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  • Application for Optional Personal Coverage
    Type: Employers
    Date: January 1, 2023 Last Revised: January 11, 2024
    Description:

    Proprietors, partners and spouses of non-incorporated businesses and non-salaried officers of limited or incorporated companies are not automatically covered for compensation purposes under the Workers’ Compensation Act of New Brunswick. To obtain coverage for these individuals, optional personal coverage must be purchased from WorkSafeNB. Please read the Terms and Conditions of Optional Personal Coverage before completing the application.

  • Joint Health and Safety Committee Minutes | Word Version
    Type: Workers
    Date: February 27, 2017 Last Revised: September 13, 2023
    Description:

    Through regular monthly meetings, the JHSC seeks ways to improve health and safety awareness and provides guidance and recommendations on health and safety issues arising in the workplace.

  • Initial Psychology Assessment Report (IPAR) | Word Version
    Type: Health Care
    Date: June 18, 2020 Last Revised: December 7, 2022
    Description:

    The Initial Psychological Assessment Report (IPAR) asks for information necessary for WorkSafeNB to make an acceptance decision on a claim. WorkSafeNB must determine whether the worker’s injury meets requirements for acceptance under the Workers’ Compensation Act.

  • SUCCEED Satisfaction Survey
    Type: Workers
    Date: September 16, 2022
  • SUCCEED Mental Health Questionnaire
    Type: Health Care
    Date: May 30, 2022
    Description:

    Administer this form to workers participating in the SUCCEED program within one week of starting treatment. Re-administer at the end of treatment. 

  • SUCCEED Discharge Report
    Type: Health Care
    Date: May 25, 2022
    Description:

    Complete and submit this form within one week of treatment end date.

  • Chiropractic Form 8-10
    Type: Health Care
    Date: April 27, 2021
    Description:

    WorkSafeNB has streamlined reporting for chiropractors by combining the Form 8C, Chiropractor’s First Report of Accident and the Form 10C Chiropractor’s Progress Report into one form, the Chiropractic Form 8-10. It is for both initial visits and follow-up (progress) reports. 

  • Medical Form 8-10
    Type: Health Care
    Date: August 20, 2019 Last Revised: March 11, 2021
    Description:

    The new Medical Form 8-10 requires physicians to provide functional abillities recommendations. Evidence shows workplace connection is good for mental, physical and emotional health. Even if a worker is able to work one hour per week, there are positive benefits. 

  • Application for Alternative Assessment Procedure for Inter-Jurisdictional Trucking
    Type: Employers
    Date: January 12, 2021
    Description:

    Application for the Alternative Assessment Procedure (AAP) for Interjurisdictional Trucking and Transport.

  • Discomfort Survey
    Type: Workers
    Date: December 16, 2020
    Description:

    To help determine whether your computer workstation requires adjustments

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