工(gong)傷認定
1、職工(gong)(gong)(gong)(gong)有(you)下列情(qing)形之一的(de)(de)(de)，應當(dang)認定為工(gong)(gong)(gong)(gong)傷(shang)： （1）在(zai)(zai)工(gong)(gong)(gong)(gong)作(zuo)時(shi)(shi)間(jian)和(he)工(gong)(gong)(gong)(gong)作(zuo)場(chang)所內(nei)(nei)，因工(gong)(gong)(gong)(gong)作(zuo)原(yuan)因受到(dao)事(shi)(shi)(shi)故傷(shang)害(hai)的(de)(de)(de)； （2）工(gong)(gong)(gong)(gong)作(zuo)時(shi)(shi)間(jian)前(qian)后(hou)在(zai)(zai)工(gong)(gong)(gong)(gong)作(zuo)場(chang)所內(nei)(nei)，從(cong)事(shi)(shi)(shi)與工(gong)(gong)(gong)(gong)作(zuo)有(you)關(guan)的(de)(de)(de)預備(bei)性或(huo)(huo)者收尾性工(gong)(gong)(gong)(gong)作(zuo)受到(dao)事(shi)(shi)(shi)故傷(shang)害(hai)的(de)(de)(de)； （3）在(zai)(zai)工(gong)(gong)(gong)(gong)作(zuo)時(shi)(shi)間(jian)和(he)工(gong)(gong)(gong)(gong)作(zuo)場(chang)所內(nei)(nei)，因履行工(gong)(gong)(gong)(gong)作(zuo)職責受到(dao)暴力等意外傷(shang)害(hai)的(de)(de)(de)； （4）患職業病(bing)的(de)(de)(de)； （5）因工(gong)(gong)(gong)(gong)外出期間(jian)，由于工(gong)(gong)(gong)(gong)作(zuo)原(yuan)因受到(dao)傷(shang)害(hai)或(huo)(huo)者發(fa)生事(shi)(shi)(shi)故下落不明(ming)的(de)(de)(de)； （6）在(zai)(zai)上下班途中，受到(dao)非(fei)本(ben)人主要責任的(de)(de)(de)交通(tong)事(shi)(shi)(shi)故或(huo)(huo)者城市軌道交通(tong)、客運輪渡(du)、火車事(shi)(shi)(shi)故傷(shang)害(hai)的(de)(de)(de)； （7）法(fa)律、行政法(fa)規規定應當(dang)認定為工(gong)(gong)(gong)(gong)傷(shang)的(de)(de)(de)其他情(qing)形。
2、職工(gong)(gong)(gong)有(you)下列情形(xing)之(zhi)一(yi)的(de)，視同工(gong)(gong)(gong)傷(shang)(shang)(shang)： （1）在(zai)(zai)工(gong)(gong)(gong)作(zuo)時間和(he)工(gong)(gong)(gong)作(zuo)崗位，突發疾病死亡(wang)或(huo)者在(zai)(zai)48小時之(zhi)內經搶救(jiu)無效死亡(wang)的(de)； （2）在(zai)(zai)搶險救(jiu)災等維護(hu)國家利(li)益、公共利(li)益活(huo)動中受(shou)到(dao)傷(shang)(shang)(shang)害(hai)的(de)； （3）職工(gong)(gong)(gong)原在(zai)(zai)軍隊服役，因戰(zhan)、因公負傷(shang)(shang)(shang)致(zhi)殘(can)，已取得(de)革命(ming)傷(shang)(shang)(shang)殘(can)軍人證(zheng)，到(dao)用人單位后舊傷(shang)(shang)(shang)復(fu)發的(de)。 職工(gong)(gong)(gong)有(you)前款(kuan)第（1）項、第（2）項情形(xing)的(de)，按照(zhao)本(ben)條例(li)的(de)有(you)關規(gui)定享(xiang)受(shou)工(gong)(gong)(gong)傷(shang)(shang)(shang)保(bao)險待遇；職工(gong)(gong)(gong)有(you)前款(kuan)第（3）項情形(xing)的(de)，按照(zhao)本(ben)條例(li)的(de)有(you)關規(gui)定享(xiang)受(shou)除一(yi)次性傷(shang)(shang)(shang)殘(can)補助金以(yi)外(wai)的(de)工(gong)(gong)(gong)傷(shang)(shang)(shang)保(bao)險待遇。
3、職(zhi)工符合(he)上述第(di)1條、第(di)2條的規定，但是有下列情形之一的，不(bu)得認定為工傷或(huo)者(zhe)視同工傷： （1）故意犯罪(zui)的； （2）醉酒或(huo)者(zhe)吸毒的； （3）自殘或(huo)者(zhe)自殺的。
工傷保(bao)險(xian)報銷費用項目(mu)：
參(can)保職工如果出現工傷（工亡）事故，按(an)政(zheng)策規定報銷或領取下(xia)列待遇： 1、住院費用(yong)；2、門診費用(yong)；3、伙食補(bu)助；4、交通(tong)費；5、一(yi)次(ci)性醫療補(bu)助金；6一(yi)次(ci)性傷(shang)殘津貼；7、傷(shang)殘津貼；8、生活(huo)護理費；9、供養親(qin)屬撫(fu)恤費；10、一(yi)次(ci)工亡補(bu)助金；11、喪葬補(bu)助金。