Work Comp Information

Name(Required)
Do you require pre-employment and/or physical/fit for duty testing?(Required)
Do you conduct pre-employment drug testing?(Required)
Have you had a mock OSHA inspection within last 3 years?(Required)
Do you have a written OSHA program in place?(Required)
Do you maintain formal documentation of safety and job training?(Required)
Do you have a formal Light Duty/Early Return to Work program?(Required)
Do you send injured employees to a designated medical clinic if they are injured on the job?(Required)
Are new employees required to sign off on a formal new employee training program?(Required)
Does your company have a formal Wellness Program?(Required)
Does your company offer a health plan?(Required)
Does your company offer Disability coverage to employees?(Required)
Does your agent conduct a formal quarterly claim review with you and your work comp carrier?(Required)
Do you consistently conduct safety committee meetings with documentation of topics and training provided to employees?(Required)
Do you have a formal "Near Miss" or "Good Catch" program?(Required)
Does your Agent facilitate a formal Modification Factor ("e-mod") review annually?(Required)
Do you have a written Safety Program in operation?(Required)

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