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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
*
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
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