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:
SECTION 1: WORKPLACE DEMOGRAPHICS
1. Average age of the workforce?
2. Average weight classification for the workforce?
3. Does the company have hiring practices?
4. Are safety training programs presented to the new workers during their orientation period?
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?
6. Does your company have someone with the assigned responsibility of reporting WC claims to their 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.
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.
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.
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.
11. Does your company have a Drug Testing Program for its workers?
12. Does the company have regular and documented follow-ups with injured workers and their medical providers?
SECTION 3: POST-ACCIDENT PROCEDURES
13. How quickly are your WC injuries / illnesses reported to your insurance carrier?
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.
15. Are accidents investigated for their root-cause to prevent a re-occurrence?
16. Are reasonable accommodations made in accordance with the medical provider's written return-to-work restrictions?
17. Is contact made with the injured worker within 24 hours of the accident about his / her condition?
18. Is contact made with the medical providers within 48 hours of the accident?
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.
20. Do you know how many of the injuries / illnesses were litigated?
21. What percent of the WC injuries / illnesses had lost time days from work?
INJURY MANAGEMENT RISK-O-METER
Let's take a closer look at your numbers:
The questionnaire is comprised of four parts so you can see what areas in your program might need attention. Each graph displays the average score for that part, which equals 100 percent. The graphs display your answers as the percent of the average score. The four parts are added to the overall RTW program score.
RETURN-TO-WORK AUDIT SCORES BY SECTION
Boost productivity and streamline your program, starting today, with our complete resource library at www.cna.com/returntowork.
For even more strategies to help maximize productivity and keep your workers on the job, call CNA Risk Control at 866-262-0540 or email us at email@example.com.
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.