Loss Control Services
Section 1 - Management Commitment
Successfully Complete 2 Online Training Programs (6 Points)
Develop and Post a Safety Policy  (4 Points)
    Please provide copy of “Safety Policy”
Administer the MIA Safety Perception Survey  (5 Points)
Develop and Post a Statement of Commitment to Safety  (2 Points)
    Please provide copy of “Statement of Commitment to Safety”
Section 2 - Oversight and Control
Appoint a Safety Coordinator (5 Points)
Name
Clearly Define the Safety Coordinator’s Responsibilities (4 Points)
    Please provide copy of Safety Coordinator’s Responsibilities
Implement a Means of holding the Safety Coordinator Accountable (3 Points)
Section 3 - Policies and Guidelines
Disseminate and post General Safety Rules (3 Points)
    Please provide copy of General Safety Rules
Develop an Injury Reporting Policy (5 Points)
    Please provide copy of Injury Reporting Policy
Develop a Progressive Discipline Policy (2 Points)
Document and publicize a Drug and Alcohol Policy (3 Points)
    Please provide copy of Drug and Alcohol Policy
Establish a Drug-Free Workplace via Pre-Placement Drug-Screening Testing (2 Points)
Conduct Post-Accident Drug-Screening (2 Points)
Section 4 - Identification and Control of Hazards
Conduct Monthly Self-Inspections (4 Points)
Satisfy Recommendations Issued During On-Site Loss Control Visits (6 Points)
Employ a Means of Soliciting Feedback from Employees (2 Points)
Section 5 - Selection and Hiring
Use an Employment Application Document  (3 Points)
Conduct Employment Reference Checks  (3 Points)
Conduct Criminal Reference Checks  (2 Points)
Conduct Motor Vehicle Records Checks for Employees who May Drive (2 Points)
Section 6 - Safety Education, Training and Awareness
Conduct Routine Safety Meetings (5 Points)
    Define safety meeting frequency (minimum quarterly)
Conduct New Employee Orientation/Job Training (3 Points)
    Please provide copy of Employee Orientation Checklist
Include Discussion of Prior Incidents/Injuries in Employee Orientation Training  (3 Points)
Section 7 - Proper Handling of Workplace Injuries
Appoint a Claims Coordinator (2 Points)
Name
Commit to Timely Claim Reporting  (6 Points)
Commit to Use of Modified Duty (6 Points)
    Please provide copy of Modified Duty Policy
Conduct and Document Accident Investigation (6 Points)
    Please provide copy of a blank copy of the form/format to be used for investigations
If you have accumulated at least 80 points using the above scoring system, complete the
following form and you will soon receive your certificate. Please remember to e-mail
supporting documents to losscontrol@miains.com  
Last Name
First Name
 e-mail address
Company Name
Comments
Company Mailing Address
Our Certified Loss Control Program is a
simple way for your company to get the
recognition you deserve.

Using the scoring system outlined below,
accumulate 80 points (out of 100 possible).
It's that simple!