Risk Form to evaluate your company 's exposure| ICC Third Administrators

ICC Third Party Administrators 
Please call: (316) 683-0170, NY 1 (845) 751-0023, DC 1 (202) -386-6193

ICC   Global Administrative Services Dan Martinez CEO

 ICC 's Risk Profile Form to Evaluate Your Company's Exposure  

 

Insurance Claims Consultants

                                                                                  Risk Profile

THIS IS A SELF EVALUATION FORM THAT WILL HELP IN ASSESSING YOUR COMPANY'S RISK EXPOSURE

If you have any questions contact our consultants at 1 (316) 683-0170

 

This is a general loss exposure survey or "Risk Profile." This profile represents a broad base profile and is designed only as an indication and general assessment tool of possible risk and loss exposure areas.

It is important to understand that ICC will design a "Risk Profile" specifically tailored to your organization in order to identify those area of loss exposure that maybe unique to your industry and organization.

Feel free to print and copy this form and e-mail it to ICC for  a free general assessment of your risk management needs

 

FREE GENERAL ASSESSMENT

 

      Risk Profile Form for General Evaluation Purpose Only!
Yes No   1. Does the organization have a detailed brochure or general written material that describes the operations, products, or services?
Yes No   2. Does the organization have an organizational chart?
Yes No   3. Does the organization have a work flow chart?
Yes No   4. Is the organization confined to one industry?
Yes No   5. Is the organization confined to one service or product?
Yes No   6. Does the organization own any buildings?
Yes No   7. Does the organization lease any building to other organizations)?
Yes No   8. Does the organization lease building from other organizations)?
Yes No   9. Does the organization plan new construction within the next 1 to 2 years?
Yes No   10. Are the fixed asset values established by Certified Property Appraisers?
Yes No   11. Does the organization own any vacant land?
Yes No   12. Do the properties have Security Alarm Systems?
Yes No   13. Are any properties located in potential riot or civil disturbance areas?
Yes No   14. Are any properties located in earthquake areas?
Yes No   15. Are any properties located in flood areas?
Yes No   16. Are any properties located in areas that have a history of damage by weather, such as tornado's or hurricanes?
Yes No   17. Do the properties have Security Alarm Systems?
Yes No   18. Do the properties have Fire-Sprinklers?
Yes No   19. Do the properties have Smoke/Fire/Burglary Detection systems?
Yes No   20. Are there any unusual fire or explosion hazards?
Yes No   21. Is there a physical inventory taken at least once a year?
Yes No   22. Does the organization lease machinery or other equipment (not including automobiles, light trucks, and vans)?
Yes No   23. Is inventory stockpiled (either raw or finished)?
Yes No   24. Is there a monthly inventory report giving amount and value?
Yes No   25. Does the organization buy, sell or have custody of goods and/or equipment that is of extremely high value (gold, silver, drugs, etc)?
Yes No   26. Does the organization use raw stock, inventory or equipment which requires substantial lead to order or to reproduce?
Yes No   27. Does the organization export?
Yes No   28. Does the organization import?
Yes No   29. Is the organization involved in buying or selling on consignment?
Yes No   30. Does the organization buy or sell goods which must be shipped via "waterways"?
Yes No   31. Does the organization buy or sell goods which must be shipped via "over the road"?
Yes No   32. Does the organization buy or sell goods which must be shipped via "air"?
Yes No   33. Does the organization handle any material that is highly susceptible to damage (such as temperature changes, dampness, shelf life, etc)?
Yes No   34. Is the merchandise of the organization required to be in pairs or sets?
Yes No   35. Are most incoming shipments via "common carrier"?
Yes No   36. Are most outgoing shipments via "common carrier"?
Yes No   37. Are the organization's purchases FOB/COD the plant or office?
Yes No   38. Are the organization's selling terms FOB/COD the customer?
Yes No   39. Is the organization's trade area local?
Yes No   40. Is the organization's trade area national?
Yes No   41. Is the organization's trade area international?
Yes No   42. Are any of the organization's goods or equipment located on the premise of a subcontractor, bailee, or other?
Yes No   43. Is the business seasonal?
Yes No   44. Does the business generate Accounts Receivable?
Yes No   45. Does the organization have files, plans, manuscripts, drawing, or other records that if lost or destroyed, could cause serious problems?
Yes No   46. Does the organization use EDP equipment or facilities?
Yes No   47. Does the organization rely on long term contracts with customers?
Yes No   48. Does the organization rely on a limited customer base?
Yes No   49. Does the organization rely on limited suppliers?
Yes No   50. Does the organization rely on a supplier that has limited production capability or warehousing?
Yes No   51. Does any one account represent more than 1% of the organization's gross sales?
Yes No   52. Does any one account represent more that 25% of the organization's gross sales?
Yes No   53. If there is a major property loss, could the organization operate at near or close to full capacity during the repair period?
Yes No   54. Is the organization highly regulated by Federal, State, or local authorities?
Yes No   55. Are all locations of the organization dependent upon a central authority?
Yes No   56. Do any of the locations, including the main location, have property, inventory, or equipment of others?
Yes No   57. Is it regular organizations policy and procedure to use written contracts?
Yes No   58. Does the organization operate a health station, infirmary, or hospital?
Yes No   59. Does the organization operate a cafeteria?
Yes No   60. Does the organization use or operate boats or aircraft, other than commercial?
Yes No   61. Do any employees hold a valid pilot's license?
Yes No   62. Does the organization hold meetings or conventions outside the United States?
Yes No   63. Does the organization perform any subcontract work?
Yes No   64. Does the organization market through direct sales using sales persons?
Yes No   65. Is it organizational policy to have all subcontractors provide evidence of liability and Workers' Compensation Insurance?
Yes No   66. Does the organization test or install products or equipment on the customer's premises?
Yes No   67. Does the organization provide written warranties as to use or fitness of the products or services?
Yes No   68. Does any operation of the organization produce pollutants or contaminates?
Yes No   69. Does the organization lease vehicles?
Yes No   70. Does the organization's vehicles operate outside a 50-mile radius of home base?
Yes No   71. Does any of the organization's vehicles fall under ICC jurisdiction?
Yes No   72. Does the organization allow any passenger's that are not employees to ride in any organization's vehicles?
Yes No   73. Does the organization require Driver's Training or Safety Training?
Yes No   74. Does the organization require a pre-employment physical?
Yes No   75. Does the organization routinely conduct a background check on job applicants?
Yes No   76. Does the organization have a Safety Committee or council that attempts to prevent work related injuries?
Yes No   77. Does any of the organization's employees work or travel to other States as a part of their job?
Yes No   78. Does any of the organization's employees work or travel aboard ships or navigable waters as part of their job?
Yes No   79. Does any of the organization's employees work or travel aboard aircraft as part of their job?
Yes No   80. Has the organization had an OSHA inspection?
Yes No   81. Does the organization have appropriate internal systems and procedures that are in compliance with OSHA standards?
Yes No   82. Does the organization have any outstanding OSHA citations?
Yes No   83. Has the organization ever suffered a loss from employee dishonesty?
Yes No   84. Does the organization accumulate more than $1,000 cash at any single location?
Yes No   85. Does the organization require a double or countersigned check?
Yes No   86. Does the organization require that all incoming checks be recorded and stamped immediately?
Yes No   87. Does the organization require daily bank deposits?
Yes No   88. Does the organization use the services of Armored Carrier Services?
Yes No   89. Does the organization use external auditors?
Yes No   90. Is the organization a partnership?
Yes No   91. Is the organization an LLC?
Yes No   92. Is the organization registered corporation other than a public traded company?
Yes No   93. Is the organization a public traded company?
Yes No   94. Does the organization employee trained security personal?
Yes No   95. If the organization employees security personal are they armed?
Yes No   96. Does the company have a need for Surety Bonds?
Yes No   97. Does the organization provide Group Medical Programs?
Yes No   98. Does the organization provide Group Life?
Yes No   99. Does the organization provide Disability Income?
Yes No   100. Does the organization provide Pension or Profit Sharing?
Yes No   101. Is the organization unionized?
Yes No   102. Has the organization been doing business with the same insurance broker or company for more than 5 years?
Yes No   103. Does the organization have a formal and written Risk Management Program?
Yes No   104. Are the organization's assets heavily depreciated?
Yes No   105. Is the organization's quick ratio at least two to one?
Yes No   106. Is cash flow a problem?
Yes No   107. Is short term credit available?
Yes No   108. Has the organization ever sustained any unusually large or unique losses, either insured or uninsured?
Yes No 109. Has the organization ever sustained product liability safety program
Yes No 110. Does your organization have a ERGONOMIC program under the new OSHA guidelines?

 Yes   |NO | 111.  Does your restaurant  or bar have a  license to carry a gun to protect customers against terrorist acts ?