe, unjust, inefficient, or inappropriate.
The mission of the Employee Concerns Special Program was to thoroughly investigate all issues presented in the concerns and to report the results of those investigations in a form accessible to ONP employees, the
- NRC, and the general public.
The results of these investigations are communicated by four levels of ECSP reports:
- element, subcategory,
- category, and final.
Element reports, the lowest reporting level, will be published only for those concerns directly affecting the restart of Sequoyah Nuclear Plant's reactor unit 2.
An element consists of one or more closely related issues.
An issue is a potential problem identified by ECTG during the evaluation process as having been raised in one or more concerns.
For efficient handling, what appeared to be similar concerns were grouped into elements early in the program, but issue definitions emerged from the evaluation process itself.
Consequently, some elements did include only one issue, but often the ECTG evaluation found more than one issue per element.
Subcategory reports summarize the evaluation of a number of elements.
- However, the subcategory report does more than collect element level evaluations.
The subcategory level overview of element findings leads to an integration of information that cannot take place at the element level, This integration of information reveals the extent to which problems overlap more than one element and will therefore require corrective action for underlying causes not fully apparent at the element level.
To make the subcategory reports easier to understand, three items have been placed at the front of each report:
a preface, a glossary of the terminology unique to ECSP reports, and a list of acronyms (terms formed from the first letters of a series of words).
Additionally, at the end of each subcategory report the reader will find at least two attachments.
The first is a Subcategory Summary Table that includes the following information:
the concern
- number, a brief statement of the concern, and a designation of nuclear safety-related concerns.
The second attachment is a listing of the concerns included in each issue evaluated in the subcategory.
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TVA EHPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUHBER:
71300 FRONT HATTER REV:
2 PAGE ii OF viii The subcategories are themselves summarized in a series of eight category reports.
Each category report reviews the major findings and collective significance of the subcategory reports in one of the following areas:
management and personnel relations industrial safety construction material control operations quality assurance/quality control welding engineering A separate report on employee concerns dealing with specific contentions of intimidation, harassment, and wrongdoing will be released by the TVA Office of the Inspector General, Just as the subcategory reports integrate the information collected at the element level, the category reports integrate the information assembled in all the subcategory reports within the category, addressing, particularly the underlying causes of those problems that run across more than one subcategory.
A final report will integrate and assess the information co'llected by all of the lower level Keports prepared for the
- ECSP, including the Inspector General's report.
For more detail on the methods by which ECTG employee concerns were evaluated and reported, consult the Tennessee Valley Authority Employee Concerns Task Group Program Manual.
The Manual spells out the program's objectives,
- scope, organization, and responsibilities.
It also specifies the procedures that were followed in the investigation, reporting, and closeout of the issues raised by employee
- concerns,
TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUMBER:
71300 FRONT HATTER REV:
2 PAGE iii OF viii ECSP GLOSSARY OF REPORT TERMS" classification of evaluated issues the evaluation of an issue leads to one of the following determinations; Class A:
Issue cannot be verified as factual Class B:
Issue is factually accurate, but what is described is not a
problem (i.e., not a condition requiring corrective action)
Class C:
Issue is factual and identifies a problem, but corrective action for the problem was initiated before the evaluation of the issue was undertaken Class D:
Issue is factual and presents a problem for which corrective action has
- been, or is being, taken as a result of an evaluation Class E:
A problem, requiring corrective action, which was not identified by an employee
- concern, but was revealed during the ECTG evaluation of an issue raised by an employee concern.
t collective si nificance an analysis which determines the importance and consequences of the findings in a particular ECSP report by putting those findings in the proper perspective.
concern (see "employee concern" )
corrective action steps taken to fix specific deficiencies or discrepancies revealed by a negative finding and, when necessary, to correct causes in order to prevent recurrence.
criterion lural:
criteria a basis for defining a performance,
- behavior, or quality which ONP imposes on itself (see also "requirement" ).
element or element re ort an optional level of ECSP report, below the subcategory level, that deals with one or more issues.
em lo ee concern a formal, written description of a circumstance or circumstances that an employee thinks unsafe, unjust, inefficient or inappropriate; usually documented on a K-form or a form equivalent to the K-form.
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2 PAGE iv OF viii grouping of employee
- concerns,
~findin s includes both statements of fact and the judgments made about those facts during the evaluation process; negative findings require corrective action.
issue a potential problem, as interpreted by the ECTG during the evaluation
- process, raised in one or more concerns.
K-form <see "employee concern")
evaluation judgment or decision may be based.
root cause the underlying reason for a problem.
"Terms essential to the program but which require detailed definition have been defined in the ECTG Procedure Hanual (e.g,, generic, specific, nuclear safety-related, unreviewed safety-significant question),
E, s
TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUHBER; 71300 FRONT MATTER REV:
2 PAGE v OF viii Acronyms AI AISC ALARA ANSI ASHE ASTH BFN BLN CAQ CAR CATD CCTS CEG-H CFR CI CHTR COC DCR DNC Administrative Instruction American Institute of Steel Construction As Low As Reasonably Achievable American Nuclear Society American National Standards Institute American Society of Mechanical Engineers American Society for Testing and Materials American Melding Society Browns Ferry Nuclear Plant Bellefonte Nuclear Plant Condition Adverse to Quality Corrective Action Report Corrective Action Tracking Document Corporate Commitment Tracking System Category Evaluation Group Head Code of Federal Regulations Concerned Individual Certified Material Test Report Certificate of Conformance/Compliance Design Change Request Division of Nuclear Construction (see also NU CON)
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2 PAGE vi OF viii DNE DNQA DNT DOE DPO DR
.ECN ECP ECP-SR ECSP ECTG EEOC EQ EMRT EN DES ERT FCR FSAR FY GET HCI HVAC INPO IRN Division of Nuclear Engineering Division of Nuclear Quality Assurance Division of Nuclear Training Department of Energy Division Personnel Officer Discrepancy Report or Deviation Report Engineering Change Notice Employee Concerns Program Employee Concerns Program-Site Representative Employee Concerns Special Program Employee Concerns Task Group Equal Employment Opportunity Commission Environmental Qualification Emergency Hedical Response Team Engineering Design Employee
Response
Team or Emergency
Response
Team Field Change Request Final Safety Analysis Report Fiscal Year General Employee Training Hazard Control Instruction Heating, Ventilating, Air Conditioning Installation Instruction Institute of Nuclear Power Operations Inspection Rejection Notice
TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUMBER:
71300 FRONT MATTER REV:
2 PAGE vii OF viii L/R HMI HI HSPB MT NCR NDE NPP NPS NQAM NRC NSB NSRS NU CON NUHARC OSHA ONP OMCP PHR PT QA QAP QC QCI Labor Relations Staff Hodifications and Additions Instruction Maintenance Instruction Merit Systems Protection Board Hagnetic Particle Testing Nonconforming Condition Report Nondestructive Examination Nuclear Performance Plan Non-plant Specific or Nuclear Procedures System Nuclear Quality Assurance Hanual Nuclear Regulatory Commission Nuclear Services Branch Nuclear Safety Review Staff Division of Nuclear Construction (obsolete abbreviation, see DNC)
Nuclear Utility Management and Resources Committee Occupational Safety and Health Administration (or Act)
Office of Nuclear Power Office of Morkers Compensation Program Personal History Record Liquid Penetrant Testing Quality Assurance Quality Assurance Procedures Quality Control Quality Control Instruction
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TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUHBER; 71300 FRONT HATTER REV:
2 PAGE viii OF viii QCP QTC RIF Quality Control Procedure Quality Technology Company Reduction in Force RT Radiographic Testing SQN Sequoyah Nuclear Plant SI Surveillance Instruction SOP Standard Operating Procedure SRP Senior Review Panel SMEC TAS T6L TVA TVTLC UT Stone and Mebster Engineering Corporation Technical Assistance Staff Trades and Labor Tennessee Valley Authority Tennessee Valley Trades and Labor Council Ultrasonic Testing Visual Testing MBECSP Matts Bar Employee Concern Special Program MR MP Matts Bar Nuclear Plant Mork Request or Mork Rules Morkplans
TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUMBER:
71300 REVISION NUMBER:
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OF 28 1.0 CHARACTERIZATION OF ISSUES 1.1 Introduction The Medical Subcategory includes 58 employee concerns which raised 18 separate
- issues, The issues are grouped into three elements:
Quality and Components of the Medical Program Administration of the Federal Employees'ompensation Act (FECA)
Miscellaneous Medical Issues To locate the issue in which a particular concern is evaluated, consult the following attachments:
Attachment A, Subcategory Summary Table Attachment B, List of Concerns by Issue All Management and Personnel Category concerns having a technical component (including all concerns designated Nuclear Safety-Related) are shared with the appropriate, technical category for investigation and resolution of that technical component.
Report(s) sharing a
concern with this report are identified in the entry for that concern on Attachment A.
1.2 Descri tion of Issues 1.2.1 Quality and Components of the Medical Program Issue 71301 TVA Medical Treatment is Inade uate The concerns in this issue question the quality of medical service provided by TVA.
Issue 71302 - TVA Medical Personnel Are Not uglified The CIs claimed that TVA medical personnel lack the necessary credentials and training and are not qualified for their jobs, Issue 71303 - Inade uate Medical Staff on Ni ht Shift Two CIs complained that the medical staffing on third shift is inadequate because there is no physician on duty.
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OF 28 Issue 71304 Insufficient Emer enc Medical E ui ment Onsite The CX stated that the lack of previously available eye treatment equipment necessitated a trip to the hospital to remove foreign matter from his/her eyes.
She/he also contended that a heart attack victim might have survived had there been proper equipment available for emergency treatment.
Issue 7130S - TVA Medical Does Not Acce t Private Ph sician's Medical Constraints The basic contention in this issue is that TVA ignores the recommendations of private physicians, especially regarding medical constraints.
Xssue 71306 Health and Safet Trainin is Inade uate The CXs felt that employees are inadequately informed of the hazards presented by certain chemicals.
Medical personnel should participate in safety meetings and educate craft in substance
- dangers, noise limitations, and exposure to harmful chemicals.
Issue 71307 -
Em lo ees Who Falsif Medical Records are Retained The CI contends that an employee who falsifies his/her medical records to gain employment is not punished or terminated when the falsification is discovered.
Issue 71308 -
Em lo ees Denied Access to Medical Records The CI felt that his/her medical records contained erroneous data and he/she was not permitted to review the records.
Issue 71309 - Inade uate Ph sical Suitabilit Pro ram and Health Standards This issue is based on a perception that medically unsuitable personnel are working onsite and therefore health standards are too low or are not being effectively enforced.
1.2.2 Administration of the Federal Employees Compensation Act
{FECA)
TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUMBER:
71300 REVISION NUMBER:
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OF 28 Issue 71310 - In'ured Em lo ees Returned to Dut Too Soon The contention in this issue is that employees are returned to full duty too soon following treatment for work-related injuries.
Issue 71311 Slow Claim Processin and Inade uate The contention in this issue is that it takes an extremely long time to receive compensation for injuries, and the compensation is sometimes inadequate or incorrect, Issue 71312 Com ensation is Un'ustl Denied The CIs contend that their claims for compensation were unjustly rejected or denied by TVA.
Issue 71313 - Claim Filin Information Pur osel Withheld The CI alleged that medical personnel intentionally withhold information as to which forms are required for filing compensation claims and on how to complete the forms.
1.2.3 Miscellaneous Medical Issues Issue 71314 Truck Drivers'ealth Affected b Hazardous Materials The CI alleged that more than half of 57 truck drivers suffered various physical ailments caused by transporting hazardous materials, Issue 71315 - Unstable Em lo ee in Sensitive Position This issue is based on a contention that an employee deemed unstable by colleagues is in a sensitive position.
Issue 71316 Medical and File Cabinets are Unsecure The CX stated that medical and file cabinets cannot be easily locked and can be left unsecure.
Issue 71317 - Personnel De artment Chan es Medical Records The CX alleged that the Personnel Department makes unauthorized changes to medical records.
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OF 28 Issue 71318 - Concerns With Insufficient Information to Evaluate The following two concerns contained insufficient information to permit identification with an issue or to evaluate:
PH-85-003-016 WI-85-044-001 2.0
SUMMARY
2.1 Summar of Issues The evaluator has reviewed all the information available on the concerns in this subcategory.
The information pertinent to the evaluation of the issues has been considered and incorporated in this report.
0 The issues in this subcategory question the quality of medical care, the qualifications of medical staff pex sonnel, the adequacy of available medical services and fair and efficient administration of the FECA.
Four miscellaneous concerns were each evaluated as independent issues.
2.2 Summar of Evaluation Process The, evaluation process consisted of research of pertinent regulatory requirements and TVA policy documents, interviews of knowledgeable personnel, review of individual employee medical and compensation
- records, and review of previous investigation reports that responded to 22 of the employee concerns included in this subcategory.
2.3 Summar of Findin s
None of the issues presented enough evidence to be verified as factually accurate.
Gathering additional evidence was very difficult as the names of the CIs were not releasable to the evaluator.
- However, the findings did indicate the need for more effective communication with employees regarding entitlements and.
avenues of appeal available to them.
2.4 Summar of Collective Si nificance A comparison of the large number of visits to WBN medical facilities (over 40,000) during the timeframe of the concexns, with the relatively small number of concerns (58) argues that WBN employees are generally satisfied with their onsite medical services.
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OF 28 No regulatory requirement mandates the high level of medical service that TVA has chosen to provide at its nuclear sites,
- However, employees need to be better informed on how to obtain available medical services and on how to appeal what they consider unsatisfactory service.
2.5 Summar of Causes The concerns were caused by a lack of employee awareness of the medical services and benefits available or of the procedures for handling complaints and appeals, 2.6 Summar of Corrective Action The Office of Nuclear Power has implemented training for managers and supervisors regarding TVA medical care policy, the medical
- program, and administration of the FECA.
This training is included in the TVA.Supervisory Training Program, which is required for all supervisors.
3.0 EVALUATION PROCESS 3.1 General Methodolo The evaluation of this subcategory was conducted according to the Evaluation Plan for the Employee Concerns Special Program (ECSP) and the Evaluation Plan for the Management and Personnel Group.
The concern case files were reviewed.
Source documents were researched and interviews were conducted to identify the requirements and criteria applicable to the issues raised by the concerns.
The issues were evaluated against the identified requirements and criteria.
A collective significance analysis of the findings was done.
Causes were determined for negative findings and corrective action for negative findings was initiated or determined to be already completed or underway.
3.2 S ecific Methodolo Research for TVA policy and regulatory requirements or commitments to NRC involved indepth analyses of the TVA Administrative Release
- Manuals, TVA Medical Examiner's
- Guide, TVA Medical Examiner's Guide Documentation Files, the TVA Division of Medical Services Historical
- Files, and Personnel History Records of TVA medical staff.
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OF 28 Interviews were conducted with personnel in TVA's Division of Hedical Services Director's Office, with personnel in the Central Area Hedical Services, with personnel at Watts Bar Nuclear Plant (WBN) Medical Office and Health Station, and with the Work Injury Compensation Services (WICs) staff.
Interviews were also conducted with personnel from the Duke Power
- Company, Carolina Power and Light Company, Virginia Power
- Company, Alabama Power Company, National Aeronautics and Space Administration, General Services Administration, Veteran's Administration, Department of Interior, and United States Postal Services'omputer analyses fx om the Division of Medical Services'utomated Medical Records System were also conducted to determine clinical visits, treatments, and disposition for duty of both employees and employment candidates at WBN.
The investigation of program practices included reviewing medical and compensation records of concerned individuals who allowed their identities to be revealed by Quality Technology Company (QTC).
This evaluation makes use of the results of previous investigative reports on 22 individual concerns.
These earlier investigations were conducted by Quality Technology Company (QTC) and by Frank D. Faires, Medical Administrator, from September 6,
1985 to March 18, 1986.
These previous investigations also included interviews with TVA medical employees and management personnel responsible for administering the Medical Program, The WBN Medical Office and Health Station's adherence to TVA policy and regulatory requirements, and compatibility with other related industries or Federal agencies was reviewed Note:
See Attachment C for a List of Reference Documents.
See Attachment D for a List of Interviewees.
4.0 FINDINGS 4.1 ualit and Com onents of the Medical Pro ram Back round There're no regulatory requirements for providing medical treatments at a nuclear power site,
- However, under the pxovisions
TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUMBER:
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OF 28 of the TVA Code VIII HEALTH SERVICES, "Occupational Medical and Related Heal'th Services,"
TVA:
helps employees to attain or maintain required or desirable health status by providing medical counsel, health education, treatment within limits described below, or referral to non-TVA sources of help.
Consistent with the Federal Employees Compensation Act (FECA),
TVA provides treatment for service-connected injury or illness through its facilities and through cooperation with the Office of Workers'ompensation
- Programs, (OWCP) United States Department of Labor.
Within the limits of staff and equipment immediately available, TVA provides first-aid and temporary treatment for employees and nonemployees suffering non-job-related injury or illness on TVA premises.
TVA medical personnel and equipment respond as appropriate to any legitimate, reasonable request for emergency medical services to meet an emergency or life-threatening situation, Also according to TVA Instruction VIII HEALTH SERVICES, "Examination":
Medical staffs of the Division of Medical Services provide treatment for occupational injury or illness within the limits of staff and facilities available and in accordance with rules and regulations established by the OWCP U. S. Department of Labor, The employee remains responsible for obtaining non-TVA care for non-work-related health problems.
Every employee is encouraged to establish contact with and utilize the services of a personal physician or medical facility for care of off-the-job illnesses or injuries.
In most instances, treatment of nonoccupational injury and illness is not considered to be a responsibility of the occupational health program, p
Assistance and available initial care will be provided in emergency situations arising at work where prompt treatment is a
generally accepted method of preventing or controlling injury and disease.
To reduce lost time from work, TVA also may offer, during, work hours, limited medical treatment for minor
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OF 28 nonoccupational injuries and illnesses.
An employee whose nonservice-related condition requires extensive treatment or is of major significance, is referred to his/her personal physician.
TVA may offer services which will assist that physician in care of the worker.
TVA provides medical treatments for nonservice-connected injuries within the limits of staff and facilities, and also in emergency situations.
Also within the limits of staff and time, TVA may provide medical treatments for employees with service-connected injuries if the injured employee requests so under the provisions of FECA.
From October 1, 1985 through June 30,
- 1986, there were 21,871 employee visits for clinical services to the DNC WBN Medical Office, of which 7,599 were for the purpose of medical treatments.
Of the 7,599 treatments, 4,439 (58'L) were for nonservice-connected injuries or illness, and 3,160 (427.) were for treating service-connected injuries or illnesses.
Of the 3,160, TVA successfully treated 2,943 (93'L) visits having to refer 217 (7%) for outside treatment.
During the same time period, there were 18,417 employee visits for clinical services at the permanent plant WBN Health Station, of which 8,632 were for the purpose of medical treatments.
Of the 8,632 treatments, 7,010 (817.) were for nonservice-connected injuries or illnesses, and 1,622 (197.) were for treating service-connected injuries or illnesses.
Of the 1,622, TVA successfully treated 1,566 (97'L) visits having to refer 56 (37.) for outside treatment.
Had these medical treatments for nonservice-connected injuries or illness not been available to employees, most employees would either have had to suffer through their ailment, taken a day of sick leave, or missed a day of pay.
In addition, they would have incurred out-of-pocket medical expenses for the treatments.
4.1.1 Issue 71301 TVA Medical Treatment is Inade uate The CIs raising this issue contend that medical treatment given by TVA Medical Services is inadequate in terms of the quality of treatment received.
Discussion The three concerns in this issue alleged (1) potentially ineffective medical treatment provided for on-the-job injury, (2) negligent handling of a job-related injury, and (3) failure to see a broken bone in initial x-ray, which resulted in improper, treatment and a continuing problem.
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3 PAGE 10 OF 28 Two of the concerns contained insufficient details to allow investigation of the specific cases (names of the individuals were not available to the evaluator).
The third concern was previously investigated by a medical services staff member and a response was provided to the individual.
Medical personnel were interviewed and medical files were researched to determine the extent of compliants about the quality of medical services provided to employees.
No record of such complaints was found, except the case of the allegedly misdiagnosed broken wrist cited above.
Conclusion The investigation found that the issue of inadequate medical treatment is not supported by the evidence and therefore was not found to be factually accurate, Nevertheless, it is always possible for medical specialists, or any other specialist to make an error in judgment or an incorrect diagnosis.
If an employee feels that the treatment received is-inadequate, he/she may discuss the situation with the physician or chief nurse at the facility. If no resolution is achieved, the situation may be appealed to the Area Chief Physician and, if necessary, to the TVA Medical Director.
- Also, FECA provides that employees who suffer job-related injuries are entitled to an initial choice of physician for treatment, An employee's choice of treatment by a TVA medical facility is not considered as an initial choice under FECA. If dissatisfied, with TVA treatment, an employee still may choose a private physician to provide treatment under FECA.
Issue 71302 Qualifications of Medical Personnel The CIs claimed that TVA medical personnel lack the necessary credentials and training and are not qualified for their jobs.
Discussion TVA requires its physicians to be graduates of American,
- Canadian, or other accredited medical schools.
Although Federal Government physicians are not subject to state licensure
- laws, TVA also requires its physicians to hold a license to practice medicine in the United States.
This evaluation determined that each license registration has been properly renewed.
Beyond basic licensure, several TVA physicians are certified by medical specialty boards,
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3 PAGE 11 OF 28 The medical staff includes two medical school graduates who do not hold state licenses, but neither works, nor is classified, as a physician.
Until recently, both were classified as Physician Assistants, SE-6.
One of them is now on the management schedule working as a clinical coordinator of workers'ompensation and rehabilitation cases, All WBN's nurses are registered professional nurses with current state licenses.
Occupational nurse practitioners are required to have a minimum of ten months experience before being hired by TVA; occupational staff nurses are required to have at least 18 months prior experience in public or occupational health nursing, including at least one year of clinical nursing, Construction Public Safety Service officers, who assist nurses on ambulance
- runs, have received emergency medical training that meets State standards for Emergency Medical Technician qualifications.
Their training includes first aid, resuscitation, and other emergency techniques.
In addition to their basic professional training and experience, the WBN physicians and nurses have completed special training in emergency care and special training in handling radiations accidents from REAC/TS at the Oak Ridge Associated Universities.
Conclusion A review of pertinent regulatory requirements, TVA policies, and personnel files revealed that all TVA medical professionals have the required education,
- licenses, and special training and are fully qualified for their positions.
Therefore, this issue was not verified as factual.
4.1.3 Issue 71303 Inadequate Medical Staff on Night Shift Two CIs complained that the medical staffing on third shift is inadequate because there is no doctor on duty.
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3 PAGE 12 OF 28 Discussion The second and third shifts at the WBN Medical Office have one occupational health nurse on duty when construction is occurring during those shifts.
At the MBN Health Station, at least one occupational staff nurse is on duty on all shifts, seven days per week.
Although there is no physician on duty during third shift, the staffing is considered to be adequate.
All TVA nurses are fully trained to handle emergency situations.
They are assisted by Public Safety officers who have received extensive training in emergency medical techniques (see 4.1.2).
There are at least five trained personnel assigned on each shift, including on weekends, to respond to medical emergencies.
In addition, the TVA project physician is "on call" to receive requests for assistance and advice for any medical emergency.
The onsite
'Health Physics staff is well trained to deal with radiological emergencies and we have agreements wi th community hospitals and the REAC/TS Center at Oak Ridge to provide prompt response to such emergencies, The VBN Medical Office, Health Station, and ambulances are equipped with state-of-the-art emergency instruments,
- supplies, and equipment, but we do not, of course, have all the capabilities of a hospital emergency room.
Patients with life-threatening injuries or illnesses are given the necessary first-aid and life support treatment and immediately transported to a hospital, just as they would be on day shift.
Conclusion The investigation found that the medical staffing during night shift is adequate.
A physician is not required because the nurses and public safety "officers on duty are capable of properly handling medical emergencies.
Therefore, this issue was not found to be factual.
Issue 71304 - Insufficient Emergency Medical Equipment Onsite The CI stated that the lack of previously available eye treatment equipment necessitated a trip to the hospital to remove foreign matter from his/her eyes.
She/he also contended that a heart attack victim might have survived had there been proper equipment available for emergency treatment.
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3 PAGE 13 OF 28 Discussion During the first 10 months of FY 1985, the WBN Medical Office had 376 employee patients with foreign bodies, most of which were in the eyes.
The medical staff was able to effectively remove 336 of these foreign bodies and return the employee to work. It was necessary to refer 40 employees (10.6'L) to outside specialist who have specialty training in opthalmology because the foreign body was deeply embedded.
Before he retired in July 1983, the previous project physician, Dr. Robert Hicks, was able to remove most deeply embedded foreign bodies because he had additional training and practice in opthalmological techniques.
None of our current physician staff has this specialized training or experience.
There are no regulatory requirements to provide such a high degree of opthalmological capability, nor is it TVA policy to do so. It was previously available only because of Dr.
Hicks'nique qualifications and willingness to provide the
- service, Records indicate that on April 16, 1983, medical personnel responded to an emergency call for an apparent heart attack victim.
Upon arriving at the scene, the nurse assessed the condition of the patient and could find no pulse or other vital signs.
The response team started CPR which was continued while the victim was being transported to the hospital.
Unfortunately, the victim's condition was such that none of the emergency techniques could restore his pulse and breathing and he was pronounced dead on arrival at the hospital emergency room.
Conclusion Neither of the incidents referenced in the concern that raised this issue resulted from a lack of equipment that is required by regulations
'or should reasonably be expected to be available.
While it is arguable that the heart attack victim may have survived had more or better equipment been available, that contention is not supported by the evidence.
Therefore, this issue was not found to be factually accurate.
Issue 71305 - TVA Medical Does Not Accept Private Doctor' Work Restrictions The basic contention in this issue is that TVA ignores the recommendations of private 'doctors, especially work restrictions.
TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUMBER; 71300 REVISION NUMBER:
3 PAGE 14 OF 28 Discussion TVA realized early in its existence the need for matching an employee's health condition with the requirements of the job.
Physical examinations of applicants for employment became mandatory in 1934, and medical constraints (then known as work restriction codes) were developed to ensure that applicants were placed in work they were physically capable of performing.
These constraints were also applied to employees who subsequently developed conditions which rendered them less able to perform their assigned jobs.
According to the TVA Medical Examiner's
- Guide, a "medical disposition for duty" is assigned an examinee and that disposition will be eithex "appxoved," "conditionally approved,"
or "not approved."
A conditional approval is given for an individual if he or she has a health impairment which limits but does not preclude medical approval for the duty proposed.
Medical constraints are placed upon individuals who are conditionally approved to "infoxm responsible management that specific accommodations may be required to enable the individual to perform the full range of pertinent job title and special duties safely and effectively."
Sccording to the GUIDE, medical constraints are developed with input and close coordination from the individual, the individual's private physician, and the individual's TVA supervisor or manager.
TVA management must specify relevant performance requirements and realistic hazards of the job.
The TVA medical examiner makes the final decision when applying medical constraints since occupational health physicians are more fully aware of occupational health hazards than medical constraints.
One of the concerns in this issue was previously investigated by a TVA medical administrator and the situation was resolved.
The WBN physician, upon learning that different medical constraints had been recommended by a private physician, asked the private physician to confirm his recommendations.
This consultation resulted in acceptance of the private physician's recommended medical constraints.
TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUMBER:
71300 REVISION NUMBER:
3 PAGE 15 OF 28 As with disagreements concerning medical treatments, employees may discuss application of medi'cal constraints with the physician at the local facility. If no resolution is
- achieved, the situation may be appealed to the appropriate Area Chief Physician.
Following review by the Area Chief Physician, a review by TVA's Medical Director is required if the employee is dissatisfied with the Area Chief Physician' determination.
Throughout the appeals
- process, the employee is encouraged to engage the active participation of his or her private attending physician.
Conclusion The TVA medical examiner does make the final decision regarding work restrictions.
- However, the employee's private physician's recommendations are fully considered, along with input from the employee and his/her supervisor or manager.
Therefore, this issue was not verified as factual.
4.1.6 Issue 71306 Health and Safety Training is Inadequate The CIs felt that employees are inadequately informed of the hazards presented by certain chemicals.
Medical personnel should participate in safety meetings and educate craft in substance
- dangers, noise limitations, and exposure to harmful chemicals.
Discussion There are no regulatory requirements for health education.
- However, according to TVA Code, VIII HEALTH SERVICES, "Occupational and Related Health Services,"
TVA:
helps employees to attain or maintain required or desirable health status by providing medical counsel, health education, treatment within limits described
- below, or referral to non-TVA sources of help.
TVA nurses conduct any management-requested special health education programs for employee groups and provide health counseling and education services to individual employees to promote health maintenance and restoration.
According, to the Or anization Bulletin I Cor orate Services, "Division of Occupational Health and Safety":
I
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TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUMBER:
71300 REVISION NUMBER:
3 PAGE 16 OF 28 The Division of Occupational Health and Safety has corporate responsibility for formulating TVA occupational health and safety plans and policies. It develops and issues criteria and standards for control of hazards in the workplace...
It develops and administers safety promotion, recognition, awareness, and incentive programs and materials as requested.
It provides both technical and orientation health and safety training support to line management as requested.
Conclusion Medical personnel are not responsible for determining health and safety requirements; they conduct training regarding medical topics only upon request by management.
Therefore, this issue could not be verified as factual, Employees who would like to receive health and hazardous materials education should request so from their supervisor who is responsible for making arrangements with presenting organizations such as the Division of Occupational Health and Safety or the WBN Safety Engineer.
Additional information about occupational health and hazardous materials issues may be found in Industrial Safety Subcategory Report 912, Industrial Hygiene.
4.1.7 Issue 71307 Employees Who Falsify Medical Records Are Retained The CI contends that an employee who falsifies his/her medical records to gain employment is not punished or terminated when the falsification is discovered.
Discussion On each TVA medical examination/evaluation
- form, a
certification statement is added to ensure the employee truthfully answered each item.
The most common statement is:
I certify that I have truthfully answered the foregoing questions to the best of my knowledge.
I further certify that should I develop a health problem or be placed on medication that might interfere with my ability to safely perform my duties, I will immediately notify my supervisor.
TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUMBER:
71300 REVISION NUMBER:
3 PAGE 17 OF 28 When it becomes known that an employee has falsified a medical record, the procedure below is carried out, A
memorandum dated November 20, 1981, "Falsification of Medical Record Information" from Frank D. Faires, Medical Administrator, states:
Conflictin Information Uncovered At Time Of Em lo ment Call the candidate's attention to the information just given by the candidate that conflicts with the previous record and make sure that the correct information and conflict is considered by the medical examiner and recorded in the medical record, Conflictin Information Uncovered After The Em lo ee Is On The Job If the correct information indicates there may be a
concealment of a health and safety threat, immediately call the employee's official supervisor or other appropriate authority and have the employee sent to medical for re-evaluation.
Based on that re-evaluation, initiate appropriate medical disposition for continued duty, holding off duty, etc.,
and telephone me about the situation as early as possible.
If the situation does not constitute an immediate health and safety threat, telephone me about the case as soon as possible.
In cases where it appears there has been a deliberate and flagrant falsification of important medical information, I will refer these to the Personnel Security Officer for administrative disposition.
The Personnel Security Office in TVA's Division of Personnel then determines, on an individual basis, whether the falsification warrants termination.
If employees suspects or has information that indicates that another employee has falsified his or her medical record, they should contact the chief nurse at their local medical facility who will review the situation and notify the Medical Administrator as appropriate.
Conclusion The evaluation found that sound procedures for dealing with medical records falsification do exist and may result in termination.
Therefore, this issue was not verified as factual.
TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUMBER:
71300 REVISION NUMBER:
3 PAGE 18 OF 28 4.1.8 Issue 71308 Employees Denied Access to Medical Records The concern in this issue stated only that erroneous data had been placed in the CI's medical records.
Upon consultation with QTC, it was learned that the CI's real concern was that he/she was denied access to the records and could not, therefore, determine whether the records were correct, Discussion According to the TVA Code, II PRIVACY, "Protection of Personal Privacy":
TVA permits an individual, except as authorized by law, to ascertain what records pertaining to that individual are maintained by TVA in TVA systems of records, to gain access to and to request correction or amendment of such records.
In addition, TVA Instruction, XX PRXVACY, "Procedures" provides that:
Xf in the judgment of the Division of Medical Services the transmission of medical records, including psychological records, directly to a requesting individual could have an adverse effect on such individual, TVA may refuse to provide such information directly to the individual.
TVA will, however, provide this information to a licensed physician designated by the individual in writing.
Conclusion The investigation revealed that employees have unrestricted access to information in their medical records except for that information which could have an adverse effect on the individual.
In that case, the records would be released to a private physician designated by the employee, if requested; therefore, this issue could not be verified as factual.
4.1.9 Issue 71309 - Inadequate Physical Suitability Program and Health Standards This issue is based on three employee concerns.
One CX feels there are some WBN personnel who are physically unable to perform their duties and thinks a physical suitability
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71300 REVISION NUMBER:
3 PAGE 19 OF 28 program would helps Another CI asked what medical standards are used to evaluate an employee's "condition to work."
The third CI alleged that a particular crane operator has had a
heart attack and open heart surgery.
These three concerns, taken together, seem to question whether TVA has and enforces a physical suitability program,.
Discussion Medical Services personnel and representatives of TVA employment offices were interviewed to determine what policy requirements and procedures were applicable and to what degree the requirements are enforced.
The findings from those interviews are outlined below.
According to TVA CODE, VIII HEALTH SERVICES, "Occupational Medical and Related Health Services";
Physical and mental health adequate for safe and efficient performance of assigned duties is a condition of TVA employment.
The medical suitability of employees and candidates for employment at TVA is determined by relating each individual's physical and mental capacities to specific job requirements.
Employees, employment candidates, and certain temporary assignees are examined to determine their capacity to work safely and efficiently within the specific health requirements of the job.
Candidates for employment are referred to a TVA medical office by TVA Employment Offices using a form TVA 9880A, "Appointment Affidavit and Conditions."
Employees are
'eferred to a TVA medical office by TVA management or supervisors using a form TVA 1444, "Request for Examination."
These two forms outline to the TVA medical examiner the specific job for which the person is applying and any special physical conditions necessary for employment.
TVA medical examinations are conducted according to the two-volume TVA Medical Examiner's Guide.
In addition to general employee medical examinations, the GUIDE outlines
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71300 REVISION NUMBER:
3 PAGE 20 OF 28 procedures for special medical examinations.
These examinations are for candidates who must comply with legislative, regulatory, and/or other requirements for determining special capacities or abilities required for duty, to assess medical qualifications for licensure for duty, or to monitor health factors related to control of specified occupational hazards.
Initial and re-employment examinations conducted at WBN from January 1, 1984 through June 1, 1986 totaled 979.
From these
- 979, 798 (817.) were approved for duty, 172 (18'L) were approved for duty with medical constraints, while less than 1% (9) were not medically approved for duty, Conclusion The evaluation revealed that TVA has an extensive physical suitability program and specific health standards that are rigidly enforced.
Therefore, this issue was not verified as factual.
4.2 Administration of the Federal Em lo ees Com ensation Act (FECA) 4.2.1 Issue 71310 - Injured Employees Returned to Regular Duty Too Soon This issue claims that CIs are put back on regular duty too soon after injuries or extensive surgery.
Discussion Before the advent of the rehabilitation program, employees with job-related injuries were left in leave status until they had fully recovered.
When an employee was able to perform productive work, the policy was to try to find a suitable position for him or her, In 1972, a formal vocational rehabilitation program was established, with emphasis an rehabilitation of compensation recipients.
The current Recovery Track Program is designed to return workers to their original jobs by assigning them to
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71300 REVISION NUMBER:
3 PAGE 21 OF 28 special light-duty tasks during the recovery process.
The program emphasizes injured workers'apabilities rather than limitations, and includes close coordination with the workers'rivate physicians.
The Vocational Evaluation Program helps impaired workers to determine suitable job placement and training goals and to implement their goals, Vocational rehabilitation is beneficial to injured workers because it helps speed their return to full duty and,
- thus, to full earnings status.
It also helps TVA reduce compensation costs and make better use of available compensation resources.
TVA's program was cited by both the Congressional Committee on Government Operations and the Department of Labor Inspector General for its effectiveness in restoring injured workers to their former status.
Conclusion Any employee who is dissatisfied with the handling of his/her rehabilitation is encouraged to consult with the responsible TVA physician, private physician, and rehabilitation counselor.
If necessary, further appeal may be made to the Area Chief Physician, then to the TVA Medical Director if still not satisfied.
The identities of the CIs who were dissatisfied with the speed of their return to duty was not released to the evaluator; therefore, an investigation of specific cases was not possible.
The issue as a whole was not verified as factual.
4.2.2 Issue 71311 Slow Claim Processing, and Inadequate Compensation The contention in this issue is that it takes an extremely long time to receive compensation for injuries, and the compensation is sometimes inadequate or incorrect, Discussion According to TVA Instruction VIII INJURY, "Employee":
TVA employees who sustain injuries or illnesses in the performance of their official duties are entitled to compensation and other benefits in accordance with provisions of the FECA.
This Act is administered by the
TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUMBER:
71300 REVISION NUMBER:
3 PAGE 22 OF 28
- OWCP, U.S, Department of Labor.
OWCP reaches decisions about and awards benefits for all occupation-related injury or illness claims submitted by Federal employees'he Division of Medical Services acts as liaison with OWCP to provide or ensure that TVA employees receive the benefits to which they are entitled under the Act, The Work Injury Compensation Services (WICS) staff in TVA's Division of Medical Services manages TVA's participation in the administration of FECA benefits.
Essentially, all claims are submitted through the WICS and that staff handles all correspondence with OWCP about particular claims and the administration of FECA.
The claims management service is coordinated with and supported by other elements of TVA's occupational medical services
- program, including medical evaluations and management and the rehabilitation program in particular, In 1981, the average lapsed time from an employee's initial notice of a traumatic lost-time injury to transmittal of a documented initial claim by TVA to OWCP was 48 days.
By 1985, that time interval had dropped to 15 days TVA-wide -- a decrease in time of over 69 percent.
At WBN, the process interval was 16 days by 1985.
FECA sets specific compensation rates including death benefits.
According, to TVA Instruction VIII INJURY, "Employee,"
FECA rates are set us follows; The basic rate of compensation is 66-2/3 percent of the rate of pay, exclusive of overtime, at the time of injury. If the injured employee has one or more dependents, the basic rate of compensation is augmented by 8-1/3 percent.
The monthly compensation can neither exceed 75 percent of the highest step of grade 15 of the current General Schedule of the Classification Act of 1949, nor can it be less than the lowest step of grade 2
of the schedule (see PM Section 2, Federal Service General Schedule) for temporary or permanent total disability unless the employee's monthly pay is less, in which case the monthly rate of compensation shall be egual to the employee's full monthly pay.
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71300 REVISION NUMBER:
3 PAGE 23 OF 28 For a temporary employee who worked for TVA less than 90 percent'f the year immediately preceding the date of injury and whose employment would have continued for less than 90 percent (234 workdays or 11 months) of the year had he or she not been injured, compensation may be based on the employee's average annual earnings, provided such earnings shall consist of not less than 150 times the average daily wage which he or she shall have earned in such employment during the year immediately preceding the injury.
If an employee suffers a recurrence of disability after having returned to a regular, full-time TVA job and worked for as long as six months, compensation is based on the rate of pay at the time of injury or recurrence of disability, whichever is greater.
A review of previous responses to some of the concerns in this issue found only one case of delayed submittal by WICS.
That claim had been misfiled, in the wrong file cabinet.
When the CI inquired about the claim, the error was discovered and the claim was submitted immediately to OWCP.
In the other cases, claims were delayed by the employees'ailure to submit information that had been requested either by WICS or OWCP to document the claims.
Conclusion TVA does not determine the amount of compensation due an injured worker.
Compensation rates are specified by the FECA, which is administered by the OWCP.
TVA has an excellent record for the timely submittal of claims to the OWCP, with an average elapsed time at WBN of 16 days from an employee's report of injury to transmittal of the initial claim.
TVA has no control over claims processing by the OWCP; however, the WICS staff is readily available to assist employees in following up their claims with the OWCP.
Employees who feel their compensation claims are not being handled properly'hould contact the WICs staff in Chattanooga or, if necessary, the manager of TVA's Workers'ompensation Program Services.
Based on the evaluation summarized
- above, the issue of slow claim processing and inadequate compensation was not verified as factual.
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71300 REVISION NUMBER:
3 PAGE 24 OF 28 4.2.3 Issue 71312 Compensation is Unjustly Denied The CIs contend that their claims for compensation were unjustly rejected or denied by TVA.
Discussion Four of the eight CIs raising this issue have received previous responses to their concerns.
In one of the cases, the CI had in fact received compensation for two separate
- claims, and a third claim was under review by the OWCP at the time of the response.
The other responses told the CIs precisely how to get assistance in filing and following up their claims.
Interviews with WICS staff members and a review of compensation case files revealed that claims not paid fall into three categories:
Claims for which additional information has been requested of the employee, but not yet provided Claims that had been denied by the OWCP for cause Claims that had been contested
{controverted) by TVA as unjustified When a claim is submitted with insufficient information or supporting evidence, the claimant is informed in writing of the status of the claim and what information or evidence is required. It is then incumbent upon the individual to submit the required documents.
The WICS staff and the WBN compensat'ion clerk assists the employee in gathering the required information and completing the necessary forms.
When a claim is denied by OWCP, the employee is informed in writing of the reason(s) for the denial.
The employee is also advised of his/her appeal rights and the procedure for exercising those rights.
A claim may also be denied as the result of a successful challenge by TVA.
OWCP regulations give the employing agency the right to controvert claims that appear to be unjustified.
Controvert means to submit formal objection with evidence.
It must be supported by a concise,
- thorough,
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71300 REVISION NUMBER:
3 PAGE 2S OF 28 factual report including the rationale on which the objection is based.
Claimants are informed when a claim is being controverted and are told the reason
- why, The OWCP may concur with the controversion and deny the claim or it may decide in favor of the claimant; in any event, the decision is made by the OWCP, not by the employer.
As with any denial of a compensation claim, the claimant has the right to appeal the OWCP's decision to the U.
S.
Department of Labor Branch of Hearing and Review.
The WICS staff and WBN compensation clerk assists employees in filing their appeals, Conclusion It was not possible to investigate all the specific cases, as the names of the CIs were not available to the evaluator.
- However, the investigation indicated that claims are handled and determinations are made in accordance with the FECA and OWCP procedures.
No cases of unjust denial were found.
An individual may certainly disagree with a decision and consider it, to be unjust.
- However, ample avenues of appeal are available, and assistance is available for the asking.
Therefore, this issue was not found to be factual.
4.2.4 Issue 71313 Claim Filing Information Purposely Withheld The CI alleged that medical personnel intentionally withhold information as to which forms are required for filing compensation claims and how to complete the forms.
Discussion The WICs staff in TVA's Division of Medical Services manages TVA's participation in the administration of FECA benefits.
Essentially, all claims are submitted through the WICs, and that staff handles all correspondence with OWCP about particular claims and the administration of FECA.
Under FECA, every employee who is injured in the performance of duty must give written notice of. the injury on Form CA-1 within 30 days after its occurrence, This is a legislated or legal requirement in the ACT itself.
Also, to continue
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71300 REVISION NUMBER:
3 PAGE 26 OF 28 treatment and eligibility for compensation, various forms (just which ones depends on the situation itself) must be completed and submitted to OWCP by the employee.
Someone acting in the employee's behalf may initiate and submit the required forms.
TVA, however, cannot initiate a filing for compensation.
The WICs staff and other designated compensation specialists are available to assist employees in completing necessary forms.
However, it remains the employee's responsibility to take advantage of this assistance.
It is not possible to determine the precise reason for the concern in this issue, as the identity of the CI is not known to the evaluator.
- However, the concern was previously investigated by a medical administrator and a response was provided to the CI.
That response referred the CI to specific persons for assistance and to the WICS staff in Chattanooga if any problems were encountered.
Conclusion The investigation found that assistance is available to employees who need to file FECA claims, but it is the employee's responsibility to ask for help.
No evidence was found of any WICs staff member or other compensation specialist refusing a request for assistance.
Therefore, this issue could not be verified as factual, 4.3 Miscellaneous Medical Issues Each of these miscellaneous issues was previously investigated an a
response provided to the CI.
This evaluation concurs with the previous findings as summarized below.
4.3.1 Issue 71314 Truck Drivers'ealth Affected by Hazardous Materials The CI alleged that medical problems of several truck drivers were caused by transporting hazardous materials.
Investigation revealed that the cited health conditions were congenital; therefore, this issue was not found to be factually accurate.
TVA EMPLOyEE CONCERNS SPECIAL PROGRAM REPORT NUMBER:
71300 REVISION NUMBER:
3 PAGE 27 OF 28 4.3.2 Issue 71324 Unstable Employee in Sensitive Position The CI stated that an employee in a sensitive position was considered unstable by colleagues.
A previous investigation found the individual's condition to be medical, not psychological; therefore, this issue was not found to be factual.
4.3.3 Issue 71316 - Unsecure Medical and File Cabinets The CI stated that medical cabinets and files cannot be completely locked and can easily be left unsecured.
Investigation revealed the issue was factual but the cabinets had already been replaced with ones that lock.
4.3.4 Issue 71317 - Personnel Department Changes Medical Records The CI alleged that the personnel department makes unauthorized changes to medical records.
The investigation revealed that no entries are made to medical records by anyone other than the Medical Staff.
Documents relating to personnel
- action, such as hirings or terminations, are included in medical records but they have no relation to medical actions.
Therefore, this issue was not found to be factual.
5.0 COLLECTIVE SIGNIFICANCE During the timeframe of the concerns in this subcategory, WBN medical services had over 40,000 visits.
The 58 concerns in this category were from a total of 50 individuals.
That 40,000 visits produced only 50 concerned individuals argues that WBN employees were generally satisfied with their onsite medical services.
All of this is not to say that many of 50 CIs did not have genuine cause for irritation.
The patients and the medical staff at any American medical facility are overburdened with paperwork.
The situation at WBN is not an exception.
The evaluation indicates that some employees need to be better informed on what medical services and compensation benefits are due them and also better informed on how to obtain those services and benefits.
They should also be better informed on the appeal processes available to them if they receive less than satisfactory medical service.
Workers who feel they are being treated unfairly or indifferently are not likely to perform to their.full potential.
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TVA EMPLOYEE CONCERNS SPECIAL PROGRAM REPORT NUMBER:
71300 REVISION NUMBER:
3 PAGE 28 OF 28 6.0 CAUSES Some of the concerns in this subcategory appear to be based on dissatisfaction with entitlements rather than denial of entitlements.
- Others, however, appear to stem from a lack of employee awareness of what medical services and compensation benefits are due them and how to obtain them.
Employees are insufficiently aware of how medical constraints are determined, how to apply for FECA benefits, and how to appeal decisions with which they disagree.
7,0 PREVIOUSLY INITIATED CORRECTIVE ACTIONS The Office of Nuclear Power has implemented training for managers and supervisors, regarding TVA medical care policy.
Training will also be offered on TVA's occupational medical program and the administration of FECA and it provisions.
This informative program is incorporated in the TVA Supervisory Training Program and is required for all TVA supervisors as a corporate
- program, Employees are also informed about medical programs by TVA publications such as Inside yyA, T~VA 1oda, TWA announcements and by means oy paycheck inserts.
8.0 ATTACHMENTS Attachment A, Subcategory Summary Table Attachment B, List of Concerns by Element Attachment C, List of Reference Documents Attachment D, List of Interviewees
0 j
REFEREt ECPS132 J-ECPS132C FREQUEtl
- REQUEST OWP ISSS Rtlt1
- ATEGORY:
t1P thGT.
8 PERS.
ISSUES A
1BtENT A TEtlWESS LLEY AUTHORITY OFFICE UCLEAR POWER EHPLOYEE COtlCE ROGRAt't SYSTEN (ECPS)
EHPLOYEE COHCERtl ItlFORtlATIOtl BY CATEGORY/SUBCATEGORY SUBCATEGORY: 713 SLOH CLAIH PROCESSING AtlD IHADEQUATE COMPENSATION P
1 IHE - 10:0<i:3 ATE 03/10/8 S
H SUB R PLT COtlCERtl tlUthBER CAT CAT D LOC EX 120-X0101 HP 71311 W
HBW T50195 1
REPORT APPL 2 SAF RELATED BF BL SQ llB 1 tl W
tl H
2 WA WA WA WA HISTORICAL COHCERH REPORT ORIGIN EX-85-120-X01 QTC CONCERN DESCRIPTION CI REGISTERED A COtlCERtl ItlVOLVIHG A WORK RELATED INJURY DURItlG HIS INITI AL IWTERVIEll. 'I STATED QTC HAS BEI HG PAID OFF BY TVA AWD OtlLY RESPOHDE D HITH ItlFORHATIOtl THAT TVA APPROVED OF.
COWSTRUCTIOtl DEPT.
COWCERtl.
C I HAS NO FURTHER INFORNATIOW.
REF.
SECTI0 CAT t1P SUBCAT 73
- .EX 130-00101 NP 71312 tl l<Btt 1
N W
W tl T50195 2
NA HA WA HA EX -85"169-00101 HP 71311 tl llBtl 1
tl tl H
tl T50207 2
HA tlA HA HA EX 150-00101 t1P 71301 N HBtl 1
H H
H tl T50207 2
HA WA HA HA EX 150-00301 HP 71312 N klBtt 1
H N
N H
T50205 2
r(A tlA WA tlA EX 150-00401 IH 60400 S llBH 1
T50206 2
02 HP 71301 S
HBH 1 tl N
H H
2 tlA WA WA HA QTC QTC QTC QTC QTC TVA FORCED CI TO ACCEPT PRIVATE HEDI CAL TREATNENT.
CI FEELS THAT TVA SH OULD BE RESPONSIBLE FOR THE RESULTAtl T tlEDICAL BILLS.
DETAILS KNOWN TO Q
TCr HITHHELD DUE TO CONFIDENTIALITY.
COWSTRUCTIOtl DEPT.
CONCERN.
CI HA S
tlO FURTHER IHFORHATIOtl.
TVA TAKES T00 LONG llHEN PROCESSING H
ORK RELATED COHPEHSATIOtt CLAIMS.
DE TAILS KWOHN TO QTC>
HITt/HELD DUE TO COtlFIDEtlTIALITY.
COtlSTRUCTIOtl DEPT.
COtlCERW.
CI HAS tlO FURTHER ItlFORHA TIOtl.
TVA DELAYED GIVING CI tlECESSARY MEDI CAL ATTENTION FOR thAtlY DAYS.
DETAIL S
KtlOHtl TO QTCJ
~ HITHHELD TO MAItlTAIN COtlFIDEHTIALITY. CI HAS tlO FURTHER IHFORHATIOtl." CONSTRUCTION DEPT.
CO WCERW.
TVA HAS DENIED CI COttPEtlSATION FOR L
EGITIllATE EXPENSES INCURRED BECAUSE OF Otl"THE-JOB ItlJURY.
DETAILS KHOlltl TO QTC; llITHHELD TO NAIWTAItl COHF1'D EtlTIALITY. CI HAS tlO FURTHER ItlFORH ATIOtl.
COHSTRUCTIOW DEPT.
COtlCERtl.
TVA TREATS INJURED EMPLOYEES BADLY B Y DEtlYIWG THEt't TIHELY HEDICAL ATTEWT IOttp AtlD THEIR ItlJURIES HAVE BEEN t1A DE HORSE.
DETAILS KHOHtl TO QTC> llIT HHELD DUE TO COWFIDEtlTIALITY.
CONST RUCTIOW DEPT.
COtlCERtl.
CI HAS tlO FU RTHER ItlFORtlATIOW.
COtlCERtlS ARE GROUPED BY FIRST 3 DIGITS OF SUBCATEGORY HUHBER.
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REFEREt ECPS132J-ECPS132C FREQUEtl REQUEST OtlP ISSS RMM
- ATEGORY:
MP MGT.
8 PERS.
ISSUES TEWWESS LLEY AUTHORITY OFFICE UCLEAR POHER EMPLOYEE CONGE PROGRAM SYSTEM (ECPS)
EMPLOYEE COtlCERtl IttFORttATIOtt BY CATEGORYiSUBCATEGORY SUBCATEGORY: 713 COtlPEttSATIOH IS UtlJUSTLY DEtlIED 2
IME 10 i Oii i 2 R
ATE 03/10/8 S
H SUB R PLT CONCERN NUMBER CAT CAT D
LOC 1
REPORT APPL 2
SAF RELATED BF BL SQ HB HISTORICAL COtlCERN REPORT ORIGIN CONCERN DESCRIPTION REF.
SECTI(
CAT
- tlf SUBCAT 7)
EX -85"152-00201 MP 71312 W
l<BW T50204 1N tl N
N 2
WA WA tlA WA QTC CI RECEIVED A JOB-RELATED INJURY 1<HI CH CAUSED LATER PROBLEtlS TO CI'S HAW D HHICH TVA CLASSIFIED AS WOtl"JOB RE LATED AHD AS A RESULT CI RECEIVED WO BEtlEFITS FOR THE TIME OFF FOR HAtlD SURGERY AND CI'S RETIREtlEtlT llAS ADVE RSELY AFFECTED.
(ttAHES/DETAILS TO T HE SPECIFIC CASE ARE KHOllN TO QTC AH D llITHHELD TO MAIHTAItlCOWFIDEWTIALI TY).
COtfSTRUCTIOW DEPT.
COtlCERH.
C I HAS tlO FURTHER IHFORMATIOtl.
HI -85"055"00101 T50036 02 03 IH 60100 S ttBtf 1
H W
N Y
HI-85-055-001 2
HBW 1
N H
N W
2 HA WA WA HA MP 71305 S
HBH 1
N H
tl tl 2
NA tlA tlA WA QTC TVA DOES HOT ACCEPT PRIVATE PHYSICIA NS'ECOtlMEtlDATIOHS REGARDIHG HORK R
ESTRICTIOtlS.
(DETAILS KtlOt'tH TO QTC)
IW 119-00501 MP 71311 tl ilBW 1
N W
tl N
T50265 2 tlA tlA tlA tlA QTC MORALE IS VERY LOll.
MORALE PROBLEtl IS CAUSED BY TVA MANAGEttEHT.
CI CIT ES FOLLOMItlG EXAMPLES AS CAUSItlG LOll MORALE AMOtlG TVA EtlPLOYEES: 1) SPLI TTItlG UP OF INSTRUMEttTATIOtt QC GROUP Itl JUWEp 1985.
2)
THE SAFETY/ttEDIC AL GROUP OW SITE IS EXTREI'1ELY SLOll I tl PROCESSItlG TIfhE LOSS ACCIDEtlT CLAI MS FOR JOB-RELATED INJURIES.
THIS D
ELAYS PAYfhEHT OF COftPft<SATIOH WAGES TO ItlJURED MORKERS, CI STATED THAT tlEDICAL GROUP OFTEN REFERS COtlTINUAT
'IOtf OF PAY CLAIMS TO D.O.L.
OFFICE I N JACKSOHVILLEp FLORIDA ADDItlG T CONCERNS ARE GROUPED BY FIRST 3 DIGITS OF SUBCATEGORY NUMBER.
REF EREt ECPS132 J-ECP S132C FREQUEtl REQUEST OWP ISSS RM11
- ATEGORY:
t1P t1GT.
8 PERS.
ISSUES TEWHESS LLEY AUTHORITY OFFICE UCLEAR POllER EMPLOYEE CONGE PROGRAM SYSTEM (ECPS)
EMPLOYEE COtlCERtl IWFORt1ATIOtl BY CATEGORY/'SUBCATEGORY SUBCATEGORY: 713 SLOll CLAIt1 PROCESSING AND INADEQUATE COMPEtlSATION ItlE " 10:Oii:3 ATE - 03/10/'8 S
H SUB R PLT COtlCERH NUMBER CAT CAT D
LOC 1
REPORT APPL 2 Sit.
RELATED BF BL SQ HB HISTORICAL COtlCERtl REPORT ORIGIN CONCERN DESCRIPTIOtl REF.
SECTIO CAT t 1P SUBCAT - 71 IH "85-199-00201 MP 71311 N HBH T50228 1H N
tl W
2 tlA HA HA WA QTC CI HAS INJURED ON THE JOB AT HATTS B
ARp AtlD llAS PAID INADEQUATE COtlPEWSA TIOH.
CI CAH NOT CLIMB OR CARRY A S
ACK OF GROCERIES.
DETAILS KtlOHtl TO QTC HITHHELD DUE TO COtlFIDEtlTIALITY.
NO FURTHER IHFORMATIOt< MAY BE RELE ASED.
COtlSTRUCTIOW DEPT.
CONCERN.
CI HAS tlO FURTHER ItlFORMATION~
NO F
OLLOll-UP REQUIRED.
IH 261 "00901 I'1P 71308 H llBtl 1
H tl tl H
T50 117 2
WA WA WA WA Itl 268-00301 MP 71301 N
MBW 1
W H
tl N
T50236 2
WA tlA HA HA IW 268-00501 MP 71310 tl HBN 1
H N
tl H
T50236 2
WA WA WA HA I
QTC QTC QTC CI ALLfGES THAT ERRONEOUS DATA HAS B
EEtl PLACED IW HIS MEDICAL RECORDS Atl D HAS REQUESTED QTC REVIft< THESE REC ORDS.
(NAMES/DETAILS Ktt0tltt TO QTCp AtlD RELEASE OF THIS ItlFORMATIOW t<OU LD JEOPORDIZE CI'S COHFIDfttTIALITY)
CI HAS HO t10RE It)FORMATIOtt.
tlO FOLL OH UP REQUIRED.
TVA MEDICAL IS UtlRESPONSIVE TO LEGIT ItlATE EtlPLOYEE MEDICAL AHD HEALTH tlE EDS.
DETAILS KWOllW TO QTCi l<ITHHELD DUE TO CONFIDENTIALITY.
HO FURTHER ItlFORt1ATIOtl MAY BE RELEASED.
CONST RUCTIOtl DEPARTt1ftlT COtlCERW.
CI HAS HO FURTHER ItlFORMATIOH.
HO FOLLOH U
P REQUIRED.
TVA t1EDICAL PUT CI BACK ON REGULAR D
UTY TOO SOON AFTER EXTENSIVE SURGERY TO CORRECT THE EFFECTS OF AW Otl THE JOB ItlJURY.
DfTAILS KllOlltl TO QTCi tlITHHELD TO MAItlTAIWCOtlFIDEHTIALITY tl0 FURTHER IWFOR11ATIOtl tlAY BE RELE ASED.
COHSTRUCTIOtl DEPARTt1EWT COtlCE Rtl.
CI HAS tlO FURTHER ItlFORMATIOW.
tlO FOLLOM UP REQUIRED.
CONCERNS ARE GROUPED BY FIRST 3 DIGITS OF SUBCATEGORY WUMBfR.
~
J
REFER EI ECPS132 J-ECPS132C FREQUEW REQUEST OHP ISSS Rllit ATEGORY:
MP MGT. 8 PERS.
ISSUES TEHtlESS L L EY AUTHORITY OFFICE UCLEAR POMER EMPLOYEE COIICE PROGRAt1 SYSTEt1 (ECPS)
EMPLOYEE COtICERtl IWFORMATIOtl BY CATEGORY/SUBCATEGORY SUBCATEGORY'13 TVA MEDICAL PERSONtlEL ARE WOT QUALIFIED IME 10 4 0<4 4 3 ATE - 03/10/8 S
H SUB R PLT COtlCERN HUt1BER CAT CAT D
LOC 1
REPORT APPL 2 SAF RELATED BF BL SQ HB HISTORICAL CONCERN REPORT ORIGIN CONCERN DESCRIPTION REF.
SECTI(.
CAT
- Mf SUBCAT 7]
IW 2c48-00601 MP 71302 W
HBW T50236 1 tl tl tl H
2 tlA HA HA WA QTC TVA MEDICAL PERSONNEL ARE tlOT QUALIF
- IED, DETAILS KtlOHW TO QTC, IIITHHEL D DUE TO CONFIDENTIALITY.
WO FURTHE R INFORMATION t1AY BE RELEASED.
COtlS TRUCTIOtl DEPARTt'IftlT CONCERt),
CI HAS NO FURTHER ItIFORIIATIOtI.
HO FOLLOH UP REQUIRED.
Itl -85"286-00301 MP 71303 W IIBW 1
H tl tl tl T50020 2
WA HA WA NA QTC THERE IS tlO DOCTOR OH THE NIGHT SHIF T
IW 329-00101 T50025 MP 71301 W HBH 1
H H
W H
IH-85"329-001 QTC 2
WA tlA HA tlA TVA MEDICAL DOCTORS FAILED TO SEE BR OKEN BOtlE IW ItlITIALX-RAY.
IIRIST I tlJURY IIAS ItlITIALLYDIAGtIOSED AS SPR AItlED AWD PLACED IH CAST FOR 44-6 HEE KS.
THE HRIST COtlTIWUED TO SIIELL.
A CORTISOIIE SHOT IIAS ADMIIIISTRATED.
Et1PLOYfE HAS UtlDERGONE SURGERY (BOH E GRAFT)
TVA MEDICAL STAFF HAS MADE A'I'IARE OF SEVERITY OF INJURY BY CIVIL IAtl M.D.
t1EDICAL PROBLEt1 HAS EXISTE D SItICE 1981.
IT IS ASSUMfD IF THE INITIAL EVALUATIOtl OF THE FRACTURE H
AD BE DIAGNOSED PROPERLY THE ItlJURY l<OULD WOT HAVf REQUIRED ADDITOtlA Itl -85"335-00301 MP 71305 tl IIBII 1 tl W
N H
T5005c4 2 tIA WA NA HA QTC THE CMA AtlD SITE DOCTOR REIIORDS MEDI CAL SPECIALIST'ESTRICTIONS SO THAT THE RESTRICTIONS ARE HOT THE SAME 4 IE EtIPLOYEE IS TO WORK IH Atl EtlVIROtl MEtlT I'IITH LESS TI'IAW 85 DECIBELS IS R
EIIORDED TO READ EMPLOYEE TO HORK IH AW EtlVIROWMEIIT THAT AVERAGES 85 DECI
- BELS.
44/85 (IIAMES OF PEOPLE ItIVOLVE D Itl THE REHORDItlG ARE KtIOHW)
IW 539-00101 T50219 MP 71316 H IIBN 1
H H
W H
IW-85-539-001 QTC 2 tlA HA HA NA MEDICAL CABItlETS AtlD FILES CAtltlOT BE COMPLETELY LOCKED.
THEY CAtl EASILY BE LEFT UtlSECURED, CI DECLINED TO PROVIDE FURTHER IWFORMATIOtl.
CONSTR UCTIOtl DEPARTt1EHT CONCERN.
COtICERHS ARE GROUPED BY FIRST 3 DIGITS OF SUBCATEGORY NUMBER.
REFEREt ECPS132J-ECPS132C FREQUEtl REQUEST OtlP - ISSS - RllN
- ATEGORY:
NP NGT.
8 PERS.
ISSUES TEtlHESS LLEY AUTHORITY OFFICE UCLEAR POHER ENPLOYEE CONGE PROGRAN SYSTEN (ECPS)
ENPLOYEE CONCERN IWFORNATIOtt BY CATEGORYrSUBCATEGORY SUBCATEGORY: 713 INJURED Et1PLOYEES RETURtlED TO DUTY TOO SOON 5
NE - 10 i 0 '. 3 R
ATE 03r10r8 CONCERN tlUMBER CAT SUB CAT S
H R PLT D
LOC 1
REPORT APPL 2 SAF RELATED BF BL SQ llB HISTORICAL COHCERW REPORT ORIGIN CONCERN DESCRIPTIOH REF.
SECTIG CAT SUBCAT " 71
~ jH 539-00201 T50062 NP 70506 S IlBtl 02 NP 71310 S
NBtl 1
H H
W W
2 WA WA WA NA 1
H N
tl tl 2
WA tlA tlA HA IH-85-539-002 QTC INJURED ENPLOYEES SHOULD AVOID A FUL L
DUTY STATUS UtlTIL AUTHORIZED BY TV A,
(DETAILS Ktl01'Itl BY QTC)
IH 546-00201 T50067 IW 605-00301 T50107 NP 71312 H lIBtl 1 tl tl H
N IH-85"566-002 2
WA WA HA HA NP 71302 tl HBtt 1
H W
N H
IN"85-605-003 2
WA WA WA WA QTC DOCTORS TAKE ADVICE (ORDERS)
FRON TV A NAWAGENEtlT AS TO HORK RESTRICTIONS FOR PERSOtlHEL INJURED Otl THE JOB.
THIS ALSO AFFECTS HON PERSONNEL HILL RECEIVE OW THE JOB ItlJURY CONPEttSAT IOH.
(DETAILS KHOllW)
QTC HATTS BAR CONSTRUCTIOtl SITE HAS ItlAD EQUATELY TRAINED l1EDICAL PROFESSIOtlA LS.
THEY HAVE PEOPLE TRAItlED IH FIR ST AID OtlLY, A STAFF OF OWE HEAD tlU RSEp Tll0 ASSISTAtlTS AtlD A DOCTOR Itl THE TRAILER IS WOT EtlOUGH.
CI HAS N
0 FURTtlER IWFORNATIOtl.
tlO FOLLOH UP REQUIRED.
Itl 627-03001 NP 71311 tl HBtl 1
H H
H tl T50190 2 tlA tlA tlA tlA QTC Et1PLOYEE SUFFERED A JOB RELATED INJU RY AtlD AFTER tlItlETEEtl llEEKS HAS STIL L
NOT RECEIVED AHY HORKttAtt'S CONPEWS ATIOtl BEtlEFITS.
DETAILS KtlOHW TO QT Ci l'IITHHELD DUE TO CONFIDENTIALITY.
COWSTRUCTIOtl DEPARTNEtlT COtlCERtl.
C I HAS WO FURTHER ItlFORttATIOtt.
COtlCERWS ARE GROUPED BY FIRST 3 DIGITS OF SUBCATEGORY tlUNBER.
~
~
REFEREW ECPS132J-ECPS132C FREQUEt/C
- REQUEST Ot/P ISSS RHM
- ATEGORY:
MP f'fGT. 8 PERS.
ISSUES
, TENNESS LEY AUTHORITY OFFICE CLEAR POllER E/EMPLOYEE CONGER PROGRAtl SYSTEM (ECPS)
EMPLOYEE CONCER//
INFORMATIOt/ BY CATEGORYr'SUBCATEGORY SUBCATEGORY: 713
/MEDICAL RECORDS FALSIFICATIOt/
6 ME I'0: Oii:3 ATE - 03rlor8 S
H SUB R PLT COtlCERtl NUMBER CAT CAT D LOC 1
REPORT APPL 2 SAF RELATED BF BL SQ llB HISTORICAL CONCERN REPORT ORIGIN CONCERN DESCRIPTION-REF.
SECTIO CAT
" flP SUBCAT " 71 IN 663-00501 MP 71307 tl l/BN T50238 1
W W
N W
2 WA WA -WA WA IW 663-01401 MP 71306 N llBW 1 tl t/
N N
T50239 2 t/A t/A NA WA QTC QTC TVA MAt/AGE/IEt/T DOES t/OT DISCOURAGF E
MPLOYEES STROtlGLY Et/OUGH FROM LYIWG ABOUT PRIOR MEDICAL PROBLEf/S AWD DOE S
WOT TAKE EFFECTIVE CORRECTIVE ACTI ON HHEt/ SUCH AW Ut/TRUTH IS DISCOVERE D.
EXAMPLES EtlPLOYEE llAS TURNED DOH t/ AT OWE TVA PLANT FOR MEDICAL PROBL EMS.
EfjPLOYEE APPLIED AT At/OTHER PL ANT AWD HAS HIRED.
LATER'HE Ut/TRU TH HAS DISCOVERED'UT THE Ef'1PLOYEE l/AS WOT TERMIt/ATED.
DETAILS KWOHtl T 0 QTCi l'lITHHELD TO MAINTAIt/ CONFIDE//
TIALITY.
t/0 FURTHER It/FORMATIOtl fhAY BE RELEASED.
- CI t/AS WO FURTHER TVA MANAGE/lEt/T GAVE f/ATTS BAR'S "BAC K CARErPREVENTIOtl PROGRAtl" TOO LITTL E TIf'lE TO
- SUCCEED, CI HAS WO FURTHE R It/FORMATION.
CONSTRUCTION DEPARTS ENT COWCERt/.
tlO FOLLOW UP
- REQUIRED, IW 665-00201 T50067 tlP 71304 tl llBN 1 tl W
t/
N IN-85-665-002 2
NA WA WA WA QTC IWSUFFICIEtlT MEDICAL FACILITIES Ot/
S ITE.
THERE USED TO BE EQUIPf'1EWT Otl SITE TO TREAT EMPLOYEES HITH FOREIGN OBJECTS It( -THEIR EYES.
t/OH Et)PLOYE ES HAVE TO "BRASS OUT" AND GO TO THE HOSPITAL.
AN EMPLOYEE (t/AME Ut/KNO/l tl) I/AS FELLED l/ITH A HEART ATTACK AN D DIED Otl THE SPOT llHILE A MEDICAL S TAFF INDIVIDUALAt/D A SAFETY ENGIt/EE R
STOOD THERE SEEtlIt/GLY t/OT Kt/Ol/IWG Ht/AT TO DO.
HAD THERE BEEN PROPER E
QUIPMEt/T AVAILABLEAt/D l'/ERE tlEDICAL STAFF TRAIt/ED Itl ITS USERS THE "VICTI M" flAY HAVE LIVED.
CI HAS.t/0 AD IW 676-00101 MP 71305 W
HBW 1
N "N
N N.
2 t/A t/A WA t/A QTC TVA l/ILL NOT ACCEPT PRIVATE DOCTORS RECOtlflENDATIOt/S RELATIVE TO MEDICAL RESTRICTIONS.
REF.
PH"85"015" 001 COt/CERt/S ARE GROUPED BY FIRST 3 DIGITS OF SUBCATEGORY t/UMBER.
REFEREt ECPS132J-ECPS132C FREQUEtl REQUEST OWP ISSS RHt1
- ATEGORY:
HP HGT.
8 PERS.
ISSUES 7 EtlHES S L L EY AUTHORITY OFFICE UCLEAR POllER EHPLOYEE CONGE PROGRAH SYSTEH (ECPS)
Et1PLOYEE CONCERN 1HFORttATIOtl BY CATEGORYiSUBCATEGORY SUBCATEGORY: 713 TRUCK DRIVERS AFFECTED BY HAZARDOUS MATERIAL 7
tlE 10: O~i:.'
ATE - 03/'10/8 COtlCERtl NUHBER CAT S
H SUB R PLT CAT D LOC 1
REPORT APPL 2
SAF RELATED BF BL SQ llB HISTORICAL CONCERt(
REPORT ORIGIN COtlCERW DESCRIPTIOtl REF.
SECTI('AT " HF SUBCAT 7)
IN "85-720-X0501 T50133 NP 71314 S
llBW 02 SF 91206 S HBtt Itl 723-00101 T50102 NP 70506 S
l<BW 02 MP 71305 S
HBW 1H tl W
N 2 tlA WA tlA HA 1N tl H
Y 2
WA WA WA WO 1H N
tl H
2 tlA HA NA NA 1
H H
H H
2 WA WA tlA tlA IN-85-720-X05 QTC Itl-85-723-001 QTC CI STATED OF APPROX 57 TRUCK DRIVERS THAT OVER 1/2 HAD SOtlE SORT OF HEAR T,
BLOOD AND/OR CAtlCER PROBLEH.
CI FEELS THE tlEDICAL PROBLEtlS THE TRUCK DRIVERS ARE EXPERIEtlCIWG IS DUE TO THE HAZARDOUS TYPES OF HATERIALS (tl0 T SPECIFIED)
THEY ARE REQUIRED TO TR AHSPORT.
CI HAS HO FURTHER ItlFORt1AT IOH.
TVA HEDICAL REFUESED TO ALLOW CI'S P
ERSONAL DOCTOR TO ADEQUATELY TREAT J OB RELATED INJURIES.
t'1EDICAL COtlSIS TEtlTLY REFUSED TO ABIDE BY RESTRICTI OWS ESTABL1SHED BY PERSONAL DOCTOR
(
SUBHISSION Of ADD'1 DETAIL COULD CON PROHISE CI'S COtlFIDEtlTIALITY).
tlO F OLLOIl UP REQUIRED.
IH 725-00601 T50159 MP 71313 H llBH lW tl NH 2
WA tlA HA tlA IH-85-725"004 QTC TVA l'1EDICAL PERSOtlHEL (KWOllW) PURPOS ELY DO WOT TELL ItlJURED Et1PLOYEES HH ICH FORHS NUST BE FILLED OUT OR HOll TO FILL OUT FORtlS Itl ORDER FOR THEt1 TO BE COtlPEHSATED FOR tiISSED TItlE At)
D OUTSIDE HEDICAL TREATHEHT.
DETAIL S Ktl0lltl TO QTCi llITHELD TO thAItlTAItl CONFIDEtlTIALITY.
(CONSTRUCTION DEPT COtlCERtl).
CI HAS tlO FURTHER IHFORH ATION.
HO FOLLOllUP REQUIRED.
Itl 770-00501 VP 70506 S
HBtl 1
N W
H H
T50116 2 tlA tlA NA WA 02 HP 71305 S HBtl 1 tl tl H
H.
2 NA WA HA HA QTC FOLLOllItlG AH IHJURY ON TtlE JOB IH '8 3
A TV DOCTOR CHANGED THE RESTRICTIO W It1POSED BY A PRIVATE DOCTOR.
FURT HER ItlFORHATIOH HILL COflPROHISE CONF IDftlTIALITY, COtlSTRUCTIOtl DEPT.
COW
- CERtl, COWCERtlS ARE GROUPED BY FIRST 3 DIGITS OF SUBCATEGORY ttUNBER.
l
~
~
REFEREt ECPS132J-ECPS132C FREQUEtl REQUEST OHP ISSS RllM
"-ATEGORY:
MP MGT.
8 PERS.
ISSUES TEHtlESS LLEY AUTHORITY OFFICE UCLEAR POllER EMPLOYEE COtlCE PROGRAM SYSTEM (ECPS)
EMPLOYEE COWCERtt IHFORtlATIOH BY CATEGORY/SUBCATEGORY SUBCATEGORY: 713 MEDICAL RECORDS FALSIFICATION 8
IME -
1 0 i 0~i i
.'TE
- 03/10th S
H SUB.
R PLT COtlCERN NUMBER CAT CAT D LOC 1
REPORT APPL 2
SAF RELATED BF BL SQ IlB HISTORICAL CONCERN REPORT ORIGIN COtlCERtl DESCRIPTIOW REF.
SECTI(
CAT
- t'll SUBCAT 7)
IN 810-X0101 MP 71307 S IlBH T50253 02 MP 71309 S
HBW 1
H H
N W
2 HA WA HA HA 1
tl tl tl H
2 NA WA HA HA Itl -85"821"00701 T50198 MP 71312 H llBH 1
N N
tl N
Itl-85-821-007 2
HA HA HA NA Itl 835-00301 MP 71302 H llBtl 1 tl tl tl N
T50254 2
WA HA HA HA QTC QTC QTC C/I REQUESTED AN AHSl'lER TO THE FOLLO llIWG QUESTIONS:
- 2) I S
ASTHMA AH AUTOtlATIC DISQUALIFIER 0 tl Atl EMPLOYEE PHYSICAL'?
3)
UtlDER NH AT CONDITIOtlS MAY AN EMPLOYEE HAVE A STHt'IA AtlD STILL llORK IH CONSTRUCTION
?
6)
HNAT PENALTY IS PRESCRIBED FOR A MEDICAL FORM THAT HAS BEEtl ItlPROP ERLY COMPLETED?
C/I REQUESTS THAT Q
TC PERFORtl THE ItlVESTIGATIOtl OF THE ABOVE.
DETAl'LS KHOllN TO QTCi t'tITHNE LD DUE TO CONFIDENTIALITY.
NO F
TVA IS REQUIRED BY FEDERAL LAN TO PR OVIDE ttORKMEH'S COMPEtlSATION BENEFIT S
TO ALL EMPLOYEES.
THIS SHOULD BE ADMINISTERED Itl AW HONEST AHD FAIR M AHWER WHICH DOES tlOT ItlCLUDE TVA'S P RESEtlT METHOD OF EXCESSIVE DELAYS.
R EDUHDAWT LOSSES OF NECESSARY PAPERllO RK.
REPEATED HASSLES TO THOSE AHAITI tlG BENEFITS>
AtlD ABUSIVE DENIAL BASE D UPON "ItlJURY CAUSED BY HILLFUL tiIS COtlDUCT OF THE EtlPLOYEE" CREATItlG U
- ttJUST, VtlWECESSARY AHD EXCESSIVE FIN AHCIAL HARDSHIPS ON EMPLOYEES.
COWS TRUCTIOH DEPT.
CONCERN.
CI KAS MEDICAL TREATtlfttT FOR MItlOR INJURIES IS BEItlG CONDUCTED BY tlOtl-QUALIFIED PEOPLE.
GEtlERAL FOREMAN ISSUE BAtlD
-AIDS.
MEDICAL VISITS l'O'0 PERMISSIO H IS WOT ALLOWED.
COtlSTRUCTIOtl CONC fRW.
HO ADDITIOt!AL IttFORthATIOtl AVAI LABLE Itl FILE.
tlO FOLLOH-UP REQUIRE D.
COHCERWS ARE GROUPfD BY FIRST 3 DIGITS OF SUBCATEGORY tlUMBER.
RfFEREt ECPS132J-ECPS132C FREQUEtlC REQUEST Ot4P - ISSS Rlltl
- ATEGORY:
MP MGT.
& PERS.
ISSUES TEtlHESS LEY AUTHORITY OFFICE UCLEAR POHER EMPLOYEE CONGER PROGRAM SYSTfM (ECPS)
EMPLOYEE COtlCERtl ItlFORMATIOtl BY CATEGORY/SUBCATEGORY SUBCATEGORY: 713 INADEQUATE SUITABILITY PROGRAM 9
tlE -
10'6:'TE
" 03i10ik COtlCERtl NUMBER CAT S
H SUB R PLT CAT D LOC 1
REPORT APPL 2 SAF RELATED BF BL SQ MB HISTORICAL CONCERN REPORT ORIGI W CONCERt) DESCRIPTION REF.
SfCTIl CAT tlf SUBCAT 71 IH 871-00201 T50255 IW 876-X0101 T50087 MP 71309 tl llBtl 1H tl W
N 2 tlA tlA tlA HA MP 71301 H HBH 1
H H
H W
IW-85"876-XOl 2 tlA tlA HA HA QTC QTC CI FEELS THAT HBWP HAS SOME PERSOHHE L
MI40 PHYSICALLY CAtlHOT DO THEIR JOB DUTIES.
CI THINKS A "PHYSICAL SUIT ABILITY" PROGRAM MOULD HELP.
tlUCLEAR POWER COtlCERtl.
t40 ADDITIONAL IllFOR MATIOtl AVAILABLEIt] FILE.
"MEDICAL HORKS FOR TVA IHTERfSTS tlOT THE EMPLOYEES".
CI FEELS THAT THE tlEDICAL EFFORTS ON SITE ARE WOT RESP OHSIVE TO THE HEEDS OF THE ft1PLOYEES IH "85-901-00101 T50156 MP 71311 H llBH 1
N H
N tl Itl-85-901-001 QTC 2 tlA WA tlA HA EMPLOYEE 4<AS GRAtlTED'TIME OFF OF NOR K PER TVA PROCEDURES IW ORDER TO ROC OVER FROM A MEDICAL COtlDITIOtl.
Et<PL OYEE HAS Et4TITLED TO COt'1PEt4SATION DU RING TItlE OFFi AtlD HAS APPLIED FOR I T.
EtlPLOYEE HAS RECEIVED WO COtlPft4S ATIOtl.
DETAILS KHOllW TO QTC.
MITHEL D TO MAItlTAItlCONFIDENTIALITY.
NO F
OLLOH UP REQUIRED.
IH 910-00201 MP 71306 H IlBH 1 tl H
H H
T50248 2
HA WA HA NA QTC MEDICAL PERSONNEL SHOULD ItlFORM INDI VIDUALS OF THE HAZARDS OF COt)IttG Itl COtlTACT llITH CAUSTIC/HARMFUL CHEtlICA LS (CHLORIt4E HYDRAZINE. ETC. ).
EXAM PLE IlHftl EMPLOYEE llEHT TO TVA tlEDI CAL TO RECEIVE TREATMEtlT FOR IHHALIH G Atlt10tlIA FUMES TVA MEDICAL PERSOtlNE L SAID THAT TtlERE 4<AS WO PROBLEtl DES PITE AtlMOtlIA'S DAtlAGIWG EFFECTS.
DE TAILS KtlONH TO QTC, llITHHELD DUE TO COWFIDEHTIALITY.
WO FURTHER ItlFORMA TIOtl tlAY BE RELEASED.
NO FURTHER It)
FORMATIOtl IH FILE, NUCLEAR POHER DE PARTtlEtlT CONCERN.
t40 FOLLOll UP IW -85=923"00101 T50136 MP 71312 tl HBN 1
W H
W tl Itl"85-923-001 2 tlA t4A HA WA QTC CI INJURED BACK SEVERAL TIMES OW TVA PROPERTY
& TIl'IEE ALL JOB-RELATED'VA HAS UNFAIRLY DENIED CI COtlPEHS ATIOtl.
TREATHEHTp AtlD EMPLOYMEWT.
COtlSTRUCTIOH DEPT
- CONCERN, DETAILS Kt401
AND TllAT A tlEDICAL DOCTOR SHOULD BE IN ATTEH DAt]CE.
CONSTRUCTIOtl DEPT CONCERN.
CI HAS tl0 ADDITIOtlAL IWFORMATIOt<.
CONCERNS ARE GROUPED BY FIRST 3 DIGITS OF SUBCATEGORY HUNBER.
~
g
REFERE ECPS132J-ECPS132C FREQUEt REQUEST OWP IS S
RHtl
- ATEGORY:
MP thGT.
8 PERS.
ISSUES TEWtlES LLEY AUTHORITY OFFIC lUCLEAR POMER EtlPLOYEE CONC PROGRAM SYSTEM (ECPS)
EtlPLOYEE CONCERN ItlFORMATION BY CATEGORY/SUBCATEGORY SUBCATEGORY: 713 SLOH CLAIM PROCESSItlG AND ItlADEQUATE COMPENSATION 11 IME - 10<0<i i.
R DATE 03r 1 ozt COWCERtl NUMBER CAT S
H SUB R PLT CAT D LOC 1
REPORT APPL 2 SAF RELATED BF BL SQ HB HISTORICAL CONCERN REPORT ORIGIN CONCERN DESCRIPTIOW REF.
SECTI(
CAT Ml SUBCAT 7]
IN 256-00101 T501c45 IN -86 "280-00101 T50151 MP 71311 tl tlBN MP 71306 W
MBW 1
N tl tl N
2 tlA WA WA tlA 1N tl N
N 2
WA tlA WA NA IW-86-256-001 QTC IN-86-280-001 QTC CI HAD A JOB
-RELATED INJURY lPHICH R
EQUIRED SURGERY (DR.
SAID COME IW WE XT DAY) BUT TVA DID WOT GET THE PAPE RllORK COtlPLETED UNTIL 30 DAYS LATER.
DR.
INFORMED CI THAT HE HAD FURTHE R
DAMAGED HIS INJURY.
(ttAHES/DETAIL S
TO THE SPECIFIC CASE ARE KWOlltl TO QTC AtlD l)ITHELD TO tlAItlTAINCOtlFIEtlT IALITY).
CONSTRUCTION DEPT.
CONCERN CI HAS tl0 FURTHER INFORMATIOtl.
tl 0
FOLLOM UP REQUIRED.
CI FEELS THAT THE ON-SITE MEDICAL PE RSOWWEL SHOULD GET INVOLVED IN SAFET Y MEETINGS.
flfDICAL PERSOtltlEL COULD EDUCATE THE CRAFT IW SUBSTANCE DAtlG ERS,tlOISE LItlITATIOtlS AtlD HOll EXCESS IVE EXPOSURE TO CHEtiICALS COULD HARtl THEtl.
CI ALSO FEELS THAT THE CRAFT HOULD BE ABLE TO HAVE ANY QUESTIOtlS THEY MAY HAVE BY THE l'1EDICAL STAFF.
CI HAS WO ADDITIONAL INFORMATION, NUCLEAR POllER COWCERtl.
WO FOLLOttUP REQUIRED.
OO 005-00601 tlP 71302 tl SQN 1
N tl tl W
T50224 2 tlA tlA NA tlA QTC SEQUOYAHi TVA DOCTORS (KNOHN) ARE PO ORLY QUALIFIED AND RENDER POOR SERVI CES HHICH HAS WORSEttED EMPLOYEE INJU RIES.
SOME OF TVA'S DOCTORS HAVE tl0 T
HAD MEDICAL LICENSES.
DETAILS Ktl0 l<tt TO QTCp MITHHELD DUE TO COtlFIDEtlT IALITY.
WO FURTHER INFORMATION MAY BE RELEASED.
COtlSTRUCTIOtl DEPT.
CONC ERW.
CI HAS tlO FURTHER INFORMATIOtl.
tl0 FOLLOW UP REQUIRED.
COtlCERWS ARE GROUPED BY FIRST 3 DIGITS OF SUBCATEGORY NUMBER.
~
(
REFEREt
" ECPS132J-ECPS132C FREQUEf REQUEST OtlP IS RMt'I
- ATEGORY: flP MGT.
8 PERS.
ISSUES TEtltlESS LLEY AUTHORITY OFFICE UCLEAR POHER EMPLOYEE CONC PROGRAM SYSTEM (ECPS)
EMPLOYEE COWCERtl ItlFORMATIOW BY CATEGORY/SUBCATEGORY SUBCATEGORY: 713 TVA MEDICAL PERSONNEL ARE tlOT QUALIFIED 12 II'lE 10 i 0<i: 3 R
ATE - 03rlOr8 H
SUB R PLT CONCERN NUMBER CAT CAT D
LOC 1
REPORT APPL 2 SAF RELATED BF BL SQ flB HISTORICAL CONCERN REPORT ORIGIN COtlCERN DESCRIPTIOtl REF.
SECTIG CAT tfP SUBCAT 71 OH 007-00101 MP 71302 H
HBW T50226 1
W H
H H
2 tlA WA WA HA Off-85"007-001 QTC TVA DOCTORS ARE POORLY QUALIFIED, Atl D Sof<E nAVE tlaT tfAD MEDICAl. LICEf'fSES OtlE DOCTOR (KWOHH),HAS HIRED BY T VA AFTER BEING FORCED OUT OF PRIVATE PRACTICE IW A LOCAL Cof1fluffITY (KNOW H)
FOR UtlPROFESSIOtlAL COtlDUCT.
CI H
AS HO FURTHER ItfFORf'1ATIOtf.
COtlSTRUC TIOtl DEPARTMEtlT COtlCERtl HO FOLLOH UP REQUIRED.
PH 003-01601 MP 71318 N
MBH 1 tl H
H H
T50106 2
HA WA WA HA PH -85"003-01901 MP 71317 tl llBtl 1 tl tl N
N T50106 2
WA WA WA WA PH Ocj5-00101 IH 60200 S
MBN 1
N N
N Y
T50256 2 tlA NA tlA HO 02 MP 71305 S
flBW 1
H H
W H
2 tlA tlA WA tlA QTC QTC QTC TVA DOES tlOT COMPLY WITH SITE MEDICA L'S DIRECTIONS.
(WAMESrDETAILS KtlOH N
TO QTC AHD RELEASE OF THIS IWFORt'1A TION HOULD JEOPARDIZE CI'S COtlFIDEWT IALITY) CI HAS WO t'lORE ItfFORthATIOH A VAILABLE tlO FOLLOW UP REQUIRED PERSOtlHEL DEPARTMENT t'1AKES UHAUTHORI ZED CHANGES TO tlEDICAL RECORDS OF EM PLOYEES.
(HAMESrDETAILS KtlOHfl TO QT C
AWD RELEASE OF ItlFORMATIOH WOULD J EOPARDIZE CI'S CONFIDENTIALITY) CI H
AS WO ffORE ItlFORt1ATIOtf AVAILABLE HO FOLLOW UP REQUIRED TVA CHANGED THE EMPLOYEE'S DOCTOR' RESTRICTIOtlS AtlD THIS CHANGE FROt5 A
25 LB. LIFTING LIMIT TO A 50 LB. LIF TItlG LIf'lIT MADE IT IMPOSSIBLE FOR TH E EflPLOYEE TO COtlTItlUE llORKIHG.
Ef1P LOYEE HAD RECEIVED Atl Otl-THE"JOB IWJ URY.
(tfAt1ESrDETAILS TO THE SPECIFIC CASE ARE KWOllW TO QTC AWD MITHHELD TO MAItlTAItlCOtlFIDEtlTIALITY.) fl0 FU RTHER ItfFORHATIOtf tlAY BE RELEASED.
HO FOLLOH"UP REQUIRED tlBtl-85-003-00301 T50257 MP 71311 H HBH 1
H H
N W
2 tlA tlA tlA tlA QTC CI I<AS ItlJURED Otl THE JOBi AtlD DID W
OT RECEIVE APPROPRIATE f'lORKMEtf'S COM PEHSATIOH BEtlEFITS.
HO ADDITIONAL I WFORMATION IS AVAILABLEIt( FILE.
CONCERNS ARE GROUPED BY FIRST '3 DIGITS OF SUBCATEGORY NUMBER..
.REFERE ECPS132J-ECPS132C FREQUEt REQUEST OWP IS
- Rllth
".ATEGORY:
NP MGT.
8 PERS.
ISSUES TEWtlES LLEY AUTHORITY OFFIC lUCLEAR POtlER EHPLOYEE COtlC PROGRAH SYSTEH (ECPS)
Et1PLOYEE COtlCERtl ItlFORthATIOtl BY CATEGORY/SUBCATEGORY SUBCATEGORY: 713 INADEQUATE SUITABILITY PROGRAtt 13 IME - 10) 0<i:3 R
DATE 03/10/a S
H SUB R PLT CONCERN NUMBER CAT CAT D
LOC 1
REPORT APPL 2 SAF RELATED BF BL SQ llB HISTORICAL CONCERN REPORT ORIGIN COHCERtl DESCRIPTIOW REF.
SECTI(
CAT
- Nf SUBCAT 7]
lIBH-0218 01 HP 71309 W IlBtl 1H tl WH 2 tlA WA WA WA OECP OPERATOR OF AUX CRANE Otl 757 EL HAS HAD HEART ATTACK AWD OPEN HEART SURG ERY HBP-86-001" 00701 NP 71312 W IlBN 1
H N
tl tl T50230 2 tlA NA tlA tlA HBP-86-003-00201 HP 71301 N l'lBtl 1
H H
H tl T50244 2
WA HA HA HA IlI 060-00101 HP 71318 N llBW 1
H H
H N
T50250 2
WA tlA tlA tlA QTC QTC QTC TVA HAS tlOT PAID GI'S DOCTOR'S BILLS OR REIMBURSED CI FOR SALARY LOST DU E TO A JOB-RELATED ACCIDENT IH 1986.
(tlAt'IES/DETAILS Ktl0lltl TO QTC AtlD llI THHELD TO HAINTAItt COWFIDEtlTIALITY,)
tlO FURTHER INFORMATION I'1AY BE RELE ASED.
tlUCLEAR POllER COtlCERW.
CI HA S
tlO FURTHER IHFORttATIOtl.
WO FOLLOW UP REQUIRED.
CI REPORTED THAT TVA HEDICAL WAS tlEG LIGEtlT IW THE HAtlDLItlG OF CI'S JOB-R ELATED INJURY.
(DETAILS KtlOHtl TO QT C
AWD HITHHELD TO NAItkTAItt CONFIDENT IALITY)~
WO FURTHER IttFORHATIOtt t1AY BE RELEASED.
COWSTRUCTIOtl DEPARTtlE tlT COtlCERtl.
CI HAS tlO FURTHER ItlFOR ltATIOW.
CI REPORTED MEDICAL CONCERN.
DETAIL S
ARE KNOl'itl TO QTCi WITHHELD TO HAI NTAIW COtlFIDEWTIALITY.
WO FURTHER I tlFORt)ATIOtt IW FILE, CONSTRUCTION DE PARTtlENT CONCERN.
HO FOLLOkt UP REQU IRED.
HI 064-00601 T50132 02 03 IH 60000 S llBtl 1
2 HP 70506 S llBH 1
H H
tl H
2 tlA HA tlA WA HP 71310 S
llBW 1
N tl W
tl 2 tlA HA WA WA QTC CI'S HEDICAL RESTRICTIOtlS HERE REHOV ED BY A ttOtt-t1EDICAL SUPERVISOR.
(tlA HES/DETAILS Ktt0t'ttt TO QTC AND RELEASE OF THIS IltFORt1ATIOtt COULD JEOPARDIZ E CI 'S COtlFI DEWTIALITY).
COtlSTR.
CO NCERtl.
CI HAS tlO tlORE ItlFORHATIOW, WO FOLLOll UP REQUIRED.
COWCERtlS ARE GROUPED BY FIRST 3 DIGITS OF SUBCATEGORY tlUNBER.
PEFEREt ECPS132J-ECPS132C FREQUEW
- REQUEST Otlp ISSS RHM
- ATEGORY:
MP MGT.
8 PERS.
ISSUES TEWHESS LLEY AUTHORITY OFFICE UCLEAR POHER EMPLOYEE CONGE PROGRAM SYSTEM (ECPS)
EMPLOYEE COtlCERtl IHFORMATIOtl BY CATEGORY/SUBCATEGORY SUBCATEGORY) 713 PRIVATE DOCTORS'EDICAL COtlSTRAItlTS HOT ACCEPTED 1<i IME la:oa 3
R DATE 03/10/8 S
H SUB R PLT COtlCERtl NUMBER CAT CAT D
LOC 1
REPORT APPL 2 SAF RELATED BF BL SQ HB HISTORICAL CONCERN REPORT ORIGIN COtlCERN DESCRIPTIOH REF.
SECTI 0 CAT MF SUBCAT - 71 ttl 048-00101 t1P 71305 H HBtl T50120 1
tl tl tl H
2 tlA HA HA tlA HI"85"068-001 QTC CI IMPROPERLY TREATED BY TVA MEDICAL DETAILS KH01'lW TO QTCp ttITHELD DUE TO CONFIDENTIALITY.
COtlSTRUCTIOtl C ONCERH.
CI HAS tl0 ADDITIOtlAL ItlFORM ATION'I 048-00201 MP 71312 tl 1lBtl 1
N H
H H
T50185 2 tlA WA tlA WA 58 COWCERHS FOR CATEGORY I'1P SUBCATEGORY 713 QTC CI'S MEDICAL RECORDS HERE CHANGED FR 0th JOB-RELATED ItlJURY TO HOW-JOB-REL ATED ItlJURY llITHOUT CI'S DOCTORS APP ROVAL.
(NAMES/DETAILS TO THE SPECIF IC CASE ARE KWOllN TO QTC AtlD HITHHEL D TO 11AItlTAIW COtlFIDEtlTIALITY).
COH STRUCTIOtl DEPT.
COWCERH.
CI HAS tl0 FURTHER INFORMATIOH.
COHCERWS ARE GROUPED BY FIRST 3 DIGITS OF SUBCATEGORY tlUMBER,
ATTACHMENT B MEDICAL List of Concerns by Element/Issue The Medical Subcategory (71300) is comprised of 58 concerns broken down into three elements addressing eighteen issues.
ualit and Com onents of the TVA Medical Pro ram Issue 71301 - TVA Medical Treatment is Inadequate EX-85-150-001 EX-85-150-004 IN-85-248-003 IN-85-329-001 IN-85-876-X01 IN-86-033-001 WBP-86-003-002 Xssue 71302 - TVA Medical Personnel are not Qualified IN-85-248-006 IN-85-605-003 XN-85-835-003 00-85-005-006 OW-85-007-001 Issue 71303 - Inadequate Medical Staff on Night Staff IN-85-284-003 IN-86-172-001 Issue 71304 Insufficient Emergency Medical Equipment on Site IN-85-665-002 Issue 71305 - TVA Medical Does not Accept Private Doctors'edical Constraints HI-85-055-001 IN-85-335-003 IN-85-674-001 IN-85-723-001 IN-85-770-005 PH-85-045-001 WI-85-048-001 Issue 71306 - Health and Safety Training is Xnadequate IN-85-663-014 IN-85-910-002 IN-86-280-001 Page 1 of 3
k
ATTACHMENT B MEDICAL List of Concerns by Element/Issue (Continued)
Issue 71307 - Employees who Falsify Medical Records are Retained IN-85-663-005 IN-85-810-XOl~
Issue 71308 Employees Denied Access to Medical Records IN-85-241-009 Issue 71309 Inadequate Physical Suitability Program and Health Standards IN-85-810-X01~
IN-85-871-002 WBN-0218 Administration of the Federal Em lo ees Com ensation Act (FECA)
Issue 71310 - Injured Employees Returned to Duty Too Soon IN-85-248-005 IN-85-539-002 WI-85-044-006 Issue 71311 - Slow Claim Processing and Inadequate Compensation EX-85-120-X01 EX-85-149-001 IN-85-119-005 IN-85-199-002 IN-85-627-030 IN-85-901-001 IN-86-256-001 WBM-85-003-003 Issue 71312 Compensation is Unjustly Denied EX-85-130-001 EX-85-150-003 EX-85-152-002 IN-85-546-002 IN-85-821-007 IN-85-923-001 IN-85-996-004 IN-86-162-002 WBP-86-001-007 WI-85-048-002 Issue 71313 Claim Filing Information Purposely Withheld IN-85-725-004
~ Concerns addressed in more than one issue Page 2 of 3
0
ATTACHMENT B MEDICAL List of Concerns by Element/Issue (Continued)
Miscellaneous Medical Issues Issue 71314 - Truck Drivers'ealth Affected by Hazardous Materials IN-85-720-XOS Issue 71315 - Unstable Employee in Sensitive Position IN-85-951-001 Issue 71316 - Medical and File Cabinets are Unsecure IN-85-539-001 Issue 71317 Personnel Department Changes Medical Records PH-85-003-019 Issue 71318 Concerns with Insufficient Information to Evaluate PH-85-003-016 MI-85-044-001 Page 3 of 3
~
~
ATTACHMENT C List of Reference Documents TVA GENERAL RFLEASES, ORGANIZATIONAL BULLFTXN, X CORPORATE
- SERVICES, Medical Services TVA GENERAL RELEASES, II PRIVACY (Code)
TVA GENERAL RELEASES, II PRXVACY (Procedures)
TVA GENERAL RELEASES. VIXI HEALTH SERVICES (Code)
TVA GENERAL RELEASES, VIXX HEALTH SERVICES, Examination TVA GENERAL RELEASES, VXXI HEALTH SERVICES, Facilities TVA GENERAL RELEASES, VXXI HEALTH SERVXCES, Radiation Workers TVA GENERAL RELEASES, VIII HEALTH SERVICES, Rehabilitation TVA GENERAL RELEASES, VIXI INJURY TVA GENERAL RELEASES, VIII OCCUPATIONAL HEALTH AND SAFETY'Code)
TVA Medical Examiner s Guide, Volume I, IV. Medical Disposition for Duty TVA Medical Examiner's
- Guide, Volume I, V. Basic.Categories of Examinations TVA Medical Examiner's
- Guide, Volume I, VI. Special Examinations for Specific Duty TVA Medical Examiner's
- Guide, Volume I, VII. Special Examinations for Specific Systems TVA Medical Examiner's
- Guide, Volume I, VXII. Special Examinations for Specific Exposures TVA Medical Examiner's
- Guide, Volume I, IX. Special Evaluations of Specific Health Conditions TVA Medical Examiner's
- Guide, Volume II, Minimum Physical Requirements and Environmental Conditions for Selected TVA Job Titles TVA Medical Examiner's Guide, Documentation Files, VI. 2 Unescorted Access to Nuclear Plants TVA Medical Examiner's Guide, Documentation Files, VI, 3 Nuclear Reactor Operator Licensure American National Standard N18.17-1973, "Industrial Security for Nuclear Power Plants" as
- amended, which includes American Nuclear Society ANS 3.3-1982, "Security for Nuclear Power Plants" Page 1 of 3
J
~ ~
ATTACHMENT C (Continued)
American National Standard ANSI/ANS-3.4-1983, "Medical Certification and Monitoring of Personnel Requiring Operator Licenses for Nuclear Power Plants" NRC Regulatory Guide 1.134, "Medical Evaluation of Nuclear Power Plant Personnel Requiring Operator Licenses" TVA Memorandum to Mark B. Whitaker from H. E. Lindler dated August 16,
- 1986, "Summary of Information Fxchange Visits with Selected Southeastern Utilities" TVA's Occu ational Health and Medical Services A Historical Documentation 1933-1984 Tennessee Valley Authority, Division of Medical Services, Program
- Outline, (MED SV 2/86)
TVA Memorandum to "Those listed" from Frank D. Faires, dated November 20, 1981, "Falsification of Medical Record Information" TENNESSEE VALLEY AUTHORITY ACT TVA Division of Medical Services, Selected Clinical Services Re ort, September 30, 1985 through June 30, 1986 TVA Division of Medical Services, A.
Histor of TVA Medical Examinations B.
TVA Re uirements for S ecial Examinations and C.
Statutor Re uirements for Examinations (March 5, 1976)
TVA Selected Activities Summar
, Division of Medical Services, FY 1982 TVA Selected Activities Summar
, Division of Medical Services, FY 1983 TVA Selected Activities Summaries, Division of Medical Services, Quarters ending March 31, 1979 through December 31, 1984 U.S. Department of Labor, Employment Standards Administration, Office of Workers'ompensation
- Programs, Division of Federal Employees'ompensation, "Agency FECA Injury Reporting, Time-Lag Analysis," FY 86 "Reducing Civilian Injury Claims, Six Successes in Meeting Presidential Goals," United States Army Safety Center Positive Case Mana ement
- Handbook, Work Injury Compensation
- Services, Tennessee Valley Authority June 1986 Managing Injury Compensation Claims and Promoting Recovery and Return to Work; Summary of TVA's Injury Compensation Experience, January 1982 Background Paper, Federal Employee's Compensation Experience, Tennessee Valley Authority, January 20, 1982 Page 2 of 3
I'
ATTACHMENT C (Continued)
TVA memorandum to W. F. Willis from Charles Bonine, Jr.
dated January 22, 1981, "First Quarterly Executive Summary Report on Workers'ompensation" TVA memorandum to John W. Thompson from Robert L. Craig, M.D., dated June 18, 1986, with the subject, "Quarterly Executive Summary Report on Workers'ompensation" KEY TOPICS REPORTS, Division of Medical Services, dated August 14, 1980; December 19, 1980; January 15, 1982; June 23, 1982; and July 20, 1982 TVA Medical Records (Individual Employees)
TVA Compensation Records (Individual Employees)
TVA Personnel History Records (Individual Employees)
Page 3 of 3
ATTACHMENT D List of Names and Job Title of Those Interviewed TVA Robert L. Craig, M.D., Medical Director Frank D. Faires, Medical Administrator Richard K. McGee, Ph.D,, Chief, Health Counseling and Rehabilitation Branch Elmo E. Emily, Program Manager, Work Injury Compensation Services Murphy S. Watson, Supervisor, Workers'ompensation Assistance Unit Debbie Youngblood, Claims Officer, Workers'ompensation Assistance Unit Edmund S.
- Lane, M.D., Chief Physician, Central Area Medical Services Georgene L. Johnson, R,N., Supervisor of Nursing Services, Central Area Medical Services Patricia A. Nabors,R.N.,
Supervisor of Nursing Services, Watts Bar Medical Office William A. Miller, R.N., Occupational Nurse Practitioner, Watts Bar Health Station UTILITIES Duke Power
- Company, Dr. Peter Loper Carolina Power and Light Company, Julia Craft, R,N.
Virginia Power
- Company, Dr. William S. Dingledine Alabama Power
- Company, Tom Chapel OTHER FEDERAL AGENCIES Leven B. Gray, Manager, Nuclear Industrial and Fire Safety-National Aeronautics and Space Administration Bill Billingsley, Director, Safety and Environmental Management Division-General Services Administration Carl Eichinger, Director, Occupational Health and Safety-Veteran's Administration Joseph M. Dalton, Jr., Safety Manager, Division of Safety Management-Department of the Interior-Richard Bauer, Manager, Injury Compensation Branch-United States Postal Services
V,