SB 553 Workplace Violence Prevention Plan:
Mini-Assessment
Organization
*
Company Name
Your Title
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What industry best describes your business?
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Please Select
Agriculture
Apparel
Banking
Biotechnology
Chemicals
Communications
Construction
Consulting
Education
Electronics
Energy
Engineering
Entertainment
Environmental
Finance
Food & Beverage
Government
Healthcare
Hospitality
Insurance
Machinery
Manufacturing
Media
Not for Profit
Recreation
Retail
Shipping
Technology
Telecommunications
Transportation
Utilities
Other
Other:
Small Company? To confirm - all three must be in place for you to be exempt from Cal/OSHA SB 553: 1)You are compliant with section 3203 Injury & Illness Prevention Plan (IIPP) and file annual reports. 2)Your business is not accessible to the public. 3)You have less than 10 employees.
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Yes, I meet all three requirements which means I am exempt
No, I do not meet all three requirements and must comply
I am interested in additional information
Have you started drafting or implementing your SB 553 Workplace Violence Prevention Plan? (WVPP)
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YES
NO
Have you informed personnel about SB 553 and how the Workplace Violence Prevention Plan (WVPP) requires their involvement to include the training requirements?
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YES
NO
How many employees do you have?
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0 - 10
10 - 25
25 - 100
100 - 500
+500
Does your company have a lobby where people 'check-in'?
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YES
NO
If you answered yes above, are visitors logged and provided a visitor badge?
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YES
NO
Do you have more than one office/building?
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YES
NO
Do you offer anonymous reporting of suspicious activities or safety concerns?
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YES
NO
Do you have any current policies or programs that already cover Domestic Violence at the workplace?
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YES
NO
Prevention of Domestic Violence spillover is a part of the WVPP plan, which is a sensitive topic. The statistics from DOJ indicate 1:3 women and 1:4 men. Have you considered how to approach this topic and provide training to staff?
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YES
NO
Are you aware of anyone (past or present) experiencing a form of domestic violence?
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YES
NO
Other
Do you have any in-house departments or designated personnel that are responsible for human safety?
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YES
NO
Selected Personnel
Outsourced Security Company
Do you conduct periodic hazard inspections?
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YES
NO
How many active members are on your emergency response team?
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When was the last time you tested the integrity of your access control program?
*
Do you know how many hard keys are distributed?
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YES
NO
Does your organization have a panic button?
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YES
NO
It is recommended the Workplace Violence Prevention Plan be a stand alone document opposed to embedded in the Injury & Illness Prevention Plan (IIPP), what are looking to do?
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Have the WVPP as a stand alone document
Embed the mandates within our current IIPP
Unsure, I would like to discuss the differences in more detail
Avoid fines ($18k-$100k+) Use this space to provide more information about where you are with having your plan finalized, what help you are seeking, and when you would like to have your staff fully trained. (Responsible persons listed in your plan receive an additional layer of training)
It is recommended the Workplace Violence Prevention Plan be a stand alone document opposed to embedded in the Injury & Illness Prevention Plan (IIPP), what are looking to do?
*
Have the WVPP as a stand alone document
Embed the mandates within our current IIPP
Unsure, I would like to discuss the differences in more detail
Have you booked a consultation call?
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Claims Investigation & Reporting
Important, but not required
Do you or designated personnel know the required steps for reporting a workplace violence incident re: SB 553 within 24 hours?
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Please Select
Yes
No
Unsure
Do you have a written post-incident workflow that includes Workers’ Compensation reporting requirements?
*
Please Select
Yes
No
Unsure
Has your organization received training on managing claims involving emotional or psychological injury resulting from violent incidents?
*
Please Select
Yes
No
Unsure
Have you reviewed whether your Employment Practice Liability Insurance (EPLI) policy covers workplace violence, threat management failures, or hostile environment claims?
*
Please Select
Yes
No
Unsure
Who were you referred by?
Record Type ID
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