t r i c o s a f e t y i n c e n t i v e p r o g r a m s c o r i n g m a t r i x（t r i c o s f e t y我n c e n t v c e p r o g r m s o r我x n g m t r）（50页）.docVIP

GLOUCESTER, SALEM, CUMBERLAND COUNTIES MUNICIPAL JOINT INSURANCE FUND 2009 SAFETY INCENTIVE PROGRAM Rev. 12/12/2008 TABLE OF CONTENTS Introduction and Program Elements ………………………………………………..Tab 1 Initial Reports (Blue colored pages) ………………………………….……………..Tab 2 Safety Contract Safety Improvement Objectives Due March 2, 2009 Mid-Year Reports (Yellow colored pages) …………………………………………Tab 3 Mid-Year SIP Report Cover Sheet Department Safety Summary Sheets Due June 1, 2009 Special Recognition (Pink colored pages) ..………………………………………Tab 4 Special Recognition nominations form Due December 7, 2009 Year-End Reports (Green Colored Pages) ………………………………….……..Tab 5 Year-End SIP Report Cover Sheet Department Safety Summary Sheets Due December 7, 2009 Sample Forms ……………………………………………………….………………….Tab 6 Sample Safety Committee Agenda Job Site Observation Reports Municipal Complex / Administration Safety Checklist Police Department Safety Checklist Fire Department Safety Checklist Public Works Department Safety Checklist Emergency Medical Services Department Safety Checklist Recreation Department Safety Checklist Playground Safety Checklist Guidelines for setting Safety Improvement Objectives Sample Tracking sheet for Safety Improvement Objectives Sample log of Roadway, Sign and Walkway program Gloucester, Salem, Cumberland Counties Municipal Joint Insurance Fund 2009 SAFETY INCENTIVE PROGRAM Introduction We are pleased to introduce the 2009 Safety Incentive Program (SIP). TRICO JIF members have stepped up with enthusiasm and commitment to the safety program. The involvement and success we have seen by them members is paying off in terms of fewer lost time accidents which will impact the overall cost of risk. We want to emphasize that the primary goal of this program is to prevent accidents by eliminating conditions and behaviors that can contribute to unforeseen losses, b