Seubert Safe Workplace
Seubert Safe Workplace is a program that helps our commercial insurance clients control their worker compensation costs and improves employee health and well-being. A Seubert Safe Workplace consists of four components:
You may also download the complete Seubert Safe Workplace program in PDF format.
- Complete Seubert Safe Workplace Program
- Employee's Acknowledgement of Physicians Panel
- PA-Approved Safety Committee Guidelines(link to webpage of the PA Dept. of Labor & Industry)
- Injured Employee Report
- Witness Incident Report
- Employer's Job Evaluation
- Physician's Evaluation
- Modified Duty Form
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