Internal Injury Management and Recordkeeping Program Audit

• Site conducted

  Sebree

  Hawesville

  Mount Holly

• Conducted on

  Date

• Prepared by

1.0 Training Program (Safety / Training Department)

• Does the site have a training program for employees that acknowledges access to records?

  Yes

  No

  N/A

• Does the site have a training program for supervisors on how to investigate an injury/accident?

  Yes

  No

  N/A

• Does the site have a training program for EMT's or other medical personel over the how to treat an injury? (This will include the differences between first aid and medical treatment.)

  Yes

  No

  N/A

• Does the site have a training for all supervisors and Medical personnel to be trained on the incident reporting database?

  Yes

  No

  N/A

2.0 Program Specifics (Safety/Medical)

• Does the site have a First Report of Injury form for employees to fill out after they have been injured?

  Yes

  No

  N/A

• Does the medical department have a form that only medical fills out after an injury?

  Yes

  No

  N/A

• Does the site have a rule in place stating that all employees must report injuries and incidents immediately?

  Yes

  No

  N/A

• Does the site utilize an incident reporting database used to store injury and investigation details?

  Yes

  No

  N/A

• Are investigation details maintained in a data base and used for trending injury analysis and corrective actions?

  Yes

  No

  N/A

• Are injuries that receive medical treatment recorded within 7 days on the OSHA 300 log?

  Yes

  No

  N/A

3.0 Employee behaviors (Discussion and obtain sample)

• Do the medical employees understand the difference between first aid and medical treatment?

  Yes

  No

  N/A

• Do employees filling out medical reports understand the process of documenting follow-up trips to medical by injured employees?

  Yes

  No

  N/A

• Do employees report all injuries immediately when they occur?

  Yes

  No

  N/A

• Does the site record all OSHA recordable cases on the OSHA 300 log?

  Yes

  No

  N/A

• When a case is deemed work related by workers comp and non-work related in regards to OSHA 1904, does the site maintain a Non Recordable Justification log with reason for not being counted on OSHA 300 log?

  Yes

  No

  N/A

• Are BLS safety surveys completed when required and on-time?

  Yes

  No

  N/A

4.0 Documentation and Retention (Safety/Medical)

• Does the site maintain an OSHA 300 log or equivalent?

  Yes

  No

  N/A

• Does the site post the OSHA 300A?

  Yes

  No

  N/A

• Does the site retain all injury reports readily accessible?

  Yes

  No

  N/A

• Are follow-up appointments for injured employees documented in some way by medical?

  Yes

  No

  N/A

• Are medical reports filed for length of employment plus 30 years?

  Yes

  No

  N/A