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Home > Environmental Liability: Risk Check Survey

Environmental Liability: Risk Check Survey

The Risk Check Survey encompasses the degree to which your firm provides comprehensive policies, programs, and training focused on protecting your organization.
Date*
Date Format: MM slash DD slash YYYY
Organization Name*
Person Completing Survey*
Title*
Phone*
Email*
Rate the effectiveness or success of the organization’s actions:
1. How well does your organization understand the potential exposure risks of pre-existing environmental conditions on properties you are acquiring?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
2. To what degree does your organization understand the potential exposure risk of property contamination from historical usage?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
3. To what extent is your organization aware of all relevant environmental regulations industry standards and have determined that you are in compliance?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
4. How would you rate your organization’s understanding of the cleanup and liability associated with the disposal of waste/materials at disposal facilities or recyclers?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
5. To what degree has your organization documented and implemented Operations and Maintenance (O&M) Plans for all HVAC, mechanical, and electrical systems?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
6. To what extent has your organization developed programs to prevent catastrophic releases (e.g., risk management plan, process safety management plan, spill prevention, control and countermeasure (SPCC) plan) and are employees trained in these incident response plans?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
7. How effective is your communication within all parts of your organization to ensure that all incidents that could lead to an actual claim are reported quickly and accurately?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
8. To what degree has your organization considered the need for purchasing environmental liability coverage in addition to commercial general liability (CGL) coverage?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
9. To what extent has your organization asked your insurance agent or broker about optional coverage enhancements?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
10. How would you gauge your organization’s understanding of the definitions of and differences between “occurrence-based” and “claims-made” liability coverage?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
11. To what degree has your organization disclosed all related entities (including ownership/ affiliation and nature of services) on your professional liability application and indicated those for which coverage is desired?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
12. How effective is your agent at ensuring you have completed and signed a detailed environmental underwriting application?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
13. How effective has your organization been at ensuring you have formal insurance requirements for all subcontractors (including qualifications) while also maintaining current certificates of insurance and policies?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE

Δ

IQRM Surveys Available for the Following Risk Issues:

Business Continuity
Employment Practices Liability
Discipline and Termination
Cyber Liability
Workers’ Compensation
Products Liability
Professional Liability
Recruitment, Selection & Hiring
Substance Abuse
Wage and Hour
Workplace Discrimination
Workplace Safety
Workplace Sexual Harassment
Claims Management
Directors & Officers Liability
Environmental Liability
Fleet Safety
General Liability
Medical Malpractice
Pre-Employment Screening
Product Contamination & Recall

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Boise Office

Associated Insurance Services

2676 S Vista Ave
Boise, Idaho 83705

Phone: (208) 336-7733

Toll Free: (800) 678-7733

Fax: (208) 336-1137

Mon-Fri: 8:30am-5:00pm
Sat-Sun: Closed

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Coeur d’Alene Office

Associated Insurance Services

10589 S Highway 95
Coeur d’Alene, Idaho 83814

Phone: (208) 336-7733

Toll Free: (800) 678-7733

Fax: (208) 336-1137

Mon-Fri: 8:30am-4:00pm
Sat-Sun: Closed

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Associated Insurance Services provides Auto, Home, Business, Life & Health Insurance, Workers' Compensation, and Bonds to all of Idaho, including Caldwell, Coeur d'Alene, Eagle, Hailey, Idaho Falls, Lewiston, Meridian, Nampa, Pocatello, Sandpoint, Sun Valley, and Twin Falls.

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