COMPANY NAME

Safety and Health Manual

Introduction

The purpose of this safety manual is to communicate COMPANY NAME’S (COMPANY NAME SHORT's) safety policies and special emphasis safety programs through out our organization so that employee injuries and illnesses can be prevented and compliance with federal, state and local regulations can be achieved.

To accomplish these goals, our company has established a Safety Policy Statement on page 5 stating that everyone will be held accountable for implementing their assigned safety duties and responsibilities, in this safety manual, to prevent employee injuries and illnesses.

To ensure that we attain our safety goals, accident data will be periodically analyzed to check on our progress to attain annual accident reduction goals. In addition, the safety program will be reviewed and signed annually to determine how the safety program can be improved to attain accident reduction goals and attain compliance with federal, state and local safety regulations.

This safety manual provides management with a tool to hold others accountable for safety efforts. It provides supervisors with direction they need to get the job done. And, it provides employees with information (i.e.; employee safety handbook) to avoid injuries and illnesses. Use it on a daily basis, to prevent employee injuries and illnesses.

COMPANY NAME Safety Policy & Procedure Manual1

COMPANY NAME Safety Policy & Procedure Manual1

Table Of Contents

Table of Contents

Safety Responsibilities......

Safety Policy Statement......

Assignment of Responsibility......

Core Safety Policies and Procedures......

Employee Safety Orientations......

Personal Protective Equipment......

Safety Training......

Safety Inspections......

Job Safety Analysis......

Accident Investigation......

Accident Analysis......

Safety Meetings......

Safety Committee Meeting......

Central Safety File......

Program Audit......

Machine Guarding......

Electrical Safety......

Hearing Conservation......

Crane, Hoist and Sling Safety......

Safety Rules......

General Safety......

Fire Protection......

Housekeeping......

Machinery......

Hand Tools......

Personal Protective Equipment......

Electricity......

Compressed Gas Cylinders......

Office Safety......

Manual Materials Handling......

Ladders, Stairs and Platforms......

Welding Safety......

Special Emphasis Safety Programs For OSHA Compliance......

Hazard Communication Program......

Hazard Communication Training......

Program Audit......

Reading A Material Safety Data Sheet......

Control of Hazardous Energy Sources......

Introduction......

Required Equipment......

Responsibilities......

Energy Control Procedure......

General Lockout Steps......

Group Lockout / Tagout......

Lockout Removal......

Shift Changes......

Removal of Non-energized Tools & Devices......

Steps To Re-energize Equipment......

Contractor Requirements......

Training......

Periodic Inspection......

Program Audit......

Definitions......

Bloodborne Pathogens Exposure Control Program......

Training......

Definition......

Exposure Determination......

Universal Precautions/Engineering Controls......

Hepatitis B Vaccination......

Facility Emergency Organization......

General Emergency Reporting Procedures......

General Emergency Announcing Procedures......

Emergency Alarms and Phone Numbers......

Fire Prevention Plan......

Emergency Action Plan for Fire......

Emergency Action Plan for Evacuation......

Emergency Action Plan for Tornado and Severe Winds......

Emergency Action Plan for Power Outage......

Emergency Action Plan for Bomb Threat......

Emergency Action Plan for Winter Storm......

Respiratory Protection Program......

Responsibilities......

Program Evaluation......

Record Keeping......

Training and Information......

Selection of Respirators......

Respiratory Protection Schedule by Job and Working Condition......

Physical and Medical Qualifications......

Respirator Fit Testing......

Respirator Operation and Use......

Cleaning and Disinfecting......

Respirator Inspection......

Respirator Storage......

Breathing Air Quality and Use......

Index of Forms, Checklists, and Procedures

COMPANY NAME Safety Policy & Procedure Manual1

Table Of Contents

Accident Investigation Report Form______53

Annual Safety Audit______67

Authorized Lockout/Tagout Employee List______125

Employee Safety Orientation Checklist______15

Facility Inspection Checklist______41

General Area Sound Levels______83

General Safety Training Matrix______27

Guide For Entering Injuries & Illnesses In The OSHA 300 Log______63

Hepatitis B Vaccine Consent Form and Vaccination Record______139

Hepatitis B Vaccine Declination Form______141

Job Safety Analysis Worksheet______49

Job Task Risk Assessment______47

Lock-Out/Tag-Out Evaluation______129

Lock-Out/Tag-Out Evaluation Sample______131

Machine Guarding Checklist______75

Periodic Lock-Out/Tag-Out Inspection Record______127

Personal Protective Equipment Needs Assessment Form______21

Request for Material Safety Data Sheets______113

Required Personal Protective Equipment______23

Safety Communication Meeting Form______35

Safety Inspections List______39

Safety Policy Statement______5

Supervisor Safety Skill Training Matrix______31

COMPANY NAME Safety Policy & Procedure Manual1

Table Of Contents

Index of Tables

Table 1: Table of required safety inspections.______

Table 2: Types of emergency alarms.______

Table 3: Emergency services and phone numbers.______

COMPANY NAME Safety Policy & Procedure Manual1

Safety Responsibilities

COMPANY NAME Safety Policy & Procedure Manual1

Assignment Of Safety Responsibilities

Safety Policy Statement

Purpose:

The purpose of COMPANY NAME SHORT's Safety Policy Statement on page 5 is to make clear to all employees that every reasonable effort shall be made to:

a)Identify and control exposures in our operations that can injure people, interrupt production, or damage property, equipment, and materials.

b)Comply with federal, state and local regulations.

No operation is so important that it must be done in a manner that permits undue hazard to personnel, the public or property.

Scope:

This policy applies to all COMPANY NAME SHORT's operations, activities and locations.

Administration:

Management is responsible for:

  • Requiring supervisors to live up to the spirit of the safety policy.
  • Requiring that the Safety Policy Statement be up to date.

Supervisors are responsible for:

  • Living up to the spirit of the Safety Policy Statement.
  • Reviewing the Safety Policy Statement with employees.
  • Requiring employees live up to the spirit of the Safety Policy Statement.

Employees are responsible for:

  • Working in a safe manner to avoid injury and illness.
  • Obeying all safety rules.
  • Immediately reporting an unsafe condition to a supervisor.

Training:

Annually review the Safety Policy Statement with all employees to remind them of their commitment and the company’s commitment to provide a safe workplace.

Timing:

The Safety Policy Statement will be communicated to all employees during their initial employee safety orientation and annually thereafter.

Action:

  1. Post the safety policy on general bulletin boards.
  2. Review the company's Safety Policy Statement with new employees and annually with all employees.
  3. Review the Safety Policy Statement annually to determine if it needs updating.

Documentation:

The Safety Policy Statement is provided for you on page 5.

Audit:

The Safety Policy Statement will be included in the annual safety program audit. Results of the audit will be shared with Executive Management.

COMPANY NAME Safety Policy & Procedure Manual1

COMPANY NAME

Safety Policy Statement

COMPANY NAME is committed to make every reasonable effort to:

a)Identify and control exposures in our operations that can injure people, interrupt production, or damage property, equipment, and materials.

b)Comply with federal, state and local regulations.

This policy, put into action through implementation of our safety programs, training programs, and employee safety rules; is the basis for assuring an efficient, safe and healthful workplace for our employees. No operation is so important that it must be done in a manner that permits undue hazard to personnel, the public or property.

Management is responsible for developing our loss control policies and has the overall responsibility for requiring that they be effectively implemented within the company. Employees are responsible for obeying the safety policies and safety rules to avoid injury and illness.

Safety and loss control policies are the direct responsibility of all management and they are as much a measure of efficient operations as reaching production and sales goals. Correction of recognized safety hazards and other potential loss hazards should be assigned top priority by the supervisor in charge. Safety and loss control are everyone's responsibility. All personnel, supervisory and production alike, must take responsibility for our loss control programs.

Failure to follow the policies, procedures, safety rules, safe work methods and OSHA regulations can result in disciplinary actions that can lead to and include termination.

Our objective for these programs is to reduce the number of injuries, illnesses, and property and maintain a safe and productive work environment.

President / Vice President

Assignment Of Safety Responsibilities

Assignment of Responsibility

Purpose:

The purpose of assigning safety responsibilities is to assure that all employees understand their role in how they will be held accountable to provide a safe work place.

Scope:

The assignment of responsibilities applies to all levels of the organization.

Administration:

The Executive Management team is responsible for:

  • Establishing annual accident reduction goals.
  • Reviewing completed Accident Investigation Report Forms on page 33 and providing feedback to the location manager and safety committee.
  • Reviewing the safety committee meeting minutes and providing feedback.
  • Holding the location manager accountable for attaining accident reduction goals and safety performance goals.
  • Requiring that the safety program be audited annually.

The Location Manager is responsible for:

  • Recommending accident reduction goals to Executive Management.
  • Requiring that hazardous job tasks be evaluated by conducting a Job Safety Analysis and document the findings on a Job Safety Analysis Worksheet on page 33.
  • Conducting Employee Safety Orientations and document their activities by using the Employee Safety Orientation Checklist s on page15.
  • Requiring the Supervisor to participate in Safety Training as required in the Supervisor Safety Skill Training Matrix on page 31.
  • Conducting Safety Training sessions as indicated in the General Safety Training Matrix on page 27 and documenting them by completing the Safety Communication Meeting Form on page 33.
  • Conducting monthly Safety Meetings and documenting them by completing the Safety Communication Meeting Form on page 33.
  • Requiring Safety Inspections be conducted and documented as indicated in the Safety Inspections List on page 33.
  • Conducting an Accident Investigation of an employee injury or illness by the end of the shift and completing the Accident Investigation Report Form on page 33.
  • Reviewing completed Safety Communication Meeting Forms on page 33 and providing feedback to the safety committee and supervisor.
  • Periodically auditing the quantity and quality of safety documentation in the Central Safety File.
  • Maintaining an organized Central Safety File of completed safety documentation.
  • Updating the list of hazardous chemicals and replacing outdated MSDSs in the MSDS binders.
  • Holding the supervisor accountable for implementing the safety manual and attaining accident reduction goals.
  • Interpreting the safety policies, procedures and programs in the safety manual.

The Supervisor is responsible for:

  • Attaining accident reduction goals by implementing the policies and procedures in the safety manual.
  • Participate in Safety Training as required in the Supervisor Safety Skill Training Matrix on page 31.
  • Participate in conducting Job Safety Analysis and completing a Job Safety Analysis Worksheet on page 33.
  • Requiring employees to wear and maintain Personal Protective Equipment as indicated in the Required Personal Protective Equipment list on page 33.
  • Participating in monthly Safety Meetings.
  • Participate in conducting Safety Inspections as stated in the Safety Inspections List table on page 33.
  • Correcting unsafe acts and unsafe conditions as soon as they are identified.
  • Implementing the Special Emphasis Safety Programs For OSHA Compliance beginning on page 33.
  • Requiring guards to be in place when an employee is operating machinery or equipment.
  • Participate in conducting an Accident Investigation of an employee injury or illness.
  • Initiating disciplinary procedures in a uniform and consistent manner.

The Employees are responsible for:

  • Being responsible for his or her personal safety.
  • Obeying all safety rules.
  • Wearing and maintaining personal protective equipment.
  • Using safe work methods.
  • Requesting additional training when unclear on how to work safely.
  • Immediately reporting unsafe acts and unsafe conditions to management.
  • Submitting safety suggestions.
  • Reporting all injuries immediately to management.

It is mandatory for employees to work safely at COMPANY NAME. Failure to do so can result in disciplinary actions being taken against that employee which can include termination.

Training:

Train all employees annually on their assignment of safety responsibilities.

Action:

  1. Train management and employees in their safety duties and responsibilities.
  2. Remind management and employees of their duties and responsibilities during staff meetings and safety training sessions.
  3. Hold management and employees accountable for performing their safety duties and responsibilities.

Documentation:

Use the Safety Communication Meeting Form on page 33 to document training sessions on safety duties and responsibilities.

Audit:

The assignment of responsibilities will be included in the annual safety program audit. Results of the audit will be shared with Executive Management.

COMPANY NAME Safety Policy & Procedure Manual1

Core Safety Policies and Procedures

COMPANY NAME Safety Policy & Procedure Manual1

Core Safety Policies And Procedures

Employee Safety Orientations

Purpose:

The purpose of the employee safety orientation policy is to ensure that they understand safe work methods and how to use machinery, equipment and personal protective equipment (PPE) to avoid injuries and illnesses.

Scope:

This policy applies when an employee is: newly hired, transferred, promoted, or returning to work from an extended injury or leave of absence.

Administration:

The Location Manager is responsible for:

  • Explaining to the trainee the designated topics listed in the Employee Safety Orientation Checklist on page 15.
  • Signing and dating the Employee Safety Orientation Checklist when the orientation is completed.
  • Filing the completed Employee Safety Orientation Checklist in the employee's personnel/training file.
  • Observing the employee working to see if he or she is properly applying the new knowledge.
  • Providing feedback to the employee to reinforce safe work behaviors.

The Employee Safety Representatives are responsible for:

  • Observing the trainee to provide guidance and instruction on how to work safe.
  • Notifying the manager on the status of the trainee’s comprehension of safety knowledge and skills.

Training:

People conducting employee safety orientations shall be trained at least once every three years on how to conduct a thorough employee safety orientation.

Timing:

All employees shall be trained on the topics listed in the Employee Safety Orientation Checklist before they begin to work on job tasks exposing them to those hazards.

Action:

1)Identify employees for safety orientation.

2)The manager will train the employee to the items on the checklist and have the completed Employee Safety Orientation Checklist filed in the employee's personnel/training file.

3)The manager will assign an employee safety representative to observe the employee work and provide feedback to the trainee and the manager.

4)The manager will periodically check the quality of the Employee Safety Orientations conducted by observing the trainee and reviewing the documentation in the employee's personnel file.

Documentation:

The Manager will use the Employee Safety Orientation Checklist on page 15 to document employee orientations. Copies of these checklists will be kept in the in the employee's personnel file.

Audit:

The New Employee Orientation policy will be included in the annual safety program audit. Results of the audit will be shared with Executive Management.

COMPANY NAME Safety Policy & Procedure Manual1

COMPANY NAME
Employee Safety Orientation Checklist
Check “ “ Items Discussed. / Topics
Overview of the company safety program
Review the safety policy statement
Review the employee safety handbook
Explanation of safe work procedures
MSDS binder and HMIS posters
Specific MSDS safety training
Personal protective equipment training
Respirator training (if applicable)
Lock-out & tag-out training
Crane and hoist safety
Safe refuge areas in case of evacuation or tornado
How to report a fire
How to report an injury
Procedure for reporting to a medical clinic for treatment
Policy for return-to-work
Procedure for reporting while recuperating away from work
Reporting absences from work policy
Disciplinary policy
Location of bulletin boards, lunch room, vending machines, restrooms
Introduction to supervisor and safety representatives
My signature below indicates that I understand all items covered in this orientation meeting and that I agree to follow them. Failure to do so may result in disciplinary actions up to and including termination.
Employee Signature: / Date:
Training Manager’s Signature: / Date:

KEEP IN THE EMPLOYEE'S PERSONNEL FILE

Core Safety Policies And Procedures

Personal Protective Equipment

Purpose:

The purpose of our personal protective equipment policy is to identify job hazards that require the use of personal protective equipment, PPE, by employees to protect them from injury and illness. In addition, this section helps our company be in compliance with mandatory OSHA requirement on personal protective equipment.

Scope:

This program applies to all employees who are required to use PPE.

Administration:

The Manager is responsible for:

  • Evaluating job tasks to identify hazards by using the Personal Protective Equipment Needs Assessment Form on page 21 to determine appropriate PPE.
  • Establishing the location's PPE requirements.
  • Authorizing purchases of PPE.
  • Conducting PPE training annually.
  • Holding the supervisor accountable for requiring employees to wear PPE.

The Supervisor is responsible for:

  • Observing employees to determine if PPE is being properly utilized.
  • Enforcing proper use of PPE.

The Safety Representatives are responsible for:

  • Observing employees to determine if PPE is being properly utilized.
  • Encouraging employees to properly use and care for PPE.

Training:

The training will occur prior to the employee engaging in work where PPE is required. Training will cover:

1.What jobs require PPE to be worn.

2.Type of PPE that must be worn.

3.Limitations of PPE.

4.How to properly inspect, donn, use, doff, clean and store PPE.

Special requirements for safe use of PPE may be established and contained in other sections of this manual. These special training requirements are included in employee training.