• Emergency Response Plan
• Writing OHS and RTW policies and samples
• Guide to Writing an OH&S Policy 
• Sample list of Qualified First Aiders
• Sample list of Emergency Telephone Numbers
• Sample Injury Reporting Poster
• Employer’s Report of Injury (7)
• Worker’s Report of Injury (6)
• 8/10 – Physicians Report
• 8/10 (c) – Chiropractor’s Report
• Policy Re-18 Hierarchy of Return to Work and Accommodation

PRIME Audit Templates

• Small: At each of your workplaces, you employ:
  • Fewer than 10 workers (provincially-regulated employers)
  • Fewer than 20 workers (federally-regulated employers)
  • And, your organization pays less than $48,000 in average base assessments.

*** NCRR employers are required to comply with the requirements set out in questions 1 and 4 of the small audit template.

• Medium: At each of your workplaces, you employ:
  • 10 or more workers (provincially-regulated employers
  • 20 or more workers (federally-regulated employers)
  • And, your organization pays less than $48,000 in average base assessments.

• Large: At each of your workplaces, you employ: 
  • 10 or more workers (provincially-regulated employers)
  • 20 or more workers (federally-regulated employers)
  • And, your organization pays more than $48,000 in average base assessments.

• Safety Meeting Minutes Report Form

Return to Work

• Return to Work Policy Statement - Large Employers (sample)
• RTW Planning Protocol (sample)
• RTW Evaluation and Communication (sample)
• RTW Program Documentation (sample)
• ESRTW Plan Form
• Injury Reporting System Poster
• PRIME Practice Incentive Questions
• PRIME Readiness Checklist

Return to Work Fact Sheets

• RTW Program Elements
• Commitment
• Documentation
• Evaluation and Communication
• Return to Work Planning
• Joint Mechanism for Consultation
• Injury Reporting System  

• Workplace Inspection Corrective Action Form
• Workplace Inspection Checklist
• Workplace Inspection Checklist Sample 2
• Workplace Inspection Report
• Workplace Inspection Report Sample 2

• Hazard Recognition Sample Form
• Hazard Assessment

• Worker Orientation Checklist
• Sample Orientation Checklist: New & Transferred Employees
• Sample Safety Meeting Participation Form
• Safe Work Practices and Procedures Sample Training Matrix

• Employee Incident/Accident Form
• Accident/Incident Investigation Form

Need Training?
If you need occupational health and safety training for your OH&S committee or worker health and safety representative/designate in order to meet your PRIME requirements, please check with the training provider in your area. If there is no training scheduled for the remainder of the year, email the provider to indicate your interest and send a copy of your email to prime@whscc.nl.ca. We’ll work with that provider to see if your request can be met.

PRIME Home Page