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2015
August
I
Incident Reporting
Incident Reporting
Incident Reporting
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Select the forms you will need to fill out should you have an auto collision
Incident report
Worksafe BC Worker Report
Auto Collision Form
Physical Demands Analysis
Incident Analysis
Medical Assessment form
FLRA
Medical Release form
Safety Opportunity Card
How long does an employer have post incident to notify Worksafe BC of an incident
A week
A day
3 days
48 hrs
True or False and why: If a doctor has assessed you and determined you are fit for modified duties following a work-related injury, you are expected to report to work?
On which of the following documents would you report a High Potential Near Miss?
Incident report
Worksafe BC Worker Report
Auto Collision Form
Physical Demands Analysis
Incident Analysis
Medical Assessment form
FLRA
Medical Release form
Safety Opportunity Card
What is the highest level of incident in the list below?
First Aid
High potential near miss
Medical Aid
Engineering Control
Other
Of which of the following should you have 2 in your vehicle at any time
Trailer hitches
Safety Manuals
FLRA's
Injury Packages
Emergency Response Plans
Who is the Corporate wide WCB/Worksafe coordinator
Jason Norcutt
Jens Schmarbeck
Jason Sperle
Kim Waring
Jason Wong
Who fills out Safety Opportunity Cards?
Everyone with an opinion
Any Employee
Party Cheif's only
Survey Assistant/Chainmen Only
Other
WSP has a Modified Work/Return to Work program for _________
All Employees
Office Staff
Field Staff
Employees who have been with the company longer than 3 months
Other
Do you feel there is value in our Incident reporting
*
First Name
:
*
Last Name
:
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