REPORT A CLAIM REPORT PREMIUM LOG IN CONTACT US FAQ HOME ABOUT US COVERAGE SERVICES TOOLS RISK MANAGEMENT SURVEY An insurance company built for your business. The questions below focus on the key elements, as identified by Midwest Builders’ Casualty, of a successful risk management program. Individual State laws may limit an employer’s ability to implement several key items and in those situations a Not Applicable or N/A answer should be selected. Name Company Name * Email Address * Does your company maintain a current written safety policy that covers all known exposures for your business? Yes No Does your company have a person dedicated to the oversight and management of employee safety? Yes No If no, does your company utilize a 3rd party safety consultant to conduct routine training and jobsite inspections? Yes No N/A Does your company report all accidents to your insurance carrier within five days of the date of loss or first notice received? Yes No Does your company maintain a drug and alcohol policy that requires 100% post-accident drug and alcohol testing? Yes No If yes, is testing completed even when medical treatment is not needed? Yes No N/A Does your company, if allowed by law, direct medical care for your injured employees? Yes No N/A Does your company have and utilize a Light Duty/Return to Work Policy? Yes No Is less than 20% of your workforce comprised of seasonal or temporary employees? Yes No Does your company conduct face to face interviews with potential new hires? Yes No Does your company conduct any type of background or credit checks on potential new hires? Yes No Does your company require pre-employment drug and alcohol testing of all new hires? Yes No Does your company require pre-employment physicals as part of its hiring practices? Yes No Does your company conduct new hire safety training? Yes No Does your company have and utilize a disciplinary policy to combat unsafe behavior? Yes No Does a designated employee or a member of management conduct routine documented jobsite or facility inspections? Yes No If yes, are safety issues addressed and employees disciplined who are not in compliance with your safety programs? Yes No N/A Does your company conduct routine documented safety meetings with its employees? (Daily, Weekly or Monthly) Yes No Does your company have and enforce a cell phone policy? Yes No Does your company have and enforce a Personal Protective Equpment (PPE) policy for your employees? Yes No Is safety routinely discussed by management and part of the every day activities of the company? Yes No Is equipment routinely inspected and replaced when needed and new equipment purchased when needed? Yes No * All fields required SUBMIT "Midwest Builders’ Casualty operates as a true partner with their policyholders and agents in handling their workers’ compensation needs. This partnership and expertise is evident in the way they consistently handle underwriting, safety and claims.” —Dennis Mosier, Sr. Vice President – Truss REPORT A CLAIM REPORT PREMIUM LOG IN CONTACT US FAQ Home About Us Coverage Services Tools © 2017 Midwest Builders' Casualty Group All Rights Reserved. | Privacy Policy | Terms of Use