Injury Reporting Agreement
By signing this document, I acknowledge and agree to the following:
1. That the supervisor on my assignment is not my employer (as defined by the Worker’s Compensation Act and Occupational Health and Safety legislation)
2. It is as much my responsibility as it is my employers to ensure a workplace is safe. I will act in a way that does not put other employees in danger and will use all my safety equipment that is required
3. I will report all injuries on the date of injury/illness to Workforce Staffing Solutions
4. I will attend Workforce’s office to report all injuries, or if that is not possible, I will call and speak with Workforce Staffing Solutions personnel
5. In the event I am injured, I am aware of the availability of modified employment duties and agree to discuss this with my physician directly
6. Following an injury, I agree to contact my local Workforce Staffing Solutions branch frequently to provide an update of my status
7. I understand that I may be requested to take a post-accident Alcohol & Drug test
8. That I will cooperate with all efforts by Workforce Staffing Solutions to help me recover from an injury
Policies and Procedures
Workforce Staffing Solutions has developed a general Policies and Procedures Manual to protect the health and well-being of our employees, our clients and our company as a whole. Workforce firmly believe that these practices promote a desirable work environment and help ensure workplace wellness.
The Policies and Procedures manual covers the following topics:
- Company Rules
- Disciplinary Policy
- Personal Protective Equipment
- Safety Responsibility
- Emergency Preparedness
- Accident/Incident Reporting
- Safe Work Practices/Procedures
The complete Policies and Procedures manual is available upon request.
I am aware that it is entirely my responsibility to ensure that I have obtained and understand the contents of the manual completely and fully. If there is any part(s) of the aforementioned that I do not fully comprehend or which I require clarification, I hereby acknowledge my responsibility to seek said clarification from Workforce Staffing Solutions. I am also fully and completely aware that any breach I might cause, whether intentionally or unintentionally, of the policies and procedures outlined in the manual my result in disciplinary action by Workforce against myself, up to and including termination of employment.
By signing below I understand and I am bound by the Injury Reporting Agreement and the Policies and Procedures listed above.