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CNA's Return-to-Work Self Audit

Introduction

This questionnaire was designed to give you insights into your current plan for dealing with workplace injuries and illnesses. The audit consists of 21 questions and should take approximately 10 minutes to complete. Upon completion, you will be presented with a comparative analysis that will help you examine the effectiveness of your current program and identify opportunities for improvements. We encourage you to share the results with your risk control coordinator and / or upper management and discuss them with your local independent agent.

This audit helps you examine and review the capability of your company's Injury Management Program. In addition, it is a tool to help identify areas where the company's Injury Management Program could be improved.

Here are some reasons for an Injury Management Program:

  • Manage work-related injuries / illnesses from time of occurrence
  • Facilitate the recovery of injured / ill workers
  • Ensure fair and consistent treatment of injured / ill workers
  • Minimize loss of valuable workers
  • Maintain communication between all parties involved in the injury management process
  • Minimize impact of work-related injuries / illnesses on productivity
  • Manage costs of work-related injuries / illnesses
  • Positive influence on WC modification rating

SECTION 1: WORKPLACE DEMOGRAPHICS

1. Average age of the workforce?

  • a18 to 29 years old
  • b30 to 45 years old
  • c46 to 59 years old
  • d60 years and older

2. Average weight classification for the workforce?

  • aNormal weight (5 to 9 additional pounds)
  • bOver-weight (10 to 39 pounds over normal weight)
  • cObese-I (40 to 60 pounds over normal weight)
  • dObese-II (more than 60 pounds over normal weight)

3. Does the company have hiring practices?

  • aNone fully established
  • bLast employer is contacted to verify employment
  • cLast employer is contacted and the applicant is told a pre-employment drug test is required

4. Are safety training programs presented to the new workers during their orientation period?

  • aNo or not consistently done
  • bSafety procedures and practices are explained
  • cSafety procedures and practices are explained plus specific re-training is done periodically to re-enforce policy and procedures
ADVANCE

SECTION 2: PRE-ACCIDENT PREPARATIONS

5. Are WC insurance benefits explained to the employees if they might become injured or develop an occupational illness during their employment?

  • aNo or not consistently done
  • bBenefits explained during orientation training
  • cBenefits explained during orientation training, plus all employees are annually explained the injury benefits and steps to follow if injured

6. Does your company have someone with the assigned responsibility of reporting WC claims to their insurance carrier?

  • aNo
  • bYes, but there is no trained backup person
  • cMore than one person is responsible to report the injury to the insurance carrier

7. Are employees informed to go to a CNA preferred medical provider the company has selected if they are injured on the job?

CNA has established a preferred provider organization (PPO) that is a network of physicians, hospitals and pharmacists, who provide their healthcare service fees and charges at a negotiated price.

  • aNo, state WC regulation does not allow an employer to inform or direct injured workers to a medical provider
  • bNo, but emergency service telephone numbers are posted
  • cA list of hospitals and pre-selected medical providers are posted that are not in CNA's network
  • dA list of hospitals and pre-selected medical providers that are in CNA's network are posted
  • eA list of hospitals and pre-selected medical providers that are in CNA's network are posted, plus the employees are informed to use one of the preferred medical providers for treatment

8. Have job safety analyses (JSA) been conducted on critical jobs?

Definition: A JSA is a safety process of systematically evaluating certain jobs, tasks, processes or procedures.

  • aNo
  • bYes, but JSAs were developed for just some of the most critical jobs
  • cJSAs were developed for the majority of the jobs

9. Have job function evaluations (JFE) with job descriptions been provided to the medical provider when an accident occurred?

A JFE looks at the work activities, such as walking, lifting or bending and estimates the amount of time during those activities. This information is needed by the medical provider to determine what their patient's RTW job restrictions should be to prevent re-injury or aggravation to the patient.

  • aNo
  • bYes, but JFEs developed for just some of the most critical jobs
  • cYes, and JFEs are developed for the majority of the jobs

10. Does the company have an Injury Management / RTW program?

Definition: Injury management is a group of procedures used by employers and medical professionals to help injured employees return to work quickly, safely and healthfully.

  • aNo
  • bProgram supported by senior management or the business owner
  • cYes, plus a RTW administrator oversees the program

11. Does your company have a Drug Testing Program for its workers?

  • aNo
  • bYes. Part of the pre-employee job offer, the person must pass a drug screening test
  • cYes. In addition to (B), the company requires the workers who operate hazardous machinery or drive vehicles to submit to a drug and alcohol test if they are injured on the job

12. Does the company have regular and documented follow-ups with injured workers and their medical providers?

  • aNo
  • bNo formal procedures, however, a follow up is done sporadically
  • cThere is a written procedure for managers or supervisors to contact the injured employees and follow up every 10 to 14 days
ADVANCE

SECTION 3: POST-ACCIDENT PROCEDURES

13. How quickly are your WC injuries / illnesses reported to your insurance carrier?

  • aInjuries were reported after 4 days on average
  • bInjuries were reported between 2 to 4 days on average
  • cInjuries were reported within 48 hours on average

14. What extent has the company done to accommodate an injured employee with return to work modifications?

Note: While State statutes differ with respect to the extent to which employers can direct injured workers to certain medical providers, the medical management of the workers' compensation claim is essential to reducing costs.

  • aNone
  • bList medical restrictions in the RTW job offer to assure everyone understands the limitations and work modifications
  • cOffer transitional work as an option when the doctor has not released the employee for full-time work
  • dModified the job to meet the medical restrictions to allow healing / recovery and strength / conditioning
  • eModified the job to meet the medical restrictions to allow healing / recovery and strength / conditioning, plus the supervisor and safety personnel monitor for appropriateness to keep the worker within the job restrictions

15. Are accidents investigated for their root-cause to prevent a re-occurrence?

  • aNo action taken or no policy has been established or the investigation has not been done consistently
  • bMost of the accidents were investigated
  • cAccidents were investigated and witness statements are obtained to determine the root cause of the accident

16. Are reasonable accommodations made in accordance with the medical provider's written return-to-work restrictions?

  • aNo accommodations are taken
  • bAccommodations have been made for about 10 percent of the injured employees
  • cAccommodations made for 10 to 30 percent of the injured employees
  • dAccommodations made for 30 percent or more of the injured employees

17. Is contact made with the injured worker within 24 hours of the accident about his / her condition?

  • aNo
  • bYes, however, less than 50 percent of the injured workers were contacted
  • cMore than 50 percent of the injured workers were contacted

18. Is contact made with the medical providers within 48 hours of the accident?

  • aNo, the medical providers are not typically contacted within 48 hours of the accident
  • bYes, however, less than 50 percent of the injured workers’ medical providers were contacted within 48 hours after the accidents
  • cMore than 50 percent of the injured workers’ medical providers were contacted within 48 hours after the accidents
ADVANCE

SECTION 4: PERFORMANCE OUTCOMES

19. Do you know the company's current WC insurance modifier?

Note: The workers' compensation experience modifier adjusts the insurance premium based on a comparison of past losses for that company. The experience modifier calculates the employer's WC loss information against the expected losses for a company in that same line of work, in that particular state, and adjusted for the size of the employer.

  • aNo
  • bModifier is greater than 1.0
  • cModifier is less than 1.0

20. Do you know how many of the injuries / illnesses were litigated?

  • aNo, do not know litigation rate
  • bYes, about 20 percent or more of the injuries / illnesses were litigated
  • cYes, between 5 to 20 percent of the claims were litigated
  • dYes, less than 5 percent of the claims were litigated

21. What percent of the WC injuries / illnesses had lost time days from work?

  • aMore than 50 percent of the injuries occurred lost time days from work
  • bBetween 10 to 50 percent of the injuries occurred lost time days from work
  • cLess than 10 percent of the injuries occurred lost time days from work
ADVANCE

YOUR RESULTS

The information, examples and suggestions presented in this material have been developed from sources believed to be reliable, but they should not be construed as legal or other professional advice. CNA accepts no responsibility for the accuracy or completeness of this material and recommends the consultation with competent legal counsel and/or other professional advisors before applying this material in any particular factual situations. This material is for illustrative purposes and is not intended to constitute a contract. Please remember that only the relevant insurance policy can provide the actual terms, coverages, amounts, conditions and exclusions for an insured. All products and services may not be available in all states and may be subject to change without notice. CNA is a registered trademark of CNA Financial Corporation. Copyright© 2015 CNA. All rights reserved.