Title Page
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Document No.2018-1d
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Workers Compensation & Safety Audit
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Client / Site
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Conducted on
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Risk Consultant
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Location
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Persons Interviewed
GENERAL DATA
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Who is responsible for employee safety?
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Are Safety Huddles held daily?
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Is employee safety discussed at Safety Huddles?
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Who addresses employee safety at Safety Huddles?
HUMAN RESOURCES
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Is this a UNION hospital?
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If so, name of unions and what departments.
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Is there a policy for Workers Compensation that is specific to the hospital?
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Are accidents reported within 24 hours?
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Is there a procedure required for accident investigation and/or follow up for causes of the accident?
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Is the follow up procedure enforced for each accident?
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Does Human Resources process On-the-job injuries?
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Does the employee health function review on-the-job accidents?
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Is there a current policy that addresses the Return to Work policy?
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Is the TPA contacted for assistance?
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Is every employee injury seen by the employee health nurse or a physician?
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Is there a dedicated staff member that manages and monitors the employee claims?
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Are the employees on lost-time status monitored for medical treatment and rehab?
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Is accident trending performed?
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Is the employee health nurse involved in accident prevention program?
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Are the physical requirements of the job included in the job description?
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Are employees that have repeat accidents evaluated for safety violations?
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EDUCATION
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Is there a hospital education function?
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Who does the education director report to?
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Who provides hospital safety in the new employee orientation?
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Who is responsible for NEW employee orientation?
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Who provides employee safe work practices and workers compensation to new employee orientation?
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Is reporting accidents/Illnesses provided at new employee orientation?
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Are accident trends discussed at new employee orientation?
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Are safe work practices addressed and include the following: Patient lifting equipment, personal protective equipment and proper lifting techniques?
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Is annual education provided to the hospital staff that includes employee safety
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How are safety topics chosen to provide to employees annually?
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Are there programs designed for individuals needing safety education such as proper lifting techniques, back injury prevention, etc., on-going?
SAFETY PROGRAM- LOSS PREVENTION
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How often does the Safety Committee meet?
- Monthly
- Bimonthly
- Quarterly
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Are accident issues AND accident trends discussed at Safety Committee meetings?
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Is there patient transfer equipment available?
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Is there any specific training provided for moving obese patients
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Is there a hospital code for lifting assistance?
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Does the hospital utilize lifting teams?
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Does the Environmental Tours include questions to the staff regarding safety practices?
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Are there specific methods to communicate safety issues to the staff?
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Is there a method to obtain safety suggestions from the staff?
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Is there a representative from the physical therapy department on the Safety Committee?
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Is weather a factor that may cause slippery conditions?
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Are any special safeguards used to minimize slips during icy or snow conditions?
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Is personal protection equipment provided for hazardous jobs (dietary, lab, housekeeping)?
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Is Crisis Prevention Institute training provided?
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Is department accidents included in the annual performance evaluations to supervisors?
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Is nursing representatives included on the Safety Committee?
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Is there a formal Security program?
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Describe the security function.
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Is the a formal back prevention program?
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Are Job Safety Analysis performed on positions requiring lifting?
CHIEF NURSING OFFICER
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Is communication to the CNO regarding employee accidents provided ?
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Are accident trends that address units or nursing departments provided?
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Is the CNO familiar with the hospital return-to-work/light duty program?
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Is the CNO knowledgeable of which nursing department/unit has a high frequency of accidents?
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Are nursing supervisors provided with education regarding accident investigation and follow up?
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Is loss prevention or accident reduction a part of annual nursing training?
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Is nursing representatives included on the Safety Committee?
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Is patient transfer equipment available?
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Is there back injury prevention programs available specific to the nursing staff?
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Is de-escalation training provided to the nursing staff?
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Describe methods to minimize slips and trips.
General
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Are waking surfaces kept in good order to minimize trips and falls?
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Are wet ares identified and cleaned?
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Are outside grounds and parking lots in good condition?
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Are corridors clear for proper egress?
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Are directional signs, including exit markings clear and visible?
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Are general storage areas properly maintained?
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Material Management
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Are storage areas properly maintained?
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Are heavy items stored at lower levels to minimize reaching
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Are storage items properly stored to allow proper egress throughout the storage areas?
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Are the loading areas, including the dock, properly maintained to minimize trips and falls?
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Are trash containers easily accessible and kept in order?
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Does the trash compactor utilize an automatic shut-down device (dead-man switch) to cease operation immediately?
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Are personal protective equipment used in the storage area to include hard-toe shoes, bump hats, gloves
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Are lifting devices to lift and move heavy items available in the warehouse?
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Is education on proper lifting techniques provided to all employees that manage storage areas?
Dietary
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Are work areas within the kitchen provided with mats or other devices to minimize slips and falls from water?
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Are hot water pipes properly wrapped or blocked to prevent burns?
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Are knives or other sharp items properly stored or protected to minimize cuts?
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Are personal protective equipment provided, such as protective gloves, eye protection and protective aprons provided?
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Are the dish washer areas maintained with matts and proper drainage to reduce slippery services?
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Is food storage areas properly maintained to minimize food items from falling and heavy bulk food at floor level?
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Are cleaning supplies used for ovens/stoves properly stored and protective clothing provided when cleaning that includes protective eye wear, gloves, etc.?
Radiology
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Is there a department policy regarding pregnant employees working within the departments where radiation may cause harm to unborn fetus?
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Are dosimeter badges worn by ALL employees and evaluated regularly for excessive exposures?
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Is annual education on proper techniques provided to all employees responsible for patient transfer or patient movement to and from tables or other equipment where body mechanics are needed?
Physical Therapy
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Is equipment available on the units to assist the handling of patients by the PT department?
Respiratory Care
Plant Operations/Maintenace
Special Care Units (ICU, CCU, etc.)
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Are cords in special care units secured?
Emergency Department
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Are ALL employees trained to handle aggressive behavior patients?
Operating/Surgery, Obstetrics PACU,Anesthesia
Behavioral Health
Patient Units
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Is lifting equipment properly storage and easily obtainable?
Administration
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CHIEF EXECUTIVE OFFICER
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Is there a “Safety Champion “ that provides a positive approach to accident prevention?
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Who is the "person" (safety champion) ultimately responsible for employee safety?
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Does the CEO know how the hospital compares to other facilities in regard to employee accidents?
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Is the CEO aware of the expenses of employee accidents/Workers Compensation expense?
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Is the CEO aware of the WC insurance deductible?
SAFETY CULTURE
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Describe the overall Safety culture.
MORALE
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Morale issues