
PROGRAM OUTLINE
How to use this Loss Control Safety Program
Letter to the President (program implementation)
Letter to the Managers (program implementation)
Letter to the Employees (program implementation)
Health, Safety and Environmental Commitment
Clothing and Personal Protective Equipment Policy
Acknowledgement Form
In Case of Emergency
ELEMENT 1
MANAGEMENT COMMITMENT AND LEADERSHIP
1.1 Safety Mission Statement
1.2 Health, Safety and Environmental
Commitment
1.3 Guiding Principles
1.4 Safety Responsibilities
1. Management
2. Employees
3. Contractors and Subcontractors
4. Visitors
1.5 Site Specific Accident Prevention
1.6 Health and Environment Control
1.7 Management Communication
1.8 Loss Control Safety Program Evaluation
1.9 Safety Meetings
ELEMENT 1 ADDENDUM:
Health & Safety Committee Meeting Minutes
ELEMENT 2
RULES AND WORK PRACTICES
2.1 Legislation Compliance
2.2 General Safety Rules
2.3 Disciplinary Procedure
2.4 Clothing and Personal Protective
Equipment Policy
2.5 Refusal to Work
2.6 Safe Work Agreement
2.7 Standard Work Practices
2.8 Substance Abuse Policy
1. Need, Intent and Scope
2. Prohibited Alcohol and Drug-Related Conduct
3. Employee Drug and Alcohol Testing
4. Employee Responsibilities
ELEMENT 2 ADDENDUM:
Safe work practices required for hazard control
in the work place
MATERIAL SAFETY DATA SHEETS (M.S.D.S.) FOR AREA FILED HERE
ELEMENT 3
INSPECTIONS, HAZARD ASSESSMENT AND CONTROL
3.1 General
3.2 Hazardous Condition Report
3.3 Inspections
3.4 Equipment Preventive Maintenance
3.5 Purchasing Controls
3.6 Engineering Controls
3.7 Security and Signs
3.8 Hazard Control
Included is a list of over 24 identified hazards and their control in the
work place
3.9 Office Safety
Included is a list of 11 identified office hazards and their control
ELEMENT 3 ADDENDUMS:
Hazardous Condition Report
Facility Formal Inspection Guide
Facility Formal Inspection Sheet
Summary of Inspection Sheets
Main Office - Formal Inspection Guide
Main Office - Formal Inspection Sheet
Vehicle Inspection Checklist
Inspection Follow Up Procedures
Follow Up Action Sheets
Formal Inspection Report Analysis Guide
Inspection Report Analysis
ELEMENT 4
EMERGENCY ACTION PLAN
4.1 Policy
4.2 Objectives
4.3 General
4.4 Duties and Responsibilities
1. Company Employee
2. Manager
3. AD HOC Emergency Action Plan Committee
ELEMENT 4 ADDENDUMS:
Emergency Instructions
Emergency Contact Numbers
Emergency Call Report
ELEMENT 5
ACCIDENT INVESTIGATION AND ANALYSIS
5.1 Management Statement
5.2 Introduction
5.3 Objectives
5.4 Incident and Accident Reporting
1. Incident
2. Accident
3. Injury
4. Vehicle Accident
5. Production Loss
6. Near Miss
7. Security/Vandalism
8. Environmental Incidents
5.5 Investigation Evaluation and Analysis
1. Engineering Controls
2. Administrative Controls
3. Personal Protective Equipment Controls
5.6 Follow-Ups and Recommendations
5.7 Loss Control Statistics
5.8 Off-the-Job Safety
ELEMENT 5 ADDENDUMS:
Incident/Accident Investigation Report
Formal Incident/Accident Investigation Report
Analysis Guide
Incident/Accident Investigation Report Analysis
ELEMENT 6
TRAINING AND ORIENTATION
6.1 Introduction
6.2 Management Training
6.3 Manager Training
6.4 Employee Training
6.5 On-the-Job Training
6.6 Safety Orientation
6.7 Training Records
6.8 Employees Assistance Program
6.9 Security
6.10 Safety Suggestions
6.11 Safety Awards
ELEMENT 6 ADDENDUMS:
New or Contract Employee Job Orientation
Standard
Job Safety Orientation Check List
Job Safety Orientation Program
Revision Request Form
Forms, Policies, and Rules available
for photocopying
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Copyright 2007, Charlyn Safety Programs, All Rights Reserved