Accident Prevention Plan
(Shatha Aldahban)
TECH 462 –Industrial Safety Engineering
March 16, 2015
Table of Contents
Introduction
Goal & Intentions Page 5
Company Presidents Statement Page 6
Management Responsibilities
Manager Responsibilities Page 8
Supervisors Responsibilities Page 8-9
Employee Orientation
How and When Page 11
Emergency Action Plan Page 12-24
Emergency Shutdown Procedures Page 25
Injury and Illness Procedures
Procedures Page 27
Record Keeping Page 27
Supervisor Responsibilities Page 28
Report Form Page 29
Incident/Accident Investigation Procedures
Procedure Steps Page 31
Worksheet Form Page 32
Incident/accident Table Page 33
Safety Guidelines
General Guidelines Page 35-36
Equipment Specific Page 37
Individual Specific Page 38
Safety Disciplinary Policy
Safety Disciplinary Policy Page 40
Safety Awareness Program
Safety Committee Page 42
Safety Meetings Page 43
Safety Training Forms Page 43-44
Safety Award Program Page 45
Appendix A: Material Safety Data Sheet
(ACETOPHENONE) MSDS Page 47
(CALCIUM CARBONATE) MSDS Page 48
Appendix B: State and Federal Posters
(Job and Safety It’s the Law) Page 50
(In Case of Injury at Work) Page 51
(Fire Safety) Page 52
(Health and Safety at Work) Page 53
(Speak Up For Safety) Page 54
(Please Use Your Safety Gear) Page 55
Appendix C: OSHA Forms and Instructions
OSHA Form Instructions Page 57
OSHA Form 300 Page 58
OSHA Form 300A Page 59
OSHA Form 301 Page 60
ADDITIONAL FORMS Page 61-73
Introduction
SAFETY AND HEALTH POLICY FOR XYZ COMPANY
XYZ COMPANY places a high value on the safety of its employees. XYZ COMPANY is committed to providing a safe workplace for all employees and has developed this program for injury prevention to involve management, supervisors, and employees in identifying and eliminating hazards that may develop during our work process.
It is the basic safety policy of this company that no task is so important that an employee must violate a safety rule or take a risk of injury or illness in order to get the job done. The time during which employees are participating in training and education activities shall be considered as hours worked for purposes of wages, benefits, and other terms and conditions of employment. The training and education shall be provided at no cost to the employees. Members of the Safety/Health Committee will be allowed reasonable time to exercise the rights of the committee without any loss of pay or benefits.
Employees are required to comply with all company safety rules and are encouraged to actively participate in identifying ways to make our company a safer place to work. Supervisors are responsible for the safety of their employees and as a part of their daily duties must check the workplace for unsafe conditions, watch employees for unsafe actions and take prompt action to eliminate any hazards.
Management will do its part by devoting the resources necessary to form a safety committee composed of management and elected employees. We will develop a system for identifying and correcting hazards. We will plan for foreseeable emergencies. We will provide initial and ongoing training for employees and supervisors. And, we will establish a disciplinary policy to insure that company safety policies are followed.
Letter From The President
The purpose of this policy is to create a high criterion of safety all the way through operations of XYZ Company,and to make certain that no employee is expected to work under any conditions, which are risky or unhygienic.
We know that each employee has the right to obtain personal satisfaction from their job and the prevention of occupational injury and illness is of such significance to this belief that it will be given top priority at all times.
It is our goal here at ZYX Company to begin and maintain complete accident prevention and safety training programs. Each distinct individual from upper management to the working person is accountable for the safety and health of those persons that are in charge and their coworkers around them, our employee’s.
Signed,
The Company President
Management Responsibilities
Responsibilities for safety and health include the establishment and maintenance of an effective communication system among workers, supervisors and management officials. To this end, all personnel are responsible to assure that their messages are received and understood by the intended receiver. Specific safety and health responsibilities for company personnel are as follows:
A. Management Officials
Active participation in and support of safety and health programs is essential. Management officials will display their interest in safety and health matters at every opportunity. At least one manager (as designated) will participate in the safety and health committee meetings, incident investigations and inspections. Each manager will establish realistic goals for implementing instructions for meeting the goals. Goals and implementing instructions shall be within the framework established by this document. Incentives will be included as part of the instructions.
B. Supervisors
The safety and health of the employees they supervise is a primary responsibility of the supervisors. To accomplish this obligation, supervisors will:
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1.
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Assure that all safety and health rules, regulations, policies and procedures are understood and observed.
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2.
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Require the proper care and use of all required personal protective equipment.
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3.
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Identify and eliminate job hazards quickly through job safety analysis procedures. (See the sample Job Safety Analysis form attached to this document.)
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4.
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Inform and train employees on the hazardous chemicals and/or procedures they MAY encounter under normal working conditions or during an emergency situation. (See the sample hazard communication program.)
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5.
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Receive and take initial action on employee suggestions, awards or disciplinary measures.
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6.
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Train employees (new and experienced) in the safe and efficient methods of accomplishing each job or task as necessary.
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7.
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Review injury trends and establish prevention measures.
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8.
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Participate in incident investigations and inspections.
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9.
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Promote employee participation in the safety and health program.
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10.
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Actively follow the progress of injured workers and display an interest in their rapid recovery and return to work.
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Employee Orientation
How and When
Safety is everyone’s job at Small Business Notes. Small Business Notes provides a clean, hazard free, healthy, safe environment in which to work in accordance with the Occupational Safety and Health Act of 1970. As an employee, you are expected to take an active part in maintaining this environment. You should observe all posted safety rules, adhere to all safety instructions provided by your supervisor and use safety equipment where required. Your workspace should be kept neat, clean and orderly.
EMERGENCY ACTION PLAN for: XYZ COMPANY
Facility Name: ____________________
Facility Address: ___________________
DATE PREPARED: ___/_____/______
EMERGENCY PERSONNEL NAMES AND PHONE NUMBERS
DESIGNATED RESPONSIBLE OFFICIAL (Highest Ranking Manager at
_____________site, such as __________, ___________, or ____________):
Name: Phone: (________________)
EMERGENCY COORDINATOR:
Name: Phone: (______________)
AREA/FLOOR MONITORS (If applicable):
Area/Floor: Name: Phone: (_______________)
Area/Floor: Name: Phone: (_______________)
ASSISTANTS TO PHYSICALLY CHALLENGED (If applicable):
Name: Phone: (_______________)
Name: Phone: (________________)
Date ____/____/____
EVACUATION ROUTES
• Evacuation route maps have been posted in each work area. The
following information is marked on evacuation maps:
1. Emergency exits
2. Primary and secondary evacuation routes
3. Locations of fire extinguishers
4. Fire alarm pull stations’ location
a. Assembly points
• Site personnel should know at least two evacuation routes.
EMERGENCY PHONE NUMBERS
FIRE DEPARTMENT: ________________
PARAMEDICS: _______________
AMBULANCE: _______________
POLICE: ________________
FEDERAL PROTECTIVE SERVICE: ________________
SECURITY (If applicable): _________________
BUILDING MANAGER (If applicable): ________________
UTILITY COMPANY EMERGENCY CONTACTS
(Specify name of the company, phone number and point of contact)
ELECTRIC: _____________________
WATER: _______________________
GAS (if applicable): __________________________
TELEPHONE COMPANY: _______________________
Date: ___/____/_____
EMERGENCY REPORTING AND EVACUATION PROCEDURES
Types of emergencies to be reported by site personnel are:
• MEDICAL
• FIRE
• SEVERE WEATHER
• BOMB THREAT
• CHEMICAL SPILL
• STRUCTURE CLIMBING/DESCENDING
• EXTENDED POWER LOSS
• OTHER (specify)___________________________________
MEDICAL EMERGENCY
• Call medical emergency phone number (check applicable):
