DOCUMENTATION/RECORDKEEPING:

Document safety related activities. Essential records, including those legally required for workers' compensation, insurance audits and government inspections must be maintained as long as the operation exists. Keeping records of your activities, such as policy statements, training sessions for management and employees, safety and health meetings, information distributed to employees, and medical arrangements made, is very important. Maintaining records will aid in:

  • the demonstration of sound business management as supporting proof for showing "good faith" in reducing any proposed penalties from OSHA inspections and insurance audits; and
  • the efficient review of current safety and health activities and identification of needed improvements.

Injury and Illness Records

OSHA requires injury and illness record keeping. These records are one way that employers can monitor the injuries and illnesses occurring. It may be useful to compare the number of injuries that happened this year to last year. Trends that weren’t noticeable before will be apparent in the records, for instance a multitude of hand injuries related to performance of a particular task. There are six important steps required by the OSHA record keeping system:

  • Obtain a report on every injury requiring medical treatment (other than first aid).
  • Record each injury on the OSHA Form No. 200 according to the instructions provided.
  • Prepare a supplementary record of occupational injuries and illnesses for recordable cases. This is accomplished by filling out OSHA Form No. 101, or a workers' compensation first report of injury.
  • Post a copy of your completed OSHA Form No. 200 on February 1, and keep it posted until March 1. It should be posted in a place where your employees can review it.
  • Retain these records for at least five years.
  • During the year, periodically review the records to identify patterns, high-risk areas or repeat situations that require immediate attention.

Since OSHA record keeping requirements only include injuries and illnesses, it is advisable to expand the system to include all incidents, including those where no injury or illness resulted. This information can assist you in pinpointing unsafe conditions and/or procedures. Safety councils, insurance carriers and others can assist in instituting such a system.

Hazardous Exposure Records

The injury/illness records may not be the only records you need to maintain. Certain OSHA standards that deal hazardous exposures to toxic substances require records on employees’ exposures, physical examinations, employment records, etc. When any type of environmental monitoring, such as air sampling is done, OSHA requires that the results be kept. Results of personal sampling of employees to assess exposure to toxic substances and physical hazards (noise, radiation, etc.) must be provided to the employee and kept in the employee’s records.

Hazard Communication

This standard requires employers to communicate to their employees and their community about the chemicals in use or made on the operation. A copy of your operation’s list of toxic or hazardous chemicals should be provided to local emergency responders, including the fire department and hospital. This list should be posted on your operation where employees can see it.

Employee Health Records

Employee visits to the health office or designated medical provider will generate records that should be kept to document what treatment was provided and how the employee responded. The safety manager can also review these records to identify job-related hazards.

Confidentiality of employees’ health information is a fundamental concept of good occupational health practice. Moreover, employees’ legal rights to privacy extend to the information that may be contained in their workplace health records. Therefore, someone who understands the requirements of confidentiality and the circumstances under which disclosure may be made should control access to these records. It is not proper for an employer to single-out a particular employee’s health records. Look for trends using anonymous aggregate data. Such data can be compiled by the health professional who controls the individual employee records or by another person who is authorized by the employer to examine the records.

SAFETY MEETING MINUTES:

Date: ______

Training Conducted By: ______

Training Topics Discussed
1
2
3
4
Training Resources / Title of Material
Outline
Video
Handouts
Other

Follow up and Questions Discussed:

1. ______

2. ______

3. ______

Employees Present: (Print Names)

MINUTOS DE JUNTA DE SEGURIDAD:

Fecha: ______

Entrenamiento Dirigido Por: ______

Temas de Entrenamiento Discutidos
1
2
3
4
Recursos para el Entrenamiento / Titulo del Material
Esquema
Video
Folletos
Otro

Seguimiento y Preguntas Discutidas:

1. ______

2. ______

3. ______

Empleados Presentes: (Escriba los nombres con letra de molde)

SUPERVISOR’S REPORT OF ACCIDENT:

Supervisor's Name: ______

Basic Rules for Accident Investigation

  • Find the cause to prevent future accidents - Use an unbiased approach during investigation.
  • Interview witnesses & injured employees at the scene - Conduct a walkthrough of the accident .
  • Conduct interviews in private - Interview one witness at a time. Ask each person what they think went wrong and what could have prevented the accident.
  • Get signed statements from all involved.
  • Take photos or make a sketch of the accident scene.
  • What hazards are present-What unsafe acts contributed to accident.
  • Ensure hazardous conditions are corrected immediately.

Date & Time / Location
Tasks performed / Witnesses
Resulted in / __ Injury __ Fatality
__Property Damage / Property
Damage
Injured / Injured
Describe accident facts & events:

REPORTE DE ACCIDENTE DEL SUPERVISOR:

Nombre de Supervisor: ______

Reglas Basicas para la Investigacion de Accidentes

  • Encuentre la causa para prevenir accidents futuros – Use un acercamiento imparcial durante la investigacion.
  • Entreviste testigos y empleados heridos en la escena – Conduzca un paso a paso del accidente.
  • Dirija entrevistas en privado – Entreviste a un testigo a la vez. Preguntele a cada persona que es lo que ellos piensan que salio mal y que podria haber prevenido el accidente.
  • Obtenga declaraciones firmadas de todos los involucrados.
  • Tome fotografias o haga un croquis de la escena del accidente.
  • Que riesgos estan presentes – Que actos inseguros contribuyeron al accidente.
  • Asegurese de que se corrijan las condiciones peligrosas inmediatamente.

Fecha y Hora / Lugar
Tareas Realizadas / Testigos
Resultado / __ Lesion __ Fatalidad
__Dano a Propiedad / Dano a Propiedad
Lesionado / Lesionado
Describa los hechos y eventos del accidente:
SUPERVISOR’S ROOT CAUSE ANALYSIS:
Check ALL that apply to this accident
Unsafe Acts / Unsafe Conditions
Improper work technique / Poor workstation design
Safety rule violation / Unsafe operation method
Improper PPE or PPE not used / Improper maintenance
Operating without authority / Lack of direct supervision
Failure to warn or secure / Insufficient training
Operating at improper speeds / Lack of experience
By-passing safety devices / Insufficient knowledge of job
Protective equipment not in use / Slippery conditions
Improper loading or placement / Excessive noise
Improper lifting / Inadequate guarding of hazards
Servicing machinery in motion / Defective tools/equipment
Horseplay / Poor housekeeping
Drug or alcohol use / Insufficient lighting
Unsafe acts require a written warning and re-training before the employee resumes work.
Date / Date
Re-Training Assigned / Unsafe Condition Guarded
Re-Training Completed / Unsafe Condition Corrected

Accident Report Review:

Supervisor:______ / Date:______
Employee Injured:______ / Date:______

Management Comments:

______

ANALISIS DEL SUPERVISOR DE LAS RAIZ DE LA CAUSA:
Marque TODOS los que aplican a este accidente
Actos Inseguros / Condiciones Inseguras
Tecnica de trabajo Impropia / Diseno de estacion de trabajo pobre
Violacion de reglas de seguridad / Metodo inseguro de operacion
PPE impropio o PPE no usado / Mantenimiento impropio
Operando sin autoridad / Falta de vigilancia directa
Falta de advertencia o asegurar / Entrenamiento insuficiente
Operando a velocidades impropias / Falta de experiencia
Salteando oparatos de seguridad / Conocimiento insuficiente del trabajo
Equipo proteccionista no se uso / Condiciones resbaladizas
Carga o colocion impropia / Ruido excesivo
Levantamiento impropio / Proteccion de riesgos inadecuada
Reparando maquinaria en movimiento / Herramienta/maquinaria defectuosa
Jugueteando / Mal mantenimiento del lugar
Uso de droga o alcohol / Iluminacion insuficiente
Los actos inseguros requieren de una advertencia por escrito y re-entrenamiento antes de que el empleado reasumo su trabajo.
Fecha / Fecha
Re-entrenamiento Asignado / Condicion Insegura Protegida
Re- entrenamiento Completado / Condicion Insegura Corregida

Revision del Informe del Accidente:

Supervisor:______ / Fecha:______
Empleado Lesionado:______ / Fecha:______

Comentarios de la Administracion:

______
REPORTING INJURIES/CLAIMS TO MANAGEMENT:

  • Any injured employee must immediately notify management when an on-the-job accident occurs. In a life threatening or severe emergency situation, the employee should be taken to the nearest medical facility immediately or call 911 for assistance. For non-emergency injuries the employee should report to the designated medical care provider.
  • An accident investigation will be conducted by the production manager in order to determine why the accident occurred and what measures will help prevent similar incidents in the future. The investigation may include interviewing other employees who witnesses the accident.
  • The employers first report of injury form will be filled out by management, and reported to the insurance carrier. Claims are taken 24 hours a day.
  • A file will be established for each new injury, and copies of all records and correspondence will be kept in the file. Worker’s Compensation injury files will be kept by management for a minimum of five years.
  • Management will be in regular contact with the injured employee, the designated medical provider, and the insurance carrier. Management is dedicated to getting the injured employees back to work as soon as possible.
  • If the work status report from the treating physician indicates restricted duties are required, management will establish a modified duty program for the injured employee. Modified duty will be offered whenever possible, and will be considered on a case by case basis.

Employee’s Signature: ______Date: ______

REPORTES DE LESIONES/DEMANDA A LA ADMINISTRACION:

  • Cualquier empleado lastimado debera notificar a la administración inmediatamente cuando ocurra un accidente en-el-trabajo. En una situacion vida-amenazante o situacion de emergencia severa, el empleado debe llevarse inmediatamente a la facilidad médica más cercana o llamar al 911 para ayuda. Para lesiones que no son de emergencia el empleado debera reportarse al proveedor de cuidado médico designado.
  • Una investigación del accidente se dirigirá por el supervisor de producción para determinar por qué ocurrió el accidente y qué medidas ayudarán a prevenir incidentes similares en el futuro. La investigación puede incluir la entrevista a otros empleados que den testimonio del accidente.
  • La primera forma del reporte de lesion del patron debera ser llenada por la administración y reportada al portador de aseguranza. Se toman demandas 24 horas al día.
  • Un archivo se establecerá para cada lesión nueva y se guardarán copias de todos los records y correspondencia en el archivo. Los archivos de lesión de Compensación de Trabajadores se guardarán por la administración por un mínimo de cinco años.
  • La administración estará en contacto regular con el empleado lesionado, el proveedor médico designado, y el portador de aseguranza. La administración se dedicara a regresar a los empleados lesionados al trabajo lo más pronto posible.
  • Si el reporte del medico del estado de trabajo indica que deberes restringidos son requiridos, la administración establecerá un programa de trabajo modificado para el empleado lastimado. Trabajo modificado se ofrecerá siempre que sea posible, y será considerado en una base de caso por caso.

Firma del Empleado: ______Fecha: ______

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Colorado Livestock Association Safety Reference Manual