VISY Injury Management Score VIMS VHSE09

• Client / Site

• Conducted on

  Date

• Auditor

• Manager / Supervisor assisting the audit

• Annual audit

  Off

  On

• Special audit following a site incident

  Off

  On

Files Audited

Injury Management and Return to Work Basics 48 Points

• The site has the current injury flow chart displayed onsite?

  Complies

  Partial

  Non-compliant

• The site has the Injury Management Policy displayed onsite?

  Complies

  Partial

  Non-compliant

• The site has attended all scheduled Claims Management Strategy Meetings in the past 12 months ?<br>n.b Partial score if the site has attended most but not all .

  Complies

  Partial

  Non-compliant

• Does the site contact the Recovre Line when reasonably practicable, following an incident?<br>Within 24hrs of the site being notified

  Complies

  Partial

  Non-compliant

• The site has a current signed Return to Work plan on all audited files. <br>n.b Partial if a RTW plan is on most but not all files .

  Complies

  Partial

  Non-compliant

• Are the site's claims reported to the insurer within the appropriate State's guidelines?

  Complies

  Partial

  Non-compliant

Injury Management and Claims Deductions

• Does the site have claims with no RTW plans ?

  Many

  A few

  None

• Does the site pay excess on late claims?

  Many

  A few

  None

Return to Work Best Practice 32 Points

• The site uses injury packs on all claims?<br>Look for relevant procedures and audit several files as a check.

  Complies

  Partial

  Non-compliant

• The site scans and emails through all correspondence within 24 hours of receipt ?

  Complies

  Partial

  Non-compliant

• The site accompanies workers to initial medical appointments where the worker has given permission?

  Complies

  Partial

  Non-compliant

• Does the site have a preferred medical provider ?

  Yes

  No

• Does the site have an emergency transport service or similar arrangement in the event that the relevant supervisor is unable to attend or take the worker to the doctor for the initial treatment ?

  Yes

  No

• Has the site had manager and supervisor Injury Management Training in the last 12 months ?

  Yes

  No

• Has the site entered all claims into Vault?

  Complies

  Partial

  Non-compliant

• Is the site on track to reach the targets set by the HSE plan?<br>Complies currently at target and partial where site is capable of reaching the target based on current trends.

  Complies

  Partial

  Non-compliant

Excellence 20 points

• What improvement has there been in site claims history for the last 12 months ( select) ?

  Zero claims

  50% reduction

  49 - 21% reduction

  20 % or less reduction

  No reduction or increase

• Corrective actions from incidents resulting in claims closed off in Vault?

  Yes

  No

• Proactive measures have been undertaken or are included in the site HSE plan to reduce injuries?<br>e.g Guarding , Process Change , Manual Handling Training

  Yes

  No

Information, Actions, Recommendations and Comments

Signature of auditor

• Add signature

  Sign

• Select date

  Date