19-011 · EVIDENCE A · SOURCE-SENSITIVE
If you’re injured at work or hit while commuting, the first step is to get a work‑injury determination; if your employer won’t file it, you must do it yourself.
上班受伤、上下班路上被撞,第一件事是做工伤认定,单位不报你自己报
There is no cost — just a trip to the social insurance authority. You’ll need three documents: a work‑injury determination application form, proof of employment, and a medical diagnosis certificate.
Injuries that happen at work are considered work‑related injuries. Being hit while commuting — provided you bear no significant fault — also qualifies as a work‑injury. Without a formal work‑injury determination, however, you won’t receive medical coverage, wage replacement during recovery, or disability benefits. Employers must file the application within 30 days; if they fail to do so, you, your family, or a labor union may file it within one year.
A
Move “If you’re injured at work or hit while commuting, the first step is to get a work‑injury determination; if your employer won’t file it, you must do it yourself.” to Future Me's calendar
The excuse
One more exception feels free because the bill arrives outside the current scene.
What feels good now
Today I keep a few minutes and avoid interrupting my default routine.
What the source says
The source summarizes the return this way: “Injuries that happen at work are considered work‑related injuries. Being hit while commuting — provided you bear no significant fault — also qualifies as a work‑injury. Without a formal work‑injury determination, however, you won’t receive medical coverage, wage replacement during recovery, or disability benefits. Employers must file the application within 30 days; if they fail to do so, you, your family, or a labor union may file it within one year.” Evidence grade A. The original states the population, caveats, and sources; this is not a personal forecast.
Use the original facts and limits. For an urgent medical, safety, financial, or legal issue, contact a qualified local professional or service.
THE ENGLISH EDITION
Original recommendation and evidence
11. If you’re injured at work or hit while commuting, the first step is to get a work‑injury determination; if your employer won’t file it, you must do it yourself.
Cost: There is no cost — just a trip to the social insurance authority. You’ll need three documents: a work‑injury determination application form, proof of employment, and a medical diagnosis certificate.
In plain terms: Injuries that happen at work are considered work‑related injuries. Being hit while commuting — provided you bear no significant fault — also qualifies as a work‑injury. Without a formal work‑injury determination, however, you won’t receive medical coverage, wage replacement during recovery, or disability benefits. Employers must file the application within 30 days; if they fail to do so, you, your family, or a labor union may file it within one year.
Benefit: Without a work‑injury determination, all related benefits disappear: medical care, wage continuation while you recover, and disability payments. If an employer misses the 30‑day deadline, it must pay all required benefits out of its own funds.
Evidence grade: A
Sources: State Council of China (revised in 2010). Regulation on Work-Related Injury Insurance (State Council of China Order No. 586) Article 14 lists seven types of injuries that "should be recognized as work-related injuries", including "(6) On the way to and from get off work, injured by a traffic accident or urban rail transit, passenger ferry, or train accident that is not the main responsibility of the person"; Article 17 "The unit where the accident injury occurs or is diagnosed, Within 30 days from the date of identification of an occupational disease, an application for work-related injury identification shall be submitted to the coordinating regional social insurance administrative department. "If the employer fails to submit an application for work-related injury identification in accordance with the provisions of the preceding paragraph, the injured employee or his close relatives, or the trade union organization shall be diagnosed on the date of the accident or injury, Within one year from the date of identification of an occupational disease, an application for work-related injury identification can be submitted directly to the social insurance administration department in the coordinating area where the employer is located. "If the employer fails to submit an application for work-related injury identification within the time limit specified in the first paragraph of this article, the employer shall bear the relevant expenses such as work-related injury benefits that comply with the provisions of these regulations during this period." Article 19 "If the employee or his close relatives believe that it is a work-related injury, but the employer does not think it is a work-related injury, the employer shall bear the burden of proof." Article 20: "A decision on work-related injury determination shall be made within 60 days from the date of acceptance of the application for work-related injury determination"; Article 55, "Those who are dissatisfied with the decision not to accept the application for work-related injury determination" or "are dissatisfied with the conclusion of work-related injury determination", "may apply for administrative reconsideration in accordance with the law, or may file an administrative lawsuit with the People's Court in accordance with the law." <https://www.gov.cn/gongbao/content/2011/content_1778064.htm>; Supreme People's Court of China (2014). Provisions on Several Issues Concerning the Trial of Administrative Cases of Work-related Injury Insurance (Fa Interpretation [2014] No. 9) Article 7: "If the application period for work-related injury identification is exceeded due to reasons that do not belong to the employee or his close relatives, the delayed time will not be counted in the application period for work-related injury identification." The listed situations are "(1) Force majeure; (2) Restriction of personal freedom; (3) Reasons attributed to the employer; (4) The registration system of the social insurance administrative department is imperfect; (5) The parties apply for arbitration and file civil lawsuits as to whether there is a labor relationship. <https://www.court.gov.cn/fabu/xiangqing/6775.html>
Notes: The one‑year deadline is absolute — after that you can’t apply. The burden of proof rests with the employer: if it denies that an injury is work‑related, it must provide evidence to the contrary. Still, you should keep your own records — photos from the scene, coworkers’ contact info, medical records, and attendance logs. Article 16 lists three situations where injuries are not considered work‑related: intentional criminal acts, intoxication or drug use, and self‑inflicted harm or suicide. Article 15 also defines “deemed work‑injuries”: death from a sudden illness at work or within 48 hours after unsuccessful emergency treatment.
Source links
- 国务院 (2010 修订). 工伤保险条例(国务院令第 586 号)第十四条列了七种「应当认定为工伤」,含「(六)在上下班途中,受到非本人主要责任的交通事故或者城市轨道交通、客运轮渡、火车事故伤害的」
- 第十七条「所在单位应当自事故伤害发生之日或者被诊断、鉴定为职业病之日起30日内,向统筹地区社会保险行政部门提出工伤认定申请」「用人单位未按前款规定提出工伤认定申请的,工伤职工或者其近亲属、工会组织在事故伤害发生之日或者被诊断、鉴定为职业病之日起1年内,可以直接向用人单位所在地统筹地区社会保险行政部门提出工伤认定申请」「用人单位未在本条第一款规定的时限内提交工伤认定申请,在此期间发生符合本条例规定的工伤待遇等有关费用由该用人单位负担」
- 第十九条「职工或者其近亲属认为是工伤,用人单位不认为是工伤的,由用人单位承担举证责任」
- 第二十条「自受理工伤认定申请之日起60日内作出工伤认定的决定」
- 第五十五条,对「工伤认定申请不予受理的决定不服的」「对工伤认定结论不服的」,「可以依法申请行政复议,也可以依法向人民法院提起行政诉讼」. ↗
- 最高人民法院 (2014). 关于审理工伤保险行政案件若干问题的规定(法释〔2014〕9 号)第七条:「由于不属于职工或者其近亲属自身原因超过工伤认定申请期限的,被耽误的时间不计算在工伤认定申请期限内」,所列情形为「(一)不可抗力
- (二)人身自由受到限制
- (三)属于用人单位原因
- (四)社会保险行政部门登记制度不完善
- (五)当事人对是否存在劳动关系申请仲裁、提起民事诉讼」. ↗
- Pinned original chapter on GitHub ↗
Read the complete Chinese source and notes
11. 上班受伤、上下班路上被撞,第一件事是做工伤认定,单位不报你自己报
成本: 不花钱,跑一趟社保行政部门。要带三样材料:工伤认定申请表、劳动关系证明、医疗诊断证明。
说人话: 上班受伤算工伤。上下班路上被撞、主要责任不在你的,也算工伤。但不做工伤认定,医药费、养伤期间照发的工资、伤残补助金就全部落空。单位应当在 30 天内申报。单位不报的,你或者家属、工会可以在一年内自己去社保行政部门报。
收益: 没做工伤认定,医药费、养伤期间照发的工资(停工留薪期工资)、伤残补助金就全部落空。单位超过 30 日不申报的,这段时间里该给的工伤待遇费用由单位自己掏
证据等级: A
来源: 国务院 (2010 修订). 工伤保险条例(国务院令第 586 号)第十四条列了七种「应当认定为工伤」,含「(六)在上下班途中,受到非本人主要责任的交通事故或者城市轨道交通、客运轮渡、火车事故伤害的」;第十七条「所在单位应当自事故伤害发生之日或者被诊断、鉴定为职业病之日起30日内,向统筹地区社会保险行政部门提出工伤认定申请」「用人单位未按前款规定提出工伤认定申请的,工伤职工或者其近亲属、工会组织在事故伤害发生之日或者被诊断、鉴定为职业病之日起1年内,可以直接向用人单位所在地统筹地区社会保险行政部门提出工伤认定申请」「用人单位未在本条第一款规定的时限内提交工伤认定申请,在此期间发生符合本条例规定的工伤待遇等有关费用由该用人单位负担」;第十九条「职工或者其近亲属认为是工伤,用人单位不认为是工伤的,由用人单位承担举证责任」;第二十条「自受理工伤认定申请之日起60日内作出工伤认定的决定」;第五十五条,对「工伤认定申请不予受理的决定不服的」「对工伤认定结论不服的」,「可以依法申请行政复议,也可以依法向人民法院提起行政诉讼」. <https://www.gov.cn/gongbao/content/2011/content_1778064.htm>;最高人民法院 (2014). 关于审理工伤保险行政案件若干问题的规定(法释〔2014〕9 号)第七条:「由于不属于职工或者其近亲属自身原因超过工伤认定申请期限的,被耽误的时间不计算在工伤认定申请期限内」,所列情形为「(一)不可抗力;(二)人身自由受到限制;(三)属于用人单位原因;(四)社会保险行政部门登记制度不完善;(五)当事人对是否存在劳动关系申请仲裁、提起民事诉讼」. <https://www.court.gov.cn/fabu/xiangqing/6775.html>
备注: 1 年要当真,别拖。但不是你自己的原因耽误的时间不算在 1 年里:不可抗力、人身自由受限、单位的原因、社保部门登记制度不完善、为确认劳动关系去申请仲裁或者打官司。所以单位拖着不报、拖到超期的,照样去申请,并把单位拖延的证据带上。社保部门不受理,或者认定结论你不服,可以申请行政复议,也可以直接起诉。单位说不算工伤,得由单位举证。但你自己也要留材料:出事当天的照片、同事联系方式、就诊记录、考勤。条例第十六条列了三种不认的情形:故意犯罪、醉酒或者吸毒、自残或者自杀。第十五条另有「视同工伤」:在工作时间和工作岗位突发疾病死亡,或者 48 小时之内经抢救无效死亡的。
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