Table 2: Evaluation Findings - Conformance to the Conditions of Approval: Evaluation Tool Workplace Rehabilitation Provider: …………………………………………………………………………………………………... Evaluator(s): …………………………………………………………………………………………………… Date/s of Evaluation: ……………………………… Criteria: Conditions of Approval Possible evidence sources Rating Comments (if required) (C/NC) 1. Must comply with the Principles of Workplace An example you could use could be as follows – Rehabilitation Findings from the evaluation of the Principles of Workplace Rehabilitation. Evaluation against the Principles of Workplace Rehabilitation found 95% compliance with the provisions. A Corrective Action Plan (attached) has been developed to address opportunities for improvement. 2. Must ensure that all services are delivered in An example you could use could be as follows – accordance with the Workplace Rehabilitation Model by Findings from the evaluation of the Principles of Workplace persons who hold the minimum qualifications, as Rehabilitation. defined, in the Principles of Workplace Rehabilitation, Policies and procedures. and in accordance with service descriptions Staff records of induction and development. appropriate to the workers compensation authority Provider marketing material. where the approval is being sought. Interviews with staff and customers. Note: This criteria has been amended by Tasmania - Case records. See Information Sheets RP-3 and RP-5. 3. Management structure must include at least one An example you could use could be – person who holds a rehabilitation consultant Findings from the evaluation of the Principles of Workplace qualification, outlined in the Principles of Workplace Rehabilitation. Rehabilitation, and who is able to demonstrate five Staffing list years’ relevant workplace rehabilitation experience. records Staff resume. 4. Must participate in annual self-evaluations and in An example you could use could be as follows – independent evaluations, as required by the workers Workplace Rehabilitation Provider Self Evaluation: Declaration of compensation authority, to demonstrate conformance Conformity. with the Conditions of Approval. Workplace Rehabilitation Provider Summary of Self Evaluation findings.
Table 2: Evaluation Findings - Conformance to the Conditions of Approval: Evaluation Tool Workplace Rehabilitation Provider: …………………………………………………………………………………………………... Evaluator(s): …………………………………………………………………………………………………… Date/s of Evaluation: ……………………………… Criteria: Conditions of Approval Possible evidence sources Rating (C/NC) Comments (if required) 1. Must comply with the Principles of Workplace Rehabilitation An example you could use could be as follows – Findings from the evaluation of the Principles of Workplace Rehabilitation. Evaluation against the Principles of Workplace Rehabilitation found 95% compliance with the provisions. A Corrective Action Plan (attached) has been developed to address opportunities for improvement. 2. Must ensure that all services are delivered in accordance with the Workplace Rehabilitation Model by persons who hold the minimum qualifications, as defined, in the Principles of Workplace Rehabilitation, and in accordance with service descriptions appropriate to the workers compensation authority where the approval is being sought. Note: This criteria has been amended by Tasmania - See Information Sheets RP-3 and RP-5. An example you could use could be as follows – Findings from the evaluation of the Principles of Workplace Rehabilitation. Policies and procedures. Staff records of induction and development. Provider marketing material. Interviews with staff and customers. Case records. 3. Management structure must include at least one person who holds a rehabilitation consultant qualification, outlined in the Principles of Workplace Rehabilitation, and who is able to demonstrate five years’ relevant workplace rehabilitation experience. An example you could use could be – Findings from the evaluation of the Principles of Workplace Rehabilitation. Staffing list records Staff resume. 4. Must participate in annual self-evaluations and in independent evaluations, as required by the workers compensation authority, to demonstrate conformance with the Conditions of Approval. An example you could use could be as follows – Workplace Rehabilitation Provider Self Evaluation: Declaration of Conformity. Workplace Rehabilitation Provider Summary of Self Evaluation findings.
Self_Evaluation_Report.docx