IIPP Index

Injury & Illness Prevention Program Policies

Safety Rules Sample Policies

Pesticide Sample Policies

Forms
Inspection Checklists

Spanish Policies

 

Injury and Illness Sample Policies


SAFETY (28001)

EMPLOYEE COMPLIANCE WITH SAFETY RULES (28049)

SAFETY POLICY (28052)

SAFETY COMMITTEE (28053)

SAFETY RULES (28054)

SAFETY RESPONSIBILITIES OF EMPLOYEES (28055)

SAFETY SUGGESTIONS (28056)

INJURY PREVENTION ADMINISTRATION (28057)

ASSIGNMENT OF INJURY PREVENTION RESPONSIBILITIES (28058)

SUPERVISOR'S RESPONSIBILITIES TO THE SAFETY PROGRAM (28059)

SAFETY INSPECTIONS (28060)

INVESTIGATION OF ACCIDENTS (28061)

NEW EMPLOYEE SAFETY TRAINING PROCEDURE (28062)

NEW EMPLOYEE SAFETY INDOCTRINATION (28063)

SAFETY TRAINING (28064)

EMPLOYEE SAFETY COMMUNICATIONS (28065)

RECORDS (28066)

SAFETY/WORK CONDITIONS (28017)

ACCIDENTS, SAFETY AND HEALTH (28021)

SAFETY AND INJURY PREVENTION POLICY (28040)

INTRODUCTION (28041)

RESPONSIBILITIES (28042)

IDENTIFICATION OF WORKPLACE HAZARDS (28043)

OCCUPATIONAL HEALTH AND SAFETY TRAINING (28044)

EMPLOYEE COMMUNICATION (28045)

SAFETY AND HEALTH COMMITTEE (28046)

SAFETY (28002)

ACCIDENT INVESTIGATION PROCEDURES (28113)

INSPECTION OF HAZARDS (28114)

CORRECTING HAZARDS (28115)

SAFETY (28014)

ACCIDENT PREVENTION AND REPORT OF INJURIES (28015)

HAZARD REPORTING AND CORRECTION (28116)

SUPERVISORY SAFETY TRAINING (28117)

ONGOING PROGRAMS (28118)

RECORD KEEPING (28119)

SPECIAL EMPHASIS PROGRAMS (28120)

SAFETY (28121)

PERSON RESPONSIBLE FOR INJURY PREVENTION PROGRAM (28126)

COMPLIANCE WITH COMPANY'S INJURY PREVENTION PROGRAM (28127)

SAFETY AWARENESS (28128)

SMALL COMPANY COMMUNICATIONS (28129)

COMPANY/EMPLOYEE COMMUNICATIONS (28130)

INSPECTIONS (28131)

ACCIDENT REVIEWS (28132)

CORRECTING HAZARDS (28133)

TRAINING OF EMPLOYEES (28134)

SAFETY AND HEALTH RECORDS (28135)

SAFETY DOCUMENTATION (28136)

RECEIPT FOR COMPANY INJURY PREVENTION PROGRAM (28137)

SAFETY OBJECTIVES (28138)

SAFETY STANDARDS (28139)

SAFETY LITERATURE (28140)

SAFETY TRAINING (28145)

NEW EMPLOYEE SAFETY TRAINING PROCEDURES (28146)

NEW EMPLOYEE SAFETY INDOCTRINATION (28147)

EMPLOYER'S COMMITMENT TO SAFETY (28159)

SAFETY AWARENESS (28160)

EVALUATION OF HAZARDS (28161)

SAFETY INSTRUCTION (28162)

SAFETY AWARENESS (28163)

EMPLOYEE'S RESPONSIBILITIES (28164)

MEDICAL ASSISTANCE (28165)

HAZARD ASSESSMENT AND CONTROL (28166)

SAFETY TRAINING GUIDELINES (28167)


Safety Rules Sample Policies


GENERAL RULES (28003)

EMPLOYEE PERSONAL SAFETY (28004)

EQUIPMENT AND VEHICLE SAFETY (28005)

HOUSEKEEPING (28006)

MATERIAL HANDLING (28007)

TOOLS AND MACHINES (28008)

PAINT (28009)

LADDERS (28010)

ELECTRICAL SAFETY (28011)

FIRE PREVENTION (28012)

REPORTABILITY (28013)

FORKLIFT (28141)

RESPIRATORS (28142)

EMERGENCY PLAN (28143)

EMERGENCY ACTION PLAN (28144)

AUTOMOBILES (28018)

GUNS (28019)

BACK SAFETY (28048)

SAFETY PRECAUTIONS FOR FARM EQUIPMENT (28148)

SAFETY PRECAUTIONS FOR THE HOIST (28149)

SAFETY PRECAUTIONS FOR PUMP OPERATION (28150)

GENERAL SAFETY INSTRUCTIONS FOR POWER TOOLS (28151)

LOCKOUT/BLOCKOUT (28152)

LOCKOUT PROCEDURES (28153)

LOCK-OUT-TAG-OUT PROGRAM (28154)

AGRICULTURAL CHEMICALS (28050)

CHEMICALS (28168)

DRIVING COMPANY VEHICLES (28169)

SAFETY PRECAUTIONS FOR EQUIPMENT (28170)

SAFE HANDLING of LP-GAS (28183)

DRUG-FREE WORKPLACE POLICIES (28185)

GENERAL OFFICE SAFETY RULES (28186)

CHEMICALS (28168)

DRIVING COMPANY VEHICLES (28169)

SAFETY PRECAUTIONS FOR EQUIPMENT (28170)

SAFE HANDLING of LP-GAS (28183)

DRUG-FREE WORKPLACE POLICIES (28185)

GENERAL OFFICE SAFETY RULES (28186)




Pesticide Sample Policies


HOW TO HANDLE PESTICIDES (28016)

STORING PESTICIDES (28020)

MIXING AND LOADING PESTICIDES (28022)

APPLYING PESTICIDES (28023)

PROTECTIVE CLOTHING AND OTHER SAFETY DEVICES (28026)

TYPES OF PROTECTIVE CLOTHING (28027)

CARE OF CLOTHING (28028)

TYPES OF EYE, MOUTH, AND FACE PROTECTION (28029)

TYPES OF PERSONAL RESPIRATORY DEVICES (28030)

USE AND MAINTENANCE OF RESPIRATORS (28031)

PESTICIDE TOXICITY AND POISONING SYMPTOMS (Hazard)

HUMAN PESTICIDE EXPOSURE (28033)

SYMPTOMS OF PESTICIDE POISONING (28034)

FIRST AID FOR PESTICIDE POISONING (28035)

PESTICIDE FIRST AID - SPECIFIC INSTRUCTIONS (28036)

HOW TO INDUCE VOMITING WHEN A NON-CORROSIVE SUBSTANCE HAS BEEN SWALLOWED (28037)

EMERGENCY INFORMATION (28038)

GLOSSARY (28039)

PESTICIDES (28047)




Forms


INITIAL SAFETY TRAINING LOG (28067)

SAFETY INSPECTION REPORT (28123)

SAFETY (TAILGATE) MEETING REPORT (28124)

WARNING NOTICE OF SAFETY POLICY VIOLATION (28125)

ANALYSIS OF INJURY OR ILLNESS FORM (28068)

HAZARD INSPECTION CHECKLIST (28069)

EMPLOYEE REPORT OF UNSAFE CONDITION OR PRACTICE (28122)

SAFETY TRAINING CURRICULUM FOR TRACTOR DRIVERS (28070)

SAFETY TRAINING CURRICULUM FOR TRUCK DRIVERS (28171)

SAFETY TRAINING LOG (28071)



Inspection Checklists


WATER AND SANITATION (28155)

AGRICULTURAL EQUIPMENT (28156)

HIGH VOLTAGE (28157)

HARMFUL MATERIALS/PESTICIDES (28158)

EMPLOYER POSTING (28072)

ACCIDENT PREVENTION PROGRAM (28172)

FIRST AID (28173)

CUTS AND PUNCTURES (28174)

BURNS (28175)

SLIPPING AND TRIPPING (28176)

EQUIPMENT SAFETY (28177)

GUARD RAILS (28178)

ELECTRICAL (28179)

MATERIAL HANDLING AND STORAGE AREAS (28180)

HOUSEKEEPING (28181)

FIRE PREVENTION (28182)

RECORDKEEPING (28073)

SAFETY AND HEALTH PROGRAM (28074)

MEDICAL SERVICES AND FIRST AID (28075)

FIRE PROTECTION (28076)

PERSONAL PROTECTIVE EQUIPMENT AND CLOTHING (28077)

GENERAL WORK ENVIRONMENT (28078)

WALKWAYS (28079)

FLOOR AND WALL OPENINGS (28080)

STAIRS AND STAIRWAYS (28081)

ELEVATED SURFACE (28082)

EXITING OR EGRESS (28083)

EXIT DOORS (28084)

PORTABLE LADDERS (28085)

HAND TOOLS AND EQUIPMENT (28086)

PORTABLE (POWER OPERATED) TOOLS AND EQUIPMENT (28087)

ABRASIVE WHEEL EQUIPMENT--GRINDERS (28088)

POWER ACTUATED TOOLS (28089)

MACHINE GUARDING (28090)

LOCKOUT BLOCKOUT PROCEDURES (28091)

WELDING, CUTTING AND BRAZING (28092)

COMPRESSORS AND COMPRESSED AIR (28093)

COMPRESSED AIR RECEIVERS (28094)

COMPRESSED GAS CYLINDERS (28095)

HOIST AND AUXILIARY EQUIPMENT (28096)

INDUSTRIAL TRUCKS--FORKLIFTS (28097)

SPRAYING OPERATIONS (28098)

ENTERING CONFINED SPACES (28099)

ENVIRONMENTAL CONTROLS (28100)

FLAMMABLE AND COMBUSTIBLE MATERIALS (28101)

HAZARDOUS SUBSTANCES COMMUNICATION (28102)

ELECTRICAL (28103)

NOISE (28104)

FUELING (28105)

IDENTIFICATION OF PIPING SYSTEMS (28106)

MATERIAL HANDLING (28107)

TRANSPORTING EMPLOYEES AND MATERIALS (28108)

CONTROL OF HARMFUL SUBSTANCES BY VENTILATION (28109)

SANITIZING EQUIPMENT AND CLOTHING (28110)

TIRE INFLATION (28111)

HAZARDOUS CHEMICAL EXPOSURES (28112)


Injury and Illness Sample Policies


SAFETY (28001)

Safety is a vital consideration to us. Safety and good housekeeping are necessary parts of everyone's daily activity. For the protection of employees, safety guards and safety equipment are provided. You must use this protective equipment and follow the directions of your supervisor regarding safety.


EMPLOYEE COMPLIANCE WITH SAFETY RULES (28049)

Employees must understand that failure to follow safety rules and perform their work safely can result in serious disciplinary action, including removal. Supervisors will regularly observe employee's work practices. Repeat violations will result in the issuance of a reprimand of SAFETY RULES.



SAFETY POLICY (28052)

It shall be our policy to conduct all operations safely by instituting the appropriate safety measures that will prevent injuries to persons and damage to property. When an employee begins to work here, that employee has a right to expect a safe place in which to work and to be provided with the proper machines, tools and equipment to do the job safely.

The company has a management commitment to promote safety, to operate in a safe manner and to always strive to improve the company's safety record.

In order to carry out these objectives, the following procedures have been established:

            1.         The establishment of a safety committee comprised of employees and management personnel.

            2.         Scheduled periodic inspections will be conducted of all work areas to identify unsafe conditions and work practices.

            3.         Review all on-the-job accidents and occupational illnesses to determine their cause.

            4.         Unsafe conditions and work practices will be corrected as uncovered by periodic inspections and review of accidents and illnesses.

            5.         Scheduled instructional training will be conducted on the hazards unique to each employee's work assignment.

            6.         Employees will be trained in general safe work practices at the time of hire and trained specifically for his or her job before being assigned to the job or before being assigned to any new work assignment.

            7.         Safety awareness programs will be conducted to highlight the importance of safe work practices among all employees. The program may include a safety award program or contest.


SAFETY COMMITTEE (28053)

A safety committee has been established to ensure that there is adequate employee involvement, participation and understanding of the company/employee Injury Prevention Program. The safety committee is appointed by the company and is comprised of two production employees, two supervisors and one management person. Employees wishing to be appointed to the safety committee should submit a written request to the office or discuss it with a management person.

The term of each committee member is one year.

The committee is empowered to:

            1.         Meet on the 1st Wednesday of each month. The time during which the committee members meet will be considered as time worked.

            2.         Establish a schedule to inspect all places of employment for safety hazards.

 

            3.         Make safety inspections of all places of employment for safety hazards according to the safety inspection schedule and report findings to the company.

            4.         Review all logs (i.e., accident reports) submitted by employees.

            5.         Recommend to the company any changes in procedures or facilities needed to correct safety hazards found during periodic inspections or review of accident reports.

            6.         In conjunction with the company's Workers' Compensation Insurance carrier, recommend a periodic safety training program for employees.

            7.         Periodically review the effectiveness of the company's safety awareness program and suggest changes or improvements to the program.


SAFETY RULES (28054)

The company has established specific safety rules that all employees must follow. The following list of safety rules is not a complete list. Your supervisor will provide you with additional information or training as necessary or deemed appropriate.


SAFETY RESPONSIBILITIES OF EMPLOYEES (28055)

Accidents are caused by a combination of three factors: environment, failure of equipment, and people.

The company is responsible to insure that the work environment and equipment are free of safety hazards. However, employees are responsible for working in a safe manner.

The company will not tolerate employees who do not observe safe work procedures nor who violate company safety rules. The company will discipline employees on the same basis for safety violations as it disciplines employees under the conduct standards of the company.


SAFETY SUGGESTIONS (28056)

Employees are encouraged to make suggestions that will decrease hazards. The safety committee will review all suggestions and make appropriate recommendations to the company. When appropriate and upon the recommendation of the safety committee, an employee making a suggestion that has outstanding merit will be awarded a cash reward.


INJURY PREVENTION ADMINISTRATION (28057)

The overall administration of the Injury Prevention Program is the responsibility of [Insert person's name with the authority]. The following are the areas of responsibility and the people assigned to these responsibilities.

            1.         Processing reports and investigations pertaining to accidents and injuries. These reports are: Accident and Safety Analysis Report, Employer's Injury Reports and Doctor's Medical Reports.

                         Responsible Person:     (Title)

            2.         Inspect Company operations each calendar quarter and report findings to the appropriate supervisor and his or her superior for corrections. It is, however, the responsibility of each supervisor to perform an inspection of his or her area and equipment at least once a month, and to document the inspections findings.

                         Person responsible:       (Title)

            3.         Develop and implement an employee safety training program.

                         Assigned person:           (Title)

            4.         Follow-up on all safety suggestions.

                         Assigned person:           (Title)

            5.         Purchase the necessary personnel protective safety equipment.

                         Assigned person:           (Title)

            6.         Develop and implement the company's Employee Safety Communication program.

                         Assigned person:           (Title)


ASSIGNMENT OF INJURY PREVENTION RESPONSIBILITIES (28058)

The company has assigned the overall responsibilities to develop, implement and review the company's Injury Prevention program to [Insert person's name with authority]. This person is responsible to insure that:

            1.         Safety Inspection reports, Employer's Reports of Occupational Injury or Illness Reports, Employee's Claim for Workers' Compensation Benefits forms and Employee's Medical Documents are processed, analyzed and/or stored properly.

            2.         Inspect company facilities each [Insert inspection intervals] and prepare an inspection report.

            3.         Analyze each injury or illness report to determine cause of the injury or illness.

            4.         Direct appropriate personnel to correct safety hazards found during inspections or following review of an employee injury or illness report.

            5.         Develop and implement employee safety training.

            6.         Communicate with employees the company's safety policies and procedures.


SUPERVISOR'S RESPONSIBILITIES TO THE SAFETY PROGRAM (28059)

The effectiveness of any safety program rests ultimately in the hands and actions of the supervisors. Management expects each supervisor to support the Safety Program by:

            1.         Enforcing the company Safety Policy and all Safety Procedures in the work areas for which he or she is responsible.

            2.         Cooperating with management and other supervisors in maintaining an active safety program.

            3.         Practicing safety personally, thus setting a good example for personnel under his or her supervision and delegating safety responsibilities to subordinate supervisors.

            4.         Remaining alert for unsafe conditions or practices and acting immediately to correct any hazards.

            5.         Investigating all on-the-job injuries under his or her supervision and completing the Injury and Illness Analysis Reports. Immediate action should be take to eliminate the cause of the injury.

            6.         Encouraging two-way communication with employees to make them aware of the company's interest in safety practices. Every effort should be made to promote employee interest and participation in the Safety Program. Safety meetings, safety committees, tailgate safety meetings and committee safety inspections are types of communication that should be utilized. Reports of meetings and safety activities should be forwarded to the manager for review.

            7.         Forwarding copies of the monthly departmental safety meeting to the manager.

            8.         Informing the manager of safety problems.


SAFETY INSPECTIONS (28060)

The manager will inspect each of the operation's facilities (circle one: monthly, quarterly, semi-annually, annually). During the inspection, the manager will record the hazards or unsafe procedures observed during the inspection. One copy of the report will be filed at the main office and another copy will be sent to the supervisor directly responsible for the location or work procedure.

Each supervisor receiving an inspection report that has corrections to be made must respond, in writing, to the manager within 7 days. The response shall note the estimated time to make necessary corrections or to develop alternative work procedures as uncovered during the inspection. The supervisor's response may also include other suggestions to improve the safety within his or her area of responsibility.

The manager will reinspect the areas that were found to be unsafe during the inspection within 14 days of the original inspection and each 7 day period thereafter until the hazards are corrected.


INVESTIGATION OF ACCIDENTS (28061)

Immediately following a lost time injury or illness, the supervisor of the injured employee shall investigate the cause of the accident and fill out an occupational injury or illness report. The supervisor shall also report to the manager:

            1.         The probable cause of the injury or illness;

            2.         The steps taken to eliminate the hazard(s);

            3.         Recommendations for the training of employees in the effected work area, and;

            4.         Other recommendations that will reduce the likelihood of another occurrence.

Within 7 days after receiving the supervisor's report, the manager shall review the injury or illness report with the supervisor. During the review the manager will inspect the location where the accident occurred and analyze if the corrections are adequate to prevent another injury.

If the injured employee or another employee contributed to the accident as a result of not following the company's normal operating procedures or the company's safety rules, the employee shall receive a safety disciplinary notice.

A "lost time injury" is an occupational injury or occupational illness that results in lost time beyond the date of such injury or illness or that requires medical treatment beyond first aid. A "lost time" means absence from work for a full day or shift beyond the date of the injury or illness and "first aid" is any one-time treatment of minor scratches, cuts, burns, splinters, and so forth, which do not require the services of a physician.


NEW EMPLOYEE SAFETY TRAINING PROCEDURE (28062)

The manager is responsible for developing a safety orientation program for all new employees. The program will incorporate the suggestions and input from employees performing the same or similar tasks, supervisors and the company's workers' compensation carrier.

Within the first three days of employment, the supervisor of a new employee will review the safety procedures of the employee's tasks, the company's safety rules and the potential hazards associated with the new employee's worksite. The employee and supervisor will sign the Initial Safety Training Log upon completion of the safety review with the new employee.


NEW EMPLOYEE SAFETY INDOCTRINATION (28063)

All new employees will receive safety indoctrination pertaining to accident reporting, first aid, and medical facilities. In addition, they will be given information regarding company policies pertaining to safe working conditions and work habits at the Personnel Office when hired.

Safety indoctrination on the job is the responsibility of the Department Supervisor. Each new employee shall be made aware of job hazards, company policy concerning safety equipment and its use, how and to whom injury reports are made, location and use of fire extinguishers, and the operation of the Plant Safety Organization.

Supervisors are required to follow-up the safety indoctrination with periodic safety checks to ascertain that the employee is following the safe working practices required.


SAFETY TRAINING (28064)

The manager in conjunction with employees, supervisors, and the company's workers' compensation carrier will develop a safety training schedule and curriculum for each task or job grouping.

Each supervisor will be responsible to conduct the appropriate safety training according to the schedule for the task or job groupings under his or her supervisor.

Following the scheduled safety training the supervisor will forward to the main office a report of the training. The report will list the subjects covered, employees attending the training and any recommendations to improve the training procedures.

The manager will be responsible to insure that each supervisor is current for all safety training under his or her control.

When new substances, processes, procedures or equipment are introduced into the workplace the manager will assess the new potential hazards and revise the safety training curriculum accordingly. The manager will actively solicit input from employees and others, such as supplies of company equipment, regarding the identification of new or previously unrecognized hazards.

EMPLOYEE SAFETY COMMUNICATIONS (28065)

The company encourages all employees to discuss their safety suggestions or concerns with anyone in management, especially their immediate supervisor. If an employee feels intimidated in discussing his or her safety concerns with a management person, the employee should write down the concern and deposit it in the employee suggestion box.

As suggestions are received, the manager will notify all employees by means of a general employee meeting or a memorandum posted on the company bulletin board regarding the company's position on the suggestions or concerns expressed by employees.


RECORDS (28066)

The manager will ensure that all Cal/OSHA records/reports and company Injury Prevention records/reports are completed and maintained as required. The manager will also notify employees as to the location of such records/reports for the purpose of inspection. The following is a list of such records/reports.

            1.         Cal/OSHA Log 200 (Log and Summary of Occupational Injuries and Illnesses)

            2.         Material Safety Data Sheets (MSDS)

            3.         Employee Medical and Exposure Records

            4.         Employee Injury or Illness Reports

            5.         Analysis of Injury or Illness Form

            6.         Hazard Inspection Checklist

            7.         Safety Training Curriculum for specific tasks

            8.         Safety Training Logs

            9.         Hazard Communication Program

            10.       Worksite Injury Prevention Program


SAFETY/WORK CONDITIONS (28017)

This company has a strong accident prevention program and considers it an important company objective to prevent employee accidents whenever possible. Our safety program is outlined on the "SAFETY PROGRAM" boards posted at appropriate locations on the ranch.


ACCIDENTS, SAFETY AND HEALTH (28021)

It is the policy of the Company to do everything possible to protect you on the job and to comply with all the requirements of state and federal law. Also, there is a certain amount of precaution that you must take.


SAFETY AND INJURY PREVENTION POLICY (28040)

The company is committed to providing safe working conditions for all its employees and to protect customers, visitors or persons residing on or near company property from any unusual health or safety risk.

To accomplish this, the company will:

            1.         Comply with all applicable current and future occupational health, safety and environmental regulations of the county, state and federal authorities.

            2.         Provide the necessary funding to maintain an effective and comprehensive safety and health program at all levels of the organization under the direction of a Safety and Environmental Coordinator.

            3.         Promulgate policies and practices that will reduce employee exposure to known and suspected occupational health and safety risks, and take prompt advantage of new technology that enhances employee safety as quickly as is economically feasible.

            4.         Encourage all employees to participate in the company safety programs and hold each employee personally responsible for the safety use of all company property, and for working in a safe manner, particularly in the use of required protective equipment.

The recognition and control of hazards and unsafe acts is the key to a safe working environment. There is no job so urgent that one can not take time to perform it safely.


INTRODUCTION (28041)

The California Labor Code (Section 6401.7) requires the establishment of a written injury prevention program. The company is committed to protecting employees, customers and visitors from injury while on company property, as well as protecting the environment. Thus, our safety and injury prevention program goes beyond mere compliance with the law and reflects the company's position as a leader in the industry and as a concerned member of the community in which we live and work.

This program is not optional. Good business practice, the law, and a concern for the well being of ourselves and our fellow human beings require we implement and maintain it.


RESPONSIBILITIES (28042)

The responsibility for the establishment and funding of the company's Safety and Injury Prevention Program rests with the Chief Executive Officer.

The responsibility for implementing of this program and maintaining the necessary tracking and record keeping to ensure it's effectiveness is delegated to the Safety and Environmental Coordinator.

The individual managers and supervisors of the company are responsible for carrying out the various elements of the program.

Each employee is responsible for learning safe work procedures and for working without injury to themselves, others or damage to company property.


IDENTIFICATION OF WORKPLACE HAZARDS (28043)

The methods to identify and correct workplace hazards are:

EMPLOYEE ORIGINATED NOTIFICATION: Employees are encouraged to notify their supervisor of unsafe conditions or practices whenever observed. This may be done informally by simply pointing out the hazard or unsafe practice verbally. Supervisors must promptly investigate such reports and take action to correct the situation. No report of such informal notifications need be made. In the event an employee desires to make a formal notification to management of an unsafe condition or practice, the REPORT OF UNSAFE CONDITION OR PRACTICE may be used. Instructions are on the reverse side of the form.

Blank copies of the REPORT OF UNSAFE CONDITION OF PRACTICE will be available in all work areas. The forms will be placed in a clearly marked holder. In addition to identifying the form, each holder will have the statement "YOU ARE ENCOURAGED TO REPORT UNSAFE CONDITIONS OR PRACTICES TO YOUR SUPERVISOR. THERE WILL BE NO REPRISALS FOR FILING THIS REPORT" on the container.

MANAGEMENT ORIGINATED NOTIFICATION: Each time a supervisor or manager enters a work area, they should perform a safety inspection. Any unsafe conditions or procedures should be corrected on the spot. No record need be kept of such corrections.

In circumstances where a work order is needed to correct a safety deficiency, the supervisor should write clearly on the work order "SAFETY DEFICIENCY." Maintenance personnel will give priority to such work orders. The supervisor must submit a copy of the work order to the Safety and Environmental Coordinator.

SAFETY AND HEALTH COMMITTEE: The Safety and Health Committee will play a key role in correcting unsafe conditions and practices brought to the attention of the committee.

ANNUAL INSPECTIONS: The safety and Environmental Coordinator will conduct a complete inspection of each facility annually. Within 15 days following an annual inspection, the Safety and Environmental Coordinator will provide the Director of the facility inspected with an Inspection Report listing all deficiencies noted with a severity rating for each deficiency. Should an Imminent Danger situation be encountered during an inspection, work in the area will be suspended until the situation is corrected.

QUARTERLY FIRE INSPECTIONS: At least once each quarter, the Safety and Environmental Coordinator will conduct a Quarterly Fire Inspection of each facility. This inspection will concentrate on the fire protection devices, exit requirements, etc. Within 15 days following a Quarterly Fire Inspection, the Safety and Environmental Coordinator will provide the Director of the facility inspected with an Inspection report listing all deficiencies noted with a severity rating.

SAFETY OBSERVATION MEMOS: The Safety and Environmental Coordinator will make unscheduled visits to all areas. Whenever safety deficiencies are observed during these visits, they will be reported to the supervisor of the area. These notices are advisory in nature and do not require a report of abatement.

ABATEMENT PROCEDURES: Within five days of the receipt of an Inspection Report resulting from an Annual Inspection, or a Quarterly Fire Inspection, the Director of the facility inspected must hold an Abatement Meeting. This meeting must be attended by the supervisor(s) of the area inspected, the maintenance supervisor responsible for the area and the Safety and Environmental coordinator. Each deficiency on the Inspection Report will be reviewed. Responsibility for abatement of each item will be assigned to a specific person. An abatement date will be set for each item with the greatest priority being given to those items coded as serious. As each item is abated, the person responsible will notify the Safety and Environmental Coordinator. The Safety and Environmental Coordinator will re-inspect the area to ensure the abatement is appropriate and record the item as abated on the Inspection Report. In any case where total abatement of any item on an Inspection report can not be completed by the abatement date set, the person responsible for abatement must notify the Safety and Environmental Coordinator and revise the expected abatement date. In any case where an item can not be abated within 90 days of an inspection, the matter must be referred to the Chief Executive Officer.

Copies of Safety Inspection reports must be posted on the bulletin board of the area inspected area for three days or until all items on the report are abated.


OCCUPATIONAL HEALTH AND SAFETY TRAINING (28044)

Occupational Health and Safety Training will be provided for each employee. This training will include basic information on the company safety program, safety responsibilities, and will provide instruction with respect to hazards specific to each employee's job assignment.

All employees will receive training at the time this training program is adopted. All new employees will receive training as a part of initial orientation. Supervisors will document this training on the Safety Training Report.


EMPLOYEE COMMUNICATION (28045)

Occupational safety and health matters will be promptly communicated with employees. This will be done by:

BULLETIN BOARDS: A safety bulletin board will be located in each work area. The cal-OSHA Poster and the company's Safety Policy will be permanently posted on all bulletin boards. In addition, the minutes of the last Safety and Health Committee meeting will be posted on all bulletin boards. Other safety related items shall be posted on the bulletin boards as they become available.

TAILGATE TALKS: Supervisors will give Tailgate talks at least once each month to all employees. Provisions must be made to ensure that employees who were not present are given the information presented during the talk. This may be done by presenting the talk at a later time for the missing employees or by posting an outline of the talk on the safety bulletin board. Tailgate talks must be documented on the SAFETY MEETING REPORT.

EMPLOYEE SAFETY HANDBOOK: An Employee Safety Handbook will be issued to each employee. This handbook covers basic safety rules, guidelines for safe work performance, company policy, etc. (Note: supervisors will be provided a SUPERVISOR'S SAFETY HANDBOOK, which will include the Employee's Safety handbook and appropriate additional information for supervisors).

SAFETY POSTERS: Safety Posters, either purchased from a vendor or produced by the Safety and Environmental Coordinator, will be posted on the bulletin board and at other appropriate locations.

SAFETY PERFORMANCE ANALYSIS: At least once each quarter, the Safety and Environmental Coordinator will prepare an analysis of the effectiveness of the safety program. This analysis will include accident statistics for the company. The analysis will be posted on safety bulletin boards.


SAFETY AND HEALTH COMMITTEE (28046)

A Safety and Health Committee will be established to address safety and health in the company. The committee will meet at least once per quarter. Minutes will be kept of the meetings and will be posted on all bulletin boards. The duties of the committee will include:

            1.         Review periodic worksite inspections.

            2.         Investigation of causes of injury, illness, or exposure to hazardous substances.

            3.         Investigation of any alleged hazardous condition brought to the attention of any committee member. When determined necessary, the committee may conduct its own inspection and investigation.

            4.         Upon request from the California Occupational Safety and Health (Cal/OSHA), verify the abatement action taken by the company as specified in citations.

MEMBERSHIP OF THE COMMITTEE: Membership on the Safety and Health Committee will be limited to five persons and will have both management and non-management employees. The Safety and Environmental Coordinator will serve as the technical advisor to the committee and will attend all meetings.


SAFETY (28002)

Accidents don't just happen, they are caused. Your safety is a matter of major concern to the company. Every reasonable precaution is taken to provide you with a safe place to work. However, without the sincere and faithful cooperation of all employees, safety programs alone are of little value in preventing accidents. Accident prevention is largely the responsibility of each individual.

The company feels that a clean, safe and healthy environment should be provided for all employees. Employees are expected to do their part to work safely, wear required safety equipment, observe all safety rules and regulations, and keep their work area neat and clean. The company strives to abide by all regulations and requests that you report all injuries and unsafe situations to your supervisor so that the situation can be corrected.



ACCIDENT INVESTIGATION PROCEDURES (28113)

The purpose of an investigation is to find the cause of an accident and prevent future occurrences, not to fix the blame. An unbiased approach is necessary to obtain objective findings.

The following procedures are to be used when investigating an accident:

            1.         Visit the accident scene as soon as possible--while facts are fresh and before witnesses forget important details.

            2.         If possible interview the injured worker at the scene of the accident and "walk" him or her through a re-enactment.

            3.         All interviews should be conducted as privately as possible. Interview witnesses one at a time. Talk with anyone who has knowledge of the accident, even if they did not actually witness it.

            4.         consider taking signed statements in cases where facts are unclear or there is an element of controversy.

            5.         Document details graphically. Use sketches, diagrams and photos as needed, and take measurements when appropriate.

            6.         Focus on causes and hazards. Develop an analysis of what happened, how it happened and how it could have been prevented. Determine what caused the accident itself, not just the injury.

            7.         Every investigation should include an action plan. How will you prevent such accidents in the future?

            8.         If a third party or defective product contributed to the accident, save any evidence. It could be critical to the recovery of claims costs.


INSPECTION OF HAZARDS (28114)

The company has assigned different areas of the operation to the following employees to inspect for hazards and to insure that hazards are being corrected.

                                                   TITLE                                                                                             ASSIGNED AREA

                                      Shop Manager                                                                   Shop and shop equipment

                                      Spray Applicator Manager                                    Chemical storage, spray equipment, loading and mixing facilities

                                      Field Manager                                                                   Fields, orchards, equipment storage, tool shed, tractor and trucks

                                      Packinghouse Manager                                                     Packinghouse, loading dock and trucks

Each person noted above must conduct a semi-monthly inspection of their assigned area and submit a written report of their findings to the office. The report will indicate the steps taken to correct the identified hazards during inspections, if any, and the estimated date of completing the corrections.

The safety administrator will review the inspection reports and will reinspect the areas where safety hazards have been identified or where accidents have occurred to insure that corrections are being performed.


CORRECTING HAZARDS (28115)

The safety administrator shall review all accident reports and hazard inspection reports. When a hazard has been identified or an accident was caused by an unsafe condition the administrator will assign the appropriate personnel to correct the hazard. If the hazard has the potential of causing an accident the administrator shall red tag the equipment or area until the unsafe condition is eliminated.


SAFETY (28014)

A clean, safe and healthy environment will be provided for all employees. Employees are expected to do their part to work safely, wear required safety equipment, observe all safety rules and regulations, and keep their work area neat and clean.


ACCIDENT PREVENTION AND REPORT OF INJURIES (28015)

We have a strong accident prevention program and consider it an important company objective to prevent employee accidents wherever possible. All jobs can be performed efficiently and safely, and we urge you to make accident prevention a part of your job.

Should you have an accident, including minor cuts, bruises and strains, you must report the injury to your foreman as soon as possible to assure prompt medical attention and to protect your rights under the law.


HAZARD REPORTING AND CORRECTION (28116)

Employees are expected to always be on the lookout for potential hazards or unsafe procedures. If an employee observes an unsafe condition, it is his or her responsibility to report it or any other safety suggestion to the office or a supervisor.

The safety administrator will evaluate the employee's suggestion or observation. If it is deemed appropriate, the safety administrator shall have the hazard corrected by the maintenance or shop personnel. In any event, the administrator shall report his or her conclusions to the employee who reported the hazard or made the suggestion.


SUPERVISORY SAFETY TRAINING (28117)

To ensure a high level of safety awareness and safety management skills, all supervisors will be provided Safety Operations Awareness Training. New supervisors must receive this training prior to assuming supervisory duties. The training will cover the following:

 

            1.         Overview of the company's Safety Program, policy and philosophy.

            2.         Review of Safety Handbooks.

            3.         Effective Employee Performance Observations.

            4.         Job Safety Analysis


ONGOING PROGRAMS (28118)

The following ongoing program are a part of the company's Safety Training program:

            1.         Hazard Communication Program.

            2.         Hearing Conservation Program.

            3.         Forklift Training Program.

            4.         Employee Performance Analysis Program.

            5.         Job Safety Analysis Program.

            6.         Pesticide Training Program.


RECORD KEEPING (28119)

The Safety and Environmental Coordinator and the Employee services Director will keep sufficient records to ensure the effectiveness of the program. These records will include:

                                      Accident Reports

                                      Employee's Injury Notifications

                                      Cal-OSHA Accident Log

                                      Employee Training Records

                                      Tailgate Talks

                                      Report of Unsafe Condition or Practice

                                      Inspection Reports

                                      Supervisory Training Records.


SPECIAL EMPHASIS PROGRAMS (28120)

Based on the needs of the organization, the Safety and environmental Coordinator will recommend special emphasis programs. Such programs might include special Safety Awards or Safety Promotions.


SAFETY (28121)

Safety is the recognition and control or removal of the risks inherent in our business. Since it is not practical to remove all of these risks, recognition and control take on increased importance. This safety program has the elements needed to provide the safe workplace that every employee deserves. With the cooperation of all employees we can do it.

INSTRUCTIONS FOR USING

EMPLOYEE REPORT OF UNSAFE CONDITION OR PRACTICE

The company is committed to providing safe working conditions. You are encouraged to assist by reporting unsafe conditions or practices. The preferred way to make a report is to simply tell your supervisor what the situation is, so it can be corrected. This reduces the paperwork necessary to process a written report. However, if you desire to make a written report, you may use this form.

EMPLOYEE SECTION: Clearly state what the unsafe condition or practice is. Be specific, state exact location, specific equipment or procedure, show what action you think needs to be taken to correct the problem. Be sure to sign and date the report.

SUPERVISOR SECTION: Carefully review the information provided by the employee. If the report is not clear, discuss it with the employee.

If it is within your authority correct the condition or practice, do so. Note the action you took, dates work order submitted and completed if applicable, the date of actual abatement and the date the employee was notified. Sign and date the report and submit it to the Safety and Environmental Coordinator.

If it is not within your authority to correct the condition or practice, or if you believe no hazard really exists, enter your recommendations, sign and date the form and submit it to the next level manager. When the form is returned to you with the necessary approval, note the action taken, date work order submitted and completed, if applicable, the date the employee was notified and submit the form to the Safety and Environmental Coordinator.

NOTE: It is the supervisor's responsibility to track the status of the Report of Unsafe Condition or Practice at all times, to ensure that appropriate action is take and the employee is notified.

NEXT LEVEL MANAGER: When the supervisor submits a Report of Unsafe Condition or Practice that is beyond the supervisor's authority to abate, you should take the following action:

Review the supervisor's recommendation. If it is appropriate, check "Recommendation Approved" in the next Level Manager portion of the form sign, date and return it to the supervisor. If the supervisor's recommendation is not appropriate, indicate the necessary changes, check "Recommendations Approved with the changes noted," sign, date and return the form to the supervisor.



PERSON RESPONSIBLE FOR INJURY PREVENTION PROGRAM (28126)

[Insert Person's name with the authority] has the authority and responsibility to develop and implement the company's injury prevention program.


COMPLIANCE WITH COMPANY'S INJURY PREVENTION PROGRAM (28127)

To insure that everyone in the company is encouraged to comply with the company's injury prevention program, the company will:

            1.         Recognize the contributions of employees to the company's safety program when they make useful safety suggestions, show a concern for working safely and maintain an accident free record.

            2.         Conduct monthly safety awareness meetings. The meetings will cover safety subjects which relate to the type of hazards employees may experience on the job.

            3.         The company will not tolerate any employee's unsafe act or unsafe attitude. Employees who violate this principle will be disciplined in the same manner as the company disciplines employees who violate other company performance standards. There is no exact procedure for disciplining employees. Depending on the offense and the employe's work history, the company may give an employee a verbal warning, a written warning, or a suspension from work. When appropriate the employee will be discharged. In any event, the company maintains the right to discharge employees at any time, for any reason, with or without prior notice, and with or without good cause.


SAFETY AWARENESS (28128)

Without the cooperation of employees the company's safety program would be meaningless. Employees must observe all company safety procedures and, most of all, use good common sense while performing their jobs. Employees who can not perform their job in a safe manner will not be allowed to work at our company. All managers and supervisors have the authority to discipline, including suspension of an employee or discharge of an employee for not observing this policy. The company maintains the right to end the employment relationship on an at-will basis.

The company will provide each employee with injury prevention training when they are first hired, when they are assigned a different task in which they have no previous training or when a new procedure/substance is introduced into the work place. Periodic retraining will also be provided to insure that employees are up-to-date on safe work procedures. Retraining may also be initiated when employees are observed using unsafe procedures.

Employees who demonstrate good safety habits will be recognized by the company in the following manner:

            1.         Employees will receive safety awards for their identification of hazards, observing safety procedures or other actions which contribute to a safe work place.

            2.         Employees who make safety suggestions which are put into practice by the company or are deemed useful will be awarded a cash bonus in relation to the usefulness of the suggestions.


SMALL COMPANY COMMUNICATIONS (28129)

Because the company has fewer than 10 employees the company will communicate on-the-job safety issues to employees orally. The subjects to be covered with employees will be:

            1.         General safe work practices.

            2.         Specific instructions with respect to hazards unique to an employee's job assignment.

            3.         The company's safety and general work rules.


COMPANY/EMPLOYEE COMMUNICATIONS (28130)

The company wants all employees to report unsafe conditions. The company's policy prohibits any management person from retaliating against an employee who exercises this policy. In order to encourage better safety communications between the employees and the company management:

            1.         The company will conduct monthly meetings with employees to discuss safety issues. The company will be represented by at less one top management person.

            2.         The company will provide employees with an opportunity to meet once a month without any management personnel present to discuss safety concerns. The employees may report their concerns to the company orally or in an anonymous report. The sole purpose of the meeting will be to provide employees a way to inform the company of their safety concerns without fear of reprisal.

            3.         The company will post safety suggestions on the company's bulletin board.

            4.         The company will maintain a suggestion box where employees can make comments on any issue that concern them, including safety hazards. The general manager will review the suggestions and report his or her findings to employees at the monthly employee safety meetings.

            5.         The company will maintain a labor/management safety committee. The committee will meet quarterly and will be represented by two management personnel and three non-management personnel. The committee will do the following:

                         A.         Prepare minutes of the meetings. The minutes will be posted on the company's bulletin board for inspection by employees.

                         B.         Review employee suggestions received through the company's suggestion box or by any other means.

                         C.         Review periodic, scheduled work site inspection reports.

                         D.         Review accidents for their causes.

                         E.         Report recommendations to management for the correction of unsafe procedures or hazards.

                         F.         Upon request of Cal/OSHA, verify abatement action taken by the company to abate citations issued by Cal/OSHA.

            6.         The company will prepare and distribute paycheck stuffers when appropriate or at least once a calendar quarter. The stuffers will remind employees of safe work practices or alert them to new recognized hazards in the work place.


INSPECTIONS (28131)

Inspections of our facilities for hazards will be conducted:

            1.         Each [Insert Inspection's period, i.e.: month, quarter]. The inspections will be conducted by supervisors in their own departments. The inspections will be made to identify and evaluate work place hazards including scheduled and routine work practices.

            2.         Whenever new substances, processes, procedures, or equipment are introduced to the work place that represent a new occupational safety and health hazard.

            3.         Whenever the company is made aware of a new or previously unrecognized hazard.

The general manager will develop with the assistance of the department supervisors and the company's Workers' Compensation Insurance carrier a departmental inspection checklist to aid in the inspection process. Checklist used in an inspection or inspection reports will be kept on file for three years at the main office.

Inspection reports will be reviewed by the general manager. The general manager will direct the appropriate personnel to correct the hazard or to retrain employees in newly established safety procedures as dictated by the inspections.


ACCIDENT REVIEWS (28132)

Within 7 days following an injury accident the general manager will review the cause of the accident. The general manager will investigate the accident in the following manner:

            1.         Read the accident report as filed with the company's Workers' Compensation Insurance carrier. If the accident involved a vehicle, the general manager will also review any available police reports.

            2.         If the injury resulted in lost time or required more than first aid the general manager will interview the injured employee and any witnesses to the accident. When appropriate the general manager will inspect the scene of the accident.

            3.         Take corrective action as deemed appropriate.


CORRECTING HAZARDS (28133)

Following an inspection which revealed a hazard or after reviewing a lost time accident report, the general manager will take one of the following steps based on the general manager's findings and the severity of the hazard(s):

            1.         If the accident was the result of a recognized hazard the general manager will direct the appropriate personnel to correct the hazard. When an imminent hazard exists which cannot be immediately corrected without endangering employees and/or property, only personnel who are properly trained and equipped to make necessary repairs will be allowed to work in the affected area or work on affected equipment. No other employee will be allowed in the affected area or on the affected equipment until the hazard is corrected.

            2.         If the accident was the result of a improper work procedure the general manager and the departmental supervisor will develop an alternative work procedure so as to reduce the likelihood of another accident occurring again.

            3.         If the accident was the result of human error or carelessness the departmental supervisor will conduct appropriate training of affected personnel and reprimand the appropriate personnel if warranted.

Documentation of corrective measures will be filed for three years in the main office.


TRAINING OF EMPLOYEES (28134)

The general manager and the departmental supervisors will develop a safety training curriculum for each job. The safety training curriculum will list the subjects to be covered and the training interval for each subject. All supervisors will familiarize themselves with the safety and health hazards to which employees in their department are exposed by reviewing the safety training curriculum.

Supervisors are responsible to train the employees in their departments at the following times:

            1.         When new employees are hired;

            2.         When employees are given a new job assignment for which training has not previously been received;

            3.         Whenever new substances, processes, procedures or equipment are introduced into the work place and represent a new hazard;

            4.         Whenever the company is made aware of a new or previously unrecognized hazard.

Records of employee training will be filed in the main office for three years. Training records training for each employee will specify the employee's name, training dates, types of training, and person(s) providing the training.


SAFETY AND HEALTH RECORDS (28135)

The company will maintain the following safety and health records in the main office under the following conditions:

            1.         Records of scheduled and periodic inspections which identify unsafe conditions and work practices, including person(s) conducting the inspection, the unsafe conditions, the work practices that have been identified as being unsafe, the actions taken to correct the identified unsafe conditions and work practices. The inspection records will be maintained for three years at the main office.