Safety Group Advantage Program Validation Audit Process Tom Welton Workplace Safety North Workplace Safety and Insurance Board | Commission de la sécurité professionally et de l’assurance contre les accidents du travail 1 Stages of SGAP Audits 1. Stage 1 - Desk Audit • • Document and Record Review All SGAP Firms 2. Stage 2 - Site Audit • Verification of SGAP Employer Requirements • Up to 10% of SGAP participants per Safety Group • Audit Closing Workplace Safety and Insurance Board | Commission de la sécurité professionally et de l’assurance contre les accidents du travail 2 Stage 1 - Desk Audit ■ Every SGAP firm ■ Firms required to submit supporting documentation for each of the 5 SGAP Employer Requirements ■ Supporting documentation audited against the 5 SGAP Employer Requirements: 1) 2) 3) 4) 5) Written Standard – 20% Auditor Training – 20% Completed Audit - 20% WR Policy Review – 20% Continual Improvement Plan – 20% ■ Provides self reported year-end score Workplace Safety and Insurance Board | Commission de la sécurité professionally et de l’assurance contre les accidents du travail 3 Desk Audit 1) Written Standard for HSMS Audit Program: i. ii. iii. iv. v. 2012 date on standard (originating/review/revise) Reference to audit schedule timeline (at least annually) and procedures Reference to Auditor training qualifications Assignment of roles and responsibilities Reference to continual improvement plan process 2) Auditor Training: i. ii. iii. iv. Record of Auditor(s) training Date of training does not need to be 2012 Cross-reference with HSMS Audit Review Form document : do names match 3rd Party Auditor? – training verification is applicable Workplace Safety and Insurance Board | Commission de la sécurité professionally et de l’assurance contre les accidents du travail 4 Desk Audit 3) HSMS Audit: i. ii. iii. iv. v. An approved HSMS Audit is complete in its entirety Supporting evidence (min. 2 sources) for each requirement Findings/Conclusions of conformance for each requirement Auditor(s) sign-off with date (cross reference to training record) Documented evidence of Senior Management Review of completed audit 4) Return to Work: i. As part of the HSMS Audit a documented review of RTW Standards against WSIB WR Policies Workplace Safety and Insurance Board | Commission de la sécurité professionally et de l’assurance contre les accidents du travail 5 Desk Audit 5) Continual Improvement Plan: i. ii. iii. iv. v. Written Continual Improvement Plan Action Items addressing ALL non-conformities – including RTW non-conformities At least one action item scheduled to be initiated in 2012 Responsibilities assigned and timelines established Documented evidence of Senior Management Review of the developed Continual Improvement Plan ______________________________________________________________________________ Each requirement worth 20 points: 5 X 20 = 100 ______________________________________________________________________________ Workplace Safety and Insurance Board | Commission de la sécurité professionally et de l’assurance contre les accidents du travail 6 Site Audit • • • • • • Up to 10% of SGAP firms per Safety Group Same notification process as with SG firms Date/time of site audit pre-arranged with firm Sponsors welcome to attend as observer Conducted by WSIB Completion of the 5 SGAP Employer Requirements are verified based on a sampling of documents/records/observations/interviews Workplace Safety and Insurance Board | Commission de la sécurité professionally et de l’assurance contre les accidents du travail 7 Site Audit 1) Written Standard for HSMS Audit Program: i. ii. Verified during Desk Audit May ask to see Standard within context of H&S Manual 2) Auditor Training: i. ii. Verified during Desk Audit May ask to interview Auditor(s) Workplace Safety and Insurance Board | Commission de la sécurité professionally et de l’assurance contre les accidents du travail 8 Site Audit 3) HSMS Audit: i. Desk Audit verified the firm completed an approved HSMS Review Audit ii. We do not redo the HSMS Review Audit during our Site Audit iii. By sampling sections of the selected HSMS Review Audit we verify: • the listed evidence is available for review and/or confirmation • the audit finding can be supported by the listed evidence • may ask to see additional evidence Workplace Safety and Insurance Board | Commission de la sécurité professionally et de l’assurance contre les accidents du travail 9 Site Audit 3) HSMS Audit: iii. Sign-off of Auditor(s) with date • may ask to speak with Auditor(s) iv. Documented evidence of Senior Management Review of completed audit • may ask to speak with Senior Manager Workplace Safety and Insurance Board | Commission de la sécurité professionally et de l’assurance contre les accidents du travail 10 Site Audit 4) Return to Work: i. ii. Verify documented review of Company RTW Standards against the 6 WSIB Work Reintegration policies Part of the HSMS Audit, therefore, same Validation Audit process applied • • • the listed evidence is available for review and/or confirmation, and the audit finding can be supported by the listed evidence may ask to see additional evidence Workplace Safety and Insurance Board | Commission de la sécurité professionally et de l’assurance contre les accidents du travail 11 Site Audit 5) Continual Improvement Plan: Subsequent to the Desk Audit – i. Verify status of action item(s) initiated in 2012 ii. Verify on-going status of remaining action items iii. May ask to interview individuals with assigned responsibilities iv. Verify if timelines are being followed Workplace Safety and Insurance Board | Commission de la sécurité professionally et de l’assurance contre les accidents du travail 12 Site Audit Audit Closing: 1. Review validation audit findings with firm • may include opportunities for improvement 2. Verify validation audit score with firm 3. Answer any questions from the firm 4. Firm acknowledges review and discussion of audit notes by signature 5. Copy of validation audit notes provided to firm 6. Advise firm a formal audit letter will be sent within 4 weeks 7. Audit concluded. Workplace Safety and Insurance Board | Commission de la sécurité professionally et de l’assurance contre les accidents du travail 13 Questions & Discussion Workplace Safety and Insurance Board | Commission de la sécurité professionally et de l’assurance contre les accidents du travail 14