Template

Texas Non-Subscription Program Audit

by Gerald Rakes, from the Community

Use this audit template to evaluate a Texas non-subscriber program in hospital settings. Assess compliance with DWC Form-005 and 007 filing, required notices, employee injury reporting, supervisor follow-up, and claim denial procedures. Review training for new hires and annual refreshers, equipment safety training, hazard reporting systems, and EOC committee oversight. Identify roles, timelines, and third-party administration or corporate contacts to strengthen safety and compliance.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Texas Non-Subscription Audit for Hospitals
This audit checklist helps Texas hospitals evaluate their non-subscription program when opting out of workers compensation. It covers DWC Form-005 and Form-007 reporting, claim acceptance and denial processes, appeals oversight, safety training and hazard reporting, supervisor follow-up, return-to-work, and third-party administration. Use it to review policies, track closure and appeal rates, document equipment training, and ensure posted notices and new-hire acknowledgments meet TDI requirements.
by Gerald Rakes, from the Community
Downloads: 0
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Template
Annual Program Review: Permit-Required Work Control
Use this Annual Program Review template to evaluate your site’s Permit to Work and non-routine activity controls. Assess written programs, training, medical surveillance alignment, authorization matrices, and completed permits. Review program execution, employee discussions, plant tour observations, and the accuracy of Take 5 or risk assessments. Verify use of standardized permits, roles and responsibilities, documentation and metrics, and feedback processes. Identify gaps, record findings and corrective actions, and strengthen safety performance and EHS compliance across operations.
by Donald Lyons, from the Community
Downloads: 70+
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Template
Annual Program Review: Slips, Trips and Falls
This annual program review checklist helps organizations evaluate and strengthen their slips, trips and falls prevention program. It covers applicable standards such as 29 CFR 1910 Subpart D and internal EHS requirements, reviews documents and training records, and verifies the presence of a program leader, recent risk assessments, and action tracking. Prompts guide analysis of incident logs, training frequency, signage in walkways and stairwells, and employee discussions. Use it to identify gaps, document corrective actions in a facility plan, and drive continuous improvement in workplace safety.
by Donald Lyons, from the Community
Downloads: 90+
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Template
King of Texas Roofing Safety Audit Checklist
This roofing safety audit template from King of Texas helps crews and supervisors assess site conditions and ensure compliance on every job. Review work environment housekeeping and public protection, verify PPE, manage hazardous chemicals, and check ladders, scaffolds, and powered equipment. Evaluate fall protection systems, rescue readiness, and operator practices, record corrective actions, and capture signatures from the competent person and auditor.
by Refugio Alvarez Jr, from the Community
Downloads: 0
Get

Texas Non-Subscription Audit for Hospitals

This audit checklist helps Texas hospitals evaluate their non-subscription program when opting out of workers compensation. It covers DWC Form-005 and Form-007 reporting, claim acceptance and denial processes, appeals oversight, safety training and hazard reporting, supervisor follow-up, return-to-work, and third-party administration. Use it to review policies, track closure and appeal rates, document equipment training, and ensure posted notices and new-hire acknowledgments meet TDI requirements.

by Gerald Rakes, from the Community

Get

Template

Annual Program Review: Permit-Required Work Control

Use this Annual Program Review template to evaluate your site’s Permit to Work and non-routine activity controls. Assess written programs, training, medical surveillance alignment, authorization matrices, and completed permits. Review program execution, employee discussions, plant tour observations, and the accuracy of Take 5 or risk assessments. Verify use of standardized permits, roles and responsibilities, documentation and metrics, and feedback processes. Identify gaps, record findings and corrective actions, and strengthen safety performance and EHS compliance across operations.

by Donald Lyons, from the Community

70+

Get

Template

Annual Program Review: Slips, Trips and Falls

This annual program review checklist helps organizations evaluate and strengthen their slips, trips and falls prevention program. It covers applicable standards such as 29 CFR 1910 Subpart D and internal EHS requirements, reviews documents and training records, and verifies the presence of a program leader, recent risk assessments, and action tracking. Prompts guide analysis of incident logs, training frequency, signage in walkways and stairwells, and employee discussions. Use it to identify gaps, document corrective actions in a facility plan, and drive continuous improvement in workplace safety.

by Donald Lyons, from the Community

90+

Get

Template

King of Texas Roofing Safety Audit Checklist

This roofing safety audit template from King of Texas helps crews and supervisors assess site conditions and ensure compliance on every job. Review work environment housekeeping and public protection, verify PPE, manage hazardous chemicals, and check ladders, scaffolds, and powered equipment. Evaluate fall protection systems, rescue readiness, and operator practices, record corrective actions, and capture signatures from the competent person and auditor.

by Refugio Alvarez Jr, from the Community

Get

Texas Non-Subscription Program Audit

About author

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Texas Non-Subscription Audit for Hospitals

Annual Program Review: Permit-Required Work Control

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King of Texas Roofing Safety Audit Checklist

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Texas Non-Subscription Audit for Hospitals

Annual Program Review: Permit-Required Work Control

Annual Program Review: Slips, Trips and Falls

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