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1 Safety Resources from Sample Safety Program TABLE OF CONTENTS I. DECLARATION OF POLICY II. DUTIES AND RESPONSIBILITIES III. SAFETY COMMITTEE IV. PROGRAM REINFORCEMENT V. CORPORATE DRUG POLICY VI. HAZARD COMMUNICATION WRITTEN PROGRAM VII. SAFETY RULES 1. Report All Injuries 2. Job Distractions 3. Job Safety and Proper Lifting Methods 4. Alcoholic Beverages and Drugs 5. Eye and Hearing Protection 6. Unsafe Conditions 7. Exits, Aisles & Work Areas 8. Personal Protective Equipment 9. First Aid 10. Electrical Repair 11. Ladders 12. Machine Maintenance 13. Safety Devices & Hand Tools 14. Fire Safety 15. Smoking 16. Running & Horseplay 17. Footwear 18. Hoisting Equipment 19. Material Handling 20. Violations VIII. EMPLOYEES RETURNING TO WORK AFTER PERSONAL INJURIES OR ILLNESS IX. SAFETY INDOCTRINATION OF NEW EMPLOYEES X. MONTHLY SAFETY MEETING REPORT XI. EMPLOYEE S SAFETY MANUAL ACKNOWLEDGEMENT

2 DECLARATION OF POLICY The personal safety of each employee of this company is of primary importance. The prevention of work-related injuries and illness is of such consequence that it will be given precedence over operating productivity whenever necessary to protect employees. We will maintain a safety program based on modern techniques of accident prevention in compliance with Federal, State and Local laws regarding accident prevention and working conditions. To be successful, our program must embody the proper attitudes toward injury prevention on the part of management and employers. It also requires cooperation in all safety matters between each employee and his fellow workers. Only through such cooperative efforts can a safety record in the best interest of all be established and preserved. Our objectives are to provide a safety program that will keep injuries reduced to a minimum. Our Safety Program will include: 1. Providing mechanical and physical safeguards to protect employees against hazards. 2. Conducting safety inspections to find and eliminate unsafe working conditions or practices and to comply fully with the safety standards for every job. 3. Training all employees in good safety practices. 4. Requiring personal protective equipment to be worn by employees whenever necessary to protect them against injury. 5. Safety rules which employees are required to follow. 6. Prompt and thorough accident investigations to find out what caused an accident and to correct the problem so that it won t happen again. President

3 DUTIES AND RESPONSIBILITIES The success of a safety program depends upon a number of factors. The company, upper management, safety director(s), supervisors, and employees must assume a degree of responsibility of assuring the success of the program. The attitude of all parties is very important to the success of the program. COMPANY The company has the duty and responsibility to provide a safe place to work that is free of recognized hazards. The company has the duty to provide the tools, training, and enforcement of established safety rules and recommendations. UPPER MANAGEMENT Upper management has the duty and responsibility of supporting the company s safety and loss control program and the company Safety Director. This should be accomplished by active support of the safety program, active support of those individuals responsible for safety, and by example. Location managers must create a positive safety attitude at their locations. LOSS CONTROL DIRECTOR/COORDINATOR The appointed company Safety Director has the duty and responsibility to oversee the company s corporate safety program, to make certain that each location has needed safety material, and that corporate safety policy is followed. To accomplish this task the Safety Director should review all Supervisors Accident Investigation Reports, provide training to location managers and supervisors, and periodically visit each of the company s locations. SUPERVISORS Each supervisor has the duty and responsibility of being aware of corporate safety rules and regulations, of actively supervising those employees working under the supervisor, and seeing to it that employees perform their assigned tasks in a safe and proper manner. The supervisor has the responsibility to make certain that employees have needed personal protective safety equipment and that such equipment is used by employees when required. The supervisor is responsible for seeing that any injured employee receives prompt first aid and that such injuries are reported to management. The supervisor has the responsibility to investigate all employee accidents, of those employees working under the supervisor. The supervisor has the duty and responsibility to make certain that employees are properly trained in their assigned work task, that the employee is aware of hazards associated with the task, and that unsafe conditions and acts are not allowed to exit or continue. EMPLOYEES Each employee has the duty and responsibility of following established safety rules and regulations. Employees should perform their tasks in a safe and proper manner, immediately report all unsafe conditions to their supervisor, use required personal protective equipment, and seek guidance when in doubt. If injured on the job, the employee should inform their supervisor.

4 SAFETY COMMITTEE Safety Committees can be invaluable to a company s safety program by providing for the active participation and cooperation of many key people in the organization. The difference between the success and failure of a Safety Committee lies with the purpose of the committee, its staffing and structure, and the support it receives. 1. The Safety Committee is charged with aiding and advising management and employees on matters of safety pertaining to operations, performing essential monitoring, assisting in employee education and training, evaluating location and work task hazards, assisting in various inspections, and reviewing accidents and losses. 2. The Safety Committee should be made up of at least four members, with both employees and management being represented on the committee. The location individual who is charged with the responsibility of safety and loss control would be required to sit in on each meeting in the capacity of a consultant. The location manager should sit in on at least one Safety Committee meeting every three (3) months. 3. The Safety Committee should meet monthly. One individual should be assigned the task of keeping minutes. At the start of the meeting, the previous meeting minutes should be read and approved. 4. Safety Committee should serve for a period of six months and be rotated on an alternating schedule such that 1/6 of the committee is replaced each month. 5. Safety Committee members should elect a chairperson who will provide direction for the committee. The chairperson should serve for a period of three (3) months. 6. The Safety Committee should establish a procedure that will insure follow-up and compliance with recommendations.

5 PROGRAM REINFORCEMENT Positive reinforcement encourages good performance. Employees should be reminded to work safely. Employee s compliance with safety regulations, employee safety efforts, and working accident free should be recognized. EMPLOYEE PROMOTION There exists at each company location opportunities for advancement. Employees should be aware that safety is a component for advancement within the company. When deciding to promote an employee, not only are job skills and job performance considered, but safety performance of the supervisor and those supervised will be considered. DISCIPLINARY ACTION Employees who demonstrate a repeated pattern of violating established company safety rules and regulations are subject to both disciplinary action and dismissal from the company. In the case of union employees, the negotiated disciplinary and dismissal procedures will be followed. SAFETY PROMOTION 1. To encourage and remind employees to work safely, each location should maintain a bulletin board. The bulletin board should be used to post stats and federally mandated employee information, the OSHA 300 log during the months of February, March and April, safety posters, and other safety related information. 2. Each month the photograph of one location employee should be posed in a section of the bulletin board that is reserved for recognizing the employee-of-the-month. The employee-of-the-month should be chosen on the basis of working accident free for the month and contributing to the location s safety. 3. Those location s which achieve a calendar year location incident rate for total cases, lost workday cases, nonfatal cases without lost workdays, and lost workdays that are lower than the most current Industry Occupations Injury and Illness Incidence Rates should hold a safety banquet for employees in honor of the location s safety accomplishments. 4. Other award incentives, as deemed appropriate by company management, should be an active part of the company s safety program.

6 CORPORATE DRUG POLICY The use of illegal drugs, excessive use of alcohol, and the misuse of prescription drugs has been the cause of many accidents in the workplace. This misuse of drugs not only places you at risk, but also places your co-workers at risk. It is the policy of this company to provide a drug free work environment. DUTIES OF THE EMPLOYEE 1. The employee acknowledges that the use of illegal drugs, alcohol, and the misuse of prescription drugs is prohibited while on the job and that illegal drugs and alcohol are not permitted on the company s premises at any time. The employee also acknowledges that such substances are also not permitted in any company vehicle or on any jobsite. 2. Employees that have a substance abuse problem, or who become chemically dependent, are encouraged to seek medical assistance. 3. Any employee who uses, brings upon, or attempts to sell illegal substances ore alcoholic beverages in or around company premises, at any jobsite, or from any company vehicle is subject to immediate dismissal.

7 HAZARD COMMUNICATION WRITTEN PROGRAM Chemical exposure may cause or contribute to many serious health effects such as heart ailments, kidney and lung damage, sterility, cancer, chemical burns, and rashes. Some chemicals have the potential to cause fires, explosions, and other serious accidents. To address these hazards, this Hazard Communication program has been developed. The program provides you, the employee, with the knowledge and tools to work safely with the chemicals that you may come into contact with. The elements of this program comply with the requirements of OSHA 29 CFR It is the responsibility of management, supervisors, and employees to comply with the requirements set forth in his safe work practices manual. DUTIES OF LOCATION MANAGEMENT 1. Location management should comply with the following procedures: 1. The location manager should designate an individual who should have the responsibility of administering the Hazard Communication program. 2. No chemical of any kind should be allowed to be stored, or used on the premises, until its chemical hazards have been reviewed and identified. 3. It is the responsibility of the designated individual to determine those chemicals which require the use of personal protective safety equipment when used by employees. This information is to be conveyed to the employees who will come in contact with the chemical. 4. No chemical should be stored on the premises or used by employees without first obtaining and reviewing a MSDS (material Safety Data Sheet) for the particular chemical. This does not apply to small quantities of chemicals purchased at retail outlets. 5. No unlabeled chemical storage containers should be permitted to exist on the premises, at jobsites, or be placed in any company vehicle. A monthly inspection should be conducted of the premises to confirm that this requirement is being met. A written record of these inspections should be made and retained on the premises for inspection. Such records should be kept for a minimum of 18 months. 6. A chemical inventory list should be maintained on the premises at all times. When new chemicals are obtained the chemical name should be entered into the chemical inventory log. This log is to be updated monthly and should reflect those chemicals that are located on the premises. When a particular chemical is no longer in use at the location, its chemical name should be removed from the chemical inventory list. 7. For each chemical listed in the chemical inventory list, a MSDS data sheet should be maintained on the premises and available for all employees to review. The contents of the MSDS should conform to the standards set forth by OSHA. When new chemicals are obtained the MSDS should be placed in the MSDS book. The book should be updated monthly and should reflect those chemicals that are located on the premises. When a particular chemical is no longer in use at the location the MSDS data sheet should be removed for the MSDS book. 8. The location and quantity of each chemical used in the workplace should be determined. A written record should be maintained as to the quantity and location of each chemical. This record should be updated every 12 months. 9. It should be determined which chemicals each employee will come into contact with. A written record should be maintained that identifies the employees that would likely be exposed to each chemical on the premises. This record should be updated every 12 months and used as a basis of specific chemical hazard training.

8 10. Each new employee who is hired will receive formal hazard communication training before being allowed to come into contact with any chemical at the location. Those employees who change job descriptions resulting in exposure to different chemicals, should receive specific training in the new chemicals that they will come in contact with. All employees who come into contact with any chemical at the location will receive annual chemical hazard training. All employees who received hazard communication training, or subsequent training, will sign the ACKNOWLEDGMENT OF CHEMICAL HAZARD TRAINING form. The form is to be signed by both the employee and the employee s supervisor. The form is to be either kept in a separate record book or the employee s personal file. 11. The employee is to be instructed as to when and what personal protective safety equipment is required when handling a particular chemical. The employee should also be given instructions on how to properly use their personal protective equipment. 12. All employees should be warned against the hazard of wearing contact lenses when using those chemicals that pose a hazard to the eye. Employees should also be given specific training in the proper use of emergency eye washes and emergency showers. EMPLOYEE REQUIREMENTS The employee is to comply with the following requirements before working with or around any chemicals.

9 SAFETY RULES 1. Report all injuries: Report any injury to your supervisor the same day it happens. 2. Job Distraction: Distraction of attention (concentration) may cause injury. Do not talk to anyone while either of you are in the process of working, which requires attention, to prevent injury. 3. Job Safety and Proper Lifting Methods: Be sure you know the safe way to do your job. Lift the safe way to avoid strains or injury. Bend your knees, keep your back vertical and lift with your legs. Ask for help when the weight is beyond your ability to lift or a fork lift should be used. 4. Alcoholic Beverages and Narcotics: The drinking of alcoholic beverages is not permitted on the job. Any employee discovered under the influence of alcohol or drugs will not be permitted to work. 5. Eye and Hearing Protection: Employees should use eye and hearing protection when required to do so and where eye and hearing hazards are encountered. 6. Unsafe Conditions: Any condition or hazard which could result in a personal injury or loss should be reported immediately to your supervisor or management for correction. Safety is everyone s job. 7. Exits, Aisles and Work Areas: Exits and aisles must be kept clear. It is a part of each employee s responsibility to keep his bench and machine work area clear. 8. Personal Protective Equipment: You may be assigned certain personal protective safety equipment. This equipment should be available for use on the job, be maintained in good condition, and worn when required. 9. First Aid: If you do not have current First Aid Training, do not move or treat an injured person unless there is immediate peril such as profuse bleeding or stoppage of breathing. 10. Electrical Repair: Only authorized persons are permitted to make electrical repairs. Do not attempt to make electrical repairs yourself. 11. Ladders: Never use a defective ladder. Use only fiberglass or wooden constructed type ladders equipped with proper feet and rested solidly on a firm foundation. 12. Machine Maintenance: All machinery repair work must be done by authorized and supervised personnel and with machine properly locked out and tagged out. 13. Safety Devices and Hand Tools: Guards, chip guards and safety devices are not to be removed or tampered with. When missing or inadequate, report to supervisor. Never remove or by-pass safety devices. 14. Fire Safety: You are required to observe and follow all of the fire prevention rules which are in effect. Learn where fire alarms and fire extinguishers are located. 15. Smoking: Smoke only in designated assigned areas. Aimless, careless disposal of cigarette butts is dirty housekeeping. 16. Running and Horseplay: Horseplay of any description is unsafe and will not be tolerated as well as throwing objects. Do not run on company property. It may result in an injury to you or a coworker. 17. Footwear: Safety toe type shoes or appropriate footwear must be worn on the job at all times. 18. Hoisting Equipment: The riding of a hoist hook or in other equipment (fork lift) not designed for such purposes, is prohibited at all times. 19. Material Handling: Stack material so it will not slide, roll, fall or collapse. Always allow good access to stored materials. Store flammable materials apart from other materials. 20. Violation: An employee who violates any of the above safety rules is subject to disciplinary action.

10 EMPLOYEES RETURNING TO WORK AFTER PERSONAL INJURIES OR ILLNESS When an employee involved in an accident which results in personal injury is treated by a doctor or receives medical attention (such as in an emergency room at a hospital), or is absent for a period of three (3) consecutive days or more due to a personal illness, before he will be allowed to return to work, he must call or report to immediate supervisor and have a written release from his personal doctor with the following: 1. Dated under Doctor s care. 2. Reason (diagnosis) and treatment 3. That employee is physically able to return to work. If the supervisor has any doubts of the employee s ability to return to work, arrangements will be made to have the employee examined by a company approved Doctor/Clinic.

11 SAFETY INDOCTRINATION OF NEW EMPLOYEES On the day that a new employee is to be signed up for employment, he/she will review the company safety manual on: 1. Company first aid. 2. How to return to work after a personal illness or injury. 3. How to report fires and emergencies. 4. Company safety rules. 5. Personal protective equipment. 6. Housekeeping. During the first day in the department, the following items shall be covered with the new employee. 1. Departmental safety rules. 2. Departmental safety meeting. 3. How to report fires and emergencies. When the employee has been given the above safety instruction, the Employee Safety Instruction form will be filled out and returned to the Personnel Department.

12 MONTHLY SAFETY MEETING REPORT 1. To promote location safety, monthly safety meetings should be held with all employees on a regular basis. The minimum frequency of holding safety meetings with employees is every month. Those locations which are experiencing a worse than average loss experience should hold safety meetings with employees on a weekly basis. 2. Besides discussing safety in general, a specific relevant topic should be chosen and discussed. The selection of the specific topics is the responsibility of the corporate safety director, the location manager, and the location individual responsible for safety. The topic chosen should be relevant to past accidents, loss prevention efforts, and current activities, etc. 3. Monthly safety meetings should be led by location supervisors. All employees should attend and their active participation should be encouraged. 4. A record of each monthly safety meeting should be retained at the location. The Monthly Safety Meeting Report, found in the safety manual, should be used for this purpose. 5. Items brought up during tool box meeting that require corrective action, should be documented on the Monthly Safety Meeting Report. A procedure should be established to make certain that any required corrective action is carried out.

13 MONTHLY SAFETY MEETING REPORT DEPT: DATE OF MEETING: SHIFT: TIME: SAFETY TOPIC DISCUSSED SUGGESTIONS COMMENTS PERSON HOLDING MEETING:

14 EMPLOYEE S SAFETY MANUAL ACKNOWLEDGMENT (LAST NAME) (FIRST NAME) (MIDDLE INITIAL) 1. Report at once to your supervisor all injuries no matter how slight. 2. Be thoughtful and orderly in your conduct. Many injuries are the result of horseplay and fooling around. 3. Always use the safety devices which are provided by the company for your protection. 4. Report to your supervisor any conditions or practices which appear to be unsafe. 5. Employees should, at all times, do everything possible to avoid getting hurt, and avoid injuring any other employee. 6. Be safety conscious and give your supervisor any suggestions you have for improving safety measures or devices. I have (read) or (had explained to me) and will observe the SAFETY INSTRUCTIONS set forth above. Signature: Date: / / I have reviewed these instructions with the employee and outlined the safe practices to be followed on the work assigned. Signature: Date: / /

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