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OHIO BUREAU OF<br />

WORKERS’<br />

COMPENSATION<br />

2011 EEO<br />

Strategic Plan<br />

2 | Page


TABLE OF CONTENTS<br />

QUESTIONNAIRRE<br />

SECTION A: AGENCY OFFICALS REPSONISBLE FOR EEO PROGRAMMING………………………........................................<br />

SECTION B: AGENCY EEO MISSION AND VISION…………………………………………………………...............................<br />

SECTION C: EEO POLICY…………………………………………………………………………………………............................<br />

SECTION D: DISCRIMINATION COMPLAINT MANAGEMENT…………………..............................................................................<br />

SECTION E: DIVERSITY RECRUITMENT STRATEGIES…………………………………..................................................................<br />

SECTION F: EEO SELECTION QULAIFICATIOJNS AND DESCRIPTIONS………………………………..................................<br />

SECTION G: EEO PLACE ORIENTATION AND PERFORMANCE…………………………………………...............................<br />

SECTION H: EEO TRAINING STRATEGIES……………………………………………………………………..............................<br />

SECTION I: EEO DISCIPLINE STRATEGIES…………………………………………………..............................................................<br />

SECTION J: EMPLOYEES SEPERATION AND EXIT INTERVIEW STRATEGIES……………………….....................................<br />

SECTION K: AGENCY MONITORING AND LEADERSHIP COMPLIANCE…………………………………………………<br />

SECTION L: EEO WORKFORCE………………………………………………………………………………………………<br />

SECTION M: DIVERSITY INITIATIVES …………………………………………………………………………………………..<br />

SECTION N: ADA SELF EVALAUTION AND RESONALBE ACCOMODATION……………………………………………..<br />

EEO ATTACHMENTS<br />

ATTACHEMENT A: AGENCY OVERVIEW………………………………………………………………………………………<br />

ATTACHEMENT B: AGENCY EEO INFORMATION AND DISCRIMINATION COMPLAINT MANAGEMENT………….<br />

ATTACHEMENT C: DIVERSITY RECRUITMENT/OUTREACH AND LITERATURE INFORMATION…………………<br />

ATTACHEMENT D: EEO SELECTION QUALIFICATIONS AND POSITION DESCRIPTION INFORMATION………….<br />

ATTACHEMENT E: EEO PLACEMENT/ORIENTATION AND PERFORMANCE EVALUATIONS……………………….<br />

ATTACHEMENT F: EEO DISCIPLINE AND SEPARATION STRATEGIES…………………………………………………<br />

ATTACHEMENT G: EEO PROGRAM MONITORING/LEADERSHIP /CORRECTIVE ACTION …………………………...<br />

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ATTACHEMENT H: DIVERSITY INATIATIVES ………………………………………………………………………………<br />

ATTACHEMENT I: ADA SELF-EVALUATION AND REASONABLE ACCOMODATON PROCESS<br />

INFORMATION……………………………………………………………………………………………………………………<br />

2011<br />

EEOSP<br />

QUESTIONNAIRRE<br />

4 | Page


SECTION A: AGENCY OFFICIALS RESPONSIBLE FOR EEO PROGRAMMING<br />

Please provide information about <strong>the</strong> agency <strong>of</strong>ficials who have oversight and or direct responsibility for <strong>the</strong><br />

operation <strong>of</strong> <strong>the</strong> Equal Employment Opportunity (EEO) program. Please provide <strong>the</strong> name, title, address,<br />

telephone number and e-mail for <strong>the</strong> following:<br />

• Agency Appointing Authority<br />

• Agency Human Resources Direc<strong>to</strong>r<br />

• Agency EEO Program Manager<br />

• ADA Program Representative<br />

1. Agency Appointing Authority 2. Agency Human Resources Direc<strong>to</strong>r<br />

Name: Stephen Buehrer<br />

Title: Administra<strong>to</strong>r/CEO<br />

Name: Toni Brokaw<br />

Title: Chief <strong>of</strong> Human Resources<br />

Address: 30 W. Spring Street, L-29<br />

Address: 30 W. Spring Street, L-28<br />

Columbus, OH 43215<br />

Columbus, OH 43215<br />

Telephone: (614) 466-5223 Telephone: (614) 644-6045<br />

E-Mail Address: Stephen.B.1@bwc.state.oh.us<br />

E-Mail Address: Tondra.B.1@bwc.state.oh.us<br />

3. EEO Program Manager 4. ADA Program Representative<br />

Name: Sheri Fitzpatrick<br />

Title: EEO Manager<br />

Name: Sheri Fitzpatrick<br />

Title: EEO Manager<br />

Address: 30 W. Spring Street, L-28<br />

Address: 30 W. Spring Street, L-28<br />

Columbus, OH 43215<br />

Columbus, OH 43215<br />

Telephone: (614) 728-9537 Telephone: (614) 728-9537<br />

E-Mail Address: Sheri.F.1@bwc.state.oh.us<br />

E-Mail Address: Sheri.F.1@bwc.state.oh.us<br />

EEO Program website link:<br />

http://bwcweb/Divisions/HR/EEO/Pages/EEO.aspx<br />

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SECTION B: AGENCY OVERVIEW EEO PROGRAM MISSION AND VISION<br />

Please provide a mission and vision statement about <strong>the</strong> agency EEO Program.<br />

• Agency EEO Mission Statement<br />

To oversee and moni<strong>to</strong>r compliance <strong>of</strong> all applicable state and federal laws, rules and regulations as <strong>the</strong>y relate<br />

<strong>to</strong> non-discrimination in employment. To ensure that all employees and applicants have equal opportunity at<br />

BWC.<br />

• Agency EEO Vision Statement – “Our vision is <strong>to</strong> promote an environment where everyone<br />

feels valued and is treated with dignity and respect”.<br />

SECTION C: EEO POLICY<br />

1. Has your EEO Policy been revised <strong>to</strong> reflect Executive Order 2011-05K?<br />

Yes _X____ No ________<br />

Please explain: BWC’s EEO Policy and EEO training materials have been revised <strong>to</strong> reflect Executive<br />

Order 2011-05K.<br />

2. Are all EEO-related policies current?<br />

Yes _X______ No ________<br />

Please explain. Effective September 1, 2011, all EEO policies have been updated and signed by BWC’s<br />

Administra<strong>to</strong>r/CEO.<br />

3. Have all agency employees received a copy <strong>of</strong> <strong>the</strong> current EEO policy?<br />

Yes _X______ No ________<br />

Please explain: BWC’s current EEO policy is included in <strong>the</strong> Employee Handbook which can be found<br />

on-line.<br />

4. Have newly promoted and current supervisors received a copy <strong>of</strong> <strong>the</strong> EEO policy?<br />

Yes __X_____ No ________<br />

Please explain: BWC’s EEO Policy is included in <strong>the</strong> Employee Handbook which can be found on-line<br />

and is also included in <strong>the</strong> training materials that newly hired or promoted supervisors receive.<br />

5. If supervisors have been identified in your EEO policy as a “go <strong>to</strong>” person, have <strong>the</strong>y been trained in<br />

<strong>the</strong>ir role in <strong>the</strong> discrimination complaint process?<br />

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Yes __X_____ No ________<br />

Please explain: The EEO policy outlines <strong>the</strong> investigative procedures for supervisors <strong>to</strong> follow if a<br />

complaint is brought <strong>to</strong> <strong>the</strong>ir attention.<br />

6. What is <strong>the</strong> role <strong>of</strong> supervisors in <strong>the</strong> EEO process at this agency?<br />

Please explain.<br />

To report any incident <strong>of</strong> harassment or discrimination <strong>to</strong> <strong>the</strong> EEO Department within twenty-four (24)<br />

hours once <strong>the</strong>y have been made aware <strong>of</strong> <strong>the</strong> incident.<br />

SECTION D: DISCRIMINATION COMPLAINT MANAGEMENT:<br />

7. Does your agency have more than one <strong>of</strong>ficial who handles EEO complaints?<br />

Yes __X______ No ________<br />

Please explain. On rare occasions, a Labor Relations Officer who was previously employed as an EEO<br />

Officer has helped out on an EEO investigation when <strong>the</strong> EEO Manager was busy working on ano<strong>the</strong>r<br />

matter or on vacation.<br />

8. Has each EEO <strong>of</strong>ficial who is handling complaints at your agency received an “EEO Orientation”<br />

training from DAS/EOD?<br />

Yes __X_____ No ________<br />

Please explain. The EEO Manager has attended EEO Orientation training from DAS/EOD and<br />

regularly attends <strong>the</strong> EEO Academy classes.<br />

9. Does your agency use a discrimination complaint form o<strong>the</strong>r than <strong>the</strong> DAS/EOD ADM 4400?<br />

Yes ________ No __X______<br />

Please explain. BWC utilizes <strong>the</strong> ADM 4400 and it is located on <strong>the</strong> EEO Department’s web page.<br />

10. What are your methods for documentation when counseling an employee (for purposes <strong>of</strong> discussing a<br />

discrimina<strong>to</strong>ry issue)?<br />

Please explain. When <strong>the</strong> EEO Manager meets with an employee <strong>to</strong> discuss a possible discrimina<strong>to</strong>ry<br />

issue, if it appears <strong>to</strong> be EEO related, <strong>the</strong> employee is instructed <strong>to</strong> fill out <strong>the</strong> ADM 4400. If <strong>the</strong> issue is<br />

not EEO related, <strong>the</strong> employee is <strong>to</strong>ld <strong>to</strong> contact <strong>the</strong>ir supervisor and/or union steward <strong>to</strong> help resolve<br />

<strong>the</strong> situation.<br />

11. Does someone o<strong>the</strong>r than <strong>the</strong> agency EEO <strong>of</strong>ficial conduct investigations for allegations <strong>of</strong><br />

discrimination?<br />

Yes ________ No ___X_____<br />

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Please explain. The EEO Manager is responsible for investigating EEO complaints.<br />

12. Has this agency been able <strong>to</strong> maintain timelines throughout <strong>the</strong> complaint process?<br />

Yes __X______ No ________<br />

Please explain. Our goal is <strong>to</strong> have EEO investigations completed within thirty (30) days.<br />

13. Does this agency submit a discrimination complaint summary report on a monthly basis <strong>to</strong> DAS/EOD?<br />

Yes __X_____ No ________<br />

Please explain. All internal complaints and external complaints filed with <strong>the</strong> <strong>Ohio</strong> Civil Rights<br />

Commission or Equal Employment Opportunity Commission are included on <strong>the</strong> monthly report<br />

submitted <strong>to</strong> EOD.<br />

14. Does your agency submit all “internal” complaints <strong>to</strong> DAS/EOD?<br />

Yes __X______ No ________<br />

Please explain. All “internal” complaints are listed on <strong>the</strong> monthly report that is submitted <strong>to</strong> EOD.<br />

15. Does this agency provide on <strong>the</strong> monthly summary all non-jurisdictional allegations <strong>of</strong> discrimination,<br />

rejected complaints, discrimina<strong>to</strong>ry harassment and/or retaliation <strong>to</strong> DAS/EOD?<br />

Yes __X____ No ________<br />

Please explain. All discrimina<strong>to</strong>ry harassment and/or retaliation complaints filed with BWC’s EEO<br />

Department are included on <strong>the</strong> monthly report submitted <strong>to</strong> EOD. The EEO Department does not<br />

reject complaints. Any calls regarding non-jurisdictional concerns are referred <strong>to</strong> <strong>the</strong> employee’s chain <strong>of</strong><br />

command, union representative or BWC’s Employee and Labor Relations Department for resolution.<br />

16. Are <strong>the</strong>re persons available who have been trained at this agency in dispute resolution mediation<br />

involving allegations <strong>of</strong> discrimination?<br />

Yes __X______ No ________<br />

Please explain. The EEO Manager successfully completed Conflict Management Awareness Training<br />

sponsored by <strong>the</strong> <strong>Ohio</strong> Department <strong>of</strong> Administrative Services (EOD) and <strong>the</strong> <strong>Ohio</strong> Commission on<br />

Dispute Resolution and Conflict Management.<br />

17. Have all employees been made aware <strong>of</strong> <strong>the</strong> internal discrimination complaint process?<br />

Yes __X______ No ________<br />

Please explain. The EEO Manager covers this <strong>to</strong>pic at new employee orientation and in <strong>the</strong> Management<br />

Partnership Training class.<br />

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18. Have all employees been informed about penalties for being found <strong>to</strong> perpetrate discrimina<strong>to</strong>ry behavior?<br />

Yes __X_____ No ________<br />

Please explain. This <strong>to</strong>pic is covered at new employee orientation and was included in <strong>the</strong> manda<strong>to</strong>ry<br />

EEO and Diversity training class that employees attended in 2009 and 2010.<br />

19. How are employees made aware <strong>of</strong> <strong>the</strong> discrimination complaint process?<br />

Please explain. This <strong>to</strong>pic is covered at new employee orientation and in training classes. The link <strong>to</strong> <strong>the</strong><br />

web sites for EOD, OCRC and EEOC are also listed on <strong>the</strong> EEO Department’s web page.<br />

20. Do all employees have access <strong>to</strong> <strong>the</strong> ADM 4400 DAS/EEO discrimination complaint form?<br />

Yes __X_____ No ________<br />

Please explain. As stated previously, <strong>the</strong> ADM 4400 is on line and located on <strong>the</strong> EEO Department’s<br />

web page.<br />

21. Has <strong>the</strong> agency prominently posted “current” EEO-related information at all agency facilities?<br />

Yes __X______ No ________<br />

Please explain. BWC’s EEO Policies are included in <strong>the</strong> Employee Handbook and Federal posters are<br />

prominently displayed at all BWC facilities.<br />

22. Is EEO information posted at satellite locations consistent with information at <strong>the</strong> agency’s Central<br />

Office?<br />

Yes __X______ No ________<br />

Please explain. Federal posters covering <strong>the</strong> anti-discrimination laws are prominently displayed at all<br />

BWC facilities. In addition, BWC’s policies are disseminated <strong>to</strong> all employees via <strong>the</strong> Employee<br />

Handbook and on <strong>the</strong> EEO Department’s web page.<br />

SECTION E: DIVERSITY RECRUITMENT STRATEGIES<br />

23. Has your agency established and/or maintained partnerships with various pr<strong>of</strong>essional and educational<br />

organizations for diversity recruitment?<br />

Yes __X______ No ________<br />

Please explain. BWC will work with DAS on recruitment initiatives, utilize <strong>the</strong> outreach resources outline<br />

in Attachment C, and <strong>the</strong> agency has established partnerships with universities, colleges, technical and<br />

trade schools <strong>to</strong> provide on-<strong>the</strong>-job experience <strong>to</strong> support students in <strong>the</strong>ir educational and pr<strong>of</strong>essional<br />

endeavors.<br />

9 | Page


24. Does your agency participate in job fairs, college fairs or o<strong>the</strong>r recruitment opportunities that target<br />

minorities, women and disabled persons?<br />

Yes __X______ No ________<br />

Please explain. BWC would participate in <strong>the</strong>se recruitment opportunities if given <strong>the</strong> opportunity <strong>to</strong><br />

recruit and fill positions for which external candidates would be needed. However, due <strong>to</strong> <strong>the</strong> OBM<br />

initiated hiring freezes over <strong>the</strong> past several fiscal years, BWC has performed minimal recruitment<br />

activities. Additionally, our organization has continued <strong>to</strong> attrite staffing from a headcount <strong>of</strong> 2, 564 at<br />

<strong>the</strong> beginning <strong>of</strong> FY 2008 (July 2007) <strong>to</strong> 2, 047 at <strong>the</strong> end <strong>of</strong> FY 2011 (June 2011).<br />

25. Does your agency maintain a current list <strong>of</strong> minority, women, disabled persons and veterans’ recruitment<br />

sources?<br />

Yes __X______ No ________<br />

Please explain. Also, internet searches would be conducted <strong>to</strong> identify recruitment sources.<br />

26. Does your agency utilize an internal employment application form o<strong>the</strong>r than <strong>the</strong> standard DAS<br />

application?<br />

Yes ________ No __X______<br />

Please explain. BWC utilizes <strong>the</strong> On-Line Employment Application Process (OLEAP) administered by<br />

<strong>the</strong> State <strong>of</strong> <strong>Ohio</strong>.<br />

27. Has <strong>the</strong> language in your publications been screened <strong>to</strong> ensure that non-discrimina<strong>to</strong>ry and non-sexist<br />

language is used?<br />

Yes __X______ No ________<br />

Please explain. BWC lists a statement on <strong>the</strong> OLEAP postings and in our advertisements that we are an<br />

Equal Opportunity Employer.<br />

SECTION F: EEO SELECTION QUALIFICATIONS AND POSITION DESCRIPTIONS<br />

28. Do all <strong>the</strong> agency employment qualifications meet federal validation standards?<br />

Yes __X______ No ________<br />

Please explain. Minimum qualifications are contained in <strong>the</strong> State <strong>of</strong> <strong>Ohio</strong>’s classification specifications<br />

maintained / approved by DAS. DAS validates minimum qualifications prior <strong>to</strong> <strong>the</strong> job classifications<br />

being adopted.<br />

29. Are <strong>the</strong> minimum qualifications developed by DAS used for all classifications?<br />

10 | Page


Yes __X______ No ________<br />

Please explain. Please see response <strong>to</strong> question #30<br />

30. Has your agency developed its own qualifications for any positions and if so, for what positions?<br />

Yes __X______ No ________<br />

Please explain. Some positions may contain Position Specific Minimum Qualifications (PSMQ). PSMQs<br />

may be added <strong>to</strong> a position if <strong>the</strong> job analysis process indicates that additional education, experience or<br />

training is needed for a specific position. Tom Sidick, BWC’s Employment Testing Manager works with<br />

<strong>the</strong> immediate supervisor and subject matter experts on <strong>the</strong> job analysis process. All supporting<br />

documentation is reviewed and approved by DAS prior <strong>to</strong> <strong>the</strong> PSMQ being utilized on <strong>the</strong> job posting.<br />

31. Are all position descriptions accurate and up-<strong>to</strong>-date?<br />

Yes __X______ No ________<br />

Please explain. For 95% <strong>of</strong> BWC’s filled position, <strong>the</strong> position descriptions are current within 5 years.<br />

32. Does your agency post all vacancies (externally, internally and/or via <strong>the</strong> internet)?<br />

Yes ________ No _X_______<br />

Please explain. BWC’s Administra<strong>to</strong>r has <strong>the</strong> authority <strong>to</strong> appoint unclassified designees at his discretion<br />

without posting/announcing <strong>the</strong> position. Additionally, <strong>the</strong> Governor has <strong>the</strong> authority <strong>to</strong> appoint<br />

members <strong>of</strong> BWC’s Board <strong>of</strong> Direc<strong>to</strong>rs.<br />

33. Are <strong>the</strong>re any positions excluded from <strong>the</strong> postings?<br />

Yes __X______ No ________<br />

If yes, show which positions, and explain why <strong>the</strong>y were excluded. As stated previously, BWC’s<br />

Administra<strong>to</strong>r has <strong>the</strong> authority <strong>to</strong> appoint unclassified designees at this discretion without<br />

posting/announcing <strong>the</strong> position. Additionally, <strong>the</strong> Governor has <strong>the</strong> authority <strong>to</strong> appoint members <strong>of</strong><br />

BWC’s Board <strong>of</strong> Direc<strong>to</strong>rs.<br />

34. Is <strong>the</strong> staff responsible for screening applications and serving on selection panels trained in bias-free<br />

selection methodologies?<br />

Yes __X______ No ________<br />

Please explain. BWC’s Personnel Officers screen applications but are rarely involved in <strong>the</strong><br />

interview/selection process. However, BWC’s Testing Unit works <strong>the</strong> hiring managers <strong>to</strong> ensure <strong>the</strong><br />

selection process is bias free based upon <strong>the</strong>ir selection methodologies. Additionally, <strong>the</strong> Personnel<br />

Supervisor reviews and approves all recommendations for hire/promotion prior <strong>to</strong> <strong>the</strong> action going in<strong>to</strong><br />

effect.<br />

11 | Page


35. At what point in <strong>the</strong> employment process is <strong>the</strong> EEO data sheet (normally submitted with <strong>the</strong><br />

application) separated from <strong>the</strong> application?<br />

Please explain. With OHMS, for those applicants who choose <strong>to</strong> complete <strong>the</strong> voluntary EEO<br />

questionnaire form, only 5 HR staff have access <strong>to</strong> <strong>the</strong> information for reporting purposes. Security<br />

access has been limited allowing <strong>the</strong> EEO Manager <strong>to</strong> access and report on <strong>the</strong> information. Also, some<br />

applicants submit paper applications which include a paper EEO questionnaire form. The application is<br />

immediately separated from <strong>the</strong> EEO form upon receipt. The EEO information would be entered in<strong>to</strong><br />

OHMS while <strong>the</strong> application would be provided <strong>to</strong> HR staff. The EEO questionnaire form or OHMS<br />

EEO information is not available <strong>to</strong> <strong>the</strong> employees screening applications.<br />

36. Does <strong>the</strong> EEO Officer have access <strong>to</strong> <strong>the</strong> applicant EEO data sheets?<br />

Yes __X______ No ________<br />

Please explain. Once an application is received in <strong>the</strong> Personnel Department, <strong>the</strong> EEO data sheet is<br />

separated and given <strong>to</strong> <strong>the</strong> EEO Manager.<br />

37. Is advanced-step hiring used by this agency?<br />

Yes __X______ No ________<br />

Please explain. Where qualifications, education and/or experience exceed <strong>the</strong> minimum requirements<br />

and/or we experience difficulty recruiting/filling a position, advance step hire may be an option <strong>to</strong> attract<br />

<strong>to</strong>p candidates. When utilizing advance step placement, BWC follows <strong>the</strong> DAS Directive HR-D-03.<br />

38. Does <strong>the</strong> agency use structured employee interview techniques?<br />

Yes _X_______No ________<br />

Please explain. The structured interview is <strong>the</strong> most common employment selection <strong>to</strong>ol utilized within<br />

BWC. All structured interviews are formatted with standardized instructions and a rating scale for each<br />

question. The goal <strong>of</strong> <strong>the</strong> structured interview is <strong>to</strong> ensure fair and consistent administration across<br />

applicants.<br />

SECTION G: EEO PLACEMENT, ORIENTATION AND PERFORMANCE<br />

39. Are employees provided with a timely, non-discrimina<strong>to</strong>ry, honest evaluation <strong>of</strong> <strong>the</strong>ir performance?<br />

Yes _X_______ No ________<br />

Please explain. All bargaining unit employees and exempt staff receive an annual performance evaluation.<br />

40. Are performance evaluations moni<strong>to</strong>red <strong>to</strong> ensure non-discrimination and timely preparation?<br />

Yes __X______ No ________<br />

12 | Page


Please explain. Stacie Hart, a HCM Analyst in <strong>the</strong> Personnel Department is responsible for managing <strong>the</strong><br />

OPRS program.<br />

41. Are EEO representatives included in <strong>the</strong> agency’s new employees’ orientation session?<br />

Yes __X______ No ________<br />

Please explain. The EEO Manager participates at new employee orientation.<br />

42. During new employees’ orientation, have employees been informed about discrimina<strong>to</strong>ry behavior that<br />

could result in disciplinary action?<br />

Yes _X_______ No ________<br />

Please explain. During new employee orientation, <strong>the</strong> EEO Manager explains <strong>the</strong> role <strong>of</strong> <strong>the</strong> EEO<br />

Department and describes <strong>the</strong> types <strong>of</strong> complaints that are investigated. The EEO Manager also advises<br />

new hires that it is not permissible for employees <strong>to</strong> us sexually explicit language, tell racial jokes, make<br />

age related comments or make o<strong>the</strong>r inappropriate remarks regarding a person’s national origin, ancestry,<br />

disability, religion …and explain that this conduct is against BWC policy and could lead <strong>to</strong> disciplinary<br />

action being taken against <strong>the</strong>m.<br />

43. Have supervisors received training about how <strong>to</strong> conduct performance evaluations in a bias-free manner?<br />

Yes _X_______ No ________<br />

Please explain. The Personnel Department covers this <strong>to</strong>pic during <strong>the</strong> Leading Your Employees <strong>to</strong><br />

Success and Management Partnership training classes which is required <strong>of</strong> newly hired and/or promoted<br />

supervisors.<br />

SECTION H: EEO TRAINING STRATEGIES<br />

44. Please identify by title <strong>the</strong> employees responsible for coordinating EEO training opportunities?<br />

The EEO Manager, Training Direc<strong>to</strong>r and Leadership Development Manager<br />

45. How <strong>of</strong>ten is EEO training conducted? Please Explain. Pending operation need. As new employees are<br />

hired by BWC, a new employee orientation class is scheduled. Also, once a new leader is hired or<br />

promoted in<strong>to</strong> a management position, <strong>the</strong>y are scheduled <strong>to</strong> attend a Management Partnership class. In<br />

addition, in 2009 and 2010, <strong>the</strong> EEO Manager in conjunction with <strong>the</strong> Training Department conducted<br />

EEO & Diversity training for all BWC employees.<br />

46. Does someone o<strong>the</strong>r than <strong>the</strong> EEO Officer present EEO training?<br />

Yes ________ No __X______<br />

Please explain. The EEO Manager is responsible for providing EEO training <strong>to</strong> employees.<br />

47. Does your agency collect EEO data on trainees?<br />

13 | Page


Yes ________ No ___X_____<br />

Please explain. BWC only requires an employee <strong>to</strong> list <strong>the</strong>ir name and/or ID number while enrolling in a<br />

training class.<br />

48. Please explain measures taken <strong>to</strong> provide EEO training and information about <strong>the</strong> discrimination<br />

complaint process <strong>to</strong> central <strong>of</strong>fice and <strong>the</strong> satellite locations.<br />

BWC’s EEO Policy Statement, Anti-Harassment Policy and Americans with Disabilities Act Policy along<br />

with <strong>the</strong> ADM 4400 is located on <strong>the</strong> EEO Department’s web page and can be accessed via BWC Web. In<br />

addition, all BWC employees were required <strong>to</strong> attend a manda<strong>to</strong>ry EEO and Diversity training session in<br />

2009 or 2010.<br />

49. Please identify <strong>the</strong> percentage <strong>of</strong> employees and supervisors that still need EEO training.<br />

• Employees 0% - All BWC employees have received EEO and Diversity training.<br />

• Supervisors 0% - All BWC supervisors have received EEO and Diversity training.<br />

50. Please provide a timeframe for when <strong>the</strong> training will be completed for each group.<br />

• Employees Not applicable<br />

• Supervisors Not applicable<br />

51. Does your agency provide evaluations for <strong>the</strong> EEO training session(s)?<br />

Yes __X______ No ________<br />

Please explain. BWC’s Learning Management System sends out evaluations <strong>to</strong> employees who enrolled<br />

in a training class.<br />

52. Does <strong>the</strong> agency provide EEO training in <strong>the</strong> area <strong>of</strong> Title VII <strong>of</strong> <strong>the</strong> Civil Rights Act 1964 as amended,<br />

ADEA, ADA, USERRA, Guberna<strong>to</strong>rial Executive Order 2011-5K, and Military Status (past, present and<br />

future)?<br />

Yes __X______ No ________<br />

Please explain. The above <strong>to</strong>pics are covered at new employee orientation and in <strong>the</strong> Management<br />

Partnership training class.<br />

53. Does <strong>the</strong> agency provide EEO training about employment discrimination, discrimina<strong>to</strong>ry harassment<br />

and retaliation?<br />

Yes __X______ No ________<br />

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Please explain. The above <strong>to</strong>pics are covered at new employee orientation and in <strong>the</strong> Management<br />

Partnership training class. It was also covered in depth at <strong>the</strong> manda<strong>to</strong>ry EEO/Diversity training class<br />

that all employees were required <strong>to</strong> attend in 2009 and 2010.<br />

54. Does <strong>the</strong> agency provide EEO training regarding <strong>the</strong> internal/external discrimination complaint<br />

processes and <strong>the</strong> right <strong>to</strong> dual file with OCRC/EEOC and EOD?<br />

Yes __X______ No ________<br />

Please explain. The DAS/EOD ADM 4400 form is reviewed at new employee orientation. Employees are<br />

also informed that <strong>the</strong>y have a right <strong>to</strong> file an external complaint with OCRC/EEOC and are also advised <strong>of</strong><br />

<strong>the</strong> time frame for filing a complaint.<br />

SECTION I: EEO DISCIPLINE STRATEGIES<br />

55. Does your agency have a written disciplinary policy and/or procedure?<br />

Yes __X______ No ________<br />

Please explain. BWC’s Disciplinary Policy and Grid can be found in <strong>the</strong> Employee Handbook.<br />

56. Has <strong>the</strong> EEO Officer reviewed <strong>the</strong> agency disciplinary policy/procedure <strong>to</strong> ensure it is nondiscrimina<strong>to</strong>ry?<br />

Yes __X______ No ________<br />

Please explain. It is <strong>the</strong> philosophy <strong>of</strong> BWC that discipline should be fair, consistent and commensurate<br />

with <strong>the</strong> <strong>of</strong>fense.<br />

57. Have all agency employees received copies <strong>of</strong> <strong>the</strong> disciplinary policy/procedure?<br />

Yes ___X_____ No ________<br />

Please explain. BWC’s Disciplinary Policy and Grid is located in <strong>the</strong> Employee Handbook which is<br />

available on line for staff.<br />

58. Have all supervisors and managers received training on how <strong>to</strong> implement discipline in a nondiscrimina<strong>to</strong>ry<br />

manner?<br />

Yes __X______ No ________<br />

Please explain. This <strong>to</strong>pic is covered at <strong>the</strong> Leading Your Employees <strong>to</strong> Success and Management<br />

Partnership training classes that all newly hired and/or promoted supervisors are required <strong>to</strong> attend.<br />

59. Does <strong>the</strong> EEO <strong>of</strong>ficer have a role in <strong>the</strong> agency’s disciplinary process?<br />

Yes _X_______ No ________<br />

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Please explain. An EEO/Legal meeting is held every Friday with <strong>the</strong> Chief Legal Officer, Chief Human<br />

Resources Officer, Direc<strong>to</strong>r <strong>of</strong> Law and EEO Manager where workplace issues and disciplinary matters<br />

are discussed.<br />

60. Are <strong>the</strong>re supervisors that still need training in implementing discipline in a bias-free manner?<br />

Yes ________ No __X______<br />

Please explain. All BWC supervisors have received training on implementing discipline in a bias-free<br />

manner.<br />

61. Provide a timeframe for remaining employees <strong>to</strong> complete training. Not applicable. See response <strong>to</strong><br />

question 60.<br />

62. Please provide <strong>the</strong> percentage <strong>of</strong> supervisors that still need training implementing discipline in a bias-free<br />

manner. Not applicable. See response <strong>to</strong> question 60.<br />

SECTION J: EMPLOYEES SEPARATION AND EXIT INTERVIEW STRATEGIES<br />

63. Are exit interviews conducted on all voluntary separations?<br />

Yes __X______ No ________<br />

Please explain. An in person exit interview is conducted or an employee exit questionnaire is sent out on<br />

all voluntary separations.<br />

64. If exit interview forms are mailed out, what is <strong>the</strong> return rate? Approximately 25%.<br />

65. Please explain how exit interview responses are facilitated from <strong>the</strong> HR <strong>of</strong>fice <strong>to</strong> <strong>the</strong> EEO <strong>of</strong>fice?<br />

If an employee requests an in person exit interview, <strong>the</strong> EEO Manager will meet with <strong>the</strong> employee<br />

before <strong>the</strong> employee’s last day <strong>of</strong> employment. If an in person exit interview is not conducted, an exit<br />

letter along with <strong>the</strong> exit questionnaire is sent <strong>to</strong> <strong>the</strong> employee’s home along with a prepaid envelope for<br />

<strong>the</strong> employee <strong>to</strong> return <strong>the</strong> survey.<br />

66. Has your agency analyzed <strong>the</strong> exit interview data <strong>to</strong> determine if an adverse number <strong>of</strong> minorities, women<br />

or disabled persons are leaving <strong>the</strong> agency?<br />

Yes __X______ No ________<br />

Please explain. The EEO Manager reviews <strong>the</strong> Employee Exit Questionnaire responses and notifies <strong>the</strong><br />

Chief Human Resource Officer <strong>of</strong> any potential areas <strong>of</strong> concern.<br />

SECTION K: AGENCY EEO PROGRAM MONITORING & LEADERSHIP COMPLIANCE<br />

67. Does <strong>the</strong> agency head hold regular meetings <strong>to</strong> discuss EEO issues?<br />

Yes ___X_____ No ________<br />

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Please explain: BWC’s Administra<strong>to</strong>r has a bi-weekly meeting with <strong>the</strong> Chief Human Resource Officer <strong>to</strong><br />

discuss HR related matters, which may include EEO issues. In addition, <strong>the</strong> EEO Manager submits a<br />

monthly EEO log <strong>to</strong> <strong>the</strong> Administra<strong>to</strong>r and Chief Human Resource Officer which details complaints<br />

along with <strong>the</strong> status <strong>of</strong> <strong>the</strong> investigation.<br />

68. Is <strong>the</strong> agency head involved in <strong>the</strong> development and or implementation <strong>of</strong> <strong>the</strong> agency EEO Strategic<br />

Plan?<br />

Yes _X_______ No ________<br />

Please explain. The Administra<strong>to</strong>r recognizes <strong>the</strong> importance <strong>of</strong> <strong>the</strong> EEO Program and strives <strong>to</strong> ensure<br />

that everyone is treated with dignity and respect.<br />

69. What methods are used by agency leadership <strong>to</strong> show support <strong>of</strong> <strong>the</strong> EEO program?<br />

Please explain. BWC’s Administra<strong>to</strong>r and EEO policies require all managers/supervisors <strong>to</strong> report any<br />

incident <strong>of</strong> discrimination and/or harassment <strong>to</strong> <strong>the</strong> EEO Department within 24 hours. Fur<strong>the</strong>rmore, a<br />

newly hired and/or promoted supervisor is required <strong>to</strong> attend <strong>the</strong> Management Partnership training class<br />

which outlines <strong>the</strong>ir leadership responsibilities regarding EEO.<br />

70. Are EEO <strong>of</strong>ficials present during agency deliberations prior <strong>to</strong> decisions regarding recruitment strategies,<br />

vacancy projections, succession <strong>plan</strong>ning, selections for training career development opportunities and<br />

o<strong>the</strong>r workforce changes?<br />

Yes _X_______ No ________<br />

Please explain: The Chief Human Resource Officer directs and oversees personnel, training and safety<br />

for approximately 2,000 employees. This division also handles labor relations issues and maintains equal<br />

employment opportunity regulations throughout <strong>the</strong> agency. The Human Resources Division works <strong>to</strong><br />

ensure consistency <strong>of</strong> policies and procedures in accordance with <strong>the</strong> <strong>Ohio</strong> Revised Code, <strong>the</strong> <strong>Ohio</strong><br />

Administrative Code and collective bargaining agreements.<br />

71. Are EEO processes integrated in<strong>to</strong> <strong>the</strong> agency’s mission and <strong>plan</strong>ning?<br />

Yes __X______ No ________<br />

Please explain: BWC’s Administra<strong>to</strong>r is conscious <strong>of</strong> diversity and EEO and asks questions and gives<br />

feedback when necessary.<br />

72. Is <strong>the</strong> EEO program allocated sufficient resources (financial/human capital) <strong>to</strong> ensure success?<br />

Yes __X______ No ________<br />

Please explain: On occasion, o<strong>the</strong>r HR staff with knowledge <strong>of</strong> EEO has assisted <strong>the</strong> EEO Department.<br />

SECTION L: EEO WORKFORCE COMPOSTION<br />

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73. Who is responsible for updating EEO workforce data in <strong>the</strong> <strong>Ohio</strong> Administrative Knowledge System at<br />

your agency?<br />

Please explain. Ed Smith, Information Technologist 3, in BWC’s Personnel and Benefits Department is<br />

responsible for <strong>the</strong> maintenance <strong>of</strong> EEO workforce data in OAKS and generating HR Reports and data.<br />

74. Does <strong>the</strong> agency EEO Officer have access <strong>to</strong> <strong>the</strong> EEO workforce information?<br />

Yes __X______ No ________<br />

Please explain. The EEO Manager can access <strong>the</strong> EEO Workforce information in OAKS.<br />

75. How <strong>of</strong>ten is <strong>the</strong> agency EEO workforce data updated?<br />

Please explain. On demand when a request is made by an employee and with new hires.<br />

76. How does <strong>the</strong> agency utilize <strong>the</strong> EEO workforce report?<br />

Please explain. The EEO workforce report is utilized for EEO investigations and BWC annual reports.<br />

SECTION M: DIVERSITY INITIATIVES<br />

77. Are diversity initiatives a line item in your agency annual fiscal budget?<br />

Yes ________ No __X______<br />

Please explain. Diversity initiatives are funded from <strong>the</strong> EEO budget however, if additional money is<br />

needed it will be covered by <strong>the</strong> overall HR budget.<br />

78. Does agency leadership promote diversity initiatives?<br />

Yes __X______ No ________<br />

Please explain. BWC celebrates Black His<strong>to</strong>ry Month during <strong>the</strong> month <strong>of</strong> February and Women’s<br />

His<strong>to</strong>ry Month in March. BWC also recognizes o<strong>the</strong>r cultural groups throughout <strong>the</strong> year. In September<br />

2011, BWC’s Board <strong>of</strong> Direc<strong>to</strong>rs selected two minority owned firms, Attucks Asset Management and<br />

Leading Edge Investment Advisors <strong>to</strong> manage <strong>the</strong> State Insurance Fund invested assets.<br />

79. What steps does your agency take <strong>to</strong> enhance diversity awareness (workforce/cultural)?<br />

Yes __X______ No ________<br />

Please explain. As stated in question #78, BWC celebrates Black His<strong>to</strong>ry Month during <strong>the</strong> month <strong>of</strong><br />

February and Women’s His<strong>to</strong>ry Month in March. BWC also recognizes o<strong>the</strong>r cultural groups throughout<br />

<strong>the</strong> year. In September 2011, BWC’s Board <strong>of</strong> Direc<strong>to</strong>rs selected two minority owned firms, Attucks<br />

Asset Management and Leading Edge Investment Advisors <strong>to</strong> manage <strong>the</strong> State Insurance Fund invested<br />

assets.<br />

18 | Page


80. Does your agency have a diversity team?<br />

Yes ________ No __X______<br />

Please explain. At <strong>the</strong> present time, BWC does not have a diversity team however; if <strong>the</strong> need arises,<br />

consideration will be given.<br />

81. If yes, what employees are on <strong>the</strong> team by classification/title?<br />

82. What is <strong>the</strong> role and responsibility <strong>of</strong> <strong>the</strong> team?<br />

Please explain. N/A<br />

83. Does your agency have measures in place <strong>to</strong> evaluate diversity recruitment outcomes?<br />

Yes ________ No ___X_____<br />

Please explain. At <strong>the</strong> present time, BWC does not have diversity recruitment initiatives. If our statistics<br />

would get <strong>to</strong> a level <strong>of</strong> concern, we would implement such measures.<br />

SECTION N: ADA SELF-EVALUATION AND REASONABLE ACCOMMODATION MODEL<br />

84. Does <strong>the</strong> agency have an ADA policy?<br />

Yes __X______ No ________<br />

Please explain. BWC’s ADA Policy is listed as Memo 8.02 in <strong>the</strong> Employee Handbook.<br />

85. Does <strong>the</strong> ADA policy contain guidelines for requesting a reasonable accommodation?<br />

Yes _X_______ No ________<br />

Please explain. The guidelines for requesting an accommodation or a workplace modification are<br />

contained in <strong>the</strong> ADA Policy.<br />

86. Does your agency have a process for requesting a reasonable accommodation?<br />

Yes __X______ No ________<br />

Please explain. Employees have been instructed <strong>to</strong> complete an ADA Reasonable Accommodation<br />

Request Questionnaire along with a Release <strong>of</strong> Health <strong>of</strong> Information form and submit both documents<br />

<strong>to</strong> <strong>the</strong> EEO Manager for review.<br />

87. How many requests for reasonable accommodations were received within <strong>the</strong> last three years?<br />

____10_____Physical<br />

_____2____Mental<br />

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88. Please provide <strong>the</strong> classifications used in <strong>the</strong> reasonable accommodations review process.<br />

The EEO Manager, Personnel Testing Manager, Chief Human Resource Officers, Chief Legal Officer, and<br />

Employee Labor Relations Direc<strong>to</strong>r.<br />

_____________________________________________________________________________________<br />

2011 ADA SELF-EVALUATION<br />

2011 ADA CUSTOMER SERVICE SELF-EVALUATION REVIEW FORMAT<br />

Brief Description <strong>of</strong> <strong>the</strong> Department: The EEO Department is responsible for <strong>plan</strong>ning, developing and<br />

administering BWC’s Affirmative Action and Compliance program for approximately 2,000 employees. The<br />

EEO Manager’s duties include <strong>plan</strong>ning, directing and establishing policies and procedures for <strong>the</strong> EEO<br />

Department and <strong>the</strong> overall agency, ensuring that BWC’s EEO program complies with state and federal law;<br />

giving presentations <strong>to</strong> both internal and external groups such as executive staff, state agencies and EEO<br />

<strong>of</strong>ficials. The EEO Manager is fur<strong>the</strong>r responsible for managing BWC’s EEO complaint and reasonable<br />

accommodation processes.<br />

Brief Description <strong>of</strong> <strong>the</strong> Division, District, or Institution: The <strong>Ohio</strong> <strong>Bureau</strong> <strong>of</strong> <strong>Workers</strong>’ Compensation<br />

(BWC) is <strong>the</strong> largest state-fund insurance system in <strong>the</strong> nation. BWC serves more than 250,000 <strong>Ohio</strong><br />

employers. In FY2011, BWC actively managed approximately 1.2 million open claims, funded by assets<br />

<strong>to</strong>taling approximately $26 billion. Medical and indemnity compensation paid <strong>to</strong> injured workers <strong>to</strong>taled<br />

nearly $2 billion and we received 118,971 new claims.<br />

Brief Description <strong>of</strong> <strong>the</strong> ADA Program: It is <strong>the</strong> policy and practice <strong>of</strong> <strong>the</strong> <strong>Ohio</strong> <strong>Bureau</strong> <strong>of</strong> <strong>Workers</strong>’<br />

Compensation (BWC) <strong>to</strong> comply fully with <strong>the</strong> Americans with Disabilities Act (ADA) and ensure equal<br />

employment opportunities and reasonable accommodation for qualified individuals with disabilities. BWC is<br />

also committed <strong>to</strong> ensuring non-discrimination in all terms, conditions and privileges <strong>of</strong> employment.<br />

The ADA requires public entities <strong>to</strong> conduct a self evaluation <strong>of</strong> policies and practices. BWC takes its<br />

responsibility <strong>to</strong> its employees and o<strong>the</strong>rs very seriously by making self evaluation a constant and continuous<br />

process. In accordance with <strong>the</strong> requirements <strong>of</strong> <strong>the</strong> ADA, BWC has conducted a complete self evaluation<br />

for FY 2011 and <strong>the</strong> results are presented below.<br />

SELF-EVALUATION PROCESS<br />

Background<br />

The Americans with Disabilities Act (ADA) and its implementing regulations require all public entities <strong>to</strong><br />

evaluate <strong>the</strong>ir policies and practices <strong>to</strong> identify and correct any that is not consistent with <strong>the</strong> ADA. Policies<br />

or practices that discriminate against or prevent participation by individuals with disabilities are strictly<br />

prohibited. All interested persons, including those with disabilities, or organizations representing <strong>the</strong>m, must<br />

be given an opportunity <strong>to</strong> participate in <strong>the</strong> self-evaluation process by submitting comments. Agencies must<br />

ensure that this occurs and must develop methods for considering and, if necessary, acting on <strong>the</strong> comments<br />

received.<br />

20 | Page


One way <strong>to</strong> provide an opportunity for comments and participation is <strong>to</strong> post public notices and/or hold<br />

public hearings. Public notices should clearly identify <strong>the</strong> purpose and goals <strong>of</strong> <strong>the</strong> evaluation. Agencies may<br />

also wish <strong>to</strong> include employees, clients or o<strong>the</strong>r persons with disabilities, or organizations representing<br />

persons with disabilities, in <strong>the</strong> evaluation process itself.<br />

Evaluations should be kept on file for 3 years, and should list <strong>the</strong> persons consulted or heard from, <strong>the</strong> areas<br />

considered, <strong>the</strong> problems identified, and <strong>the</strong> modifications or changes made. Changes <strong>to</strong> agency policies or<br />

practices should reflect and incorporate public comments where appropriate.<br />

Checklist:<br />

1. Are individuals with disabilities and/or individuals from organizations representing persons with disabilities<br />

consulting with you during <strong>the</strong> self-evaluation process?<br />

Yes__X___ No _____ NA _____ If you answered no <strong>to</strong> <strong>the</strong> above question you are required <strong>to</strong> develop<br />

procedures <strong>to</strong> ensure that interested parties are provided adequate opportunity <strong>to</strong> provide comments and<br />

suggestions.<br />

2. List <strong>the</strong> steps taken <strong>to</strong> ensure that interested parties are included in <strong>the</strong> evaluation process. Speak <strong>to</strong><br />

employees, consult with <strong>the</strong> <strong>Ohio</strong> Rehabilitation Services Commission and <strong>the</strong> Job Accommodation Network<br />

(JAN).<br />

3. List <strong>the</strong> names and addresses <strong>of</strong> interested people participating and/or providing comments. Input was<br />

sought from BWC’s Administra<strong>to</strong>r, Chief Human Resource Officer, EEO Manager and Building<br />

Management <strong>to</strong> discuss <strong>the</strong> requirements <strong>of</strong> <strong>the</strong> ADA Strategic Plan.<br />

4. Have you developed procedures <strong>to</strong> ensure that records <strong>of</strong> your evaluation (including responses 1-3 above),<br />

as well as our transition <strong>plan</strong>s, are kept for a period <strong>of</strong> 3 years.<br />

Yes__X___ No _____ NA _____ If you answered no, you must develop such procedures.<br />

Notification<br />

Background<br />

In addition <strong>to</strong> <strong>the</strong> required self-evaluation <strong>of</strong> policies and practices every agency is required <strong>to</strong> notify current<br />

and potential employees and recipients <strong>of</strong> services as well as <strong>the</strong> general public, that it complies with <strong>the</strong> ADA<br />

in all its programs, services and activities. Each agency is responsible for ensuring that this poster or a<br />

comparable notice is posted in conspicuous places in all facilities, that an appropriate non-discrimination<br />

statement is included on all printed materials distributed <strong>to</strong> <strong>the</strong> public and those employees and recipients <strong>of</strong><br />

services are notified <strong>of</strong> your compliance with <strong>the</strong> ADA.<br />

It is important <strong>to</strong> note that your notices <strong>the</strong>mselves must be provided in a way that will ensure that <strong>the</strong>y reach<br />

all persons, including those with disabilities. In o<strong>the</strong>r words, <strong>the</strong> notices <strong>the</strong>mselves must be accessible. For<br />

example, posters must be placed at an accessible height (between 54 and 66 inches from <strong>the</strong> floor) and copies<br />

<strong>of</strong> printed materials must be available upon request in Braille, large print and/or audio formats.<br />

Finally, notices must include <strong>the</strong> name <strong>of</strong> your ADA Coordina<strong>to</strong>r and information on how a complaint can<br />

be made if a person feels that he or she has been discriminated against because <strong>of</strong> a disability.<br />

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Checklist:<br />

Have you posted notices stating your compliance with ADA in conspicuous places in all your facilities?<br />

Yes_X____ No _____ NA _____ If you have answered no <strong>to</strong> this question, you are required <strong>to</strong> develop and<br />

post appropriate notices.<br />

Have you made your posted notice accessible <strong>to</strong> persons with disabilities? Is it posted at a height that can be<br />

read by persons in wheel chairs (54" - 66" from <strong>the</strong> floor)? Can it be made available in Braille, large print or<br />

audio formats or can it be read <strong>to</strong> persons with visual or o<strong>the</strong>r disabilities?<br />

Yes_X____ No _____ NA _____If you answered no, steps must be taken <strong>to</strong> assure that <strong>the</strong> notice is<br />

accessible.<br />

Does your notice include <strong>the</strong> name, business and telephone number <strong>of</strong> your ADA Coordina<strong>to</strong>r as well as<br />

information on how individuals can file a complaint if <strong>the</strong>y feel <strong>the</strong>y have been discriminated against because<br />

<strong>of</strong> a disability?<br />

Yes_X____ No _____ NA _____If you answered no, notice must be revised <strong>to</strong> include <strong>the</strong> required<br />

information.<br />

Have you communicated your compliance with ADA and your non-discrimination policy <strong>to</strong> all current<br />

employees and recipients <strong>of</strong> services and benefits?<br />

Yes_X____ No _____ NA _____ If you answered no, you must take steps <strong>to</strong> notify all current employees<br />

and recipients <strong>of</strong> services and benefits that your agency does not discriminate in employment or in providing<br />

services or benefits. This notification should also include <strong>the</strong> name, business address and telephone number<br />

<strong>of</strong> your ADA coordina<strong>to</strong>r and information on filing complaints.<br />

Have you taken steps <strong>to</strong> ensure that potential and future employees and service recipients are made aware <strong>of</strong><br />

your compliance with ADA?<br />

Yes_X____ No _____ NA _____ If you answered no, you must develop procedures <strong>to</strong> ensure that potential<br />

and future recipients receive such notice.<br />

List <strong>the</strong> steps you have taken or will take <strong>to</strong> notify current and future employees and service recipients <strong>of</strong> your<br />

compliance with ADA. The phrase, “BWC is an equal employment opportunity employer” is listed on all<br />

vacancy postings. BWC also has an ADA Policy which can be found in our Employee Handbook and on <strong>the</strong><br />

EEO Department’s web page.<br />

Do you include an appropriate non-discrimination statement on all printed materials distributed <strong>to</strong> potential<br />

employees, services recipients and <strong>the</strong> general public?<br />

Yes_X____ No _____ NA _____ If you answered no, you must revise existing materials and develop a <strong>plan</strong><br />

<strong>to</strong> ensure that all future materials include an appropriate non-discrimination statement. (Note: To avoid<br />

wasting current brochures and similar items, a sticker, stamp or insert could be used <strong>to</strong> add <strong>the</strong> appropriate<br />

statement <strong>to</strong> <strong>the</strong>se materials.)<br />

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Have you taken steps <strong>to</strong> ensure that your staff fully understands your organization’s policy <strong>of</strong> nondiscrimination<br />

and can take all appropriate steps <strong>to</strong> facilitate <strong>the</strong> participation <strong>of</strong> individuals with disabilities in<br />

agency programs and employment opportunities?<br />

Yes__X___ No _____ NA _____If you answered no, you must establish a mechanism <strong>to</strong> ensure that your<br />

staff fully understands <strong>the</strong>ir responsibilities. One way <strong>to</strong> do this is <strong>to</strong> provide periodic training and <strong>to</strong> include<br />

information in new employees’ orientation programs.<br />

Complaints Background<br />

The ADA requires that each public entity identify at least one employee <strong>to</strong> coordinate its efforts <strong>to</strong> comply<br />

with <strong>the</strong> ADA. This coordination must include <strong>the</strong> investigation <strong>of</strong> complaints filed alleging discrimination or<br />

violation <strong>of</strong> <strong>the</strong> ADA. Employees, service recipients and applicants for employment and services must be<br />

notified <strong>of</strong> <strong>the</strong> name, business address and telephone number <strong>of</strong> your ADA coordina<strong>to</strong>r and <strong>of</strong> <strong>the</strong><br />

procedures for filing a complaint. Employment complaints’ based on disability will be handled in <strong>the</strong> same<br />

way as o<strong>the</strong>r complaints regarding discrimination in employment. The established Equal Opportunity<br />

Division (EOD) complaint procedure can be used in <strong>the</strong>se cases. Agencies must develop an internal<br />

procedure for handling complaints from applicants and recipients <strong>of</strong> services.<br />

Checklist:<br />

Have you identified an ADA Coordina<strong>to</strong>r or o<strong>the</strong>r employee who will be responsible for receiving and<br />

processing discrimination complaints?<br />

Yes_X____ No _____ NA _____If you answered no, you must identify this person.<br />

Are appropriate personnel familiar with <strong>the</strong> EOD Complaint Procedures <strong>to</strong> be used for complaints <strong>of</strong><br />

employment discrimination based on disability?<br />

Yes__X___ No _____ NA _____If you answered no, you must ensure that appropriate staff receives copies<br />

<strong>of</strong> <strong>the</strong> procedure (which is included in your seminar folder) and training, if needed.<br />

Have you developed an internal grievance procedure <strong>to</strong> be used for receiving and processing complaints <strong>of</strong><br />

discrimination based on disability from recipients <strong>of</strong> and applicants for services?<br />

Yes_X____ No _____ NA _____If you answered no, you must develop, publish and disseminate a policy.<br />

Use <strong>of</strong> Contrac<strong>to</strong>rs Background<br />

The ADA states that a public entity may not directly or through contractual, licensing or o<strong>the</strong>r arrangements<br />

discriminate against persons with disabilities in providing benefits or services, or in employment. A<br />

department which licenses facilities or enters in<strong>to</strong> contracts with o<strong>the</strong>r public or private institutions,<br />

businesses or agencies <strong>to</strong> provide services or programs must ensure that those agencies, institutions or<br />

businesses comply with <strong>the</strong> ADA.<br />

To accomplish this objective, agency personnel involved in licensing or in writing or negotiating contracts<br />

must be made aware <strong>of</strong> <strong>the</strong>se ADA requirements. Persons moni<strong>to</strong>ring or auditing state funded programs<br />

23 | Page


must check for compliance with <strong>the</strong> programmatic, employment related and public accommodation<br />

requirements <strong>of</strong> <strong>the</strong> ADA. In addition, contracts should include language <strong>to</strong> <strong>the</strong> effect that <strong>the</strong> contrac<strong>to</strong>r is<br />

aware <strong>of</strong> and in compliance with <strong>the</strong> requirements <strong>of</strong> <strong>the</strong> ADA and its regulations. Contrac<strong>to</strong>rs must be made<br />

aware <strong>of</strong> <strong>the</strong> ADA requirements <strong>to</strong> ensure that <strong>the</strong>y are in compliance. A contract’s failure <strong>to</strong> comply could<br />

result in a state agency being held liable for a contrac<strong>to</strong>r’s licensee’s non-compliance.<br />

Checklist:<br />

Have you taken steps <strong>to</strong> ensure that appropriate agency personnel understand <strong>the</strong> ADA requirements as <strong>the</strong>y<br />

apply <strong>to</strong> contrac<strong>to</strong>rs?<br />

Yes_X____ No _____ NA _____ If you answered no, you must provide information and or training <strong>to</strong><br />

those personnel.<br />

Do persons moni<strong>to</strong>ring or auditing state funded programs check for compliance with <strong>the</strong> ADA?<br />

Yes__X___ No _____ NA _____ If you answered no, steps must be taken <strong>to</strong> ensure that state funded<br />

programs are checked for compliance with <strong>the</strong> programmatic, employment and public accommodation<br />

requirements <strong>of</strong> <strong>the</strong> ADA.<br />

Have you included language in agency contracts <strong>to</strong> ensure that contrac<strong>to</strong>rs are aware <strong>of</strong> <strong>the</strong>ir obligations <strong>to</strong><br />

facilitate <strong>the</strong> participation <strong>of</strong> persons with disabilities in programs and activities <strong>the</strong>y operate on behalf <strong>of</strong> <strong>the</strong><br />

agency?<br />

Yes_X____ No _____ NA _____If you answered no, steps must be taken <strong>to</strong> include ADA related language<br />

in all contracts.<br />

Have you developed a procedure <strong>to</strong> disseminate information about <strong>the</strong> ADA <strong>to</strong> all contrac<strong>to</strong>rs?<br />

Yes_X____ No _____ NA _____If you answered no, you need <strong>to</strong> establish a procedure. Recognized<br />

material on ADA compliance and implementation are <strong>the</strong> Technical Assistance Manuals for Titles I, II and<br />

III (Included in your agency notebook) and <strong>the</strong> Uniform Federal Accessibility, Standards, available from <strong>the</strong><br />

U.S. Architectural and Transportation Barriers Compliance Board Procedures will be developed incorporating<br />

relevant DAS procedures, if any, and disseminated <strong>to</strong> contrac<strong>to</strong>rs.<br />

Telephone Communication Background<br />

Where a public entity communicates with applicants and beneficiaries by telephone, TDDs or equally<br />

effective telecommunication systems are required <strong>to</strong> communicate with individuals with impaired speech or<br />

hearing. Although a statewide relay service was recently implemented, those departments with extensive<br />

telephone contact with <strong>the</strong> public are encouraged <strong>to</strong> have TDDs <strong>to</strong> provide access that is more immediate<br />

than a relay service. Telephone emergency services, such as fire, police, ambulance and, modems. TDD and<br />

relay service numbers must be published in <strong>the</strong> same manner as non-TDD numbers. Sign age concerning <strong>the</strong><br />

availability <strong>of</strong> TDD pay phones or o<strong>the</strong>r TDD required phones must also be posed in public locations.<br />

Checklist:<br />

Does your organization have a procedure for communicating effectively over <strong>the</strong> telephone with hearingimpaired<br />

persons?<br />

24 | Page


Telephone Communication Yes_X___ No ____ NA ____ If you answered no, you need <strong>to</strong> establish a<br />

procedure. This should include TDD phones in areas with extensive public contact.<br />

Have TDD numbers or telephone relay numbers been added <strong>to</strong> all agency direc<strong>to</strong>ries, pamphlets, brochures,<br />

letterhead, etc.?<br />

Yes_X____ No _____ NA _____ If you answered no, you need <strong>to</strong> add <strong>the</strong>se numbers <strong>to</strong> all direc<strong>to</strong>ries,<br />

pamphlets, etc. If your organization used “800" incoming WATTS telephone service in its program, have you<br />

taken steps <strong>to</strong> ensure that this service is usable by persons with hearing impairments?<br />

Yes _X____ No_____ NA _____ If you answered no, you must ensure that <strong>the</strong> WATTS line is accessible <strong>to</strong><br />

persons with speech and hearing impairments.<br />

Have you taken steps <strong>to</strong> familiarize appropriate staff with <strong>the</strong> operation <strong>of</strong> TDDs and o<strong>the</strong>r effective means<br />

<strong>of</strong> communicating over <strong>the</strong> telephone with hearing impaired persons?<br />

Yes_X____ No _____ NA_____ If you answered no, it is advisable <strong>to</strong> provide staff training. DAS<br />

Telecommunications can provide assistance and/or make appropriate referrals as needed.<br />

Documents and Publications Background<br />

All interested persons, including persons with impaired vision or hearing or with learning or processing<br />

disabilities, must be able <strong>to</strong> obtain information on <strong>the</strong> existence and location <strong>of</strong> accessible services, activities<br />

and facilities. In addition, publications and documents must be free <strong>of</strong> discrimina<strong>to</strong>ry and o<strong>the</strong>r inappropriate<br />

language.<br />

Checklist:<br />

Do you have a procedure for making documents available in alternate formats (e.g., audiotape, Braille, large<br />

print, computer disk)?<br />

Yes_X____ No _____ NA _____ If you answered no, you must develop such a procedure.<br />

Have you received agency publications and documents <strong>to</strong> identify and remove discrimina<strong>to</strong>ry language or any<br />

language or images that may patronize or stigmatize persons with disabilities?<br />

Yes_X____ No _____ NA _____ If you answered no, you must complete such a review and remove any<br />

inappropriate language or images. Fliers providing examples <strong>of</strong> appropriate and inappropriate terminology are<br />

included in your seminar folder.<br />

Such a review is an ongoing process as a matter <strong>of</strong> routine. A reminder will go <strong>to</strong> all staff reminding staff <strong>to</strong><br />

consider <strong>the</strong> wording <strong>of</strong> text as well as any pictures used in publications.<br />

Interpreters, Assistive Devices, Adaptive Equipment Background<br />

Public entities are required <strong>to</strong> secure <strong>the</strong> services <strong>of</strong> a qualified interpreter when conducting business with a<br />

recipient <strong>of</strong> state services who is deaf. Public speeches should be given with <strong>the</strong> assistance <strong>of</strong> a sign language<br />

25 | Page


interpreter or hard copy transcripts should be made available upon request. Note: Hard copy transcripts are<br />

not sufficient if <strong>the</strong> public will be invited <strong>to</strong> engage in a dialogue with <strong>the</strong> speaker.<br />

Public entities are also required <strong>to</strong> furnish appropriate auxiliary aids and services when necessary <strong>to</strong> afford an<br />

individual with a disability an equal opportunity <strong>to</strong> participate in, and enjoy <strong>the</strong> benefits <strong>of</strong>, <strong>the</strong> public entity’s<br />

services, programs or activities. This can include qualified readers and interpreters, taped, Braille or large print<br />

materials, or close-captioned video programs. The public entity must provide an opportunity for individuals<br />

with disabilities <strong>to</strong> indicate <strong>the</strong>ir chosen form <strong>of</strong> accommodation. The public entity should honor <strong>the</strong> choice<br />

unless it can demonstrate that ano<strong>the</strong>r effective means <strong>of</strong> communication exists, or that <strong>the</strong> means chosen<br />

would pose an undue financial or administrative burden or would fundamentally alter <strong>the</strong> service, program or<br />

activity in question.<br />

Employers and service providers are required <strong>to</strong> make reasonable accommodations <strong>to</strong> assure full participation<br />

by people with disabilities. There is a wide variety <strong>of</strong> equipment available <strong>to</strong> assist in this process. To reduce<br />

future costs, when make purchases agencies should consider equipment that can be readily modified.<br />

Checklist:<br />

Does your organization have a procedure <strong>to</strong> ensure that qualified interpreters are provided in an expeditious<br />

manner when needed at meetings, interviews, conferences, hearings or public appearances by agency <strong>of</strong>ficials?<br />

Yes_X____ No _____ NA _____ If you do not have a procedure <strong>to</strong> locate and <strong>to</strong> hire a qualified interpreter,<br />

you need <strong>to</strong> develop this procedure. The Rehabilitation Services Commission can assist you with this process.<br />

Are auxiliary aids available (or sources identified where <strong>the</strong>y can be readily obtained) for individuals with<br />

speech, vision or hearing impairments <strong>to</strong> ensure effective participation in programs or activities?<br />

Yes_X____ No _____ NA _____ If you answered no, you are required <strong>to</strong> establish relevant procedures <strong>to</strong><br />

obtain and use auxiliary aids when needed.<br />

Does your organization purchases <strong>of</strong>fice equipment that can be readily modified for people with disabilities?<br />

Yes_X____ No _____ NA _____ If you answered no, you should review and revise your purchasing<br />

procedures as needed.<br />

Undue Financial and Administrative Burden Background<br />

Title II requires a public entity <strong>to</strong> make its programs accessible in all cases except where <strong>to</strong> do so would result<br />

in a fundamental alteration in <strong>the</strong> nature <strong>of</strong> <strong>the</strong> program or present undue financial and administrative<br />

burdens. Similarly, Title I requires that reasonable accommodations be made <strong>to</strong> allow applicants and<br />

employees <strong>to</strong> perform available jobs, unless <strong>to</strong> do so would pose an undue financial or administrative burden.<br />

The decision that compliance would result in such alterations or burdens must be made by <strong>the</strong> head <strong>of</strong> <strong>the</strong><br />

public entity or his or her designee and must be accompanied by a written statement <strong>of</strong> <strong>the</strong> reasons for<br />

reaching that conclusion. The determination must be made by a high level <strong>of</strong>ficial, no lower than a<br />

department head, having budgetary authority and responsibility for spending decision.<br />

Checklist:<br />

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Have you established a procedure for ensuring that decisions about undue financial and administrative<br />

burdens are made properly and expeditiously?<br />

Yes__X___ No _____ NA _____ If you answered no, you must establish a procedure. Please keep in mind<br />

that it will be difficult for <strong>the</strong> state, with its extensive resources, <strong>to</strong> show undue burden.<br />

Program Accessibility Background<br />

Title II <strong>of</strong> <strong>the</strong> ADA requires that all programs, services and activities provided <strong>to</strong> <strong>the</strong> public by state and local<br />

government agencies be free <strong>of</strong> discrimination and disparate treatment and accessible <strong>to</strong> persons with<br />

disabilities. This means that people with disabilities are entitled <strong>to</strong> full and equal enjoyment <strong>of</strong> aids, benefits<br />

and services that <strong>the</strong>se aids, benefits and must be equal <strong>to</strong> and as effective as those provided <strong>to</strong> o<strong>the</strong>r<br />

individuals. In addition <strong>the</strong> aids, benefits and services should not be provided differently or separately unless<br />

it is necessary <strong>to</strong> do so <strong>to</strong> ensure equal effectiveness. All activities related <strong>to</strong> your programs and services must<br />

be analyzed and modified if necessary <strong>to</strong> ensure non-discrimination.<br />

In general, each independent program or service should be analyzed separately. All elements <strong>of</strong> your program<br />

should be reviewed <strong>to</strong> ensure that services and benefits are equally accessible <strong>to</strong>, and effective for, persons<br />

with disabilities, that <strong>the</strong> administration <strong>of</strong> <strong>the</strong> services and benefits is free from discrimination based on<br />

disability, that communications reach all persons including those with disabilities, and that effective<br />

application and selection procedures exists for persons with disabilities. Public service announcements must<br />

also be reviewed and revised as necessary <strong>to</strong> include closed captioning or sign language interpretation.<br />

As you review <strong>the</strong> programs, services, and/or activities provided by your agency directly, or by ano<strong>the</strong>r entity<br />

under contract, you should focus on <strong>the</strong> accessibility <strong>of</strong> <strong>the</strong> programs, services or activities. There are a<br />

number <strong>of</strong> ways that a program can be made readily accessible such as:<br />

• Assigning aides <strong>to</strong> beneficiaries<br />

• Making home visits<br />

• Redesigning equipment<br />

• Altering existing facilities<br />

The Accessibility Checklist will help you <strong>to</strong> make a determination regarding architectural barriers and how<br />

<strong>the</strong>y can be removed if necessary.<br />

Checklist:<br />

Have you reviewed materials and procedures used <strong>to</strong> advertise your program or service or <strong>to</strong> recruit<br />

individuals <strong>to</strong> participate in your programs <strong>to</strong> assure that <strong>the</strong>y are accessible <strong>to</strong> and do not discriminate<br />

against persons with disabilities?<br />

Yes__X___ No _____ NA _____ If you answered no, you need <strong>to</strong> complete such an analysis and take<br />

necessary steps <strong>to</strong> correct policies or materials that may result in disparate treatments or restrict accessibility.<br />

Your analysis should include a review <strong>of</strong> meetings, oral presentations, printed materials, advertisements, and<br />

o<strong>the</strong>r processes or materials used <strong>to</strong> recruit or <strong>to</strong> make persons aware <strong>of</strong> your program.<br />

27 | Page


Have you reviewed your public service announcements and added closed captioning or sign interpretation?<br />

Yes_X____ No _____ NA _____ If you answered no, you must review and revise <strong>the</strong>se announcements as<br />

necessary.<br />

Have you reviewed your eligibility criteria and any test used in <strong>the</strong> admission process for your program <strong>to</strong><br />

assure that <strong>the</strong>y do not discriminate against or result in disparate treatment <strong>of</strong> persons with disabilities?<br />

Yes_X____ No _____ NA _____ If you answered no, you must complete such a review and make changes<br />

in criteria and tests as needed <strong>to</strong> eliminate any disproportionate adverse impact on applicants with disabilities.<br />

Have you established a procedure <strong>to</strong> provide alternative tests or o<strong>the</strong>r accommodations in <strong>the</strong> testing process<br />

(e.g., readers) <strong>to</strong> persons with disabilities such as hearing or vision impairments or learning disabilities?<br />

Yes_X____ No _____ NA _____If you answered no, you must develop such a procedure and ensure that<br />

alternative tests or accommodations are readily available.<br />

Have you taken steps, including providing ADA training <strong>to</strong> appropriate staff and providing auxiliary aids as<br />

needed, <strong>to</strong> ensure non-discrimination in any interviewing process related <strong>to</strong> your program?<br />

Yes_X____ No _____ NA _____ If you answered no, you must review your interview process and ensure<br />

non-discrimination by training staff, making auxiliary aids available and revising procedures as needed.<br />

Have you reviewed all forms, brochures and o<strong>the</strong>r written materials listed in advertising, selection or<br />

provision <strong>of</strong> services or in any o<strong>the</strong>r aspects <strong>of</strong> <strong>the</strong> program <strong>to</strong> assure <strong>the</strong>y include an appropriate nondiscrimination<br />

statement and do not include language that tends <strong>to</strong> discriminate or result in disparate impact?<br />

Yes_X____ No _____ NA _____ If you answered no, such a review must be completed and changes made<br />

as needed.<br />

Do you have a procedure <strong>to</strong> assure that all printed materials can be made available in alternate formats if<br />

needed?<br />

Yes_X____ No _____ NA _____ If you answered no, such a procedure needs <strong>to</strong> be developed.<br />

Have you reviewed <strong>to</strong>ols, equipment and o<strong>the</strong>r devices used in <strong>the</strong> program <strong>to</strong> ensure that, with or without<br />

accommodations, <strong>the</strong>y are usable by and accessible <strong>to</strong> persons with disabilities?<br />

Yes_X____ No _____ NA _____ If you answered no, such a review must be completed.<br />

Do you have a procedure <strong>to</strong> make accommodations or provide auxiliary aids as needed <strong>to</strong> ensure full access<br />

<strong>to</strong> your program for persons with disabilities?<br />

Yes_X____ No _____ NA _____ If you answered no, such a procedure needs <strong>to</strong> be established.<br />

Have you analyzed each <strong>of</strong> <strong>the</strong> following program elements <strong>to</strong> ensure that <strong>the</strong>y are accessible <strong>to</strong> persons with<br />

disabilities and that reasonable accommodation or auxiliary aids are available if needed?<br />

28 | Page


Transportation services Yes_X____ No _____ NA _____<br />

Health services, insurance and o<strong>the</strong>r benefits Yes_X____ No _____ NA _____<br />

Housing Yes_____ No _____ NA _X____<br />

Financial aid Yes_____ No _____ NA _X____<br />

Counseling services Yes_____ No _____ NA __X___<br />

Employment services Yes__X___ No _____ NA _____<br />

Food services Yes_____ No _____ NA __X___<br />

Social, Recreational and Athletic Activities Yes_____ No _____ NA __X___<br />

If you answered no <strong>to</strong> any <strong>of</strong> <strong>the</strong> above, you must take steps <strong>to</strong> ensure that <strong>the</strong> services or benefits involved<br />

are equally accessible <strong>to</strong> and effective for persons with disabilities, and that procedures are in place <strong>to</strong> provide<br />

reasonable accommodations as needed.<br />

Have you completed <strong>the</strong> Accessibility Checklist for each location you agency provides programs, services or<br />

activities?<br />

Yes_X____ No _____ NA _____If you answered no, please complete.<br />

Have you prepared a Facilities Transition Plan as needed for all locations identified in Item 1?<br />

Yes_X____ No _____ NA _____ If you answered no, please complete.<br />

Does your agency have an evacuation <strong>plan</strong> for all locations, which identifies areas <strong>of</strong> rescue assistance?<br />

Yes__X___ No _____ NA _____ If you answered no, please prepare or revise a <strong>plan</strong> and make sure it is<br />

communicated.<br />

If you provide separate or different programs or activities for persons with disabilities, do you also ensure<br />

that <strong>the</strong>y are not denied <strong>the</strong> opportunity <strong>to</strong> participate in those that are not separate or different if <strong>the</strong>y so<br />

choose?<br />

Yes_X____ No _____ NA _____ If you answered no, you must take steps <strong>to</strong> ensure such participation is<br />

available.<br />

When selecting sites or locations for facilities, do you select sites that facilitate <strong>the</strong> accomplishments <strong>of</strong> <strong>the</strong><br />

objectives <strong>of</strong> <strong>the</strong> service, program or benefit for persons with disabilities?<br />

Yes_X____ No _____ NA _____ If you answered no, you must develop procedures that ensure that site<br />

selections are made with <strong>the</strong> needs <strong>of</strong> persons with disabilities in mind.<br />

29 | Page


Do you administer services, programs and activities in <strong>the</strong> most integrated setting appropriate <strong>to</strong> <strong>the</strong> needs <strong>of</strong><br />

qualified persons with disabilities?<br />

Yes_X____ No _____ NA _____ If you answered no, you must take steps <strong>to</strong> ensure that you provide<br />

services, activities and benefits in <strong>the</strong> most integrated setting possible.<br />

Do you maintain in operable working condition those features <strong>of</strong> facilities and equipment that are required <strong>to</strong><br />

be readily accessible <strong>to</strong> and usable by persons with disabilities?<br />

Yes_X____ No _____ NA _____ If you answered no, you must take steps <strong>to</strong> ensure that equipment is<br />

properly maintained.<br />

Do you provide signage at all inaccessible entrances <strong>to</strong> each <strong>of</strong> you facilities, directing users <strong>to</strong> an accessible<br />

entrance or <strong>to</strong> a location where <strong>the</strong>y can obtain information about accessible facilities?<br />

Yes_X____ No _____ NA _____ If you answered no, you must install appropriate signage.<br />

Do you have <strong>the</strong> international symbol for accessibility at each accessible entrance <strong>to</strong> each <strong>of</strong> your facilities?<br />

Yes_X____ No _____ NA _____ If you answered no, you must install such sign age.<br />

Have you reviewed boards, councils or o<strong>the</strong>r bodies on which program participants sit <strong>to</strong> ensure persons with<br />

disabilities have equal opportunity for selection and participation?<br />

Yes_X____ No _____ NA ____ If you answered no, you must complete such a review and modify<br />

procedures if necessary.<br />

Employment Background<br />

The ADA prohibits discrimination in employment against persons with disabilities and makes disparate<br />

treatment unlawful. This applies <strong>to</strong> all areas <strong>of</strong> employment, including <strong>the</strong> recruitment and hiring process,<br />

classification and pay, promotion and advancement opportunities, training and development, health insurance<br />

and o<strong>the</strong>r benefits and all o<strong>the</strong>r employment related activities. It is also unlawful <strong>to</strong> discriminate against a<br />

person who has a friend or relative with a disability. For example, <strong>to</strong> refuse <strong>to</strong> hire someone for fear that<br />

excessive absenteeism would result from <strong>the</strong>ir relationship <strong>to</strong> a person with a disability would be a violation<br />

<strong>of</strong> <strong>the</strong> ADA.<br />

An employer may not refuse employment <strong>to</strong> a person with a disability if <strong>the</strong> individual, with or without<br />

reasonable accommodation, can perform <strong>the</strong> essential function <strong>of</strong> <strong>the</strong> job. It is important when you are<br />

<strong>plan</strong>ning <strong>to</strong> fill a position <strong>to</strong> identify <strong>the</strong> essential functions, <strong>to</strong> include that information in all job postings and<br />

<strong>to</strong> review <strong>the</strong> position description and revise it if necessary <strong>to</strong> identify functions. This review must be<br />

completed on a position-by-position basis.<br />

The ADA provides that employment can be refused if employing a person with a disability would pose a<br />

“direct treat” or significant risk <strong>to</strong> <strong>the</strong> safety <strong>of</strong> o<strong>the</strong>rs that cannot be eliminated by modification <strong>of</strong> policies,<br />

practices or procedures or by provision <strong>of</strong> auxiliary aids or services. For example, under certain<br />

circumstances, <strong>the</strong> ADA permits employers <strong>to</strong> refuse <strong>to</strong> assign food-handling duties <strong>to</strong> employees with<br />

communicable diseases transmitted through <strong>the</strong> handling <strong>of</strong> food.<br />

30 | Page


Checklist:<br />

1. Have you analyzed your employment practices in general <strong>to</strong> identify and correct policies, procedures<br />

and/or written materials that may tend <strong>to</strong> discriminate or result in disparate treatment <strong>of</strong> persons with<br />

disabilities or persons who have friends or relatives with disabilities?<br />

Yes_X___ No_______ NA_______ If you answered no, such an analysis must be completed.<br />

2. Are your hiring procedures (application process, testing and interviewing) carried out in wheel chair<br />

accessible locations, using accessible formats (e.g., Braille, audio) and providing necessary accommodation<br />

(e.g., reader, sign language interpreter)?<br />

Yes__X___ No _____ NA _____ If you answered no, you must take steps <strong>to</strong> ensure accessibility.<br />

3. Have you determined that your policies and practices are free <strong>of</strong> discrimination and provide equal access <strong>to</strong><br />

persons with disabilities in each <strong>of</strong> <strong>the</strong> following areas?<br />

Recruitment and advertising Yes__X___ No _____ NA _____<br />

Application forms and processing Yes__X___ No _____ NA _____<br />

Interviewing, including structured interviews Yes__X___ No _____ NA _____<br />

Employment testing Yes_X____ No _____ NA _____<br />

Hiring, upgrading, promotion, demotion, transfer, lay<strong>of</strong>f, termination and rehiring<br />

Yes_X____ No _____ NA _____<br />

Disciplinary process and procedures Yes_X____ No _____ NA _____<br />

Rates <strong>of</strong> pay or any o<strong>the</strong>r form <strong>of</strong> compensation and changes in compensation<br />

Yes_X____ No _____ NA _____<br />

Job classifications and assignments Yes__X___ No _____ NA _____<br />

Organizational structures Yes_X____ No _____ NA _____<br />

Sick leave, leave without pay and all o<strong>the</strong>r kinds <strong>of</strong> leave Yes__X___ No _____ NA _____<br />

Selection & Financial support for training, pr<strong>of</strong>essional meetings, conferences and o<strong>the</strong>r related activities<br />

Yes__X___ No _____ NA _____<br />

Health, Life and o<strong>the</strong>r Insurance benefits Yes_X____ No _____ NA _____<br />

Agency sponsored social and recreational programs Yes_X____ No _____ NA _____<br />

31 | Page


If you answered no <strong>to</strong> any <strong>of</strong> <strong>the</strong> above, you must identify procedures, policies and materials that may lead <strong>to</strong><br />

disparate treatment and take appropriate action <strong>to</strong> modify <strong>the</strong>m.<br />

Do you have a procedure for responding <strong>to</strong> requests for accommodations <strong>to</strong> <strong>the</strong> known physical or mental<br />

disabilities <strong>of</strong> an o<strong>the</strong>rwise qualified applicant or employee? Yes__X___ No _____ NA _____<br />

If you answered no, you need <strong>to</strong> adopt such a procedure. Accommodation should be readily available and,<br />

whenever <strong>the</strong> applicant or employee should in a format choose possible.<br />

Do you have a procedure <strong>to</strong> determine when an individual with a disability poses a direct threat <strong>to</strong> health or<br />

safety <strong>of</strong> <strong>the</strong> individual or o<strong>the</strong>rs?<br />

Yes__X___ No _____ NA _____ If you answered no, you need <strong>to</strong> develop such a procedure.<br />

Do you have a procedure <strong>to</strong> ensure that positions are analyzed when being filled and at o<strong>the</strong>r critical times <strong>to</strong><br />

identify essential job functions, and those postings, position descriptions and o<strong>the</strong>r materials reflect <strong>the</strong>se<br />

essential functions?<br />

Yes__X___ No _____ NA _____ If you answered no, you need <strong>to</strong> develop such a procedure.<br />

Do you provide training on employment compliance with <strong>the</strong> ADA <strong>to</strong> hiring managers and supervisors and<br />

o<strong>the</strong>r personnel involved in developing and/or applying personnel policies and practices?<br />

Yes__X___ No _____ NA _____ If you answered no, you should develop a <strong>plan</strong> <strong>to</strong> provide such training.<br />

Do you have a procedure <strong>to</strong> document decisions not <strong>to</strong> hire or promote because <strong>of</strong> “undue” hardship”?<br />

Yes_X____ No _____ NA _____ If you answered no, you must develop such a procedure.<br />

Do you ensure that you do not require medical exams or any o<strong>the</strong>r kind <strong>of</strong> pre-employment inquiry in<strong>to</strong> an<br />

applicant’s disability until after a conditional <strong>of</strong>fer <strong>of</strong> employment has been made <strong>to</strong> <strong>the</strong> applicant?<br />

Yes__X___ No _____ NA _____If you answered no, you must establish procedures <strong>to</strong> ensure that such<br />

inquiries are handled appropriately.<br />

If <strong>of</strong>fers <strong>of</strong> employment are conditional on satisfac<strong>to</strong>ry completion <strong>of</strong> a medical exam, do you take steps <strong>to</strong><br />

ensure that medical information is collected and maintained on separate forms and in separate files, and<br />

treated as confidential information?<br />

Yes_X____ No _____ NA _____ If you answered no, you must develop procedures <strong>to</strong> ensure that such<br />

records are appropriately collected and maintained.<br />

If needed you may provide additional ADA related comments.<br />

32 | Page


2011<br />

EEOSP<br />

ATTACHMENTS<br />

33 | Page


34 | Page


Agency Information Instructions Name <strong>of</strong> Responsible<br />

Staff and Position<br />

1. An Overview <strong>of</strong> <strong>the</strong> Provide an overview <strong>of</strong> <strong>the</strong> agency as well as <strong>the</strong> Stephen Buehrer,<br />

Agency<br />

responsibilities in each <strong>of</strong> <strong>the</strong> agency Divisions<br />

Attachment A:1<br />

Administra<strong>to</strong>r/CEO<br />

2. Agency Table <strong>of</strong><br />

Organization<br />

3. Breakdown <strong>of</strong> Each<br />

Division’s Job<br />

Classifications<br />

4. Agency EEO Workforce<br />

Report<br />

Provide an agency table <strong>of</strong> Organization that<br />

clearly defines <strong>the</strong> reporting structure<br />

Attachment A:2<br />

Provide job classification titles for all agency<br />

employees.<br />

Attachment: A:3<br />

Provide a current copy <strong>of</strong> your agency EEO<br />

workforce ending –June 30, 2010 through June<br />

30th 2011. Officials and Administra<strong>to</strong>rs,<br />

Pr<strong>of</strong>essionals, Parapr<strong>of</strong>essional, Technicians,<br />

Protective Service <strong>Workers</strong>, Administrative<br />

Support (including Clerical and Sales), Skilled<br />

Craft <strong>Workers</strong> and Service-Maintenance<br />

Attachment: A:4<br />

Stephen Buehrer,<br />

Administra<strong>to</strong>r/CEO<br />

Dee Seidenschmidt,<br />

Direc<strong>to</strong>r <strong>of</strong><br />

Personnel &<br />

Benefits<br />

Ed Smith,<br />

Information<br />

Technologist 3<br />

ATTACHMENT B: AGENCY EEO INFORMATION AND DISCRIMINATION COMPLAINT<br />

MANAGEMENT<br />

Agency Information Instructions Name <strong>of</strong> Responsible<br />

Staff and Position<br />

5. EEO Officer Duties and Provide a copy <strong>of</strong> <strong>the</strong> EEO Officer’s<br />

Sheri Fitzpatrick,<br />

Experience<br />

responsibilities in include additional duties and<br />

experience and length <strong>of</strong> time in EEO and EEO<br />

EEO Manager<br />

Certificates (last 5 yrs).<br />

6. Classification and<br />

Position Description<br />

Attachment B:5<br />

Provide a copy <strong>of</strong> <strong>the</strong> class specifications and<br />

position description for all EEO Officers and<br />

identify <strong>the</strong> <strong>of</strong>ficer for whom <strong>the</strong> documents are<br />

associated.<br />

Attachment B:6<br />

7. EEO Flow Chart Please provide a flow chart with <strong>the</strong> names and<br />

titles <strong>of</strong> <strong>the</strong> individuals in <strong>the</strong> line <strong>of</strong> authority<br />

between <strong>the</strong> EEO Officer and <strong>the</strong> agency<br />

Direc<strong>to</strong>r.<br />

Attachment B:7<br />

8. Agency EEO Policies Provide a current copy <strong>of</strong> your agency's EEO,<br />

Anti-Discrimination/Anti-Harassment, ADA<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

2 | Page


and/or Sexual Harassment Policies.<br />

Attachment B:8<br />

9. EEO Discrimination Describe <strong>the</strong> type <strong>of</strong> EEO training each person<br />

Complaint Management responsible for managing complaints has received<br />

in order <strong>to</strong> manage <strong>the</strong> complaint process.<br />

Attachment B:9<br />

10. EEO Postings Please provide <strong>the</strong> agency central <strong>of</strong>fice and<br />

satellite locations and areas where EEO<br />

information is displayed.<br />

Attachment B:10<br />

11. EEO Strategic Plan<br />

(EEOSP) Availability<br />

12. EEO Discrimination<br />

Summaries From June<br />

30 th <strong>to</strong> June 30 th<br />

13. Agency EEO Counseling<br />

Form<br />

14. Agency EEO<br />

Information for<br />

employees<br />

Provide a statement <strong>of</strong> when <strong>the</strong> EEO Strategic<br />

Plan public document, may be reviewed by<br />

interested internal or external parties during<br />

working hours. And location <strong>of</strong> approved<br />

EEOSP.<br />

Attachment B:11<br />

Provide copies <strong>of</strong> <strong>the</strong> complaint summary for<br />

accepted complaints and a separate copy <strong>of</strong><br />

summary <strong>of</strong> non jurisdictional complaints<br />

Attachment B:12<br />

Please provide a copy <strong>of</strong> <strong>the</strong> form used <strong>to</strong> collect<br />

data for employees that you meet with about<br />

potential issues <strong>of</strong> discrimination.<br />

Attachment B.13<br />

Provide a copy <strong>of</strong> internet and or intranet content<br />

page that employees may learn about <strong>the</strong> agency<br />

EEO Program.<br />

Attachment B:14<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

ATTACHMENT C: DIVERSITY RECRUITMENT/OUTREACH AND LITERATURE<br />

INFORMATION<br />

Agency Information Instructions Name <strong>of</strong> Responsible<br />

Staff and Position<br />

15. Recruitment List Provide a copy <strong>of</strong> your agency’s minority, women, Dee Seidenschmidt,<br />

disabled persons and veterans’ recruitment contact Direc<strong>to</strong>r <strong>of</strong><br />

list.<br />

Personnel &<br />

Attachment C:15<br />

16. List Diversity<br />

Recruitment Outreach<br />

Efforts: Function Date(s):<br />

17. Agency EEO<br />

Publications<br />

Provide a copy <strong>of</strong> your agency’s recruitment<br />

strategy that includes an implementation <strong>plan</strong> for<br />

overcoming any barriers <strong>to</strong> equal employment<br />

opportunities.<br />

Attachment C:16<br />

Provide copies <strong>of</strong> agency EEO publications or<br />

EEO program information<br />

Attachment C:17<br />

Benefits<br />

Dee Seidenschmidt,<br />

Direc<strong>to</strong>r <strong>of</strong><br />

Personnel &<br />

Benefits<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

3 | Page


ATTACHMENT D:<br />

INFORMATION<br />

EEO SELECTION QUALIFICATIONS AND POSITION DESCRIPTION<br />

Instructions: Adverse Impact can be determined by utilizing <strong>the</strong> <strong>to</strong>ol found in this link:<br />

http://adverseimpact.org/AdverseImpactAnalysis.htm. Please use <strong>the</strong> link <strong>to</strong> conduct <strong>the</strong> requested studies<br />

and provide a separate, clearly identified document for each requested attachment.<br />

Agency Information Instructions Name <strong>of</strong> Responsible<br />

Staff and Position<br />

18. Adverse Impact Study Conduct and submit <strong>the</strong> Adverse Impact Study Sheri Fitzpatrick,<br />

for Terminations results by race and sex for agency terminations<br />

beginning June 30, 2010 through June 30, 2011.<br />

EEO Manager<br />

19. Adverse Impact Study for<br />

Promotions<br />

Attachment D:18<br />

Conduct and submit <strong>the</strong> Adverse Impact Study<br />

results by race and sex for promotions for Pay<br />

Range 12 and above from June 30, 2010 through<br />

June 30, 2011.<br />

Attachment D:19<br />

ATTACHMENT E: EEO PLACEMENT/ORIENTATION AND PERFORMANCE<br />

EVALUATIONS<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

Agency Information Instructions Name <strong>of</strong> Responsible<br />

Staff and Position<br />

20. EEO Orientation Please provide a copy <strong>of</strong> <strong>the</strong> orientation agenda or Sheri Fitzpatrick,<br />

Agenda<br />

<strong>the</strong> training <strong>plan</strong> for new employee orientation EEO Manager<br />

sessions.<br />

Attachment E:20<br />

21. EEO Training Agenda Please provide <strong>the</strong> agenda for EEO training <strong>of</strong>fered<br />

<strong>to</strong> both employees and supervisors.<br />

Attachment E:21<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

ATTACHMENT F:<br />

EEO DISCIPLINE AND SEPARATION STRATEGIES<br />

Agency Information Instructions Name <strong>of</strong> Responsible<br />

Staff and Position<br />

22. Discipline Practices Please provide a copy <strong>of</strong> <strong>the</strong> disciplinary policy and Brian Wal<strong>to</strong>n,<br />

procedure.<br />

Direc<strong>to</strong>r <strong>of</strong> Labor<br />

Attachment F:22<br />

Relations<br />

23. Exit Interview Please provide a copy <strong>of</strong> <strong>the</strong> agency exit interview<br />

form.<br />

Attachment F:23<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

ATTACHMENT G: EEO PROGRAM MONITORING AND LEADERSHIP COMPLIANCE<br />

INFORMATION AND SUMMARY OF CORRECTIVE ACTION TO BE TAKEN DURING<br />

THE NEXT FISCAL YEAR<br />

4 | Page


Provide a copy <strong>of</strong> <strong>the</strong> year-end report submitted <strong>to</strong> <strong>the</strong> agency head that include details on all aspects <strong>of</strong> <strong>the</strong><br />

equal employment opportunity program - A. Program Administration; Problem areas and recommended<br />

resolutions, received EEO training and refresher training <strong>of</strong> employees and EEO representatives, complaints<br />

accepted and investigated. B. Staff Coordination; Prevention <strong>of</strong> Sexual Harassment training conducted,<br />

Policy Letter and program goals. C. Program Management; <strong>the</strong> approved Equal Employment Opportunity<br />

Strategic Plan or corrective actions, ADA concerns. D. Program Design and Policy Execution; EEO<br />

Program Policy statements are signed and displayed and Management Directive, ADR or pre-complaint<br />

process.<br />

Agency Information Instructions Name <strong>of</strong> Responsible<br />

Staff and Position<br />

24. Leadership Information Please provide a copy <strong>of</strong> a year-end report submit <strong>to</strong><br />

<strong>the</strong> agency head that details <strong>the</strong> status <strong>of</strong> <strong>the</strong><br />

complaints from June 30, 2010- June 30, 2011.<br />

Attachment G:24<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

25. Corrective Action Provide a summary <strong>of</strong> corrective action items,<br />

section letter, timeframes and details <strong>of</strong> action taken<br />

that you will take during <strong>the</strong> upcoming year.<br />

Attachment G:25<br />

ATTACHMENT H: DIVERSITY INITIATIVES<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

Agency Information Instructions Name <strong>of</strong> Responsible<br />

Staff and Position<br />

26. Diversity Team Diversity outreach calendar, programs, events, etc. Sheri Fitzpatrick,<br />

with dates and details for <strong>the</strong> upcoming year. EEO Manager<br />

Attachment H:26<br />

ATTACHMENT I: ADA SELF-EVALUATION AND REASONABLE ACCOMMODATION<br />

PROCESS INFORMATION<br />

Agency Information Instructions Name <strong>of</strong> Responsible<br />

Staff and Position<br />

27. ADA Reasonable Agency Reasonable Accommodation Policy, Sheri Fitzpatrick,<br />

Accommodations request Guidelines and Procedures<br />

EEO Manager<br />

under <strong>the</strong> Americans Attachment I:27<br />

with Disabilities Act <strong>of</strong><br />

1990 as amended in 2008<br />

28. ADA Reasonable<br />

Accommodations<br />

Request Form<br />

Agency Reasonable Accommodation Request Form<br />

Attachment I:28<br />

Sheri Fitzpatrick,<br />

EEO Manager<br />

CORRECTIVE ACTION TO BE TAKEN:<br />

5 | Page


ATTACHMENT A: 1<br />

Overview <strong>of</strong> <strong>the</strong> Agency<br />

The <strong>Ohio</strong> <strong>Bureau</strong> <strong>of</strong> <strong>Workers</strong>’ Compensation (BWC) provides workforce coverage for<br />

approximately 275,000 <strong>of</strong> <strong>the</strong> state’s public and private employers. The State Insurance Fund<br />

covers medical expense and lost wages for approximately two-thirds <strong>of</strong> <strong>Ohio</strong> workers. The<br />

remaining third receives workers’ compensation coverage directly through <strong>the</strong>ir employers,<br />

which are part <strong>of</strong> a self-insurance program guided by strict qualifications set by BWC.<br />

When a workplace accident occurs, BWC responds <strong>to</strong> <strong>the</strong> needs <strong>of</strong> <strong>the</strong> injured worker and<br />

employer <strong>to</strong> ensure a safe and timely return <strong>to</strong> work for <strong>the</strong> injured employee. BWC pays<br />

benefits on behalf <strong>of</strong> <strong>Ohio</strong>’s employers in exchange for biannual premium payments, which<br />

should help protect <strong>the</strong>m from <strong>the</strong> financial shock <strong>of</strong> any sudden, costly workplace accident.<br />

Now <strong>the</strong> largest state-fund insurance system in <strong>the</strong> nation, BWC serves more than 250,000 <strong>Ohio</strong><br />

employers. In fiscal year 2011, we actively managed approximately 1.2 million open claims,<br />

funded by assets <strong>to</strong>taling approximately $26 billion. Medical and indemnity compensation paid<br />

<strong>to</strong> injured workers <strong>to</strong>taled nearly $2 billion, and we received 118,971 new claims. There were<br />

1,130 claims related <strong>to</strong> occupational diseases and, tragically 169 workers lost <strong>the</strong>ir lives while<br />

on <strong>the</strong> job.<br />

By pairing positive investment returns with better medical cost-containment, aggressive<br />

collection efforts and more claims management, BWC will fur<strong>the</strong>r streng<strong>the</strong>n its financial<br />

footing in <strong>the</strong> future and, in turn, provide greater piece <strong>of</strong> mind <strong>to</strong> <strong>Ohio</strong>’s injured workers and<br />

employers.<br />

6 | Page


ATTACHMENT A: 2<br />

Table <strong>of</strong> Organization<br />

Stephen Buehrer<br />

Administra<strong>to</strong>r<br />

Kelly Carey<br />

Legislative Liaison<br />

Dennis Vanek<br />

Chief Audit Officer<br />

Vacant<br />

Chief Actuary<br />

Bruce Dunn<br />

Chief Investments Officer<br />

Tracy Valentino<br />

Chief Financial Officer<br />

Toni Brokaw<br />

Chief <strong>of</strong> Human Resources<br />

Jeremy Jackson<br />

Chief <strong>of</strong> Public Policy &<br />

Strategy<br />

Vacant<br />

Chief Medical Officer<br />

Jason Rafeld<br />

Chief Legal Officer<br />

Dale Hamil<strong>to</strong>n<br />

Chief <strong>of</strong> Operations<br />

Tina Kielmeyer<br />

Chief <strong>of</strong> Field Operations<br />

Freddie Johnson (TWL)<br />

Chief <strong>of</strong> Medical Policies<br />

and Compliance<br />

Tom Croyle<br />

Chief <strong>of</strong> Information<br />

Technology<br />

Kevin Abrams<br />

Chief <strong>of</strong> Employer Services<br />

Abe Al-Tarawneh<br />

Chief <strong>of</strong> Safety & Hygiene<br />

7 | Page


ATTACHMENT A: 3<br />

Breakdown <strong>of</strong> Classifications by Division<br />

BWC Administration<br />

<strong>Ohio</strong>'s workers' compensation system is <strong>the</strong> largest state-fund insurance system in <strong>the</strong> nation, serving more<br />

than 250,000 employers and 1.2 million injured workers. Always conscious <strong>of</strong> our responsibility <strong>to</strong> operate in<br />

<strong>the</strong> best interest <strong>of</strong> those who support and rely upon <strong>the</strong> State Insurance Fund and o<strong>the</strong>r specialty funds, we<br />

focus on three performance objectives: Service, Simplicity and Savings.<br />

With this in mind, BWC Administration is responsible for administering and directing all programs and policies<br />

<strong>of</strong> <strong>the</strong> BWC, establishing and administering <strong>the</strong> budget in accordance with legislative appropriations, and<br />

directing <strong>the</strong> establishment <strong>of</strong> goals and objectives for <strong>the</strong> efficient operation and highest quality cus<strong>to</strong>mer<br />

service provided by <strong>the</strong> agency. Additionally, BWC Administration <strong>plan</strong>s, develops and enhances <strong>the</strong> policies,<br />

processes, organizational structure and staffing as it relates <strong>to</strong> <strong>the</strong> delivery <strong>of</strong> services <strong>to</strong> <strong>the</strong> injured workers<br />

and employers <strong>of</strong> <strong>Ohio</strong>. This is accomplished by <strong>the</strong> appointment <strong>of</strong> <strong>to</strong>p qualified personnel who analyze and<br />

assess <strong>the</strong> needs and requirements <strong>of</strong> <strong>the</strong> BWC in order <strong>to</strong> ensure a quality, cus<strong>to</strong>mer focused <strong>Workers</strong>’<br />

Compensation system for <strong>Ohio</strong> employers & employees.<br />

The BWC Board <strong>of</strong> Direc<strong>to</strong>r’s members provide pr<strong>of</strong>essional expertise, streng<strong>the</strong>ned accountability and<br />

transparency, and a broader representation <strong>of</strong> BWC’s cus<strong>to</strong>mers. The 11 Board Members represent <strong>the</strong><br />

interests <strong>of</strong> <strong>Ohio</strong> workers and employers, and <strong>the</strong> public at large. The board also includes members with<br />

pr<strong>of</strong>essional expertise in financial accounting, investments and securities, and actuarial management. Also, as<br />

fiduciaries <strong>of</strong> <strong>the</strong> workers’ compensation system, <strong>the</strong> board will provide independent verification <strong>of</strong> BWC’s<br />

financial and operational performance. The board has three committees mandated by law: an actuarial, audit<br />

and investment committee. The board also has direct power in advising BWC’s administra<strong>to</strong>r and managing<br />

<strong>the</strong> agency’s operations and policies.<br />

The Ombuds Office provides assistance <strong>to</strong>, and resolves issues associated with cus<strong>to</strong>mers <strong>of</strong> <strong>the</strong> <strong>Ohio</strong> workers’<br />

compensation system in <strong>the</strong>ir dealings with BWC and <strong>the</strong> Industrial Commission. Ombuds provides claimants<br />

and employers with information regarding problems arising out <strong>of</strong> BWC and commission hearing <strong>of</strong>ficer’s<br />

functions, responsibilities and procedures employed in claims processing. Additionally, <strong>the</strong> staff research and<br />

respond <strong>to</strong> inquiries <strong>of</strong> employers related <strong>to</strong> reserves established and premiums charged in connections with<br />

employer accounts.<br />

Finally, <strong>the</strong> Legislative Affairs team is responsible for appropriately responding <strong>to</strong> all BWC-related inquiries and<br />

referrals that come from <strong>the</strong> General Assembly. In addition <strong>to</strong> ensuring all injured worker and employer<br />

constituents receive <strong>the</strong> guidance <strong>the</strong>y need in respect <strong>to</strong> BWC matters, <strong>the</strong> legislative liaisons work regularly<br />

with legisla<strong>to</strong>rs and stakeholder groups in <strong>the</strong> development <strong>of</strong> legislation that fosters sound public policy.<br />

8 | Page


BWC ADMINISTRATION 7<br />

99580 - Administrative Staff 2<br />

99020 - BWC Administra<strong>to</strong>r 1<br />

63124 - Administrative Assistant 4 1<br />

63123 - Administrative Assistant 3 2<br />

33292 - WC Claims Rep 2 1<br />

BWC BOARD OF DIRECTORS 12<br />

99030 - Board Member (11 part time) 11<br />

63124 - Administrative Assistant 4 1<br />

OMBUDS 7<br />

99580 - Administrative Staff 2<br />

64436 - Public Inquiries Officer 1<br />

64432 – Cus<strong>to</strong>mer Service Assistant 2 1<br />

33292 - WC Claims Rep 2 2<br />

16832 - Executive Secretary 1 1<br />

9 | Page


Actuarial<br />

This division plays a key role in our initiatives <strong>to</strong> bring stability, predictability and transparency <strong>to</strong> <strong>Ohio</strong>’s<br />

premium rates, and <strong>to</strong> ensure <strong>the</strong> long-term financial health <strong>of</strong> <strong>Ohio</strong>’s workers’ compensation system. The<br />

division is responsible for developing and implementing a new, more accurate claims reserving system and for<br />

ensuring fair and equitable rates for all employers.<br />

The division also manages rate and financial reserve studies, recommends rates for employers and<br />

recommends <strong>the</strong> amount <strong>of</strong> claims reserves <strong>to</strong> include in BWC’s financial statement.<br />

ACTUARIAL 17<br />

99580 - Administrative Staff 4<br />

66795 - WC Underwriter Supervisor 3<br />

66791 - WC Underwriter 10<br />

Investments<br />

This division manages <strong>the</strong> invested assets <strong>of</strong> each <strong>of</strong> our separate trust funds <strong>to</strong> ensure we can pay all workers’<br />

compensation benefits and expense obligations when due. Using a prudent investment strategy, <strong>the</strong> division<br />

strives <strong>to</strong> earn sufficient returns <strong>to</strong> grow <strong>the</strong> surplus over time and keep premium payments reasonable and<br />

predictable.<br />

INVESTMENTS 9<br />

99580 - Administrative Staff 7<br />

63123 - Administrative Assistant 3 1<br />

16832 - Executive Secretary 1 1<br />

10 | Page


Internal Audit<br />

This division provides management personnel and <strong>the</strong> Audit Committee <strong>of</strong> <strong>the</strong> <strong>Workers</strong>’ Compensation Board<br />

<strong>of</strong> Direc<strong>to</strong>rs with a systematic, disciplined approach <strong>to</strong> evaluate bureau information, internal controls and<br />

governance processes. The Internal Audit Division provides independent, objective assurance and consulting<br />

activities designed <strong>to</strong> add value by improving operations and business processes. <strong>Bureau</strong> management and <strong>the</strong><br />

Audit Committee <strong>of</strong> <strong>the</strong> <strong>Workers</strong>’ Compensation Board <strong>of</strong> Direc<strong>to</strong>rs will be presented with analyses,<br />

recommendations, and counsel <strong>to</strong> enhance transparency and accountability.<br />

INTERNAL AUDIT 11<br />

99580 - Administrative Staff 2<br />

66467 - External Audit Manager 2 1<br />

66465 - External Audi<strong>to</strong>r Supervisor 3<br />

66463 - External Audi<strong>to</strong>r 3 2<br />

66462 - External Audi<strong>to</strong>r 2 2<br />

63216 - Management Analyst Supv 2 1<br />

Legal<br />

The Legal Division provides advice and assistance <strong>to</strong> <strong>the</strong> Administra<strong>to</strong>r and BWC, including but not limited <strong>to</strong>,<br />

claims procedure and policy, appeals lodged on behalf <strong>of</strong> <strong>the</strong> State Insurance Fund, and serves as legal counsel<br />

for <strong>the</strong> State Insurance Fund in administrative appeals. Additionally, <strong>the</strong> division asserts and protects BWC’s<br />

subrogation rights for monies due from third-party insurance carriers. The division also works with <strong>Ohio</strong><br />

employers and injured workers <strong>to</strong> settle claims and works with <strong>Ohio</strong>’s at<strong>to</strong>rney general in court appeals and<br />

efforts <strong>to</strong> recover debts owed <strong>to</strong> BWC. The Legal Division also works on <strong>the</strong> timely and accurate promulgation<br />

<strong>of</strong> rules that are due for five years rule review, legislative changes, rules affected by decisions <strong>of</strong> courts, and/or<br />

internal policy changes upon <strong>the</strong> BWC Board <strong>of</strong> Direc<strong>to</strong>rs approval.<br />

This division also consists <strong>of</strong> <strong>the</strong> special investigations department that aggressively pursues cases <strong>of</strong> claims<br />

fraud, medical provider fraud and premium fraud.<br />

LEGAL DIVISION 194<br />

99940 - College Intern (8 part time) 8 63124 - Administrative Assistant 4 2<br />

11 | Page


99580 - Administrative Staff 10 63123 - Administrative Assistant 3 3<br />

66911 - Statistician 1 1 63121 - Administrative Assistant 1 1<br />

66115 - Accountant/Examiner Supv 1 2 16832 - Executive Secretary 1 8<br />

66114 - Accountant/Examiner 4 1 26266 - BWC Special Investigations Mgr 1<br />

66112 - Accountant/Examiner 2 6 26265 - BWC Special Investigations Sup 7<br />

65511 - Industrial Rehab Nurse 2 26264 - BWC Asst Special Investig Supv 4<br />

64432 - Cus<strong>to</strong>mer Service Assistant 2 4 26262 - BWC Fraud Analyst 26<br />

63983 - BWC At<strong>to</strong>rney 3 7 26261 - BWC Fraud Investiga<strong>to</strong>r 51<br />

63982 - BWC At<strong>to</strong>rney 2 14 26216 - Investigation Supervisor 1 1<br />

63981 - BWC At<strong>to</strong>rney 1 11 26211 - Investiga<strong>to</strong>r 8<br />

63810 - Paralegal/Legal Assistant 1 1 26121 - Criminal Investiga<strong>to</strong>r 1 (2 part time) 2<br />

63271 - Records Management Officer 1 12551 - Secretary 1<br />

63216 - Management Analyst Supv 2 (1 part time) 5 12113 - Clerk 3 2<br />

63215 - Management Analyst Supv 1 4<br />

Public Policy and Strategy<br />

This division comprises <strong>of</strong> our Communications Department and our Legislative Development and Operational<br />

Reform staff. This includes communicating important claim and premium information <strong>to</strong> cus<strong>to</strong>mers, while also<br />

keeping stakeholders, media outlets and <strong>the</strong> public apprised <strong>of</strong> various initiatives, programs and achievements.<br />

Communications also oversees legislative affairs that maintains a direct line <strong>of</strong> communication with <strong>Ohio</strong><br />

lawmakers, and responds <strong>to</strong> all BWC-related inquiries and referrals from <strong>the</strong> <strong>Ohio</strong> General Assembly.<br />

POLICY & STRATEGY 22<br />

99580 - Administrative Staff 4 63216 - Management Analyst Supv 2 2<br />

82212 - Pho<strong>to</strong>journalist 1 63215 - Management Analyst Supv 1 2<br />

82121 - Layout Design Artist 1 52662 - Electronic Design Specialist 2<br />

12 | Page


64422 - Public Information Officer 2 1 52661 - Electronic Design Coordina<strong>to</strong>r 3<br />

64421 - Public Information Officer 1 5 52643 - Videographer 1<br />

Human Resources<br />

The Human Resources Division consists <strong>of</strong> personnel & benefits, training and safety services for approximately<br />

2,000 employees. The division also handles labor relations issues and maintains equal employment<br />

opportunity regulations throughout <strong>the</strong> agency. The Human Resources Division works <strong>to</strong> ensure consistency <strong>of</strong><br />

policies and procedures in accordance with <strong>the</strong> <strong>Ohio</strong> Revised Code, <strong>the</strong> <strong>Ohio</strong> Administrative Code and<br />

collective bargaining agreements. Also, <strong>the</strong> division works <strong>to</strong> provide a safe working environment for all BWC<br />

employees and visi<strong>to</strong>rs and effectively manage <strong>Workers</strong>’ Compensation and disability claims.<br />

HUMAN RESOURCES 61<br />

99580 - Administrative Staff 6 63473 - Labor Relations Officer 3 3<br />

69923 - Information Technologist 3 1 63216 - Management Analyst Supv 2 3<br />

65511 - Employee Health Nurse (3 Part Time) 4 63211 - Management Analyst 3<br />

64673 - Personnel Testing Specialist 3 1 63124 - Administrative Assistant 4 2<br />

64655 - Training Supervisor 5 63123 - Administrative Assistant 3 4<br />

64652 - Training Officer 15 63122 - Administrative Assistant 2 2<br />

64613 - Human Capital Mgt Sr Analyst 1 52662 - Electronic Design Specialist 2<br />

64612 - Human Capital Mgt Analyst 3 16832 - Executive Secretary 1 2<br />

64432 - Cus<strong>to</strong>mer Service Assistant 2 1 12551 - Secretary 2<br />

64431 - Cus<strong>to</strong>mer Service Assistant 1 1 12112 - Clerk 2 1<br />

13 | Page


Medical Services and Pharmacy<br />

This division facilitates <strong>the</strong> interface between <strong>the</strong> injured worker, <strong>the</strong> employer, <strong>the</strong> provider and BWC <strong>to</strong><br />

provide cost-effective medical and rehabilitation services and claims administration.<br />

MEDICAL SERVICES 110<br />

99580 - Administrative Staff (1 Part Time) 9 63211 - Management Analyst 14<br />

69775 - Industrial Rehabilitation Supv 1 63133 - Administrative Officer 3 1<br />

69772 - Indust Rehab Case Mgt Sp Coord 1 63132 - Administrative Officer 2 1<br />

65565 - Industrial Rehab Nurse Supv 1 63124 - Administrative Assistant 4 1<br />

65561 - Industrial Rehab Nurse 17 63123 - Administrative Assistant 3 1<br />

64433 - Cus<strong>to</strong>mer Service Assistant 3 2 63122 - Administrative Assistant 2 2<br />

64432 - Cus<strong>to</strong>mer Service Assistant 2 4 16832 - Executive Secretary 1 4<br />

64431 - Cus<strong>to</strong>mer Service Assistant 1 6 16725 - WC Med Claims Sp Su 1<br />

63352 - Technical Medical Specialist 1 16721 - WC Medical Claim Spec 10<br />

63341 - Technical Vocational Rehab Spec 2 12513 - Office Assistant 3 2<br />

63321 - Technical Claims Specialist 7 12113 - Clerk 3 2<br />

63216 - Management Analyst Supv 2 9 12112 - Clerk 2 1<br />

63215 - Management Analyst Supv 1 7 33292 - WC Claims Rep 2 1<br />

61314 - Deputy Direc<strong>to</strong>r 4 1 33293 - WC Claims Rep 3 1<br />

14 | Page


Field Operations<br />

This division houses BWC’s cus<strong>to</strong>mer contact center and administers 14 cus<strong>to</strong>mer service <strong>of</strong>fices throughout<br />

<strong>Ohio</strong>. These facilities — located in Cambridge, Can<strong>to</strong>n, Columbus, Cleveland, Day<strong>to</strong>n, Garfield Heights,<br />

Governor’s Hill, Hamil<strong>to</strong>n, Lima, Logan, Mansfield, Portsmouth, Toledo and Youngs<strong>to</strong>wn — serve as <strong>the</strong><br />

primary points <strong>of</strong> contact for injured workers and employers in <strong>Ohio</strong>’s 88 counties.<br />

FIELD OPERATIONS 1,018<br />

99610 - Student Help (3 part time) 3 24484 - Indust Safety Consultant Spec 48<br />

99580 - Administrative Staff 16 24474 - Industrial Safety Hygienist 4 23<br />

69771 - Industrial Rehab Case Mgt Sp 42 16832 - Executive Secretary 1 12<br />

66435 - WC External Audit/Emp Srvcs Supv 18 16726 - WC Claims Specialist Supv 52<br />

66432 - Employee Services Specialist 39 16725 - WC Med Claims Sp Su 6<br />

66112 - Accountant/Examiner 2 19 16722 - WC Claims Specialist 351<br />

65565 - Industrial Rehab Nurse Supv 1 16721 - WC Medical Claim Sp 49<br />

65561 - Industrial Rehab Nurse 40 16720 - WC Claims Assistant 75<br />

64475 - WC Information Supv 13 12115 - Clerical Supervisor 3<br />

63216 - Management Analyst Supv 2 2 12113 - Clerk 3 110<br />

63122 - Administrative Assistant 2 9 12112 - Clerk 2 4<br />

33294 - WC Claims Rep 4 62 12111 - Clerk 1 1<br />

24513 - Ergonomist 3 20<br />

Cus<strong>to</strong>mer Services - BWC’s Contact Center and Employer Compliance<br />

The BWC Contact Center is <strong>the</strong> in-bound call center responsible for claim and policy inquiries received through<br />

1-800-OHIOBWC. It also handles BWC's Web chat and <strong>the</strong> Contact Us e-mail box. The Employer Compliance<br />

unit identifies and works with non-compliant employers <strong>to</strong> ensure compliance with workers’ compensation<br />

coverage requirements.<br />

15 | Page


Cus<strong>to</strong>mer Services 82<br />

99580 - Administrative Staff 1 63521 - BWC Employer Service Rep (4 part time) 17<br />

63123 - Administrative Assistant 3 1 63216 - Management Analyst Supv 2 5<br />

99580 - Administrative Staff 2 63215 - Management Analyst Supv 1 2<br />

66432 - Employee Services Specialist 8 63211 - Management Analyst 3<br />

66431 - <strong>Workers</strong>' Comp External Audi<strong>to</strong>r 2 63124 - Administrative Assistant 4 1<br />

66112 - Accountant/Examiner 2 3 63123 - Administrative Assistant 3 1<br />

64451 - BWC Cus<strong>to</strong>mer Service Rep (3 part time) 20 63122 - Administrative Assistant 2 1<br />

64436 - Public Inquiries Officer 5 33411 - BWC Cus<strong>to</strong>mer Service Rep 5<br />

64431 - Cus<strong>to</strong>mer Service Assistant 1 2 16832 - Executive Secretary 1 2<br />

Employer Management Services including Safety & Hygiene<br />

EMS works <strong>to</strong> develop and implement employer programs <strong>to</strong> reduce coverage premiums, audit employer sites<br />

and payroll records <strong>to</strong> ensure premiums are properly reported and enroll and collect employer premium<br />

payments. Safety & Hygiene, a department dedicated <strong>to</strong> preventing accidents and injuries on <strong>the</strong> job, provides<br />

a wide variety <strong>of</strong> occupational safety and health services <strong>to</strong> <strong>Ohio</strong> employers and employees. Primary services<br />

include: safety education and training, safety councils, safety congress, safety grants and loan programs, onsite<br />

and field consulting safety services, and library services.<br />

EMPLOYER MANAGEMENT SERVICES 183<br />

99940 - College Intern (3 part time) 7 64314 - Librarian 2 (Degreed) 2<br />

99580 - Administrative Staff 5 63531 - BWC Underwriting Consultant 7<br />

84411 - Electronic Technician 1 63216 - Management Analyst Supv 2 21<br />

66911 - Statistician 1 1 63215 - Management Analyst Supv 1 3<br />

66795 - WC Underwriter Supv 2 63131 - Administrative Officer 1 1<br />

16 | Page


66791 - WC Underwriter 11 63124 - Administrative Assistant 4 1<br />

66471 - BWC Technical Resource Consult 1 63123 - Administrative Assistant 3 1<br />

66435 - WC External Audit/Emp Srvcs Su 5 63122 - Administrative Assistant 2 3<br />

66431 - <strong>Workers</strong>' Comp External Audi<strong>to</strong>r 35<br />

62222 - Board/Commission Member 2 (2 part<br />

time) 2<br />

66116 - Accountant/Examiner Supv 2 3 24474 - Industrial Safety Hygienist 4 5<br />

66114 - Accountant/Examiner 4 2 24453 - Industrial Safety Administra<strong>to</strong>r 2<br />

66112 - Accountant/Examiner 2 27 24442 - Safety And Health Consultant 15<br />

64652 - Training Officer 1 16832 - Executive Secretary1 6<br />

64432 - Cus<strong>to</strong>mer Service Assistant 2 3 12612 - Word Processing Specialist 2 2<br />

64431 - Cus<strong>to</strong>mer Service Assistant 1 2 12551 - Secretary 1<br />

64320 - Library Administra<strong>to</strong>r 1 1 12113 - Clerk 3 4<br />

Fiscal and Planning<br />

This division provides general accounting support services (accounting <strong>of</strong>fice) and fiscal <strong>plan</strong>ning (fiscal<br />

operations department) for <strong>the</strong> agency. This is accomplished through handling <strong>the</strong> receipt and distribution <strong>of</strong><br />

agency funds, including benefits payable <strong>to</strong> injured workers, MCOs and medical providers. The division also<br />

handles <strong>the</strong> agency’s payroll function, prepares budgets, handles purchasing and maintains general ledgers<br />

and financial reporting for seven funds administered by <strong>the</strong> agency.<br />

FISCAL & PLANNING 98<br />

99940 - College Intern (2 Part time) 2 63252 - Budget Analyst 2 3<br />

99610 - Student Help (7 Part time) 7 63216 - Management Analyst Supv 2 1<br />

99580 - Administrative Staff 7 63215 - Management Analyst Supv 1 2<br />

85823 - Design Specialist 3 2 63124 - Administrative Assistant 4 1<br />

84597 - Real Estate Administra<strong>to</strong>r 2 1 63121 - Administrative Assistant 1 1<br />

17 | Page


84596 - Real Estate Administra<strong>to</strong>r 1 1 53832 - Mover 2 2<br />

66538 - Fiscal Officer 4 1 53821 - Delivery Worker 3<br />

66537 - Fiscal Officer 3 2 52642 - Audio/Visual Production Spec 1<br />

66536 - Fiscal Officer 2 6 52145 - Mo<strong>to</strong>r Fleet Coordina<strong>to</strong>r Supv 1<br />

66535 - Fiscal Officer 1 1 52142 - Mo<strong>to</strong>r Fleet Coordina<strong>to</strong>r Spec 1<br />

66532 - Fiscal Specialist 2 3 16832 - Executive Secretary 1 2<br />

66531 - Fiscal Specialist 1 5 16513 - Account Clerk 3 1<br />

66116 - Accountant/Examiner Supv 2 2 16512 - Account Clerk 2 2<br />

66114 - Accountant/Examiner 4 3 14742 - S<strong>to</strong>rekeeper 2 2<br />

66112 - Accountant/Examiner 2 5 12551 - Secretary 1<br />

64555 - Inven<strong>to</strong>ry Control Spec Supv 1 12513 - Office Assistant 3 1<br />

64552 - Inven<strong>to</strong>ry Control Specialist 2 4 12422 - Reproduction Equip Opera<strong>to</strong>r 2 2<br />

64523 - Purchasing Coordina<strong>to</strong>r 5 12115 - Clerical Supervisor 2<br />

64431 - Cus<strong>to</strong>mer Service Assistant 1 1 12113 - Clerk 3 8<br />

63255 - Budget Analyst Supervisor 1 1 12111 - Clerk 1 1<br />

Information Technology (IT)<br />

This division enables, supports and achieves our operational, financial and cus<strong>to</strong>mer service goals through<br />

reliable, up-<strong>to</strong>-date and convenient online services and technology.<br />

INFORMATION TECHNOLOGY 221<br />

99580 - Administrative Staff 10 63381 - Project Manager 1 1<br />

69963 - Business Process Analyst 3 5 63216 - Management Analyst Supv 2 1<br />

69962 - Business Process Analyst 2 (1 Part time) 17 63215 - Management Analyst Supv 1 1<br />

69953 - Database Administration Spec 3 11 63211 - Management Analyst 1<br />

18 | Page


69952 - Database Administration Spec 2 2 63122 - Administrative Assistant 2 1<br />

69944 - S<strong>of</strong>tware Development Spec 4 2 52495 - Telecomm Analyst Sup 1<br />

69943 - S<strong>of</strong>tware Development Spec 3 18 52491 - Telecommunications Analyst 1 1<br />

69942 - S<strong>of</strong>tware Development Spec 2 13 52413 - Telecom Tech Coordina<strong>to</strong>r 1<br />

69941 - S<strong>of</strong>tware Development Spec 1 11 16832 - Executive Secretary 1 3<br />

69934 - Infrastructure Specialist 4 9 12824 - Data Systems Scheduler 4 1<br />

69933 - Infrastructure Specialist 3 7 12823 - Data Systems Scheduler 3 1<br />

69932 - Infrastructure Specialist 2 33 12612 - Word Processing Specialist 2 1<br />

69931 - Infrastructure Specialist 1 12 12551 – Secretary 1<br />

69921 - Information Technologist 1 7 12392 - Data Systems Coordina<strong>to</strong>r 2 1<br />

67196 - Network Services Supervisor 5 12391 - Data Systems Coordina<strong>to</strong>r 1 1<br />

67115 - Telecomm Systems Analyst Supv 1 12386 - Data Security Supervisor 2 1<br />

64196 - Systems Programmer Supv 2 2 12382 - Data Security Analyst 2 1<br />

64163 - Info Technology Consultant 3 3 12381 - Data Security Analyst 1 2<br />

64157 - Data Base Administra<strong>to</strong>r 2 2 12376 - Computer Operations Supv 2 2<br />

64133 - Information Technology Mgr 2 8 12375 - Computer Operations Supv 1 3<br />

64132 - Information Technology Mgr 1 1 12372 - Computer Opera<strong>to</strong>r 3 9<br />

64119 - Information Technology Supv 3 5 12342 - Data Librarian 2 1<br />

63382 - Project Manager 2 1<br />

19 | Page


ATTACHMENT A: 4<br />

Agency EEO Workforce Report<br />

FEMALE<br />

MALE<br />

Asian/Pacific<br />

Islander<br />

African<br />

American<br />

Hispanic/Latinos<br />

American<br />

Indian/AK<br />

Native<br />

Multi<br />

Not<br />

Disclosed<br />

White<br />

Total<br />

Asian/Pacific<br />

Islander<br />

African<br />

American<br />

Hispanic/Latinos<br />

American<br />

Indian/AK<br />

Native<br />

07/01/2010 20 403 10 4 1 87 954 1479 11 102 3 1 55 614 786 2265<br />

08/01/2010 20 400 10 4 1 87 941 1463 11 102 3 1 55 609 781 2244<br />

Not<br />

Disclosed<br />

White<br />

Total<br />

Grand<br />

Total<br />

09/01/2010 20 396 10 4 1 84 931 1446 11 101 3 1 55 607 778 2224<br />

10/01/2010 20 396 10 4 1 84 925 1440 11 100 3 1 55 606 776 2216<br />

11/01/2010 20 394 10 4 1 83 921 1433 11 98 3 1 54 605 772 2205<br />

12/01/2010 20 395 10 3 1 81 911 1421 11 98 3 1 54 604 771 2192<br />

01/01/2011 19 376 10 3 1 77 898 1384 11 94 3 1 51 599 759 2143<br />

02/01/2011 19 370 10 3 1 73 891 1367 11 92 3 1 50 595 752 2119<br />

03/01/2011 19 369 10 3 1 74 886 1362 11 92 3 1 52 594 753 2115<br />

04/01/2011 19 363 10 3 1 73 880 1349 11 92 3 1 50 588 745 2094<br />

05/01/2011 19 359 10 3 1 73 867 1332 11 92 3 1 49 586 742 2074<br />

06/01/2011 19 355 10 3 1 73 858 1319 10 91 3 1 50 584 739 2058<br />

20 | Page


ATTACHMENT B: 5<br />

EEO Manager Duties and Experience<br />

The EEO Manager is responsible for <strong>plan</strong>ning, developing and administering <strong>the</strong> <strong>Bureau</strong>’s<br />

Affirmative Action and Compliance programs for approximately 2,000 employees. The<br />

Manager’s duties include <strong>plan</strong>ning, directing and establishing policies and procedures for <strong>the</strong><br />

EEO Department and <strong>the</strong> overall agency, ensuring that <strong>the</strong> <strong>Bureau</strong>’s EEO program complies with<br />

state and federal law, giving presentations <strong>to</strong> both internal and external groups such as<br />

executive staff, state agencies and EEO <strong>of</strong>ficials. The EEO Manager is fur<strong>the</strong>r responsible for<br />

managing <strong>the</strong> <strong>Bureau</strong>’s EEO complain and reasonable accommodation processes. The EEO<br />

Manager is also responsible for <strong>the</strong> preparation and implementation <strong>of</strong> <strong>the</strong> EEO Department’s<br />

budget. In addition, <strong>the</strong> EEO Manager is responsible for ensuring that all employees are aware<br />

<strong>of</strong> <strong>the</strong> EEO policies and what <strong>the</strong>y need <strong>to</strong> do if <strong>the</strong>y have a concern or complaint.<br />

The EEO Manager has been employed with BWC since December 22, 1996, when she was<br />

initially hired as an EEO Regional Program Administra<strong>to</strong>r. Effective January 20, 2008, she was<br />

promoted <strong>to</strong> <strong>the</strong> EEO Manager position.<br />

21 | Page


Attachment B: 6<br />

Classification and Position Description for Sheri Fitzpatrick<br />

POSITION<br />

DESCRIPTION<br />

DIVISION OR INSTITUTION<br />

Human Resources<br />

UNIT OR OFFICE<br />

Equal Employment Office<br />

AGENCY/DEPT ID BWC<br />

COUNTY OF EMPLOYMENT<br />

Franklin<br />

855-000U<br />

CODE JOB TITLE POSITION NUMBER<br />

9580 ADMINISTRATIVE STAFF 20067167<br />

Reclassification New Position Update Position Hyperlinked <strong>to</strong><br />

Agency Organizational Tree<br />

USUAL WORKING TITLE OF POSITION<br />

EEO Manager<br />

POSITION NO. AND TITLE OF IMMEDIATE SUPERVISOR<br />

20067163 - Administrative Staff<br />

Permanent Classified Overtime: Eligible Exempt<br />

Bargaining Unit 22<br />

Temporary<br />

Intermittent Unclassified If FLSA Exempt, exemption type:<br />

Page 1 <strong>of</strong> 2<br />

Pr<strong>of</strong>essional<br />

NORMAL WORKING HOURS (Explain unusual or rotating shift):<br />

FROM: 8:00 a.m. TO: 4:45 p.m.<br />

JOB DESCRIPTION AND WORKER CHARACTERISTICS<br />

% Job Duties in Order <strong>of</strong> Importance Knowledge, Skills & Abilities<br />

60% Under direction from <strong>the</strong> Chief Human Resources Officer, <strong>plan</strong>s KNOWLEDGE OF: EEO & affirmative action regulations;<br />

develops & administers <strong>the</strong> <strong>Bureau</strong> <strong>of</strong> <strong>Workers</strong>’ Compensation’s civil service laws, rules & regulations; BWC personnel<br />

affirmative action program agency-wide including <strong>the</strong> development & policies & procedures*; federal & laws and rules<br />

implementation <strong>of</strong> affirmative action <strong>plan</strong> & related compliance governing fair labor practices; (i.e., equal employment<br />

programs, management <strong>of</strong> <strong>the</strong> <strong>Bureau</strong>’s EEO complaint process & opportunity law); supervisory principles/techniques;<br />

agency Minority Business Enterprise program; responsible for interviewing; public relations; labor relations; recruitment;<br />

ensuring proper personnel & labor procedures in regard <strong>to</strong> Civil human resources training & development; knowledge <strong>of</strong><br />

Rights laws & ensures <strong>the</strong> <strong>Bureau</strong>’s overall program compliance with Minority Business Program compliance.<br />

state & federal regulations including Civil Rights Act, administrative SKILL IN: operation <strong>of</strong> personal computer.<br />

rules, executive orders, Age Discrimination in Employment Act & <strong>the</strong> ABILITY TO: define problems, collect data, establish facts<br />

Americans with Disabilities Act; makes recommendations <strong>to</strong><br />

& draw valid conclusions; calculate fractions, decimal &<br />

executive staff including <strong>the</strong> BWC Administra<strong>to</strong>r regarding needed percentages; prepare meaningful, concise & accurate<br />

corrections or improvements; develops & reviews policies &<br />

reports; collate & classify information; handle sensitive<br />

procedures for <strong>the</strong> <strong>Bureau</strong>; advises <strong>the</strong> <strong>Bureau</strong> with respect <strong>to</strong> <strong>the</strong> inquiries from & contacts with <strong>of</strong>ficials & general public.<br />

employment process including <strong>the</strong> appropriate use & functions <strong>of</strong><br />

employee testing; develops <strong>the</strong> <strong>Bureau</strong>’s Civil Rights <strong>plan</strong>s &<br />

coordinates <strong>the</strong> preparation <strong>of</strong> EEO reports <strong>to</strong> <strong>the</strong> BWC<br />

Administra<strong>to</strong>r.<br />

30%<br />

Provides supervision, consultation & technical assistance on a<br />

statewide basis interpreting civil service rules & regulations, labor<br />

agreements & EEO laws; <strong>plan</strong>s & conducts meetings, seminars &<br />

conferences; develops & delivers training programs; coordinates &<br />

maintains liaison with various organizations & agencies (e.g., Urban<br />

League, NAACP); represents <strong>the</strong> <strong>Bureau</strong> in various meetings,<br />

committees & conferences with respect <strong>to</strong> civil rights & affirmative<br />

action matters; responsible for designing & conducting interviewing<br />

training programs, evaluation procedures, informational policies<br />

handbooks, recruitment manuals & interviewing technique<br />

guidelines.<br />

KNOWLEDGE OF: Same as above.<br />

SKILL IN: Same as above.<br />

ABILITY TO: Same as above.<br />

22 | Page


POSITION<br />

DESCRIPTION<br />

DIVISION OR INSTITUTION<br />

Human Resources<br />

UNIT OR OFFICE<br />

Equal Employment Office<br />

AGENCY/DEPT ID BWC<br />

COUNTY OF EMPLOYMENT<br />

Franklin<br />

855-000U<br />

JOB CODE JOB TITLE POSITION NUMBER<br />

99580 ADMINISTRATIVE STAFF 20067167<br />

Reclassification New Position Update Position Hyperlinked <strong>to</strong><br />

Agency Organizational Tree<br />

USUAL WORKING TITLE OF POSITION<br />

EEO Manager<br />

POSITION NO. AND TITLE OF IMMEDIATE SUPERVISOR<br />

20067163 - Administrative Staff<br />

Permanent Classified Overtime: Eligible Exempt<br />

Bargaining Unit<br />

Temporary<br />

Intermittent Unclassified If FLSA Exempt, exemption type:<br />

Page 2 <strong>of</strong> 2<br />

NORMAL WORKING HOURS (Explain unusual or rotating shift):<br />

FROM: 8:00 a.m. TO: 4:45 p.m.<br />

JOB DESCRIPTION AND WORKER CHARACTERISTICS<br />

% Job Duties in Order <strong>of</strong> Importance Knowledge, Skills & Abilities<br />

10% Assures overall agency compliance with <strong>the</strong> full range <strong>of</strong> Civil Rights legislation;<br />

responds <strong>to</strong> complaints related <strong>to</strong> civil rights; manages complaints & charges;<br />

performs & supervises investigations related <strong>to</strong> <strong>the</strong> above<br />

List Position Numbers & Job Titles <strong>of</strong> Positions Directly<br />

Supervised:<br />

ADM 4107 R 10-08<br />

An Equal Opportunity Employer<br />

KNOWLEDGE OF: Same as above.<br />

SKILL IN: Same as above.<br />

ABILITY TO: Same as above.<br />

(*) Developed after employment.<br />

This position is unclassified & exempt from classified<br />

service pursuant <strong>to</strong> ORC 124.11.<br />

THIS POSITION IS OVERTIME EXEMPT.<br />

The final external applicant selected for<br />

this position will be required <strong>to</strong> submit <strong>to</strong><br />

urinalysis prior <strong>to</strong> appointment <strong>to</strong> test for<br />

illegal drug use. An applicant with a<br />

positive test result will not be <strong>of</strong>fered<br />

employment.<br />

THIS POSITION REQUIRES TRAVEL; THEREFORE,<br />

PERSON OCCUPYING THIS POSITION MUST BE<br />

ABLE TO PROVIDE THEIR OWN TRANSPORTATION<br />

&/OR LEGALLY OPERATE A STATE OWNED<br />

VEHICLE.<br />

SIGNATURE OF AGENCY REPRESENTATIVE<br />

DATE<br />

9/13/2010<br />

23 | Page


Attachment B: 7<br />

EEO Flow Chart<br />

STEPHEN P. BUEHRER<br />

BWC Administra<strong>to</strong>r<br />

PN 20066053<br />

TONI BROKAW<br />

Administrative Staff<br />

Chief Human Resource Officer<br />

PN 20067163<br />

SHERI FITZPATRICK<br />

Administrative Staff<br />

Manager <strong>of</strong> EEO<br />

PN 20067167<br />

24 | Page


Attachment B: 8<br />

Agency EEO Policies<br />

EQUAL EMPLOYMENT OPPORTUNITY POLICY<br />

It is <strong>the</strong> policy <strong>of</strong> <strong>the</strong> <strong>Ohio</strong> <strong>Bureau</strong> <strong>of</strong> <strong>Workers</strong>’ Compensation (BWC) <strong>to</strong> maintain a work environment that<br />

is free <strong>of</strong> discrimination and harassment based on race, color, religion, gender, national origin, ancestry,<br />

military status (past, present or future), disability, age (40 years <strong>of</strong> age or older), genetic information,<br />

sexual orientation or retaliation. This policy applies <strong>to</strong> all employees, <strong>of</strong>ficers, applicants, cus<strong>to</strong>mers,<br />

vendors, interns, clients, temporaries, contrac<strong>to</strong>rs and consultants.<br />

BWC is committed <strong>to</strong> taking action <strong>to</strong> address existing concerns and improve our Equal Employment<br />

Opportunity program. Accordingly, we have developed an EEO Strategic Plan that outlines <strong>the</strong> process<br />

and procedures that will be used <strong>to</strong> ensure that equal employment opportunity is a reality at BWC.<br />

It is <strong>the</strong> policy <strong>of</strong> BWC <strong>to</strong> fully comply with <strong>the</strong> State <strong>of</strong> <strong>Ohio</strong>’s Equal Employment Opportunity program<br />

and all applicable state and federal laws, rules, regulations, and guidelines as <strong>the</strong>y relate <strong>to</strong> nondiscrimination<br />

in employment. Discrimination against applicants and employees based on race, color,<br />

religion, gender, national origin, ancestry, military status (past, present or future), disability, age (40<br />

years <strong>of</strong> age or older), genetic information, sexual orientation or retaliation is illegal. Additionally, BWC<br />

expects all employees <strong>to</strong> observe <strong>the</strong> highest standards <strong>of</strong> pr<strong>of</strong>essional conduct. The conduct described<br />

in this policy is strictly prohibited regardless <strong>of</strong> whe<strong>the</strong>r or not it constitutes a violation <strong>of</strong> federal or state<br />

discrimination laws.<br />

All employees should respect <strong>the</strong> rights, opinions, and beliefs <strong>of</strong> o<strong>the</strong>rs. Harassment <strong>of</strong> any employee<br />

because <strong>of</strong> race, color, religion, gender, national origin, ancestry, military status (past, present or future),<br />

disability, age (40 years <strong>of</strong> age or older), genetic information, sexual orientation or retaliation is strictly<br />

prohibited. Harassment may consist <strong>of</strong> unwelcome conduct, whe<strong>the</strong>r verbal physical or visual, which is<br />

based upon a person’s protected status. BWC will not <strong>to</strong>lerate harassing conduct that affects tangible<br />

job benefits, that interferes unreasonably with an individual’s work performance, or that creates an<br />

intimidating, hostile, or <strong>of</strong>fensive work environment.<br />

Sexual harassment may include unwelcome sexual advances, requests for sexual favors, and o<strong>the</strong>r<br />

physical, verbal or visual conduct based upon sex when (1) submission <strong>to</strong> <strong>the</strong> conduct is an explicit term<br />

or condition <strong>of</strong> employment, (2) submission <strong>to</strong> or rejection <strong>of</strong> <strong>the</strong> conduct is used as <strong>the</strong> basis for an<br />

employment decision, or (3) <strong>the</strong> conduct has <strong>the</strong> purpose or effect <strong>of</strong> unreasonably interfering with an<br />

individual’s work performance or creating an intimidating, hostile, or <strong>of</strong>fensive work environment.<br />

INVESTIGATIVE PROCEDURES<br />

1. Any BWC employee who believes that he or she is <strong>the</strong> victim <strong>of</strong> discrimination or harassment<br />

should communicate <strong>the</strong> specific incident <strong>of</strong> alleged discrimination <strong>to</strong> his or her supervisor. The<br />

employee may choose <strong>to</strong> report <strong>the</strong> incident directly <strong>to</strong> BWC’s EEO Department, <strong>the</strong> Chief<br />

Human Resources Officer or <strong>the</strong> Chief Legal Officer.<br />

2. BWC will promptly and thoroughly investigate any complaint or any report <strong>of</strong> a violation <strong>of</strong> this<br />

policy. Employees at all levels <strong>of</strong> BWC are expected <strong>to</strong> cooperate in an investigation. The failure<br />

<strong>of</strong> any employee <strong>to</strong> cooperate during <strong>the</strong> course <strong>of</strong> an investigation may result in appropriate<br />

25 | Page


disciplinary action. The complaining party may at any time inquire as <strong>to</strong> <strong>the</strong> status <strong>of</strong> <strong>the</strong><br />

investigation.<br />

3. All BWC supervisory personnel are required <strong>to</strong> respond <strong>to</strong> every complaint or any report received<br />

<strong>of</strong> a possible violation <strong>of</strong> this policy by: 1) obtaining written statements from both <strong>the</strong> complaining<br />

party and <strong>the</strong> person(s) who is alleged <strong>to</strong> have engaged in such violation, as well as all<br />

individuals having relevant information concerning <strong>the</strong> complaint; and 2) reporting <strong>the</strong> incident<br />

and submitting <strong>the</strong> information obtained <strong>to</strong> BWC’s EEO Department within twenty-four (24) hours<br />

<strong>of</strong> <strong>the</strong> incident. Supervisors who are aware <strong>of</strong> any violation <strong>of</strong> this policy and who fail <strong>to</strong> take each<br />

complaint seriously, or who fail <strong>to</strong> follow <strong>the</strong> procedures contained in this policy will be subject <strong>to</strong><br />

disciplinary action, up <strong>to</strong> and including a reduction in pay or position, or removal.<br />

4. After <strong>the</strong> receipt <strong>of</strong> <strong>the</strong> complaint, <strong>the</strong> EEO Department will notify <strong>the</strong> person accused <strong>of</strong><br />

engaging in improper activity that <strong>the</strong> issue has been brought <strong>to</strong> <strong>the</strong> attention <strong>of</strong> <strong>the</strong> EEO<br />

Department.<br />

5. The EEO Department will notify <strong>the</strong> complainant if a formal investigation by <strong>the</strong> EEO Department<br />

will be conducted. If circumstances warrant, <strong>the</strong> complainant’s supervisor will also be notified.<br />

6. If formal investigation is warranted, <strong>the</strong> EEO Department will conduct fur<strong>the</strong>r interviews with both<br />

<strong>the</strong> complainant and <strong>the</strong> person(s) who is alleged <strong>to</strong> have engaged in discrimina<strong>to</strong>ry act(s).<br />

7. The EEO Department may also interview anyone who has been identified as having relevant<br />

information concerning any aspect <strong>of</strong> <strong>the</strong> issues.<br />

8. The EEO Department will prepare written statements detailing <strong>the</strong> information obtained during<br />

each interview. This information will be provided <strong>to</strong> each witness for his or her review and she or<br />

he will be asked <strong>to</strong> sign a copy certifying its accuracy.<br />

9. Once <strong>the</strong> evidence has been ga<strong>the</strong>red, <strong>the</strong> findings will be reported <strong>to</strong> <strong>the</strong> Direc<strong>to</strong>r <strong>of</strong> EEO for his<br />

or her review.<br />

10. If <strong>the</strong> Direc<strong>to</strong>r <strong>of</strong> EEO determines that a violation <strong>of</strong> this policy has occurred or fur<strong>the</strong>r<br />

administrative action is warranted, he or she will meet with <strong>the</strong> Chief Human Resources Officer<br />

and Chief Legal Officer <strong>to</strong> discuss <strong>the</strong> incident and make appropriate recommendations.<br />

11. The results <strong>of</strong> <strong>the</strong> investigation and any action taken will be discussed with both <strong>the</strong> complainant,<br />

<strong>the</strong> complainant’s supervisor and <strong>the</strong> person(s) alleged <strong>to</strong> have engaged in discrimina<strong>to</strong>ry<br />

practices.<br />

PENALTIES FOR VIOLATIONS OF THIS POLICY<br />

If an investigation confirms that a violation <strong>of</strong> this policy has occurred, BWC will take appropriate<br />

corrective action, including discipline. Depending on <strong>the</strong> circumstances, <strong>the</strong> disciplinary action may<br />

range from counseling, a reprimand or removal. Appropriate training may also be recommended. An<br />

employee has <strong>the</strong> right <strong>to</strong> appeal BWC’s findings <strong>to</strong> <strong>the</strong> <strong>Ohio</strong> Department <strong>of</strong> Administrative Services<br />

Equal Employment Opportunity Division within fifteen (15) days.<br />

26 | Page


No reprisal, retaliation, or o<strong>the</strong>r adverse action will be taken against any employee for making in good<br />

faith, a complaint or report <strong>of</strong> discrimination or harassment, or for assisting in good faith, in <strong>the</strong><br />

investigation <strong>of</strong> any such complaint or report. Any suspected retaliation or intimidation should be<br />

reported immediately <strong>to</strong> one <strong>of</strong> <strong>the</strong> persons described above.<br />

A complaint or report that this policy has been violated is a serious matter. Dishonest or fabricated<br />

complaints or reports are also a violation <strong>of</strong> this policy, and BWC will take appropriate disciplinary action<br />

if its investigation shows that deliberately dishonest, false or bad faith accusations have been made.<br />

ADDITIONAL INFORMATION<br />

If you have any questions about this policy, please contact <strong>the</strong> EEO Direc<strong>to</strong>r at (614) 728-9537 for<br />

additional information. Information is also available from <strong>the</strong> State <strong>of</strong> <strong>Ohio</strong>’s Equal Opportunity Division<br />

which is located at 30 East Broad Street, 18th Floor, Columbus, OH 43215-3414<br />

or by telephone at (614) 466-8380. In addition <strong>to</strong> following <strong>the</strong> reporting procedure outlined in this<br />

policy, you may file with <strong>the</strong> <strong>Ohio</strong> Civil Rights Commission (“OCRC”) within six months or with <strong>the</strong> Equal<br />

Employment Opportunity Commission (“EEOC”) within three hundred days <strong>of</strong> <strong>the</strong> alleged incident.<br />

_________________________________<br />

Administra<strong>to</strong>r<br />

9/1/2011<br />

_______________________<br />

Effective Date<br />

Revised (09/11)<br />

27 | Page


Americans with Disabilities Act (ADA) Policy<br />

POLICY STATEMENT<br />

It is <strong>the</strong> policy and practice <strong>of</strong> <strong>the</strong> <strong>Ohio</strong> <strong>Bureau</strong> <strong>of</strong> <strong>Workers</strong>’ Compensation (BWC) <strong>to</strong> comply fully with <strong>the</strong><br />

Americans with Disabilities Act (ADA) <strong>of</strong> 1990 and <strong>the</strong> ADA Amendments Act <strong>of</strong> 2008 (ADAAA), and<br />

ensure equal employment opportunities and reasonable accommodation for Qualified Individuals with<br />

Disabilities. BWC is also committed <strong>to</strong> ensuring non-discrimination in all terms, conditions and privileges<br />

<strong>of</strong> employment.<br />

INTRODUCTION<br />

A. It is a violation <strong>of</strong> BWC policy <strong>to</strong> discriminate in employment against a qualified person in regard<br />

<strong>to</strong> any employment practice or term, condition, or privilege <strong>of</strong> employment because that person<br />

currently has a disability, at one time had a disability, or is regarded as having a disability. It is<br />

also a violation <strong>of</strong> this policy <strong>to</strong> deny an employment opportunity or benefit or <strong>to</strong> o<strong>the</strong>rwise<br />

discriminate against an individual, whe<strong>the</strong>r or not <strong>the</strong> individual has a disability, because that<br />

individual has a known relationship or association with a person who has a disability. This<br />

prohibition applies <strong>to</strong> job application procedures, hiring, advancement, and discharge <strong>of</strong><br />

employees; employee compensation; job training; and all o<strong>the</strong>r terms and conditions <strong>of</strong><br />

employment.<br />

B. It is BWC policy <strong>to</strong> determine essential job functions based upon an individualized inquiry in<strong>to</strong><br />

each position filled and <strong>to</strong> determine whe<strong>the</strong>r <strong>the</strong> person with a disability can perform <strong>the</strong>se<br />

functions unaided or with reasonable accommodation.<br />

C. It is against BWC policy <strong>to</strong> use qualification standards or selection criteria that would screen out,<br />

or tend <strong>to</strong> screen out, individuals with disabilities, unless such measures are both job related and<br />

necessary <strong>to</strong> <strong>the</strong> safe and efficient operation <strong>of</strong> <strong>the</strong> business.<br />

D. The affirmative obligation <strong>to</strong> provide reasonable accommodation applies <strong>to</strong> individuals seeking<br />

employment with BWC and <strong>to</strong> current employees who have a qualified disability under <strong>the</strong> ADA.<br />

RESPONSIBILITIES<br />

The EEO Manager is responsible for reviewing and providing reasonable accommodations for qualified<br />

individuals with disabilities. It is <strong>the</strong> obligation <strong>of</strong> all BWC employees <strong>to</strong> adhere <strong>to</strong> this policy in <strong>the</strong>ir<br />

areas <strong>of</strong> responsibility.<br />

Accommodation Process<br />

The employee should submit a copy <strong>of</strong> BWC’s ADA Reasonable Accommodation Request<br />

Questionnaire and submit a release <strong>of</strong> medical information <strong>to</strong> <strong>the</strong> EEO Manager.<br />

The EEO Manager will review <strong>the</strong> request and follow a four-step process in assessing <strong>the</strong> request.<br />

28 | Page


A. Analyze <strong>the</strong> employee’s information <strong>to</strong> determine whe<strong>the</strong>r <strong>the</strong> employee is disabled pursuant <strong>to</strong><br />

<strong>the</strong> ADA. If <strong>the</strong> employee is not disabled pursuant <strong>to</strong> <strong>the</strong> ADA, <strong>the</strong>y will be notified that <strong>the</strong>ir<br />

request for reasonable accommodation will be denied.<br />

B. If <strong>the</strong> EEO Manager determines that <strong>the</strong> employee is disabled pursuant <strong>to</strong> <strong>the</strong> ADA, <strong>the</strong><br />

employee’s job description will be reviewed <strong>to</strong> determine <strong>the</strong> essential functions. The EEO<br />

Manager will <strong>the</strong>n contact <strong>the</strong> employee’s physician <strong>to</strong> determine <strong>the</strong> employee’s abilities and<br />

limitations for performing <strong>the</strong> essential functions <strong>of</strong> <strong>the</strong> job.<br />

C. Determine <strong>the</strong> employee’s abilities and limitations in consultation with <strong>the</strong> employee, BWC<br />

management, and <strong>the</strong> employee’s physician.<br />

D. Identify potential accommodations and assess <strong>the</strong>ir effectiveness with <strong>the</strong> employee.<br />

DEFINITIONS<br />

For purposes <strong>of</strong> this policy and guidelines, <strong>the</strong> following definitions apply:<br />

A. Disability - A physical or mental impairment that substantially limits one or more major life<br />

activities <strong>of</strong> an individual; a record (or past his<strong>to</strong>ry) <strong>of</strong> such an impairment; or being regarded as<br />

having a disability.<br />

B. Qualified individual with a disability - An individual with a disability who, with or without<br />

reasonable accommodation can perform essential functions <strong>of</strong> <strong>the</strong> employment position that such<br />

individual holds or desires.<br />

C. Essential job functions - Those functions actually performed in <strong>the</strong> job, <strong>the</strong> removal <strong>of</strong> which<br />

would fundamentally alter <strong>the</strong> position. To determine whe<strong>the</strong>r a function is essential, it must be<br />

determined whe<strong>the</strong>r <strong>the</strong> position exists <strong>to</strong> perform that function and whe<strong>the</strong>r <strong>the</strong>re are o<strong>the</strong>r<br />

employees available <strong>to</strong> share that function, as well as <strong>the</strong> degree <strong>of</strong> expertise required <strong>to</strong> perform<br />

<strong>the</strong> function. Whe<strong>the</strong>r a function is essential also depends on <strong>the</strong> content <strong>of</strong> <strong>the</strong> written job<br />

descriptions, <strong>the</strong> terms <strong>of</strong> any applicable collective bargaining agreement, <strong>the</strong> time spent<br />

performing <strong>the</strong> particular function, and <strong>the</strong> consequences <strong>of</strong> failing <strong>to</strong> require <strong>the</strong> employee <strong>to</strong><br />

perform <strong>the</strong> function.<br />

D. Reasonable accommodation - A modification or adjustment <strong>to</strong> a job, <strong>the</strong> work environment or <strong>the</strong><br />

workflow that enables a qualified individual with a disability <strong>to</strong> perform essential job functions.<br />

Such accommodation is required unless it poses an undue hardship on <strong>the</strong> employer. The<br />

determination <strong>of</strong> what accommodation is reasonable in a particular situation involves a process in<br />

which <strong>the</strong> department and <strong>the</strong> employee identify <strong>the</strong> precise limitations imposed by <strong>the</strong> disability<br />

and explore potential accommodations that would overcome those limitations.<br />

E. Undue hardship - Any accommodation that is substantial, disruptive, unduly costly or would<br />

fundamentally alter <strong>the</strong> nature or operation <strong>of</strong> <strong>the</strong> department.<br />

F. Major life activities - Activities that are <strong>of</strong> central importance an individual’s daily life such as<br />

caring for oneself, performing manual tasks, walking sitting, standing, lifting, reaching, seeing,<br />

hearing, speaking, breathing, learning and working. This list is not exhaustive.<br />

29 | Page


G. Substantially limits - An impairment that significantly restricts <strong>the</strong> duration, manner or condition<br />

under which an individual can perform a particular major life activity as compared <strong>to</strong> <strong>the</strong> ability <strong>of</strong><br />

<strong>the</strong> average person in <strong>the</strong> general population <strong>to</strong> perform <strong>the</strong> same major life activity.<br />

COMPLAINT PROCESS<br />

Individuals who believe <strong>the</strong>y have been treated in a discrimina<strong>to</strong>ry manner in violation <strong>of</strong> this policy<br />

should contact: The State <strong>of</strong> <strong>Ohio</strong>’s Equal Opportunity Division which is located at 30 East Broad Street,<br />

18th Floor, Columbus, OH 43215-3414 or by telephone at (614) 466-8380. In addition an individual may<br />

file a charge <strong>of</strong> discrimination with <strong>the</strong> <strong>Ohio</strong> Civil Rights Commission (“OCRC”) within six months or with<br />

<strong>the</strong> Equal Employment Opportunity Commission (“EEOC”) within three hundred days <strong>of</strong> <strong>the</strong> alleged acts.<br />

WORKPLACE MODIFICATIONS WHEN AN EMPLOYEE DOES NOT MEET THE DEFINITION OF<br />

“DISABILITY”<br />

BWC recognizes that <strong>the</strong>re may be situations where an employee has a medical condition that does not<br />

constitute a disability under <strong>the</strong> ADA, but is granted workplace modifications as a result <strong>of</strong> a Transitional<br />

Work Program developed by Disability Management, pregnancy, safety concerns, or where an<br />

employee has a medical condition stemming from a workplace accident. In <strong>the</strong>se situations, BWC is not<br />

regarding <strong>the</strong> employee as disabled, but is instead taking proactive measures <strong>to</strong> permit <strong>the</strong> employee <strong>to</strong><br />

remain in <strong>the</strong> workplace and assist <strong>the</strong>m <strong>to</strong> perform <strong>the</strong>ir job duties.<br />

• In situations where an employee is returning <strong>to</strong> work from a medical condition that is not <strong>the</strong><br />

result <strong>of</strong> a workplace accident, <strong>the</strong> EEO Department will refer <strong>the</strong> matter <strong>to</strong> <strong>the</strong> Disability<br />

Management Section, who will review <strong>the</strong> employee’s medical information and make appropriate<br />

recommendations.<br />

• In situations where an employee has a medical condition that requires workplace modifications <strong>to</strong><br />

ensure <strong>the</strong>ir safety and well-being, or if <strong>the</strong> employee is pregnant and requires workplace<br />

modifications, <strong>the</strong> EEO Department will refer <strong>the</strong> matter <strong>to</strong> <strong>the</strong> employee’s management, who will<br />

address <strong>the</strong>se matters.<br />

• Finally, where an employee has a medical condition stemming from a workplace accident does<br />

not constitute a disability under <strong>the</strong> ADA, but requires workplace modifications <strong>to</strong> ensure <strong>the</strong><br />

employee’s safety and well being, <strong>the</strong> EEO Department will refer <strong>the</strong> matter <strong>to</strong> <strong>the</strong> <strong>Workers</strong>’<br />

Compensation Program Administration and/or Safety Administration departments.<br />

_________________________________<br />

Administra<strong>to</strong>r<br />

9/1/2011<br />

_______________________<br />

Effective Date<br />

Revised (09/11)<br />

30 | Page


ANTI-HARASSMENT POLICY<br />

PURPOSE:<br />

To advise all employees and cus<strong>to</strong>mers that harassment based upon race, color,<br />

religion, gender, national origin, ancestry, military status (past, present or future), disability, age (40<br />

years <strong>of</strong> age or older), genetic information, sexual orientation or retaliation as defined in this policy, will<br />

not be <strong>to</strong>lerated by <strong>the</strong> <strong>Ohio</strong> <strong>Bureau</strong> <strong>of</strong> <strong>Workers</strong>’ Compensation (BWC) and <strong>to</strong> establish procedures for<br />

reporting allegations <strong>of</strong> harassment.<br />

POLICY:<br />

It is <strong>the</strong> policy <strong>of</strong> <strong>the</strong> <strong>Ohio</strong> <strong>Bureau</strong> <strong>of</strong> <strong>Workers</strong>’ Compensation (BWC) <strong>to</strong> maintain a work environment free<br />

from any discrimination and <strong>to</strong> prohibit harassment <strong>of</strong> applicants, cus<strong>to</strong>mers, vendors, interns, clients,<br />

temporaries, contrac<strong>to</strong>rs, consultants and employees.<br />

Any employee who believes that he/she is a victim <strong>of</strong> harassment based upon race, color, religion,<br />

gender, national origin, ancestry, military status (past, present or future), disability,<br />

age (40 years <strong>of</strong> age or older), genetic information, sexual orientation or retaliation should immediately<br />

report such incident(s) <strong>to</strong> <strong>the</strong> BWC EEO Department or a manager/supervisor. All<br />

managers/supervisors are required <strong>to</strong> report any incident <strong>of</strong> harassment based upon <strong>the</strong> above<br />

<strong>to</strong> <strong>the</strong> EEO Department within twenty four (24) hours once <strong>the</strong>y have been made aware <strong>of</strong> <strong>the</strong><br />

incident. Every attempt will be made <strong>to</strong> resolve <strong>the</strong>se issues within <strong>the</strong> agency. In <strong>the</strong> event an<br />

employee elects <strong>to</strong> file a formal complaint within <strong>the</strong> jurisdiction <strong>of</strong> <strong>the</strong> State <strong>of</strong> <strong>Ohio</strong>, it should be filed<br />

with <strong>the</strong> <strong>Ohio</strong> Department <strong>of</strong> Administrative Services, Equal Opportunity Division within thirty (30) days<br />

<strong>of</strong> <strong>the</strong> most recent incident <strong>of</strong> harassment. One may also file with <strong>the</strong> <strong>Ohio</strong> Civil Rights Commission<br />

(OCRC) within six (6) months or <strong>the</strong> Federal Equal Employment Opportunity Commission (EEOC) within<br />

three hundred (300) days <strong>of</strong> <strong>the</strong> alleged acts.<br />

BWC is committed <strong>to</strong> promptly responding <strong>to</strong> each complaint, and conducting a thorough investigation<br />

whenever; (1) an employee alleges that harassment based upon race, color, religion, gender, national<br />

origin, ancestry, military status (past, present or future), disability, age (40 years <strong>of</strong> age or older), genetic<br />

information, sexual orientation or retaliation has taken place; (2) a supervisor or manager observes<br />

something which may constitute harassment based upon race, color, religion, gender, national origin,<br />

ancestry, military status (past, present or future), disability, age (40 years <strong>of</strong> age or older), genetic<br />

information, sexual orientation or retaliation, or (3) <strong>the</strong> department receives information concerning a<br />

possible instance or incident <strong>of</strong> harassment based upon race, color, religion, gender, national origin,<br />

ancestry, military status (past, present or future), disability, age (40 years <strong>of</strong> age or older), genetic<br />

information, sexual orientation or retaliation.<br />

BWC will make every attempt <strong>to</strong> satisfac<strong>to</strong>rily resolve <strong>the</strong> matter internally.<br />

Fur<strong>the</strong>rmore, BWC ensures that no retalia<strong>to</strong>ry action will be taken against any individual who files an<br />

EEO complaint or participates in an EEO investigation.<br />

DEFINITIONS:<br />

Harassment is conduct <strong>to</strong>wards ano<strong>the</strong>r person or identifiable group <strong>of</strong> persons including, but not limited<br />

<strong>to</strong>, unwelcome comments or o<strong>the</strong>r conduct that unreasonably interferes with an individual's work<br />

31 | Page


performance or creates an intimidating, hostile, or <strong>of</strong>fensive environment for that individual's work<br />

performance.<br />

A. Racial Harassment is conduct directed <strong>to</strong>ward ano<strong>the</strong>r person (or identifiable group <strong>of</strong> persons)<br />

on <strong>the</strong> basis <strong>of</strong> race, color, national origin, or ancestry that has <strong>the</strong> purpose or effect <strong>of</strong><br />

unreasonably interfering with an individual's work performance or creating an intimidating,<br />

hostile, or <strong>of</strong>fensive environment or that unreasonably interferes with an individual's work<br />

performance. The conduct may be words, gestures, or actions.<br />

B. Sexual harassment is defined as any unwelcome sexual advances, requests for sexual favors as<br />

well as o<strong>the</strong>r verbal or physical conduct <strong>of</strong> a sexual nature when any one <strong>of</strong> <strong>the</strong> following criteria<br />

are met:<br />

1. Submission <strong>to</strong> such conduct is made ei<strong>the</strong>r explicitly or implicitly, a term or condition <strong>of</strong><br />

<strong>the</strong> individual’s employment.<br />

2. Submission <strong>to</strong> or rejection <strong>of</strong> such conduct by an individual is used as <strong>the</strong> basis for<br />

employment decisions affecting such individual; or<br />

3. Such conduct has <strong>the</strong> purpose or effect <strong>of</strong> unreasonably interfering with an individual’s<br />

work performance or creates an intimidating, hostile or <strong>of</strong>fensive work environment.<br />

C. Retalia<strong>to</strong>ry Harassment is conduct directed <strong>to</strong>ward an individual because such individual has<br />

made a complaint <strong>of</strong> harassment based upon race, color, religion, gender, national origin,<br />

ancestry, military status (past, present or future), disability, age (40 years <strong>of</strong> age or older),<br />

genetic information, sexual orientation or has participated in any manner in an investigation or<br />

proceeding involving <strong>the</strong> same.<br />

INVESTIGATIVE PROCEDURES:<br />

The Investigative Procedures set forth in <strong>the</strong> <strong>Ohio</strong> <strong>Bureau</strong> <strong>of</strong> <strong>Workers</strong>’ Compensation’s<br />

Equal Opportunity Policy shall be utilized during investigations <strong>of</strong> all harassment complaints.<br />

If you have questions regarding this policy, please contact Sheri Fitzpatrick, EEO Manager at (614) 728-<br />

9537 or FAX (614) 621-5727.<br />

_________________________________<br />

Administra<strong>to</strong>r<br />

9/1/2011<br />

_______________________<br />

Effective Date<br />

Revised (09/11)<br />

32 | Page


Attachment B: 9<br />

EEO Discrimination Complaint Management<br />

The EEO Manager began working for <strong>the</strong> <strong>Ohio</strong> <strong>Bureau</strong> <strong>of</strong> Worker’s Compensation (BWC) in<br />

December 1996 as an EEO regional Program Administra<strong>to</strong>r and was promoted <strong>to</strong> <strong>the</strong> EEO<br />

Manager position in January 2008.<br />

The EEO Manager has attended numerous EEO related training seminars. Specifically, she<br />

attended a one week course sponsored by <strong>the</strong> National Association <strong>of</strong> ADA coordina<strong>to</strong>rs covering<br />

<strong>the</strong> Americans with Disabilities Act; received Conflict Management Awareness Training sponsored<br />

by <strong>the</strong> <strong>Ohio</strong> Department <strong>of</strong> Administrative Services Equal Opportunity Division and <strong>the</strong> <strong>Ohio</strong><br />

Commission on Dispute Resolution and Conflict Management; attend <strong>the</strong> seminar Public Sec<strong>to</strong>r –<br />

How <strong>to</strong> Conduct an internal Investigation sponsored by <strong>the</strong> Council on Education in Management;<br />

attended training in <strong>the</strong> Conference on <strong>the</strong> and Federal Personnel Laws sponsored by Human<br />

Resources Council; attended <strong>Ohio</strong> Department <strong>of</strong> Administrative Services Equal Opportunity<br />

Divisions’ ADA Inclusion, Access and Compliance Training as well as <strong>the</strong>ir Discrimination<br />

Investigation Training. In addition, <strong>the</strong> EEO Manager attended <strong>the</strong> 2007 Technical Assistance<br />

Program Seminar sponsored by <strong>the</strong> U.S. Equal Employment Opportunity Commission and has<br />

attended <strong>the</strong> annual legal update seminars conducted by <strong>the</strong> <strong>Ohio</strong> At<strong>to</strong>rney General’s <strong>of</strong>fice. She<br />

also participated in numerous training sessions from BWC Consultants hired <strong>to</strong> conduct training in<br />

Laws Governing Workplace Behavior and Cultural Diversity training. In addition, <strong>the</strong> EEO Manager<br />

has attended <strong>the</strong> manda<strong>to</strong>ry Ethics training sessions required by <strong>the</strong> Governor.<br />

33 | Page


Attachment B: 10<br />

EEO Postings<br />

Manager Name Title SO Address Telephone<br />

Number<br />

Anderson, Jerry Manager, Youngs<strong>to</strong>wn Service Office 242 Federal Plaza W, Suite 200<br />

330-797-6385<br />

Youngs<strong>to</strong>wn, OH 44503-1206<br />

Cooper, Tina Manager, Hamil<strong>to</strong>n Service Office One Renaissance Center<br />

513-785-4555<br />

345 High Street<br />

Hamil<strong>to</strong>n, OH 45011<br />

Delgado,<br />

Manager, Toledo Service Office 1 Government Center #1236<br />

419-327-8988<br />

Bernadette<br />

Toledo, OH 43604-0794<br />

Farmer, Doug Manager, Central Office 30 W. Spring Street, L23<br />

614-466-6663<br />

Columbus, OH 43215-2256<br />

Gallagher, Therese Manager, Cleveland Service Office 615 W. Superior Ave. L6<br />

216-787-3070<br />

Cleveland, OH 44113-1889<br />

Hamp<strong>to</strong>n, Sheilah Manager, Garfield Heights Service Office 4800 East 131 st Street<br />

216-584-0120<br />

Garfield Heights, OH 44105<br />

Harris, Patricia Manager, Governor’s Hill Service Office 8650 Governor’s Hill Drive<br />

513-583-4512<br />

Cincinnati, OH 45249<br />

Harrison, Trena Interim Manager, Can<strong>to</strong>n Service Office 400 Third Street SE, Suite 2<br />

330-471-0186<br />

Can<strong>to</strong>n, OH 44702<br />

Neugebauer, Hans Manager, Cambridge Service Office 61501 Southgate Parkway<br />

740-435-4215<br />

Cambridge, OH 43725<br />

Smith, Belinda Interim Manager, Portsmouth Service<br />

1005 Fourth Street<br />

740-353-6125<br />

Office<br />

Portsmouth, OH 45662-4315<br />

Smith-G<strong>of</strong>f, Sandra Manager, Day<strong>to</strong>n Service Office Manager 3401 Park Center Drive<br />

937-264-5081<br />

Day<strong>to</strong>n <strong>Ohio</strong> 45413-0910<br />

Sourek, Michael Interim Manager, Mansfield Service<br />

240 Tappan Drive North<br />

419-529-7629<br />

Office<br />

Mansfield, OH 44906-8051<br />

Stevenson, Jill<br />

Thrapp, Karen<br />

Manager, Col/Logan Service Offices<br />

Asst. Manager, Col/Logan Service Offices<br />

Columbus Office, 30 W. Spring St., L11, Columbus, OH 43215<br />

Logan Office, 1225 W. Hunter St., Logan, OH 43138-0630<br />

614-728-5377<br />

614-995-0500<br />

Warren, Winnie Manager, Lima Service Office 2025 E. Fourth St.<br />

Lima, OH 45804-4101<br />

419-223-2442<br />

34 | Page


Attachment B: 11 - EEO Strategic Plan (EEOSP) Availability<br />

Pursuant <strong>to</strong> <strong>the</strong> <strong>Ohio</strong> Administrative Code, 123:1-49-04 entitled Establishment <strong>of</strong> Affirmative Action<br />

Plan, each agency shall establish, maintain, and carry out a continuing Affirmative Action Plan designed<br />

<strong>to</strong> promote equal opportunity in every aspect <strong>of</strong> agency personnel policy and practice.<br />

The EEO Strategic Plan is a public document, which may be reviewed by interested internal or external<br />

parties during normal working hours as follows: Monday through Friday from 8 a.m. until 5 p.m.<br />

Once approved, <strong>the</strong> EEO Strategic Plan will be available at <strong>the</strong> following locations:<br />

Manager Name Title SO Address Telephone<br />

Number<br />

Fitzpatrick, Sheri EEO Manager 30 W. Spring Street, L-28<br />

614-728-9537<br />

Anderson, Jerry<br />

Manager,<br />

Youngs<strong>to</strong>wn Service<br />

Office<br />

Columbus, OH 43215<br />

242 Federal Plaza W, Ste 200 330-797-6385<br />

Cooper, Tina<br />

Manager, Hamil<strong>to</strong>n<br />

Service Office<br />

One Renaissance Center<br />

345 High Street<br />

513-785-4555<br />

Hamil<strong>to</strong>n, OH 45011<br />

Delgado, Bernadette<br />

Manager, Toledo<br />

Service Office<br />

1 Government Center #1236<br />

Toledo, OH 43604-0794<br />

419-327-8988<br />

Farmer, Doug<br />

Manager, Central<br />

Office<br />

30 W. Spring Street, L-23<br />

Columbus, OH 43215-1889<br />

614-466-6663<br />

Gallagher, Therese<br />

Manager, Cleveland<br />

Service Office<br />

615 W. Superior Ave. L-6<br />

Cleveland, OH 44113-1889<br />

216-787-3070<br />

Hamp<strong>to</strong>n, Sheilah<br />

Manager, Garfield<br />

Heights Service<br />

Office<br />

4800 East 131 st Street<br />

Garfield Heights, OH 44105<br />

216-584-0120<br />

35 | Page


Harris, Patricia<br />

Manager, Governor’s<br />

Hill Service Office<br />

8650 Governor’s Hill Drive<br />

Cincinnati, OH 45249<br />

513-583-4512<br />

Harrison, Trena<br />

Interim Manager,<br />

Can<strong>to</strong>n Service Office<br />

400 Third Street SE, Suite 2<br />

Can<strong>to</strong>n, OH 44702<br />

330-471-0186<br />

Neugebauer, Hans<br />

Manager, Cambridge<br />

Service Office<br />

61501 Southgate Parkway<br />

Cambridge, OH 44702<br />

740-435-4215<br />

Smith, Belinda<br />

Interim Manager,<br />

Portsmouth Service<br />

Office<br />

1005 Fourth Street<br />

Portsmouth, OH 45662-4315<br />

740-353-6125<br />

Smith-G<strong>of</strong>f, Sandra<br />

Manager, Day<strong>to</strong>n<br />

Service Office<br />

3401 Park Center Drive<br />

Day<strong>to</strong>n, OH 45413-0910<br />

937-264-5081<br />

Sourek, Michael<br />

Interim Manager,<br />

Mansfield Service<br />

Office<br />

240 Tappan Drive North<br />

Mansfield, OH 44906-8051<br />

419-529-7629<br />

Stevenson, Jill<br />

Thrapp, Karen<br />

Manager,<br />

Columbus/Logan<br />

Service Offices<br />

Assistant Manager,<br />

Columbus/Logan<br />

Service Offices<br />

Columbus Office – 30 W. Spring<br />

Street, L-11, Columbus, OH 43215<br />

Logan Service Office – 1225 W.<br />

Hunter Street, Logan, OH 43138-<br />

0630<br />

614-728-5377<br />

614-995-0500<br />

Warren, Winnie<br />

Manager, Lima<br />

Service Office<br />

2025 E. Fourth Street<br />

Lima, OH 45804-4101<br />

419-223-2442<br />

36 | Page


Attachment B: 12<br />

EEO Complaint Summaries from June 30, 2010 <strong>to</strong> June 30, 2011<br />

Complaint # Complaint File Date Complaint Issue<br />

1 Received 7/22/10 Employee alleged she was disciplined and removed due <strong>to</strong> her<br />

race, sex, age, disability and in retaliation for complaining about<br />

unlawful behavior.<br />

2 Received 8/17/10 Employee alleged that she was demoted, harassed and discharged<br />

due <strong>to</strong> her race and in retaliation for filing an internal complaint.<br />

3 Received 8/17/10 Employee alleged that her request for leave was denied because<br />

<strong>of</strong> her sex.<br />

4 Received 11/1/10 Employee alleged that she was harassed and forced <strong>to</strong> resign due<br />

<strong>to</strong> her race, disability and in retaliation for engaging in protected<br />

activity.<br />

5 Received 11/17/10 Employee alleged that she was harassed and discharged in<br />

retaliation for filing a workplace violence complaint with <strong>the</strong> <strong>Ohio</strong><br />

Inspec<strong>to</strong>r General’s Office.<br />

6 Received 11/23/10 Employee alleged that she was denied a reasonable<br />

accommodation in retaliation for filing a previous charge <strong>of</strong><br />

discrimination against BWC.<br />

7 1/27/11 Employee alleged that she was discriminated against due <strong>to</strong> her<br />

race and disability.<br />

8 2/8/11 Employee alleged that she was harassed due <strong>to</strong> her race.<br />

9 4/5/11 Injured Worker filed a complaint <strong>of</strong> public accommodation alleging<br />

race discrimination.<br />

10 4/14/11 Employee complained about an <strong>of</strong>fensive racist remark made by a<br />

co-worker.<br />

11 4/14/11 Employee complained about an <strong>of</strong>fensive racist remark & personal<br />

insult made by a co-worker.<br />

37 | Page


12 4/14/11 Employee complained about an <strong>of</strong>fensive racist remark made by a<br />

co-worker.<br />

13 4/15/11 Employee complained about an <strong>of</strong>fensive racist remark made by a<br />

co-worker.<br />

14 4/25/11 Employee alleged that she was denied reasonable accommodation<br />

and forced <strong>to</strong> resign due <strong>to</strong> her race, age, disability and in<br />

retaliation for filing a previous charge <strong>of</strong> discrimination.<br />

The EEO Manager does not maintain a log <strong>of</strong> non jurisdictional complaints. Any calls and/or walk ins<br />

regarding non jurisdictional concerns are referred <strong>to</strong> <strong>the</strong> employee’s chain <strong>of</strong> command, union<br />

representative or BWC’s Employee and Labor Relations Department for resolution.<br />

38 | Page


Attachment B: 13<br />

(EEOSP)<br />

EEO Complaint Form as Attachment<br />

39 | Page


Attachment B: 14<br />

Agency EEO Information for Employees<br />

40 | Page


Attachment C: 15 & C: 16<br />

Diversity Recruitment / Outreach and Literature Information<br />

Paper<br />

Date<br />

Columbus Dispatch 8/2008, 6/2011<br />

Cincinnati Enquirer 6/2011<br />

Cleveland Plain Dealer 6/2011<br />

Web<br />

Date<br />

Monster.Com 5/2008, 11/2008, 3/2011, 6/2011<br />

Great Insurance Jobs 6/2010, 8/2008<br />

Heal<strong>the</strong>Careers.com 8/2008, 7/2011<br />

Am. Society <strong>of</strong> Safety Engineers 5/2008<br />

Am. Industrial Hygiene Assoc. 5/2008<br />

Assoc. <strong>of</strong> Government Accountability 8/2008; 11/2008<br />

CASACT.org (Casualty Actuarial Society) 10/2008, 11/2008, 1/2009, 2/2009, 3/2009, 7/2009,<br />

8/2009, 10/2009, 11/2009, 1/2010, 2/2010, 4/2010,<br />

5/2010, 7/2010, 8/2010, 10/2010, 2/2011, 3/2011,<br />

5/2011<br />

Risk and Insurance Mgmt Society 6/2008<br />

CFA Society <strong>of</strong> Columbus 6/2008<br />

41 | Page


Attachment C: 17<br />

Information<br />

EEO Publications or EEO Program<br />

http://bwcweb/Divisions/HR/EEO/Pages/EEO.aspx<br />

42 | Page


Attachment D: 18<br />

Adverse Impact Study for Terminations<br />

Select <strong>the</strong> type <strong>of</strong> employment decision:<br />

Enter a title for your report:<br />

Adverse Impact by Race & Sex<br />

Termination<br />

Number <strong>of</strong> Male<br />

Number <strong>of</strong> Non-Minority<br />

Number <strong>of</strong> Younger<br />

Number <strong>of</strong> Non-Disabled<br />

739 Employees<br />

5<br />

Terminated<br />

1597 Employees<br />

5<br />

Terminated<br />

Employees<br />

Terminated<br />

Employees<br />

Terminated<br />

Number <strong>of</strong> Female<br />

Number <strong>of</strong> Minority<br />

Number <strong>of</strong> Older<br />

Number <strong>of</strong> Disabled<br />

858 Employees<br />

2<br />

Terminated<br />

493 Employees<br />

2<br />

Terminated<br />

Employees<br />

Terminated<br />

Employees<br />

Terminated<br />

-Adverse Impact<br />

-Chi-Square<br />

-Standard Deviation<br />

-Confidence Intervals<br />

Probability Distribution<br />

Select <strong>the</strong> Statistical Tests you wish <strong>to</strong> execute by checking or<br />

unchecking <strong>the</strong> boxes on <strong>the</strong> left. Then press <strong>the</strong> 'Compute'<br />

but<strong>to</strong>n below.<br />

Display: Description <strong>of</strong> Statistic Interpretation <strong>of</strong> Results<br />

Rate <strong>of</strong> Females Rate <strong>of</strong> Males Adverse Impact Ratio Adverse Impact Ratio for<br />

Employees Terminated Employees Terminated for Females<br />

Males<br />

(2/ 858) = 0.0023 (5/ 739) = 0.0068 (0.0023/ 0.0068)= 0.34 (0.0068/ 0.0023)= 2.9<br />

The Adverse Impact Ratio for Females is less than 0.80.<br />

Females Employees are Terminated at a rate less than 80% (4/5ths) <strong>of</strong> <strong>the</strong> rate that Males Employees are Terminated.<br />

Rate <strong>of</strong> Minorities Rate <strong>of</strong> Non-Minorities Adverse Impact Ratio Adverse Impact Ratio for<br />

Employees Terminated Employees Terminated for Minorities Non-Minorities<br />

(2/ 493) = 0.0041 (5/ 1597) = 0.0031 (0.0041/ 0.0031)= 1.3 (0.0031/ 0.0041)= 0.77<br />

The Adverse Impact Ratio for Non-Minorities is less than 0.80.<br />

Non-Minorities Employees are Terminated at a rate less than 80% (4/5ths) <strong>of</strong> <strong>the</strong> rate that Minorities Employees are Terminated.<br />

43 | Page


Attachment D: 19<br />

Adverse Impact Study for Promotions<br />

Select <strong>the</strong> type <strong>of</strong> employment decision:<br />

Enter a title for your report:<br />

Adverse Impact by Race & Sex<br />

Promotion<br />

Number <strong>of</strong> Male<br />

Number <strong>of</strong> Non-<br />

Minority<br />

Number <strong>of</strong> Younger<br />

Number <strong>of</strong> Non-Disabled<br />

739 Employees<br />

7<br />

Promoted<br />

1597 Employees<br />

13 Promoted<br />

Employees<br />

Promoted<br />

Employees<br />

Promoted<br />

Number <strong>of</strong> Female<br />

Number <strong>of</strong> Minority<br />

Number <strong>of</strong> Older<br />

Number <strong>of</strong> Disabled<br />

858 Employees<br />

8<br />

Promoted<br />

544 Employees<br />

2<br />

Promoted<br />

Employees<br />

Promoted<br />

Employees<br />

Promoted<br />

-Adverse Impact<br />

-Chi-Square<br />

-Standard Deviation<br />

-Confidence Intervals<br />

Probability Distribution<br />

Select <strong>the</strong> Statistical Tests you wish <strong>to</strong> execute by<br />

checking or unchecking <strong>the</strong> boxes on <strong>the</strong> left. Then press<br />

<strong>the</strong> 'Compute' but<strong>to</strong>n below.<br />

Display: Description <strong>of</strong> Statistic Interpretation <strong>of</strong> Results<br />

Rate <strong>of</strong> Females Rate <strong>of</strong> Males Adverse Impact Ratio Adverse Impact Ratio<br />

Employees Promoted Employees Promoted for Females for Males<br />

(8/ 858) = 0.0093 (7/ 739) = 0.0095 (0.0093/ 0.0095)= 0.98 (0.0095/ 0.0093)= 1.02<br />

Adverse impact as defined by <strong>the</strong> 4/5ths rule was not found in <strong>the</strong> above data.<br />

Rate <strong>of</strong> Minorities<br />

Employees Promoted<br />

Rate <strong>of</strong> Non-<br />

Minorities Employees<br />

Promoted<br />

Adverse Impact Ratio<br />

for Minorities<br />

Adverse Impact Ratio<br />

for Non-Minorities<br />

(2/ 544) = 0.0037 (13/ 1597) = 0.0081 (0.0037/ 0.0081)= 0.45 (0.0081/ 0.0037)= 2.21<br />

The Adverse Impact Ratio for Minorities is less than 0.80.<br />

Minorities Employees are Promoted at a rate less than 80% (4/5ths) <strong>of</strong> <strong>the</strong> rate that Non-Minorities Employees are Promoted.<br />

44 | Page


Attachment E: 20<br />

EEO Orientation Agenda<br />

Orientation Agenda for New Employee Orientation<br />

I. What does <strong>the</strong> EEO Department do?<br />

The EEO Department enforces all state and federal regulations as well as BWC’s<br />

policies as <strong>the</strong>y relate <strong>to</strong> non-discrimination in employment.<br />

If at any time during your employment you feel like you have been discriminated<br />

against/harassed on <strong>the</strong> basis <strong>of</strong> race, color, religion, gender, national origin<br />

(ancestry), military status (past, present or future), disability, age, (40 years <strong>of</strong> age or<br />

older), genetic information, sexual orientation or retaliation you should immediately notify<br />

a member <strong>of</strong> management or contact <strong>the</strong> EEO Department at (614) 728-9537.<br />

II.<br />

The policies enforced by <strong>the</strong> EEO Department are:<br />

The EEO Policy<br />

The Anti-Harassment Policy<br />

The Americans with Disabilities Act (ADA) Policy<br />

III.<br />

Who is protected by <strong>the</strong> above policies?<br />

All employees, applicants, temporary workers, interns, contrac<strong>to</strong>rs, 3rd party cus<strong>to</strong>mers<br />

and injured workers<br />

IV.<br />

Investigative Procedures/Types <strong>of</strong> Complaints<br />

A. Internal Complaints/ADM 4400 - employee fills out <strong>the</strong> complaint & submits it<br />

<strong>to</strong> <strong>the</strong> EEO Department. The complaint should be filed within 30 days <strong>of</strong> <strong>the</strong><br />

discrimina<strong>to</strong>ry incident. The EEO Department will complete <strong>the</strong> investigation within 30<br />

days.<br />

B. External Complaints – 180 days <strong>to</strong> file charge with <strong>the</strong> <strong>Ohio</strong> Civil Rights Commission<br />

(OCRC), 300 days <strong>to</strong> file with <strong>the</strong> Equal Employment Opportunity Commission (EEOC)<br />

and 30 days <strong>to</strong> file with State EOD.<br />

Besides investigations, <strong>the</strong> EEO Department conducts training, does general consultations and<br />

problem solving, handles exit interviews and maintains <strong>the</strong> I-9 records <strong>of</strong> all BWC employees.<br />

45 | Page


Attachment E: 21<br />

EEO Training Agenda<br />

Here is <strong>the</strong> EEO material excerpted from <strong>the</strong> Leading Your Employees <strong>to</strong> Success. We also talk<br />

about <strong>the</strong> importance <strong>of</strong> contacting <strong>the</strong> EEO Department within 24 hours <strong>of</strong> any concerns<br />

regarding <strong>the</strong> key words harassment or discrimination.<br />

Due <strong>to</strong> liability<br />

issues, EEO<br />

presents a brief<br />

overview during<br />

this session<br />

covering <strong>the</strong><br />

importance <strong>of</strong><br />

reporting any EEO<br />

issues within 24<br />

hours.<br />

• When hiring new employees or promoting current BWC employees,<br />

<strong>the</strong> following guidelines should be addressed:<br />

Comply with all laws related <strong>to</strong> equal opportunity that<br />

affect applicants seeking employment. Treat all<br />

applicants equitably in regards <strong>to</strong> recruitment and hiring.<br />

Questions should be directed <strong>to</strong> <strong>the</strong> EEO Department.<br />

When staffing a position conduct timely interviews and<br />

submit prompt recommendations for hire.<br />

• Provide each employee with an environment free from<br />

discrimination or harassment using <strong>the</strong> following guidelines:<br />

Comply with all laws related <strong>to</strong> equal opportunity that<br />

affect employees including working conditions, benefits,<br />

training, educational assistance and discipline.<br />

Bring violations <strong>of</strong> <strong>the</strong> BWC non-discrimination policies<br />

<strong>to</strong> <strong>the</strong> attention <strong>of</strong> <strong>the</strong> EEO department for investigation.<br />

Cooperate and provide assistance, if requested, during an<br />

EEO investigation.<br />

Do not retaliate against any employee who has made a<br />

complaint or participated in an EEO investigation.<br />

46 | Page


AGENDA<br />

EEO & Diversity at BWC 2009<br />

All Agency Training<br />

Program Goal:<br />

Participants will be able <strong>to</strong> explain <strong>the</strong>ir responsibilities regarding BWC’s Equal Employment Opportunity<br />

policies and distinguish between inappropriate, prohibited, and illegal behaviors in <strong>the</strong> workplace.<br />

AM Session<br />

Times Topics Instruc<strong>to</strong>r<br />

9:30 - 9:33 Welcome, attendance & <strong>introduction</strong> Jennifer/Greg<br />

9:33 - 9:55 EEO Policies<br />

Sheri<br />

• Federal Laws<br />

• State <strong>of</strong> <strong>Ohio</strong> Codes & Governor’s Executive Orders<br />

• Complaint Form<br />

• Diversity & Tolerance<br />

• Tips for Communicating with Disabled<br />

9:55 - 10:05 Right Side <strong>of</strong> <strong>the</strong> Line Introduction<br />

• Introduction <strong>of</strong> Video Vignettes<br />

• Unpr<strong>of</strong>essional behavior<br />

Jennifer/Greg<br />

• Prohibited behavior<br />

• Illegal behavior<br />

10:05 - 10:30 Vignettes<br />

• Video/discussion – “Gina’s jokes”<br />

All<br />

• Video/discussion – “Ben and Kioko stereotype”<br />

10:30 - 10:40 Break<br />

10:40 - 11:05 Vignettes Con’t<br />

• Video/discussion – “I will if you will”<br />

• Video/discussion – “ Maya gets promoted”<br />

All<br />

• Video/discussion – “Bruce asks Caitlin out”<br />

11:05 - 11:15<br />

• Vignette Wrap Up<br />

• Meet Model - “Buck up Babyface” Jennifer/Greg<br />

11:15 - 11:30 • Post Assessment<br />

47 | Page


Attachment F: 22<br />

Discipline Practices<br />

Disciplinary Policy and Grid<br />

The philosophy <strong>of</strong> <strong>the</strong> <strong>Ohio</strong> <strong>Bureau</strong> <strong>of</strong> <strong>Workers</strong>' Compensation (BWC) is <strong>to</strong><br />

recognize employees as <strong>the</strong> greatest resource. Each employee is urged <strong>to</strong> see<br />

himself/herself as an important member <strong>of</strong> <strong>the</strong> BWC Team delivering <strong>the</strong> requisite<br />

services <strong>to</strong> our cus<strong>to</strong>mers and assuring appropriate stewardship <strong>of</strong> <strong>the</strong> revenues<br />

provided by <strong>Ohio</strong> businesses and citizens. Therefore, employees are expected <strong>to</strong><br />

observe all BWC rules and policies and faithfully adhere <strong>to</strong> <strong>the</strong> BWC Code <strong>of</strong> Ethics<br />

avoiding any appearance <strong>of</strong> impropriety.<br />

In <strong>the</strong> course <strong>of</strong> <strong>the</strong> employment relationships, sometimes it becomes necessary <strong>to</strong><br />

discipline an employee for an infraction <strong>of</strong> a rule or policy. Supervisors/Management<br />

shall recommend discipline that is fair, consistent and commensurate with <strong>the</strong> <strong>of</strong>fense.<br />

Likewise, Supervisors/Management shall follow <strong>the</strong> principles <strong>of</strong> progressive discipline<br />

when making <strong>the</strong> determination with regard <strong>to</strong> <strong>the</strong> appropriate level <strong>of</strong> discipline.<br />

The following disciplinary options are available <strong>to</strong> Supervisors/Management:<br />

1) Verbal Reprimand<br />

2) Written Reprimand<br />

3) Suspension<br />

• Minor Suspension:<br />

• Medium Suspension:<br />

1 Day Suspension<br />

2-4 Day Suspension<br />

5 Day Suspension<br />

• Major Suspension:<br />

a) Working Suspension<br />

b) Non-working Suspension<br />

c) Leave Reduction (Personal, Vacation, Compensa<strong>to</strong>ry)<br />

d) Fine**<br />

**Pursuant <strong>to</strong> respective collective bargaining agreement, a working suspension that is<br />

grieved and <strong>the</strong> grievance is denied or partially granted, shall convert <strong>to</strong> a<br />

fine/leave reduction.<br />

4) Demotion (Exempt Only)<br />

5) Decrease or Elimination <strong>of</strong> Longevity Pay (Exempt Only)<br />

6) Removal<br />

When <strong>the</strong> appropriate level <strong>of</strong> discipline is a Removal, <strong>the</strong> BWC possesses discretion<br />

<strong>to</strong> <strong>of</strong>fer <strong>the</strong> employee <strong>the</strong> ability <strong>to</strong> enter in<strong>to</strong> a Last Chance Agreement.<br />

48 | Page


These disciplinary guidelines are provided <strong>to</strong> aid Supervisors/Management in properly<br />

administering employee discipline. These guidelines outline suggested disciplinary<br />

action for all BWC employees who violate this disciplinary policy; however,<br />

Supervisors/Management, in consultation with <strong>the</strong> Labor Relations Office, may pursue<br />

any appropriate level <strong>of</strong> discipline based upon <strong>the</strong> nature <strong>of</strong> <strong>the</strong> <strong>of</strong>fense.<br />

INSUBORDINATION<br />

VIOLATION 1st 2nd 3rd 4th 5th 6th<br />

a. Refusal <strong>to</strong> carry out<br />

a direct order/work<br />

assignment<br />

Determination<br />

based upon<br />

severity <strong>of</strong><br />

incident<br />

b. Failure <strong>to</strong> follow<br />

supervisor direction<br />

and/or failure <strong>to</strong> follow<br />

a written policy <strong>of</strong> <strong>the</strong><br />

employer<br />

c. Interfering with,<br />

failing <strong>to</strong> cooperate<br />

with or providing false<br />

information in<br />

conjunction with an<br />

<strong>of</strong>ficial investigation or<br />

inquiry<br />

Determination<br />

based upon<br />

severity <strong>of</strong><br />

incident<br />

Suspension/<br />

Removal<br />

Removal<br />

NEGLECT OF DUTY<br />

VIOLATION 1st 2nd 3rd 4th 5th 6th<br />

a. Neglect <strong>of</strong> Duty-<br />

General<br />

Determination<br />

based upon<br />

severity <strong>of</strong><br />

incident<br />

b. Carelessness with<br />

agency information<br />

(e.g., mail, warrants,<br />

claims files, Law<br />

Enforcement<br />

Au<strong>to</strong>mated Data<br />

System –LEADS)<br />

and/or agency<br />

equipment<br />

Determination<br />

based upon<br />

severity <strong>of</strong><br />

incident<br />

c. Failure <strong>to</strong> perform<br />

<strong>the</strong> duties <strong>of</strong> position<br />

or performance at substandard<br />

levels<br />

Written<br />

Minor<br />

Suspension<br />

Medium<br />

Suspension<br />

Major<br />

Suspension/<br />

Removal<br />

d. Sleeping on duty Written/<br />

Minor<br />

Suspension<br />

Medium<br />

Suspension/<br />

Major<br />

Major<br />

Suspension/<br />

Removal<br />

49 | Page


Suspension<br />

e. Failure <strong>to</strong> discipline<br />

subordinates for<br />

violations <strong>of</strong> work<br />

rules, BWC policies or<br />

ORC/OAC<br />

Determination<br />

based upon<br />

severity <strong>of</strong><br />

incident<br />

NEGLECT OF DUTY - Continued<br />

VIOLATION 1st 2nd 3rd 4th 5th 6th<br />

f. Failure <strong>to</strong><br />

adequately perform a<br />

supervisor/managerial<br />

function<br />

Determination<br />

based upon<br />

severity <strong>of</strong><br />

incident<br />

FAILURE OF GOOD BEHAVIOR<br />

VIOLATION 1st 2nd 3rd 4th 5th 6th<br />

a. Failure <strong>of</strong> good<br />

Behavior-General<br />

Determination<br />

based upon<br />

severity <strong>of</strong><br />

incident<br />

b. Making false,<br />

abusive, inflamma<strong>to</strong>ry<br />

or obscene statements<br />

<strong>to</strong>ward or concerning<br />

ano<strong>the</strong>r employee,<br />

supervisor or a<br />

member <strong>of</strong> <strong>the</strong> general<br />

public<br />

c. Discourteous<br />

and/or rude treatment<br />

<strong>of</strong> fellow employee,<br />

manager or cus<strong>to</strong>mer<br />

d. Threat or act <strong>of</strong><br />

physical violence<br />

<strong>to</strong>ward a fellow<br />

employee,<br />

management, or <strong>the</strong><br />

public<br />

e. Involvement in<br />

horseplay on BWC<br />

time or agency<br />

facilities<br />

f. Intentional acts <strong>of</strong><br />

discrimination or insult<br />

on <strong>the</strong> basis <strong>of</strong> race,<br />

color, sex, age,<br />

religion, national<br />

origin, handicap, or<br />

sexual orientation<br />

Determination<br />

based upon<br />

severity <strong>of</strong><br />

incident<br />

Determination<br />

based upon<br />

severity <strong>of</strong><br />

incident<br />

Suspension/<br />

Removal<br />

Determination<br />

based upon<br />

severity <strong>of</strong><br />

incident<br />

Suspension/<br />

Removal<br />

Removal<br />

Removal<br />

50 | Page


g. Immoral or indecent<br />

conduct<br />

h. Destruction and/or<br />

damage <strong>of</strong> computer,<br />

claims, <strong>to</strong>ols, and or<br />

equipment<br />

Determination<br />

based upon<br />

severity <strong>of</strong><br />

incident<br />

Determination<br />

based upon<br />

severity <strong>of</strong><br />

incident<br />

FAILURE OF GOOD BEHAVIOR - Continued<br />

VIOLATION 1st 2nd 3rd 4th 5th 6th<br />

i. Unauthorized use <strong>of</strong><br />

personal equipment<br />

while on duty,<br />

including, but not<br />

limited <strong>to</strong>, tape<br />

recorders, cameras<br />

and video camcorders<br />

Written/<br />

Minor<br />

Suspension<br />

Medium<br />

Suspension/<br />

Major<br />

Suspension<br />

Major<br />

Suspension/<br />

Removal<br />

j. Misuse <strong>of</strong> state<br />

vehicle including<br />

violation <strong>of</strong> traffic code<br />

or violation <strong>of</strong> Use <strong>of</strong><br />

State Vehicle Policy<br />

Determinati<br />

on based<br />

upon<br />

severity <strong>of</strong><br />

incident<br />

k. Felony conviction Removal<br />

ATTENDANCE<br />

VIOLATION 1st 2nd 3rd 4th 5th 6th<br />

a. Tardiness Verbal Written Minor Medium Major Removal<br />

Suspension Suspension Suspension<br />

b. Leaving work area<br />

without authorization<br />

Verbal Written Minor<br />

Suspension<br />

Medium<br />

Suspension<br />

Major<br />

Suspension<br />

Removal<br />

c. Unexcused<br />

absence/Using more<br />

leave than available<br />

(AWOL)<br />

Written/<br />

Minor<br />

Suspension<br />

Minor<br />

Suspension<br />

Medium<br />

Suspension/<br />

Major<br />

Suspension<br />

Major<br />

Suspension/<br />

Removal<br />

d. Three (3) or more<br />

consecutive days<br />

without contact<br />

(considered job<br />

abandonment)<br />

Removal<br />

e. Improper call <strong>of</strong>f Verbal Written Minor<br />

Suspension<br />

Medium<br />

Suspension<br />

Major<br />

Suspension<br />

Removal<br />

51 | Page


DISHONESTY*<br />

VIOLATION 1st 2nd 3rd 4th 5th 6th<br />

a. Intentionally<br />

making false or<br />

untrue statements<br />

regarding work<br />

related matters <strong>to</strong><br />

management, fellow<br />

employees or <strong>the</strong><br />

public<br />

Determination based<br />

upon severity <strong>of</strong><br />

incident<br />

b. Willful falsification<br />

<strong>of</strong> an <strong>of</strong>ficial<br />

document (could be<br />

subject <strong>to</strong> ORC<br />

124.34 and 2921.13<br />

charges)<br />

c. Misuse <strong>of</strong> state<br />

funds<br />

d. Intentional Misuse,<br />

Destruction, Defacing<br />

<strong>of</strong> state property,<br />

public property, or<br />

property <strong>of</strong> ano<strong>the</strong>r<br />

employee (e.g., Law<br />

Enforcement<br />

Au<strong>to</strong>mated Data<br />

System – LEADS).<br />

e. Theft <strong>of</strong> state<br />

property, state time,<br />

public property or<br />

property <strong>of</strong> ano<strong>the</strong>r<br />

employee<br />

Determination based<br />

upon severity <strong>of</strong><br />

incident<br />

Suspension/Removal<br />

Determination based<br />

upon severity <strong>of</strong><br />

incident<br />

Determination based<br />

upon severity <strong>of</strong><br />

incident<br />

* An employee disciplined for <strong>the</strong>ft or any o<strong>the</strong>r charge resulting in an undue/improper economic benefit <strong>to</strong> an<br />

employee, shall make restitution in addition <strong>to</strong> receiving discipline.<br />

USE OF ALCOHOL/DRUGS<br />

VIOLATION 1st 2nd 3rd 4th 5th 6th<br />

a. Sale, consumption,<br />

or possession <strong>of</strong><br />

alcoholic beverages or<br />

illegal drugs while on<br />

duty or state property<br />

Suspension/<br />

Removal<br />

Removal<br />

b. Reporting <strong>to</strong> work<br />

under <strong>the</strong> influence <strong>of</strong><br />

any in<strong>to</strong>xicant (alcohol<br />

or drugs) o<strong>the</strong>r than<br />

required for medical<br />

reasons, or a positive<br />

drug or alcohol test<br />

Removal<br />

52 | Page


(See Drug Free<br />

Workplace Policy)<br />

c. Failure <strong>to</strong> disclose<br />

use <strong>of</strong> prescription or<br />

o<strong>the</strong>r legal drugs prior<br />

<strong>to</strong> <strong>the</strong>ir use that could<br />

lead <strong>to</strong> impairment in<br />

<strong>the</strong> workplace<br />

Determination<br />

based upon<br />

severity <strong>of</strong><br />

incident<br />

VIOLATION OF SAFETY RULE<br />

VIOLATION 1st 2nd 3rd 4th 5th 6th<br />

a. Failure <strong>to</strong> wear Written Minor Medium Major Removal<br />

and/or use appropriate<br />

safety equipment<br />

Suspension Suspension Suspension<br />

b. Failure <strong>to</strong> report<br />

unsafe conditions or<br />

failure <strong>to</strong> comply with<br />

agency safety rules<br />

c. Failure <strong>to</strong> report<br />

work-related accident,<br />

injury, or illness <strong>to</strong><br />

immediate supervisor<br />

within 48 hours<br />

d. Failure <strong>to</strong> complete<br />

a "BWC Safety<br />

Report" within 48<br />

hours<br />

Written<br />

Written<br />

Minor<br />

Suspension/<br />

Medium<br />

Suspension<br />

Minor<br />

Suspension/<br />

Medium<br />

Suspension<br />

Medium<br />

Suspension/<br />

Major<br />

Suspension<br />

Medium<br />

Suspension/<br />

Major<br />

Suspension<br />

Removal<br />

Removal<br />

VIOLATION OF THE OHIO REVISED CODE OR THE BWC ADMINISTRATIVE<br />

RULES<br />

VIOLATION 1st 2nd 3rd 4th 5th 6th<br />

a. Engaging in<br />

political activities as<br />

prohibited in <strong>the</strong> <strong>Ohio</strong><br />

Revised Code Section<br />

124.57<br />

Determination<br />

based upon<br />

severity <strong>of</strong><br />

incident<br />

b. Violation <strong>of</strong> <strong>the</strong><br />

<strong>Ohio</strong> Revised Code<br />

section 124.34<br />

Determination<br />

based upon<br />

severity <strong>of</strong><br />

incident<br />

c. Preferential<br />

treatment in <strong>the</strong><br />

processing <strong>of</strong> claims<br />

Minor<br />

Suspension<br />

Medium/<br />

Major<br />

Suspension/<br />

Removal<br />

Removal<br />

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ATTACHMENT F: 23<br />

Exit Interview<br />

Memo 2.01<br />

Exit Interview Policy<br />

All BWC employees who voluntarily terminate employment through resignation, retirement,<br />

or transfer will have an opportunity provided <strong>to</strong> <strong>the</strong>m <strong>to</strong> complete an exit interview<br />

questionnaire. The questionnaire will be mailed <strong>to</strong> <strong>the</strong> employee prior <strong>to</strong> <strong>the</strong>ir last day <strong>of</strong><br />

work by <strong>the</strong> EEO <strong>of</strong>fice as soon as <strong>the</strong>y are notified <strong>of</strong> <strong>the</strong> employee’s decision <strong>to</strong> leave. All<br />

information provided on <strong>the</strong> exit interview questionnaire will be kept confidential. The<br />

employee’s name is requested but not required. The data will be utilized primarily by Human<br />

Resources <strong>to</strong> evaluate current working conditions and recommend improvements, <strong>to</strong><br />

determine <strong>the</strong> reason for <strong>the</strong> employee’s departure, and <strong>to</strong> build upon current successes.<br />

Employees may schedule a personal meeting with <strong>the</strong> Direc<strong>to</strong>r <strong>of</strong> EEO in place <strong>of</strong><br />

completing <strong>the</strong> form.<br />

NOTIFICATION PROCEDURE<br />

Upon receipt <strong>of</strong> an employee’s notice <strong>of</strong> resignation, retirement or transfer, <strong>the</strong> Personnel<br />

and Recruiting Department will prepare a Personnel Action Form and will forward a<br />

notification <strong>of</strong> <strong>the</strong> employee's resignation, retirement or transfer <strong>to</strong> <strong>the</strong> Direc<strong>to</strong>r <strong>of</strong> EEO. The<br />

personnel <strong>of</strong>ficer will <strong>the</strong>n contact <strong>the</strong> employee’s immediate supervisor and/or <strong>the</strong> section<br />

or division personnel liaison, <strong>to</strong> verify that <strong>the</strong>y are aware <strong>the</strong> employee is leaving and<br />

advise <strong>the</strong>m <strong>of</strong> <strong>the</strong> effective date <strong>of</strong> <strong>the</strong> action.<br />

Prior <strong>to</strong> <strong>the</strong> employee's last day <strong>of</strong> work, <strong>the</strong> EEO Department will prepare a letter <strong>to</strong> <strong>the</strong><br />

employee requesting that she or he complete <strong>the</strong> exit interview questionnaire. The Direc<strong>to</strong>r<br />

<strong>of</strong> EEO will review employee concerns with <strong>the</strong> Chief Human Resources Officer following a<br />

review <strong>of</strong> <strong>the</strong> questionnaire and/or <strong>the</strong> personal meeting with <strong>the</strong> departing employee.<br />

The employee’s immediate supervisor will be responsible for collecting all BWC-owned<br />

equipment from <strong>the</strong> employee prior <strong>to</strong> his or her last day worked. Effective for pay periods<br />

beginning on or after Feb. 2, 1997, a BWC Equipment Assignment Form* is completed for<br />

each employee when hired. The supervisor and employee sign and date <strong>the</strong> form upon<br />

completion. All supervisors are responsible for maintaining this information and forwarding a<br />

copy <strong>of</strong> <strong>the</strong> form <strong>to</strong> <strong>the</strong> Personnel and Recruiting Department for inclusion in <strong>the</strong> employee’s<br />

personnel file. Upon <strong>the</strong> employee’s separation, <strong>the</strong> supervisor will collect all BWC-owned<br />

items listed on <strong>the</strong> form and ensure <strong>the</strong>ir return <strong>to</strong> <strong>the</strong> department’s inven<strong>to</strong>ry.<br />

As all BWC records, electronic or o<strong>the</strong>rwise, are <strong>the</strong> sole property <strong>of</strong> BWC, no exiting BWC<br />

employee may maintain in <strong>the</strong>ir possession or duplicate any BWC record without written<br />

permission from BWC’s Chief Legal Counsel or his/her designee.<br />

Revised 12/08<br />

54 | Page


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57 | Page


Attachment G: EEO Program Moni<strong>to</strong>ring & Leadership Compliance Information<br />

A. Program Administration – Since <strong>the</strong> last EEO Strategic Plan that was submitted in<br />

FY 2008, BWC conducted manda<strong>to</strong>ry EEO and Diversity training in 2009 and 2010. To<br />

date, approximately 2427 employees have completed <strong>the</strong> training.<br />

No problem areas have been identified. BWC’s EEO Department has been successful<br />

in managing <strong>the</strong> EEO program and complaint process. Of <strong>the</strong> 14 complaints that were<br />

filed from June 30, 2010 <strong>to</strong> June 30, 2011, 13 resulted in a No Probable Cause Finding.<br />

Eight <strong>of</strong> <strong>the</strong>se complaints were filed with an external agency. One complaint is still<br />

pending resolution with <strong>the</strong> EEOC.<br />

B. Staff Coordination – Prevention <strong>of</strong> sexual harassment, this <strong>to</strong>pic was included in <strong>the</strong><br />

EEO and Diversity training that was conducted in 2009 and 2010.<br />

C. Program Management – Once <strong>the</strong> EEO Strategic Plan has been approved by EOD,<br />

<strong>the</strong> <strong>plan</strong> will be available for viewing in BWC’s central <strong>of</strong>fice and in all satellite locations.<br />

No ADA concerns have been identified.<br />

D. Program Design and Policy Execution – All EEO Policies are updated, signed and<br />

displayed in <strong>the</strong> Employee Handbook. The EEO complaint process is outlined in <strong>the</strong><br />

EEO policies and on <strong>the</strong> EEO Department’s web page.<br />

58 | Page


Attachment G: 24<br />

Year End Report – Status <strong>of</strong> EEO Complaints from June 30, 2010 <strong>to</strong> June<br />

30, 2011<br />

Complaint #<br />

Complaint<br />

File Date<br />

Complaint Issue<br />

Resolution<br />

1 (EXT) Received<br />

7/22/10<br />

2 (EXT) Received<br />

8/17/10<br />

3 (EXT) Received<br />

8/17/10<br />

4 (EXT) Received<br />

11/1/10<br />

5 (EXT) Received<br />

11/17/10<br />

6 (EXT) Received<br />

11/23/10<br />

Employee alleged she was<br />

disciplined and removed due <strong>to</strong> her<br />

race, sex, age, disability and in<br />

retaliation for complaining about<br />

unlawful behavior.<br />

Employee alleged that she was<br />

demoted, harassed and discharged<br />

due <strong>to</strong> her race and in retaliation for<br />

filing an internal complaint.<br />

Employee alleged that her request<br />

for leave was denied because <strong>of</strong> her<br />

sex.<br />

Employee alleged that she was<br />

harassed and forced <strong>to</strong> resign due <strong>to</strong><br />

her race, disability and in retaliation<br />

for engaging in protected activity.<br />

Employee alleged that she was<br />

harassed and discharged in<br />

retaliation for filing a workplace<br />

violence complaint with <strong>the</strong> <strong>Ohio</strong><br />

Inspec<strong>to</strong>r General’s Office.<br />

Employee alleged that she was<br />

denied a reasonable accommodation<br />

in retaliation for filing a previous<br />

charge <strong>of</strong> discrimination against<br />

BWC.<br />

No Probable Cause Finding<br />

issued by EEOC on Oc<strong>to</strong>ber 6,<br />

2010.<br />

No Probable Cause Finding<br />

issued by EEOC on December 16,<br />

2010.<br />

No Probable Cause Finding<br />

issued by EEOC on March 17,<br />

2011.<br />

EEOC issued an acknowledgment<br />

<strong>of</strong> settlement letter on August 3,<br />

2011.<br />

No Probable Cause Finding<br />

issued by OCRC on May 19, 2011.<br />

No Probable Cause Finding<br />

issued by OCRC on May 19, 2011.<br />

59 | Page


7 (EXT) 1/27/11 Employee alleged that she was<br />

discriminated against due <strong>to</strong> her race<br />

and disability.<br />

8 (INT) 2/8/11 Employee alleged that she was<br />

harassed due <strong>to</strong> her race.<br />

9 (EXT) 4/5/11 Injured Worker filed a complaint <strong>of</strong><br />

public accommodation alleging race<br />

discrimination.<br />

10 (INT) 4/14/11 Employee complained about an<br />

<strong>of</strong>fensive racist remark made by a<br />

co-worker.<br />

11 (INT) 4/14/11 Employee complained about an<br />

<strong>of</strong>fensive racist remark & personal<br />

insult made by a co-worker.<br />

12 (INT) 4/14/11 Employee complained about an<br />

<strong>of</strong>fensive racist remark made by a<br />

co-worker.<br />

13 (INT) 4/15/11 Employee complained about an<br />

<strong>of</strong>fensive racist remark made by a<br />

co-worker.<br />

14 (EXT) 4/25/11 Employee alleged that she was<br />

denied reasonable accommodation<br />

and forced <strong>to</strong> resign due <strong>to</strong> her race,<br />

age, disability and in retaliation for<br />

filing a previous charge <strong>of</strong><br />

discrimination.<br />

EEOC issued a Dismissal Notice<br />

on February 3, 2011.<br />

No Probable Cause Finding<br />

issued on March 14, 2011.<br />

OCRC issued a No Probable<br />

Cause Dismiss/No Jurisdiction<br />

Finding on June 30, 2011.<br />

Employee no longer interested in<br />

pursuing <strong>the</strong> complaint since<br />

management addressed <strong>the</strong><br />

issue. Case closed on May 17,<br />

2011.<br />

Employee no longer interested in<br />

pursuing <strong>the</strong> complaint since<br />

management addressed <strong>the</strong><br />

issue. Case closed on May 17,<br />

2011.<br />

Employee no longer interested in<br />

pursuing <strong>the</strong> complaint since<br />

management addressed <strong>the</strong><br />

issue. Case closed on May 17,<br />

2011.<br />

Employee no longer interested in<br />

pursuing <strong>the</strong> complaint since<br />

management addressed <strong>the</strong><br />

issue. Case closed on May 17,<br />

2011.<br />

Case is currently pending with<br />

EEOC.<br />

60 | Page


Attachment G: 25<br />

Corrective Action Items<br />

• BWC’s EEO Department will continue <strong>to</strong> aggressively manage our EEO Program and complaint<br />

process.<br />

• The EEO Department will continue <strong>to</strong> work through various avenues, such as Black His<strong>to</strong>ry<br />

Month and Women’s His<strong>to</strong>ry Months <strong>to</strong> promote cultural awareness and diversity in <strong>the</strong><br />

workplace.<br />

• The EEO Manager will schedule a meeting with <strong>the</strong> Chief <strong>of</strong> Human Resources and Administra<strong>to</strong>r<br />

<strong>to</strong> discuss diversity outreach and <strong>the</strong> formation <strong>of</strong> a BWC diversity team.<br />

61 | Page


Attachment H: 26<br />

Diversity Initiatives<br />

Although BWC does not have a diversity team, <strong>the</strong> agency celebrates Black His<strong>to</strong>ry Month<br />

during <strong>the</strong> month <strong>of</strong> February and Women’s His<strong>to</strong>ry Month in March. The <strong>Bureau</strong> also post<br />

articles concerning diversity and health initiatives along with resource information on our<br />

internal web page, BWC Web, throughout <strong>the</strong> year.<br />

In addition, <strong>to</strong> reach out <strong>to</strong> non-native English speakers, BWC partnered with groups such as<br />

Latino Empowerment Outreach Network (LEON). LEON educates <strong>the</strong> Latin community about<br />

individual rights as an injured worker, how <strong>the</strong> workers’ compensation process works and how<br />

<strong>to</strong> apply for financial aid. BWC has translated some <strong>of</strong> its publications, such as <strong>the</strong> application<br />

for workers’ compensation coverage, first report <strong>of</strong> injury (FROI) form, safety violation<br />

questionnaire and several fact sheets in<strong>to</strong> Spanish.<br />

Also, BWC’s Cus<strong>to</strong>mer Contact Center has bilingual representatives <strong>to</strong> help answer questions<br />

from workers and employers who do not speak English. If a representative who speaks <strong>the</strong><br />

requested language needed isn’t available, BWC uses its tele-interpreting service with 150<br />

languages and dialects.<br />

62 | Page


Attachment I: 27<br />

ADA Reasonable Accommodations request Policy<br />

Guidelines and Procedures<br />

POLICY STATEMENT<br />

Americans with Disabilities Act (ADA) Policy<br />

It is <strong>the</strong> policy and practice <strong>of</strong> <strong>the</strong> <strong>Ohio</strong> <strong>Bureau</strong> <strong>of</strong> <strong>Workers</strong>’ Compensation (BWC) <strong>to</strong> comply fully<br />

with <strong>the</strong> Americans with Disabilities Act (ADA) <strong>of</strong> 1990 and <strong>the</strong> ADA Amendments Act <strong>of</strong> 2008<br />

(ADAAA), and ensure equal employment opportunities and reasonable accommodation for<br />

Qualified Individuals with Disabilities. BWC is also committed <strong>to</strong> ensuring non-discrimination in<br />

all terms, conditions and privileges <strong>of</strong> employment.<br />

INTRODUCTION<br />

E. It is a violation <strong>of</strong> BWC policy <strong>to</strong> discriminate in employment against a qualified person in<br />

regard <strong>to</strong> any employment practice or term, condition, or privilege <strong>of</strong> employment<br />

because that person currently has a disability, at one time had a disability, or is regarded<br />

as having a disability. It is also a violation <strong>of</strong> this policy <strong>to</strong> deny an employment<br />

opportunity or benefit or <strong>to</strong> o<strong>the</strong>rwise discriminate against an individual, whe<strong>the</strong>r or not<br />

<strong>the</strong> individual has a disability, because that individual has a known relationship or<br />

association with a person who has a disability. This prohibition applies <strong>to</strong> job application<br />

procedures, hiring, advancement, and discharge <strong>of</strong> employees; employee<br />

compensation; job training; and all o<strong>the</strong>r terms and conditions <strong>of</strong> employment.<br />

F. It is BWC policy <strong>to</strong> determine essential job functions based upon an individualized<br />

inquiry in<strong>to</strong> each position filled and <strong>to</strong> determine whe<strong>the</strong>r <strong>the</strong> person with a disability can<br />

perform <strong>the</strong>se functions unaided or with reasonable accommodation.<br />

G. It is against BWC policy <strong>to</strong> use qualification standards or selection criteria that would<br />

screen out, or tend <strong>to</strong> screen out, individuals with disabilities, unless such measures are<br />

both job related and necessary <strong>to</strong> <strong>the</strong> safe and efficient operation <strong>of</strong> <strong>the</strong> business.<br />

H. The affirmative obligation <strong>to</strong> provide reasonable accommodation applies <strong>to</strong> individuals<br />

seeking employment with BWC and <strong>to</strong> current employees who have a qualified disability<br />

under <strong>the</strong> ADA.<br />

RESPONSIBILITIES<br />

The EEO Manager is responsible for reviewing and providing reasonable accommodations for<br />

qualified individuals with disabilities. It is <strong>the</strong> obligation <strong>of</strong> all BWC employees <strong>to</strong> adhere <strong>to</strong> this<br />

policy in <strong>the</strong>ir areas <strong>of</strong> responsibility.<br />

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Accommodation Process<br />

The employee should submit a copy <strong>of</strong> BWC’s ADA Reasonable Accommodation Request<br />

Questionnaire and submit a release <strong>of</strong> medical information <strong>to</strong> <strong>the</strong> EEO Manager.<br />

The EEO Manager will review <strong>the</strong> request and follow a four-step process in assessing <strong>the</strong><br />

request.<br />

E. Analyze <strong>the</strong> employee’s information <strong>to</strong> determine whe<strong>the</strong>r <strong>the</strong> employee is disabled<br />

pursuant <strong>to</strong> <strong>the</strong> ADA. If <strong>the</strong> employee is not disabled pursuant <strong>to</strong> <strong>the</strong> ADA, <strong>the</strong>y will be<br />

notified that <strong>the</strong>ir request for reasonable accommodation will be denied.<br />

F. If <strong>the</strong> EEO Manager determines that <strong>the</strong> employee is disabled pursuant <strong>to</strong> <strong>the</strong> ADA, <strong>the</strong><br />

employee’s job description will be reviewed <strong>to</strong> determine <strong>the</strong> essential functions. The<br />

EEO Manager will <strong>the</strong>n contact <strong>the</strong> employee’s physician <strong>to</strong> determine <strong>the</strong> employee’s<br />

abilities and limitations for performing <strong>the</strong> essential functions <strong>of</strong> <strong>the</strong> job.<br />

G. Determine <strong>the</strong> employee’s abilities and limitations in consultation with <strong>the</strong> employee,<br />

BWC management, and <strong>the</strong> employee’s physician.<br />

H. Identify potential accommodations and assess <strong>the</strong>ir effectiveness with <strong>the</strong> employee.<br />

DEFINITIONS<br />

For purposes <strong>of</strong> this policy and guidelines, <strong>the</strong> following definitions apply:<br />

H. Disability - A physical or mental impairment that substantially limits one or more major<br />

life activities <strong>of</strong> an individual; a record (or past his<strong>to</strong>ry) <strong>of</strong> such an impairment; or being<br />

regarded as having a disability.<br />

I. Qualified individual with a disability - An individual with a disability who, with or without<br />

reasonable accommodation can perform essential functions <strong>of</strong> <strong>the</strong> employment position<br />

that such individual holds or desires.<br />

J. Essential job functions - Those functions actually performed in <strong>the</strong> job, <strong>the</strong> removal <strong>of</strong><br />

which would fundamentally alter <strong>the</strong> position. To determine whe<strong>the</strong>r a function is<br />

essential, it must be determined whe<strong>the</strong>r <strong>the</strong> position exists <strong>to</strong> perform that function and<br />

whe<strong>the</strong>r <strong>the</strong>re are o<strong>the</strong>r employees available <strong>to</strong> share that function, as well as <strong>the</strong><br />

degree <strong>of</strong> expertise required <strong>to</strong> perform <strong>the</strong> function. Whe<strong>the</strong>r a function is essential also<br />

depends on <strong>the</strong> content <strong>of</strong> <strong>the</strong> written job descriptions, <strong>the</strong> terms <strong>of</strong> any applicable<br />

collective bargaining agreement, <strong>the</strong> time spent performing <strong>the</strong> particular function, and<br />

<strong>the</strong> consequences <strong>of</strong> failing <strong>to</strong> require <strong>the</strong> employee <strong>to</strong> perform <strong>the</strong> function.<br />

K. Reasonable accommodation - A modification or adjustment <strong>to</strong> a job, <strong>the</strong> work<br />

environment or <strong>the</strong> workflow that enables a qualified individual with a disability <strong>to</strong><br />

perform essential job functions. Such accommodation is required unless it poses an<br />

undue hardship on <strong>the</strong> employer. The determination <strong>of</strong> what accommodation is<br />

64 | Page


easonable in a particular situation involves a process in which <strong>the</strong> department and <strong>the</strong><br />

employee identify <strong>the</strong> precise limitations imposed by <strong>the</strong> disability and explore potential<br />

accommodations that would overcome those limitations.<br />

L. Undue hardship - Any accommodation that is substantial, disruptive, unduly costly or<br />

would fundamentally alter <strong>the</strong> nature or operation <strong>of</strong> <strong>the</strong> department.<br />

M. Major life activities - Activities that are <strong>of</strong> central importance an individual’s daily life such<br />

as caring for oneself, performing manual tasks, walking sitting, standing, lifting, reaching,<br />

seeing, hearing, speaking, breathing, learning and working. This list is not exhaustive.<br />

N. Substantially limits - An impairment that significantly restricts <strong>the</strong> duration, manner or<br />

condition under which an individual can perform a particular major life activity as<br />

compared <strong>to</strong> <strong>the</strong> ability <strong>of</strong> <strong>the</strong> average person in <strong>the</strong> general population <strong>to</strong> perform <strong>the</strong><br />

same major life activity.<br />

COMPLAINT PROCESS<br />

Individuals who believe <strong>the</strong>y have been treated in a discrimina<strong>to</strong>ry manner in violation <strong>of</strong> this<br />

policy should contact: The State <strong>of</strong> <strong>Ohio</strong>’s Equal Opportunity Division which is located at 30<br />

East Broad Street, 18th Floor, Columbus, OH 43215-3414 or by telephone at (614) 466-8380.<br />

In addition an individual may file a charge <strong>of</strong> discrimination with <strong>the</strong> <strong>Ohio</strong> Civil Rights<br />

Commission (“OCRC”) within six months or with <strong>the</strong> Equal Employment Opportunity<br />

Commission (“EEOC”) within three hundred days <strong>of</strong> <strong>the</strong> alleged acts.<br />

WORKPLACE MODIFICATIONS WHEN AN EMPLOYEE DOES NOT MEET THE DEFINITION<br />

OF “DISABILITY”<br />

BWC recognizes that <strong>the</strong>re may be situations where an employee has a medical condition that<br />

does not constitute a disability under <strong>the</strong> ADA, but is granted workplace modifications as a<br />

result <strong>of</strong> a Transitional Work Program developed by Disability Management, pregnancy, safety<br />

concerns, or where an employee has a medical condition stemming from a workplace accident.<br />

In <strong>the</strong>se situations, BWC is not regarding <strong>the</strong> employee as disabled, but is instead taking<br />

proactive measures <strong>to</strong> permit <strong>the</strong> employee <strong>to</strong> remain in <strong>the</strong> workplace and assist <strong>the</strong>m <strong>to</strong><br />

perform <strong>the</strong>ir job duties.<br />

• In situations where an employee is returning <strong>to</strong> work from a medical condition that is not<br />

<strong>the</strong> result <strong>of</strong> a workplace accident, <strong>the</strong> EEO Department will refer <strong>the</strong> matter <strong>to</strong> <strong>the</strong><br />

Disability Management Section, who will review <strong>the</strong> employee’s medical information and<br />

make appropriate recommendations.<br />

• In situations where an employee has a medical condition that requires workplace<br />

modifications <strong>to</strong> ensure <strong>the</strong>ir safety and well-being, or if <strong>the</strong> employee is pregnant and<br />

requires workplace modifications, <strong>the</strong> EEO Department will refer <strong>the</strong> matter <strong>to</strong> <strong>the</strong><br />

employee’s management, who will address <strong>the</strong>se matters.<br />

• Finally, where an employee has a medical condition stemming from a workplace<br />

accident does not constitute a disability under <strong>the</strong> ADA, but requires workplace<br />

65 | Page


modifications <strong>to</strong> ensure <strong>the</strong> employee’s safety and well being, <strong>the</strong> EEO Department will<br />

refer <strong>the</strong> matter <strong>to</strong> <strong>the</strong> <strong>Workers</strong>’ Compensation Program Administration and/or Safety<br />

Administration departments.<br />

_________________________________<br />

Administra<strong>to</strong>r<br />

9/1/2011<br />

_______________________<br />

Effective Date<br />

Revised (09/11)<br />

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Attachment I: 28<br />

Agency Reasonable Accommodation Request<br />

Form<br />

Instructions:<br />

The agency’s ADA Policy indicates our intention <strong>to</strong> provide reasonable accommodation <strong>to</strong> any<br />

employee with a qualified disability. In order <strong>to</strong> ascertain <strong>the</strong> nature <strong>of</strong> <strong>the</strong> accommodation that<br />

you are requesting, attach medical documentation that describes <strong>the</strong> nature <strong>of</strong> your condition or<br />

impairment and submit it along with this form <strong>to</strong> <strong>the</strong> agency’s EEO Office. Please also fill out<br />

<strong>the</strong> attached Medical Release Form. You will be contacted <strong>to</strong> discuss your request upon<br />

receipt. Please be advised however, that BWC’s review <strong>of</strong> your request does not mean that<br />

BWC regards you as disabled for purposes <strong>of</strong> <strong>the</strong> Americans with Disabilities Act.<br />

Name: Phone :<br />

Job Title:<br />

Location:<br />

Supervisor:<br />

Division:<br />

1. Name <strong>of</strong> medical condition or impairment.<br />

2. Nature and severity <strong>of</strong> condition or impairment.<br />

3. How long is your condition expected <strong>to</strong> last?<br />

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4. Is your condition permanent?<br />

5. Please list all <strong>of</strong> <strong>the</strong> activities that you can not perform because <strong>of</strong> your condition.<br />

6. Please state specifically <strong>the</strong> accommodation that you are proposing.<br />

I certify that all information is accurate <strong>to</strong> <strong>the</strong> best <strong>of</strong> my knowledge.<br />

Employee Signature<br />

Date<br />

Approved:<br />

Direc<strong>to</strong>r <strong>of</strong> EEO<br />

Date<br />

Disapproved:<br />

Direc<strong>to</strong>r <strong>of</strong> EEO<br />

Date<br />

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Ex<strong>plan</strong>ation:<br />

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Release <strong>of</strong> health information<br />

I,<br />

Social Security #<br />

give permission <strong>to</strong> release medical information <strong>to</strong>:<br />

Date <strong>of</strong> Birth<br />

BWC<br />

EEO Department<br />

30 W. Spring Street, Level 28<br />

Columbus, <strong>Ohio</strong> 43215-2256<br />

This information will be used <strong>to</strong> verify a request for accommodation under <strong>the</strong><br />

American’s with Disabilities Act.<br />

Signature<br />

Date<br />

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