Auditor’s Comments: Technique Employed Possible Points Health and Safety Program Verification D O I Score Awarded WCB Claims Management OP1 Is a WCB Claims Management Policy in place, signed and dated? 2 OP1.1 Is there an active WCB claims management program in place? 1 OP1.2 AND Have key personnel received WCB Claims Management training? 2 OP1.3 AND Is pre-employment / placement screening performed? 2 OP1.4 AND Are alternate work programs in place? 1 OP1.5 AND Total Points Possible 8 Total Points Awarded Environmental Protection Policy OP2 Is an environmental policy in place, signed and dated? 2 OP2.1 Is there an environmental protection program in place? 1 OP2.2 AND Total Points Possible 3 Total Points Awarded Miscellaneous Programs OP3 Is a system in place to pre-qualify sub-contractors? 3 OP3.1 AND Are incentive / recognition programs in for safety? 1 OP3.2 AND (Specify) OP3.3 AND (Specify) OP3.4 AND Total Points Possible Total Points Awarded
Auditor’s Comments: Health and Safety Program Verification Possible Score Technique Employed Points Awarded D O I OP1 WCB Claims Management OP1.1 Is a WCB Claims Management Policy in place, signed and dated? 2 OP1.2 Is there an active WCB claims management program in place? 1 AND OP1.3 Have key personnel received WCB Claims Management training? 2 AND OP1.4 Is pre-employment / placement screening performed? 2 AND OP1.5 Are alternate work programs in place? 1 AND Total Points Possible 8 Total Points Awarded OP2 Environmental Protection Policy OP2.1 Is an environmental policy in place, signed and dated? 2 OP2.2 Is there an environmental protection program in place? 1 AND Total Points Possible 3 Total Points Awarded OP3 Miscellaneous Programs OP3.1 Is a system in place to pre-qualify sub-contractors? 3 AND OP3.2 Are incentive / recognition programs in for safety? 1 AND OP3.3 (Specify) AND OP3.4 (Specify) AND Total Points Possible Total Points Awarded
SELF_AUDIT_v3.0_02-May-17.docx