Safety and Health Program Manual

Sample Page

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(The "Xyz Company" name depicted below will be replaced with YOUR Company/Business name in black print in the manual)

Xyz Company

Table of Contents
Page
Safety and Health Policy Statement

1

Safety Education and Training Program

2

Safety and Health Communication

5

Safety Inspection Checklist

8

Employee Safety Handbook

12

First Aid and Medical Treatment

17

Personal Protective Equipment

24

Machinery Tag Out Program

26

Hazard Prevention and Control

30

Property Maintenance

31

Liability Report Form

32

Emergency Action Plan

33

Bloodborne Pathogens ........................

42

Hazardous Material Spill Response

47

Hazard Identification and Communication

49

Material Safety Data Sheet (MSDS) Form*

50

MSDS Responsibilities *

53

Country Safety Compliance Agency Inspection Procedures*

56

Questions a Country Safety Compliance Officer Might Ask*

61

Common Violations of Country Safety Regulations*

63

Recordkeeping and Posting Requirements

65

*At back of manual for easy editing/deleting

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(The "Xyz Company" name depicted below will be replaced with YOUR Company/Business name in black print in the manual)

Xyz Company

Safety and Health Policy Statement

.

We are dedicated to providing a safe and healthful environment for employees and

customers, protecting the public, and preserving Xyz Company assets and property.

.

At Xyz Company, our most valuable resource are the people who work for us.

Injuries can be prevented. To achieve this objective, Xyz Company will make

all reasonable efforts to comply with all government regulations pertaining to safety and

health issues. An effective Safety and Health Program will be carried out throughout our

organization.

.

The Safety and Health Program will assist management and non-supervisory employees in

controlling hazards and risks which will minimize employee and customer injuries,

damage to customer's property and damage or destruction of Xyz Company

property.

.

All employees will follow this program. This program is designed to encourage all

employees to promote the safety of their fellow employees and customers. To accomplish

our safety and health goals, all members of management are responsible and accountable

for implementing this policy, and to insure it is followed.

.

Xyz Company is sincerely interested in our employee's safety. The policy of

Xyz Company is to provide safe equipment, adequate tools and training, and the

necessary protective equipment. It is the employee's responsibility to follow the rules of

safety as established for their protection and the protection of others, and to use the

protective devices, which Xyz Company provides.

.

1


Safety Inspection Checklist

Inspected By: _____________________________________ Date: _________

-----------------------------------------------------......----------.......................--(Mark N/A as appropriate)

1. WORK SITE INFORMATION:
a. Posting OSHA and other work site warning posters _____
b. Are Safety Meetings conducted periodically?

....................................................When was the last Meeting?

_____

__________

c. First aid equipment properly stocked and accessible? _____
d. Are work site injury records being kept? _____
e. Are emergency telephone numbers conspicuously posted? _____
f. Is the EMERGENCY INFORMATION form posted (Page 8)? _____

Describe Violation - Location - Remedy Taken

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

2. HOUSEKEEPING AND SANITATION :
a. Are emergency lights fully operational? mmmmmmm _____
b. General neatness of working areas _____
c. Regular disposal of waste and trash _____
d. Passageways and walkways clear _____
e. Waste containers provided and used - _____
f. Sanitary facilities adequate and clean _____
g. Adequate supply of water _____
h. Adequate lighting- _____
i. Trash receptacle for drinking cups _____
j. Are handrails and stair treads in good repair? _____
k. Is smoking restricted to certain locations? _____
l. Are electrical cords and plugs in good condition? _____
m. Are electric circuit breakers free of obstructions? _____

Describe Violation - Location - Remedy Taken

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

7


Employee Safety Handbook

At XYZ Company, our most valued resources are our employees, our customers, and the

communities we serve. We are dedicated to providing a safe and healthful environment for

employees and customers, protecting the public, and preserving XYZ Company properties

and assets. Injuries can be prevented. In order to achieve an accident free workplace, an

organized and effective Safety Program must be carried out company. wide to make this

policy work.

The Safety and Health Program will assist management and employees in controlling hazards

which will minimize employee and customer injuries, damage to customer's property and

damage to XYZ Company property.

All employees will follow this program

Please take the time to study and understand these safety policies and procedures. It is your

responsibility (and ours) to make this program work. You are a valued member of the team,

and we care about your safety.

13


Emergency Action Plan

Purpose:

To establish Xyz Company policy and procedures regarding management's and employee's response

to various emergency situations. Examples of an emergency are fire, tornado, earthquake, and

bomb threat.

Overview:

The procedures cover the following topics:

  1. Fire Reporting and Response

  2. Evacuation

  3. Tornado Preparation and Emergency

  4. Bomb Threat

  5. First Aid

  6. Hazardous Material Spill

  7. Earthquake

  8. Robbery

Policy:

Xyz Company has developed plans that address emergency situations that may

arise in Xyz Company locations and which may threaten human health and safety,

and damages Xyz Company's assets. Management is responsible for implementing

the Emergency Action Plans. These Emergency Action Plans will meet the following

objectives:

.1. Provide a means of notifying employees, customers and local authorities of an

....emergency situation.

2. Provide for a safe and orderly method of evacuation of employees and customers

....from Xyz Company's premises.

3. Account for all employees who occupied Xyz Company's premises at the time

....of evacuation, should one occur.

37


Who Should Go With a Compliance Inspector During His/Her Inspection?


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