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  • Hearing Loss Package
    Type: Workers
    Date: December 3, 2019

    Noise-induced hearing loss (NIHL) is the most common permanent work-related disease in Canada. Though hearing loss typically happens gradually, damage is permanent.  WorkSafeNB hearing loss questionnaire.

  • Audiometric Report
    Type: Health Care
    Date: August 28, 2019

    Audiometric testing of a worker’s hearing is important to the success of a hearing conservation program because it helps determine if occupational hearing loss is being prevented by the noise control measures.

  • Medical Form 8-10
    Type: Health Care
    Date: August 20, 2019 Last Revised: August 20, 2019

    The new Medical Form 8-10 requires physicians to provide functional abillities recommendations. Evidence shows workplace connection is good for mental, physical and emotional health. Even if a worker is able to work one hour per week, there are positive benefits. 

  • Estimate of Required Dental Services
    Type: Health Care
    Date: June 27, 2019 Last Revised: June 27, 2019

    Estimate of required dental services to be completed by attending dentist/denturist and forwarded promptly to WorkSafeNB.

  • Form 33 – Claimant Prescription Information
    Type: Health Care
    Date: January 11, 2011 Last Revised: November 8, 2018

    This form is used for the reimbursement of items  or drugs purchased by an injured worker.

    Pharmacies my use this from to  direct bill WorkSafeNB for approved personal items purchased by the client for the compensable injury. 

    Out of Province pharmacies may also use this form for direct billing of approved drugs.  They do not have access to e-pay

  • Code of Practice – Fall Protection
    Type: Employers
    Date: August 2, 2018

    This guide can help you comply with Section 50.2 of the General Regulation 91-191.
    NOTE: Not for use when a safety monitor is part of the fall protection system on a work site.

  • Form 67 – Report of Accident or Occupational Disease
    Type: Workers
    Date: March 1, 2018

    This report must be submitted within three (3) days after the accident

  • Direct Deposit Enrolment Form
    Type: Workers
    Date: February 13, 2018 Last Revised: February 27, 2018

    To avoid any stress related to a possible disruption, we encourage clients to sign up for direct deposit if they haven’t already done so. Registration is simple and quick, and will ensure they receive benefits as soon as they are processed.

  • Joint Health & Safety Committee Minutes | Excel Version | Word Version
    Type: Workers
    Date: February 27, 2017 Last Revised: February 1, 2018

    Through regular monthly meetings, the JHSC seeks ways to improve health and safety awareness and provides guidance and recommendations on health and safety issues arising in the workplace.

  • Anaesthesia Billing Form for WorkSafeNB Claimants
    Type: Health Care
    Date: March 20, 2016

    WorkSafeNB uses the Medicare Manual to guide its payment for surgical procedures.

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