Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Incident/Accident Review

  • Incidents called in YTD

  • Accidents YTD

  • EIF target being met?

  • EIF compared to LYTD

  • SIF target being met?

  • SIF compared to LYTD

  • Per claim charge YTD

  • Claims costs incurred YTD

  • Most frequent injury type YTD

Documentation Reviewed

  • Was the documentation reviewed and how many/ which months were reviewed.

  • Monthly safety inspection

  • Monthly safety committee meeting minutes

  • Monthly safety training

Training; Resources; Recommendations

  • Training programs sent to unit or offered to be taught live?

  • Additional resources recommended?

  • Recommendations to be completed prior to next unit visit.

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