《工伤保险条例》第十八条规定，提出工伤认定申请，申请人应当提交劳动者与用人单位存在劳动关系（包括事实劳动关系）的证明材料。也就是说，工 伤认定通常以劳动关系的存在为基本前提，没有劳动关系，劳动者将无法享受工伤保险待遇。 但从全面保护劳动者合法权益角度出发，在特定情形下，即便用人单位与劳动者不存在传统意义上的劳动关系（即：用人单位和劳动者符合法律、法规规 定的主体资格；劳动者受用人单位的劳动管理，从事用人单位安排的有报酬的劳动；劳动者提供的劳动是用人单位业务的组成部分），劳动者因工受伤 的，社会保险行政部门也应受理工伤认定申请，并依法认定职工受伤为工伤。 以下六种情形，劳动者因工受伤应当认定为工伤，或依法享受工伤保险待遇： 一、用工单位实施违法转包或分包的 在建筑行业，建筑公司将工程分包给"包工头"、包工头再另行雇用劳动者进行施工的情况较为常见。关于包工头所招用的工人能否主张与发包方建立劳动 关系的问题，最高人民法院发布的《2015年全国民事审判工作会议纪要》第六十二条明确："对于发包人将建设工程发包给承包人，承包人又转包或者分 包给实际施工人，实际施工人招用的劳动者请求确认与发包人之间存在劳动关系的，人民法院 ...

Core Viewpoint - Shanghai is advancing its work injury insurance system during the 14th Five-Year Plan, focusing on people-centered development and enhancing occupational safety for workers across various industries [1] Group 1: Pilot Programs and Coverage Expansion - Shanghai initiated a pilot program for occupational injury protection in July 2022, including platform companies like Meituan and Didi, with plans to expand coverage by July 2025 [2] - The city has included over 1.76 million new employment form workers in the protection scheme, providing medical treatment and economic compensation for occupational injuries [2] Group 2: Policy and Industry Focus - The city is expanding work injury insurance to more occupational groups, particularly in key industries such as manufacturing, construction, and logistics, supporting the development of the "Five Centers" and "3+6" key industry system [3] - A five-year action plan for work injury prevention was introduced in 2021, with a significant increase in prevention projects and training participants from 138,000 to 998,000 by the end of the 14th Five-Year Plan [3] Group 3: Rehabilitation System Innovation - In 2023, Shanghai revised its work injury rehabilitation management regulations and selected 12 hospitals as designated rehabilitation institutions, creating a diverse and high-quality rehabilitation service network [4] Group 4: Benefit Level Improvements - From 2021 to 2025, Shanghai is steadily increasing work injury insurance benefits, with monthly disability allowances rising by amounts ranging from 1,223 to 1,529 yuan depending on the severity of disability [5] - The city has implemented a phased reduction in work injury insurance rates for four consecutive years, lowering the baseline rate by 20%, resulting in a new range of 0.16% to 1.52% [5] Group 5: Digital Transformation and Cross-Province Services - Shanghai is leading a digital transformation in work injury insurance services, launching a self-service platform for labor capability assessment and online applications, enhancing service efficiency [6] - The city has initiated a pilot for direct settlement of work injury insurance across provinces, establishing an information platform for cross-province medical treatment [6]