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  • Psychology Progress Report
    Type: Health Care
    Date: March 20, 2016
    Description:

    To be completed and submitted every 4-6 sessions unless agreed otherwise with WorkSafeNB.

  • Physiotherapy Progress Report
    Type: Health Care
    Date: March 20, 2016
  • Referral Service Form WRC
    Type: Health Care
    Date: March 20, 2016
    Description:

    Referral to our rehabilitation centre happens when either a case manager or a health care provider completes the Referral for Admission Form and forwards it to Admitting Services. 

  • Report of Incidents – Preliminary Information
    Type: Employers
    Date: March 20, 2016
    Description:

    Immediate notification can best be made by calling 1 800 999-9775, indicating: the location; name of person injured, if applicable; employer name; contact person; and, brief description of the incident. This notification form will give you an idea of the information you will be asked to provide.

  • Sample Client Handling Code of Practice
    Type: Employers
    Date: March 20, 2016
    Description:

    This code sets out requirements that this company will follow for the reduction of MSIs due to client handling at this workplace.

  • Sample Manual Handling Code of Practice
    Type: Employers
    Date: March 20, 2016
    Description:

    This code sets out requirements that this company will follow for the reduction of MSIs due to manual handling at this workplace.

  • Sample Respiratory Protective Equipment Code of Practice
    Type: Employers
    Date: March 20, 2016
    Description:

    This code sets out requirements this company will follow for the proper selection, use and care of respiratory protective equipment at this workplace.

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

    Surgery Billing Form for WorkSafeNB Claimants

  • Variance Request to reduce JHSC meeting frequency
    Type: Employers
    Date: March 20, 2016
    Description:

    Subsection 16(1) of the Occupational Health and Safety (OHS) Act states:
    16(1) Where the nature of employment at a place of employment presents a low risk to the health or safety of employees at the place of employment, the Commission may, upon receipt of an application from the committee and after such consultation with any interested persons as it considers advisable, reduce the frequency of committee meetings, if the standard of health and safety of the employees is not thereby materially affected.

  • WorkSafeNB Telephone Consultation and Case Conference Form
    Type: Health Care
    Date: October 1, 2012
    Description:

    To be completed when Telephone Consultation or Case Conference Initiated or Requested by the Commission.

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