(1-20% = 2 points, 21-40% = 4 points, 41-60% = 6 points.. 81-100% = 10 points) 3. Does the organization’s injury D (0, 10) Review documentation to determine if the O D I Total management/return to work program injury management program has specific and measurable outline clear objectives? goals and objectives. If yes award 10 points. /10 (0-10 points) 4. Does the organization track the results of D (0, 10) Review documentation to confirm presence of O D I Total the injury management/ return to work system tracking outcomes of the program. If yes award program? 10 points. /10 (0, 10 points) 5. Does the organization track and evaluate D (0, 10) Review documentation to confirm if O D I Total the results of the injury management/ performance data of the injury management/return to return to work program? work program is collected and evaluated to identify /10 strengths and areas of improvements. If yes award 10 (0,10 points) points. 6. Is the organization using the evaluation of D (0, 15) Review documentation to determine if analysis O D I Total the injury management/return to work data of the program data is used to improve the program. to implement ongoing improvements to the (These documents may include JHSC minutes, /35 program? management meeting reports, health & safety reports.) (0-35 points) If yes award 15 points. I (0-20) Interview a representative sample of managers, and supervisors to determine if actions are implemented to address the improvement opportunities identified in the program evaluation. Award points based % of positive responses. (1-20% = 4 points, 21-40% = 8 points.. 41-60% = 12 points
(1-20% = 2 points, 21-40% = 4 points, 41-60% = 6 points.. 81-100% = 10 points) 3. Does the organization’s injury management/return to work program outline clear objectives? (0-10 points) D (0, 10) Review documentation to determine if the injury management program has specific and measurable goals and objectives. If yes award 10 points. O D I Total /10 4. Does the organization track the results of the injury management/ return to work program? (0, 10 points) D (0, 10) Review documentation to confirm presence of system tracking outcomes of the program. If yes award 10 points. O D I Total /10 5. Does the organization track and evaluate the results of the injury management/ return to work program? (0,10 points) D (0, 10) Review documentation to confirm if performance data of the injury management/return to work program is collected and evaluated to identify strengths and areas of improvements. If yes award 10 points. O D I Total /10 6. Is the organization using the evaluation of the injury management/return to work data to implement ongoing improvements to the program? (0-35 points) D (0, 15) Review documentation to determine if analysis of the program data is used to improve the program. (These documents may include JHSC minutes, management meeting reports, health & safety reports.) If yes award 15 points. I (0-20) Interview a representative sample of managers, and supervisors to determine if actions are implemented to address the improvement opportunities identified in the program evaluation. Award points based % of positive responses. (1-20% = 4 points, 21-40% = 8 points.. 41-60% = 12 points O D I Total /35