Claims Administrative Services, Inc. · Claims Administrative Services, Inc. Safety Manual 501...

IMPORTANT NOTICE: The information and recommendations contained in this publication have been compiled from sources believed to be reliable. The Publisher makes no guarantee as to, and assumes no responsibility for, the correctness, sufficiency or completeness of such information or recommendations. The purpose of this publication is to assist plan participants in the implementation of their safety program. The Publisher, in providing this information, is not rendering legal or financial services. Recipients should not act on information found here which may be a matter of law or regulation without prior legal advice. No responsibility is assumed for the control or correction of existing conditions or practices. Other or additional safety measures may be required under particular circumstances.

Claims Administrative Services, Inc.

Safety Manual

501 Shelley Drive • P.O. Box 7500 • Tyler, Texas 75711 (903) 509-8484 • (800) 765-2412 • Fax (903) 509-1888

www.cas-services.com

For more information regarding the following or other safety topics, please contact the CAS Loss Control Department.

CLAIMS ADMINISTRATIVE SERVICES, INC.

Claims Administrative Services, Inc. release date 8/15/01

Table of Contents

Program Guide

District’s Action Plan

Workers’ Compensation Employer Responsibilities

Safety Committee

Early Return to Work Program

Written Hazard Communications Program

Alcohol and Controlled Substances Abuse

Hiring and Training the New Employee

Electrical and Mechanical Lockout / Tagout Procedures

First Aid

Safety Rules

Safety Shortstops

Fire Controls

Emergency Preparedness and Evacuation Plan

Self-Inspection Checklist and General Forms

Accident Investigation


Program Guide





Table of Contents Introduction/Overview

Accident Prevention Program Guide

Management-Administration Component

Accident Investigation

Health & Safety Training Component

Safety Inspection Component

Safety Analysis Component

Recordkeeping Component

Program Review Component

PROGRAM GUIDE


INTRODUCTION/OVERVIEW This guide is designed to assist you in eliminating employee accidents and controlling potential hazards. This guide gives you the ideas and tools to make accident prevention part of your standard operating procedures. You have the knowledge of how best to accomplish this in your district. No matter how large of small your district is, how unique your district is, or how many employees you have, the following suggestions can help you control the costs and suffering associated with workplace accidents.

Did you know that maintaining a safe work environment for employees can have a positive effect on productivity and operating costs? When you minimize accident exposure, you maximize operating efficiency and decrease operating costs.

An effective Accident Prevention Program can benefit a district’s fund balance. First, because a low injury record will reduce the cost of insurance coverage. Second, because every workplace accident to an employee results in insured and uninsured costs. The uninsured cost of accidents can have the greatest impact on costs.

Insured costs, such as compensation benefits and medical costs, are fairly obvious. Uninsured costs are, to some extent, hidden. They include:

1. Direct time loss – time lost by those injured as well as other employees and supervisors.

2. Indirect time loss – time lost hiring and training new or substitute employees, preparing reports, attending hearings or rescheduling production.

An effective Accident Prevention Program can reduce these indirect or uninsured costs substantially.

This package of materials is designed to provide information to help you establish and maintain your own Accident Prevention Program. The following package is to assist you in using the material. ACCIDENT PREVENTION PROGRAM GUIDE The guide provides Accident Prevention Program background information. It also outlines and describes the basic components of an Accident Prevention Plan, which you should have in place to manage your program.

“HOW TO” Seven component guidelines are provided covering management, accident investigation, safety training, inspections, safety analysis, record keeping and program review. Sample forms and a checklist are provided for each subject. The guidelines explain how to effectively develop and perform each of these vital components of your program. Use these guidelines to meet your individual district needs.

PROGRAM GUIDE


CALL OR WRITE FOR ASSISTANCE If you have a particular accident prevention problem, or need additional assistance regarding a special accident prevention situation that is not covered in these materials, your Claims Administrative Services, Inc. Loss Control and Safety Representative is always available to help.

THE BOTTOM LINE The end result will depend on what you do with this guide – how well you implement your Accident Prevention Program and manage your programs.

MANAGEMENT-ADMINISTRATION COMPONENT Experience has shown that sincere commitment and active participation by management are necessary if an Accident Prevention Program is to achieve beneficial results. When management continually demonstrates genuine interest in preventing accidents and providing a safer workplace, supervisors and employees are more likely to do the same.

ESTABLISH ACCIDENT PREVENTION GOALS An Accident Prevention Program is more likely to accomplish the desired results when safety goals have been clearly established. Goals should give a clear understanding of what you expect, should be realistic and should be easy to measure. For example, is your district has a high accident experience, a realistic and quantitative goal may be to reduce accident frequency by 25% during the next year. Safety goals should be established for every district, regardless of size.

MANAGEMENT PARTICIPATION Management should demonstrate active participation by translating ideas into specific safety actions, including:

1. Issuing a written statement of a safety policy; 2. Providing realistic allocations of time and money for safety items; 3. Assigning responsibility and authority for implementing and enforcing your

Accident Prevention Plan; 4. Reacting promptly to recommendations developed as a result of the Accident

Prevention Program, suggestions, complaints, etc.; 5. Attending safety meetings; and 6. Developing programs which involve a conscious effort and commitment from a

complete cross-section of the professional and auxiliary staff.

WRITTEN SAFETY POLICY Your first important action is to prepare a statement of safety policy to develop employee awareness and involvement.

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You must set a good example and communicate your intent to all employees. To do this, write a short statement of Safety Policy, sign it and place it in a visible location for all to see and refer to. A sample Safety Policy could be:

“It is the intent of this district to provide a safe place for all of you to work. Accident and injury prevention is an important part of my job and yours. Working together, we can achieve our goal of safety. Your ideas and safe working practices are important. Make safety everyone’s responsibility. I have appointed ________________ as the Safety Officer. He/she will be responsible for development and implementation of the Accident Prevention Plan. Supervisors and/or Managers will be responsible for enforcing the Plan and established safety procedures.”

REQUIRED POSTERS As an employer you are required by local, state and federal agencies to display informational posters. The following is required:

Texas Workers’ Compensation Commission (TWCC) approved posting This notice is available by calling your Claims Administrative Services, Inc. customer service representative at (800) 765-2412. MANAGEMENT COMPONENT CHECKLIST YES NO

1. Have you established a written Policy Statement?

2. In the Policy Statement or under a separate heading have you appointed by position an individual(s) who will be responsible for:

a. Development of the Accident Prevention Plan?

b. Implementation of the Plan?

c. Enforcement of the Plan?

3. Have you displayed the required TWCC poster?

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WHAT SHOULD BE INCLUDED IN THE ACCIDENT REPORTING & INVESTIGATING COMPONENT 1. Develop employee accident reporting criteria.

a. Report any accident no matter how minor the injury, or if only property damage occurs.

b. Indicate to whom the accidents are to be reported (principals, etc.).

2. Identify employer accident reporting criteria. TWCC requires that any occupational injury that results in more than 24 hours lost time or covered employers must report any occupational illness on a form TWCC-1.

3. Develop accident investigation guidelines covering how investigations will be conducted.

4. Appoint a responsible person(s) to conduct accident investigations.

ACCIDENT INVESTIGATION Accident Investigation is the process of recording what happened, who was involved, and the resulting injury. It is not conducted to place blame on any individual. It is, however, a means by which you can “zero in” on the actual cause of the accident. Then the necessary corrective action can be taken to prevent recurrence.

1. Investigate all accidents. The minor injury accident may well have serious consequences another time.

2. Investigate accidents as soon as possible after they happen while the facts are fresh in everyone’s mind.

3. Have the persons involved and any witnesses describe the accident as they saw it.

4. Avoid jumping to conclusions or placing blame on anyone.

5. Take corrective action to eliminate the cause and prevent recurrence.

6. Follow up later to see if the action was satisfactory.

WHEN SHOULD ACCIDENTS BE INVESTIGATED Every accident should be investigated as soon as possible after it occurs. If you wait, facts are forgotten and evidence is lost. Prompt investigations get the most complete and useful information. Investigations should take place at the scene of the accident.

WHY SHOULD INVESTIGATIONS BE MADE Accidents don’t just happen; they are caused. First, find out what caused the accident. Second, develop a plan of action to eliminate or control the cause. All accidents should be investigated, no matter how minor. Eliminating the causes of minor accidents will prevent serious accidents in the future.

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WHO SHOULD MAKE INVESTIGATIONS You, as an administrator of the district, should conduct the accident investigation. You know your employees and their jobs better than anyone else. By conducting the investigation, you demonstrate your concern for the safety of all employees. Therefore, conduct the investigation yourself.

HOW SHOULD INVESTIGATIONS BE MADE Skills in conducting effective accident investigations are developed through experience. Basically, find out what caused the accident and what can be done to prevent its recurrence. Some suggestions are:

1. Check the site and obtain facts before anything has been changed.

2. Discuss the accident with the injured employee as soon as possible after first aid or medical treatment has been given.

3. Obtain facts from witnesses regarding the conditions and circumstances before and after the accident.

4. Compile all facts, no matter how small, which will assist you in arriving at the real cause.

5. Be objective; find the real cause, not just someone to blame.

NOW WHAT Take the necessary corrective action to eliminate the cause and prevent recurrence. You haven’t done a complete job if the cause of the accident is not eliminated or controlled.

1. If employee failure was involved, make sure the employee is now properly trained. In addition, make sure other employees in similar operations are also trained.

2. If the operation can be changed to eliminate the hazards, change it.

3. Decide if equipment changes or guards are needed. Seek assistance, if necessary, to obtain the proper type of device.

4. Follow up on corrective actions to make sure they are effective.

For assistance see “Accident Prevention Help” under Health and Safety Assistance and Other Mandatory Programs Section.

PROGRAM GUIDE


ACCIDENT INVESTIGATION & REPORTING CHECKLIST

YES NO 1. Have you developed employer accident reporting

requirements?

2. Have you developed employee accident reporting requirements?

3. Have you appointed (by position) a person(s) to conduct accident investigations?

4. Have you developed accident investigation guidelines covering how investigations will be conducted?

HEALTH & SAFETY TRAINING COMPONENT Employee training is probably your most valuable accident prevention tool in developing employee awareness of safety. Through training, your employees learn to recognize and eliminate hazards. Many accidents could be avoided if the employee was shown safe work practices and made aware of the hazards of the job. The following may be helpful:

THE SUPERVISOR Your own supervisors are the key to any accident prevention program, and with your support and guidance they can have a direct impact on the reduction of workplace accidents.

THE NEW EMPLOYEE Include safety in your discussion with any new employee during their orientation. Give the new employee a tour explaining the operation, the processes, and any equipment. Explain any hazards that could lead to injury, and the safety precautions to prevent injury.

When developing the safety and health training component of your Accident Prevention Plan keep in mind that the plan is your written guide to implement your safety program. Establish the following in writing:

1. Who will be responsible for conducting safety training. 2. How often training will be conducted. 3. A sample listing of training topics. 4. For new employees list topics and areas to be covered during their orientation. See

the pamphlet New Employee Orientation in your Training Manual.

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WHY EMPLOYEE SAFETY TRAINING Statistics indicate that most accidents are preceded by unsafe acts rather than unsafe conditions. However, many accident prevention efforts are geared to eliminate only unsafe conditions. Many times an unsafe act would not have been committed if the employee had been shown the hazards involved in a job, as well as safe procedures to avoid them. Employee safety training is an answer to controlling unsafe acts. WHO NEEDS TRAINING Everyone needs training at one time or other. New employees need training to get off on the right foot. Existing employees who are changing jobs require training to perform their new jobs more efficiently and safely. Employees assigned to any activity where lifting and handling are performed need training, even when relatively light loads are involved. Supervisors need training in safety management techniques such as how to analyze jobs to identify unsafe acts and conditions. Retraining all employees at various times is necessary to reinforce safety procedures. WHEN SHOULD YOU TRAIN Safety is a matter of attitude. Attitudes can be created or changed by an effective training program. For the new employees, don’t wait. Start their training right away. Efficient, safe work habits will be realized much sooner. With existing employees, retrain on a periodic basis and back up with reminders for effective results. For example, safety slogans such as “Every Day is Safety Day” may be posted on bulletin boards. Bulletin board posters and check stuffers are available for your use.

WHAT SHOULD BE INCLUDED IN NEW EMPLOYEE SAFETY ORIENTATION Remember, this is your first opportunity to create or change the attitude of your employees.

1. Discuss the district’s safety policy and dedication to providing a safe and healthful work environment.

2. Provide the employee with a copy of safety rules and procedures and discuss any questions or particular items of interest with the employee (accident reporting, hazard reporting, etc.).

3. Discuss your Accident Prevention Plan with the employee. 4. Supply the employee with any personal protective equipment needed to perform the

job. Include instructions on proper wear and maintenance of the equipment. 5. Discuss or provide training on any specific hazard(s) of the employee’s job. A Job

Safety Analysis (JSA) is a good tool to help prepare and present this training. 6. Take the employee on a tour of the campus where he/she will work and point out

areas and operations particular to the job.

PROGRAM GUIDE


WHAT SHOULD BE INCLUDED IN EMPLOYEE SAFETY TRAINING This is your opportunity to reinforce positive safety attitudes in your employees.

1. Include briefings, videos, discussions, informal talks, etc., on topics that affect their safety and health.

2. Discuss any changes in procedures or operations.

3. Introduce new machinery or equipment, any hazards, or special safety precautions associated with operation.

4. Discuss actions taken to correct identified hazard(s), trend(s), and accident causes. JOB INSTRUCTION The efficiency of your district depends on how well your employees understand and carry out their jobs. Train them the right way by:

1. Analyzing the task and its hazard.

2. Putting the employee at ease.

3. Showing the employee exactly what has to be done to perform efficiently and safely - explain each step.

4. Watching the employee try out the task - explaining each step back to you.

5. Following up - check the performance from time to time.

The few extra minutes taken at this time to make sure the employee understands the job will pay for itself later on. ACCIDENT PREVENTION TALKS Holding periodic and informal accident prevention talks is another sure method of maintaining a safety conscious work force. Select timely subjects based on recent accidents, season of the year, conditions, particular jobs, operations, etc. Make the talk short and to the point. Encourage employee comments and participation in finding safer ways to work. SAFETY HINTS Occasional reminders or safety hints on an individual basis are needed to reinforce the overall awareness of each employee. This is an effective way to motivate employees by showing your concern for their safety.

PROGRAM GUIDE


SEVEN STEPS TO TRAINING Step 1 - Determine if Training is Needed Training is often considered as the answer to all problems. Not all problems lend themselves to being solved by training. Before training, determine whether other alternatives would be more effective. Is it better to train equipment operators to keep their hands free, or install guards? Step 2 - Identify Training Needs Once determined that training is needed, you need to determine what hazards employees may be exposed to. Step 3 - Identify Goals and Objectives Next, specify what you want the trainee(s) to gain from the training and how you will evaluate whether they have. Step 4 - Develop Learning Activities Select and design the activities that will enable trainee(s) to reach the objective. Step 5 - Conduct the Training Select whatever training method you have determined will be effective and conduct the training. Step 6 - Evaluate Program Effectiveness Verify that the training has accomplished the desired training objective. Step 7 - Improve the Program Review the training program and make any changes needed to ensure your required results. New equipment, new procedures, new hazards require changes in your training program. Your training program should include training on hazard control measures to protect employees. SAFETY AND HEALTH TRAINING COMPONENT CHECKLIST YES NO

1. Has an individual responsible for conducting training been appointed?

2. Have you stipulated how often training will be conducted?

3. Has a sample listing of training topics for all employees been created?

4. Has the list of topics and areas to be covered during a new employee’s orientation been established?

5. Has training been documented?

6. Have employees signed attendance rosters?

PROGRAM GUIDE


SAFETY INSPECTION COMPONENT A self-inspection program is a good way to detect unsafe conditions as well as unsafe acts that lead to accidents. Ask yourself what conditions or operations exist that could cause serious injury. Falls, lifting, reaching, twisting, being struck by an object, striking against, cuts, burns, etc., are just some of the ways employees are injured. Look for locations in your district where injuries have occurred or could occur. Knowing where and what to inspect is important. However, you and your supervisors should evaluate the conditions to perform a complete job. A self-inspection form is a helpful guide in identifying problem areas that need correction. Establish a schedule for regular inspections.

WHAT SHOULD BE INCLUDED IN THE INSPECTION COMPONENT As a district Administrator, you should identify:

1. Who will perform the inspection.

2. How often inspections will occur.

3. How the inspection will be recorded.

4. Who is responsible for reviewing the reports and corrective actions.

WHY MAKE SAFETY INSPECTIONS A well-planned safety inspection program helps you detect hazards before an accident occurs. Removing hazards also increases operating efficiency. Using the proper approach, inspectors can convince employees of your concern for their welfare.

WHEN SHOULD INSPECTIONS BE CONDUCTED Increased production, changes in operations, or installation of new equipment often creates new hazards, such as congestion, poor housekeeping, and other conditions that may contribute to employee accidents. Consider scheduling an inspection if any of these changes in conditions occur.

In addition, a periodic inspection program should be established weekly, monthly, or quarterly and then followed up for the best results. It is up to you to determine how often inspections should be conducted. Your CAS Loss Control Representative can make recommendations as to the frequency of these inspections.

WHAT TO LOOK FOR Both unsafe acts and unsafe conditions contribute to employee accidents. Therefore, these factors should receive special attention. Check your accident record for location and causes of accidents so these can be verified on your inspection. Use an inspection checklist to assist you and add additional items if necessary. A sample checklist is provided at the end of this section to assist you in developing your own.

PROGRAM GUIDE


WHAT SHOULD BE DONE An effective inspection program must be based on knowledge of the regulations applicable to each operation. The regulations should be available to those performing inspections and developing recommendations. Specifically, regulations of the Federal Occupational Safety and Health Administration - OSHA 1910 for general industry or OSHA 1926 for construction - should be available. Information on obtaining standards can be received by calling (214) 786-4731, Publications OSHA Regional Office, Dallas, Texas. Other publications containing standards, checklists, and technical data that you may find helpful are available from the American National Standards Institute, the National Fire Protection Association, and the National Safety Council. It is important to remember that governmental regulations establish only minimum requirements. To ensure that your safety objectives are met, you may want to exceed the minimum requirements. Check for Safe Acts and Reward Correspondingly, Such As:

1. Maintaining a safety-first attitude and working accordingly.

2. Ensuring that in their area of responsibility, unsafe conditions are not present and unsafe acts are not tolerated.

3. Using tools and equipment correctly. Check To Make Sure That These Conditions Exist:

1. Floors - good condition; free of loose boards, holes or slipperiness.

2. Aisles - clear and free of tripping hazards.

3. Machines - guarded (point of operation, gears, belts, etc.).

4. Housekeeping - clean and orderly.

5. Lighting - sufficient for safe operation.

6. Storage - properly stacked within recommended limits.

7. Electrical - equipment, wiring, and fusing to standards; no frayed wires, open boxes, or ungrounded devices.

8. Ladders - standard construction and good condition; sufficient for your needs. Check For Unsafe Acts Such As:

1. Horseplay.

2. Failure to use personal protective equipment.

3. Making guards or safety devices inoperative.

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4. Using improper tools or equipment.

5. Lifting improperly.

6. Using defective tools or equipment.

7. Operating equipment at an unsafe speed.

8. Insecure or disorderly piling of materials.

9. Using equipment without authority.

These are only some of the unsafe acts and important safety conditions. Add other items that are relevant to your district. DOCUMENTATION Copies of the completed checklist used to conduct the inspection should be maintained along with actions taken to correct any unsafe acts or conditions identified. INSPECTION COMPONENT CHECKLIST YES NO

1. Have you appointed a responsible person(s) for conducting safety and health inspections?

2. Have you established how often inspections will be

conducted?

3. Have you stipulated how inspections will be recorded?

4. Have you determined who will be responsible to review the inspection reports?

5. Have you conducted an inspection follow-up to ensure

corrective action is carried out and effective?

PROGRAM GUIDE


SAFETY ANALYSIS COMPONENT A safety analysis is a means of studying data to determine trends or identify problem areas. It allows you to concentrate your efforts on areas of your district that pose the greatest threat to the safety and health of your employees. Two types of analysis are provided:

1. Trend Analysis - This analysis is used to identify trends indicated by statistical data gathered from other program components. By keeping accident and injury data you can identify particular types of injuries (back injuries), and the causes of those injuries (improper lifting or that they occurred during lifting operations). Inspection data can reveal problem areas or particular hazards that continually reoccur. The trend analysis may indicate the need for additional training, new procedures, or engineering controls to eliminate the problem(s).

2. Job Safety Analysis (JSA) - Job safety analysis is a means of measures to protect the employee, or to eliminate or control the hazard.

WHAT IS INCLUDED IN THE ANALYSIS COMPONENT To formulate the analysis component you need to establish the following in writing:

1. Who (by position) will be responsible for conducting the analysis?

2. What type of analysis will be conducted?

3. How often the analysis will be conducted (quarterly, semi-annually, annually)?

4. What data will be analyzed?

WHY CONDUCT A SAFETY ANALYSIS Every district’s goal is to provide the best opportunity to learn for its students at the most economical cost. Errors that damage property or cause employee accidents are costly. A simple system of job analysis can help you obtain maximum efficiency, safety, and lowest costs.

WHAT IS TREND ANALYSIS A trend analysis is a review of statistical data that reveals trends, favorable or unfavorable, that occur as a result of administering your accident prevention program. It will also identify specific areas where you need to target your accident prevention efforts. You will want to concentrate on turning unfavorable trends into favorable trends.

HOW IS TREND ANALYSIS CONDUCTED 1. Select the data to be analyzed (accident injury data, data of hazard(s) identified

during inspections, etc.). 2. Determine a time period the analysis will cover (monthly, quarterly, or semi-

annually).

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3. Identify similarities in data (three out of four accidents involved in back injury, all injuries from same work area, three out of four involved same work activities, same hazards identified during inspections).

4. Develop corrective measures to stop the unfavorable trends.

WHAT IS A JOB SAFETY ANALYSIS A job safety analysis is a review of job methods that identifies hazards and, with corrective action, results in a safer and more efficient way to do a job. The term “job” refers to the steps or activities involved in a person’s occupation. Once job hazards are discovered, proper solutions can be developed.

Some solutions take the form of physical changes that minimize or control job hazards; for example, using machine guards. Other solutions can consist of changes in job procedures that eliminate or minimize hazards; for example, stacking materials more safely.

All factors such as quality control, production, and safety must be included in the analysis because all of them contribute to a more efficient operation. HOW SHOULD A JOB SAFETY ANALYSIS BE MADE A job safety analysis consists of four basic steps:

1. Select the job to be analyzed.

2. Break the job down into successive steps.

3. Identify the hazards and potential accidents.

4. Develop ways to eliminate the hazards and prevent potential accidents. NOW WHAT Use a job safety analysis for training new employees and noting deficiencies in jobs. Conduct a review if an accident occurs. Most importantly, follow-up in all areas for effective use. Select The Job To Be Analyzed Use the following factors as a guide in selecting jobs to be analyzed?

1. Frequency of accidents.

2. Disabling injuries.

3. Potential of injury.

4. New operations.

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Break The Job Down

1. Select a competent person to observe.

2. Explain the purpose of the analysis.

3. Observe the person as the job is performed.

4. Record each step on the Job Safety Analysis worksheet. This form can

5. be found in the Supervisor’s Training Series: Job Safety Analysis.

6. Review with the employee and seek comments. Identify The Hazards

1. Striking against, being struck, or other injurious contact. 2. Being caught in or between. 3. Slipping or tripping. 4. Straining, pushing, pulling, reaching, twisting, or lifting. 5. Gases, fumes, mist, or dusts that are hazardous.

Develop Ways To Eliminate Hazards

1. Find a new way to do the job. 2. Change the physical conditions that create hazards. 3. Eliminate hazards still present; change the job procedure. 4. Reduce the necessity or frequency of a job.

Also, for further details, see The Supervisor Training Series: Job Safety Analysis in our training manual. ANALYSIS COMPONENT CHECKLIST YES NO

1. Has an individual been appointed to conduct the analysis?

2. Has the type of analysis been identified?

3. Have you established a time frame the analysis

will cover (quarterly, semiannually, annually)?

4. Has the date for analysis been identified?

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RECORDKEEPING COMPONENT Record keeping is a necessary function of managing your Accident Prevention Program. Records provide written documentation of your actions and assist in administering your program components as well as meeting local, state, and federal requirements. WHY SHOULD YOU KEEP RECORDS There are numerous reasons for keeping records.

1. Texas Workers’ Compensation Commission Rule 120.1 requires all employers covered under workers’ compensation insurance to keep injury records.

2. Records are a source of support for managing your safety program. You need the records to conduct or carry out other safety program components.

3. Records may be needed as evidence in legal proceedings or other evidentiary proceedings.

TYPES AND FORMS OF RECORDS The Texas Workers’ Compensation Commission requires covered employers to maintain accident/injury records for their employees. FORMS TO BE FAMILIAR WITH: Form TWCC-1 Employer’s First Report of Injury Form TWCC-6 Supplemental Report of Injury RECORDKEEPING COMPONENT CHECKLIST YES NO

1. Have you designated a person(s) to maintain your records?

2. Have you stipulated what records will be kept?

3. Have you stipulated where your records will be maintained?

4. Have you indicated how long you will keep the

records?

5. Have you determined what forms will be used to document injury records?

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PROGRAM REVIEW COMPONENT The Program Review will keep your Accident Prevention Program current, working efficiently and effectively to prevent accidents, injuries and losses. It is your opportunity to fine tune your program and make adjustments. Conduct a thorough review of each component. Ensure any new equipment, procedures or operations are incorporated into the appropriate components of your plan. Check your existing equipment procedures and operations to ensure that your current component guideline is meeting your safety needs. Make changes and adjustments in your plan where necessary, and don’t forget to notify your workers of the changes. WHO CONDUCTS THIS REVIEW The superintendent, business manager or other administrator should designate who is best suited within the district to conduct the review of the Accident Prevention Program. WHEN IS THE REVIEW CONDUCTED The superintendent, business manager or other administrator should decide when the review is conducted; however, it is recommended that a review is done at least once each year. DOCUMENTATION Document the results of your review and submit results for record keeping. PROGRAM REVIEW COMPONENT CHECKLIST YES NO

1. Has a person been appointed to conduct and document the Program Review?

2. Have you stipulated when the Program Review

will be conducted (at least annually)?

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Notes _______________________________ _______________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________ _______________________________ _______________________________


Accident Prevention Plan

for

___________________________






Goals and Objectives

Administration Policy Statement

Departmental Safety Meetings

Accident and Hazard Investigation Component

Safety and Health Training Component

Analysis Component

Safety Audit/Inspection Component

Record Keeping Component

Safety and Health Surveys and Inspections Program

Equipment Inspection and Maintenance

Periodic Review and Revision of Components

DISTRICT’S ACTION PLAN


INTRODUCTION/OVERVIEW Did you know that maintaining a safe work environment for employees could have a positive effect on operating costs? When you minimize accident exposure, you maximize operating efficiency and decrease operating costs.

An effective Accident Prevention Plan can benefit our fund balance. First, because a low injury record will reduce the cost of insurance coverage. Second, because every workplace accident to an employee results in insured and uninsured costs. The uninsured cost of accidents can have the greatest impact on costs.

Insured costs, such as compensation benefits and medical costs are fairly obvious. Uninsured costs are, to some extent, hidden. They include:

1. Direct time loss - time lost by those injured as well as other employees and supervisors.

2. Indirect time loss - time lost hiring and training new or substitute employees, preparing reports or attending hearings.

An effective Accident Prevention Plan can reduce these indirect or uninsured costs substantially. PROGRAM COMPONENTS Seven component guidelines are provided covering administration, accident investigation, safety training, inspections, safety analysis, record keeping, and program review. Sample forms are provided for each subject. GOALS AND OBJECTIVES GOALS: An effective Accident Prevention Plan will achieve the following goals:

• Effective involvement of each and every employee of the district.

• Elimination of hazards (current and potential) that expose or create risk of any nature.

• A reduction of all work related accidents resulting in injury or illness to any employee or other person associated with the district.

• An increased awareness of the overall safe operation of all facilities.

• An increase in employee morale from knowing their work environment is maintained as free as possible from any and all recognized hazards.



OBJECTIVES:

• Implementation of an effective Accident Prevention Plan.

• Commitment for ongoing support from each and every level of Administration and personnel.

• Assigned responsibilities and accountabilities for the safety program.

• Allocation of adequate resources to the safety program.

• Establish lines of communication involving Administration and employees at all levels for safety and health concerns.

• Effective records and documentation maintenance and review.

• Completion of comprehensive surveys and periodic self-inspections.

• Establishment of effective measures for hazard identification, correction and control.

• Implementation of effective orientation and training programs.

• Initiation of regular program review and revision procedures.

The goals will be realized only if the objectives are carried out without hesitation or interruption, and every employee becomes interested in the safety program and its success.



ADMINISTRATION POLICY STATEMENT The Trustees and Administrators of ________________________are committed to providing a safe and healthful work environment for all our employees, students, and others that may work, visit, or enter our facilities.

It is our policy to manage and conduct business in a manner that offers maximum protection to each and every employee and any other person that may be affected by our operations.

It is our absolute conviction that we have the responsibility for providing a safe and healthful work environment for our people and all others that may be affected as we provide educational services.

We will make every effort to provide a working environment that is free from any recognized or potential hazard.

We recognize that the success of a safety and health program is contingent and dependent upon support from not only the executive level of Administration but also from involvement of all employees of the district.

The Superintendent of the district is committed to allocating and providing all the resources needed to promote and effectively implement the Accident Prevention Plan.

This district will establish avenues to solicit and receive comments, information, and assistance from employees about safety and health.

This district will comply with all federal, state, and local safety and health regulations.

Administration and staff will set an example of commitment to safety and health at this district.

This policy applies to all employees and persons affected or associated in any way by the scope of this district.

_____________________________________________________ Superintendent



AUTHORITY AND ACCOUNTABILITY The ____________________ of _____________ accepts the responsibility for providing resources and guidance for the development and implementation of the safety and health program.

The ______________ is/are responsible and will be held accountable for the overall implementation of the working plan. The ______________ have/has the authority to delegate any or all portions of the plan to subordinates, but will be held responsible for the performance of the plan. The Department Heads (Principals, supervisors, etc.) also have authority to approve or carry out actions against those who violate policies, procedures, or rules.

The ______________ is/are responsible and will be held accountable to ensure that all employees under his/her control follow all safety and health policies, procedures, and rules established by the district. The ______________ is/are also responsible for administering training and guidance to employees under their direction. The ______________ have/has the authority to reprimand and recommend disciplinary actions against employees who violate the safety and health policies of the district.

Employees are responsible and will be held accountable for providing this district with a commitment to the safety and health program, abiding by the policies, procedures, and rules set forth by the program, and becoming actively involved in the program to assist in providing a safe and healthful workplace for all involved.

Contractors who provide or perform services for this district, at any location, are responsible to ensure that each of the contractor’s employee’s actions and services delivered are in a manner consistent with our commitment to safety and health. The Accident Prevention Plan will be made available to all contractors for review. EMPLOYEE COMMITMENT AND RESPONSIBILITIES We recognize the success of any district-wide endeavor is ultimately dependent upon the entire work force. This district recognizes the value of employee involvement to assist us in realizing the goals we have set for ourselves.

The _________________ aggressively solicits from all employees assistance for and commitment to, the implementing of the Accident Prevention Plan.

All employees are encouraged and expected to become involved in all aspects of implementing the Accident Prevention Plan.

All employees are expected to follow established avenues to solicit and provide comments, information, and assistance where safety and health is concerned.



All employees are expected to perform their job duties in a manner that is safe for themselves, as well as those around them. All employees are required to abide by all safety and health policies, procedures, and rules established by this district.

All employees of this district will adhere to the safety and health regulations established by federal, state, and local agencies.

All employees are expected and required to adhere to the safety and health program of this district. This is not optional! Your continued employment with _____________ is contingent upon your recognizing and abiding by the safety and health policies, procedures, and rules established by this district. EMPLOYEE INVOLVEMENT Administration encourages employee involvement in the implementation process for the ongoing safety and health program of this district. We solicit this involvement by giving each employee an opportunity to participate and be responsible for implementation of the safety program for his or her respective areas. REPORTING OF HAZARDS AND UNSAFE CONDITIONS As a condition and requirement of employment, all employees are required to report hazards and unsafe conditions in the workplace to the ____________________. Each employee will take prompt and appropriate action to determine if a hazard exists. If it is determined that a hazard does exist, immediate attention for correction or interim protective measures will be taken. Regardless of whether or not a hazard is identified, the reporting employee will be notified of the corrective action taken or the procedures used to conclude that no hazard existed. If practical, this information will be shared with all employees of the district. SAFETY AND HEALTH DOCUMENTATION All reports of hazards and corrective measures or action taken will be documented and recorded. This documentation will be reviewed by District Administrative Assistants. Pertinent information will be made for employee review. DEPARTMENTAL SAFETY MEETINGS This district will ensure that all employees meet on a regular basis to discuss at least monthly to discuss safety and health issues or concerns and increase employee awareness of the safety and health program. Regular meetings will keep the program active in the mind of the employees, and offer an avenue for employees to voice concerns regarding workplace safety and health.

Meeting minutes and attendance records will be kept on file. Minutes will include all safety items and procedures discussed as well as the date and time of the meeting.



DISCIPLINARY POLICY _____________ have/has developed a disciplinary policy that applies to the safety and health program of this district. The disciplinary policy will be a tool to ensure enforcement of the rules and procedures for a safe and healthful working environment. The disciplinary policy applies to all employees of this district. The district shall strictly enforce the Alcohol and Controlled Substance Policy within the legal limits of the policy and the federal, state and local laws governing such infringements. VERBAL WARNINGS Department Heads or supervisors may issue verbal warnings to employees who commit minor infractions or violations of the safety rules or safe work practices. Continued violations or verbal warnings will lead to more stringent action. WRITTEN WARNINGS Administration or supervisors may issue written warnings for the following:

• Repeated minor violations of safety rules or procedures. • Single serious violations of a rule or procedure that could have potentially

resulted in injury to them or another employee or could have caused property damage.

• Activities that could potentially result in injury or property damage.

DISCIPLINARY LEAVE Supervisors may recommend, and Administration may institute, disciplinary leave for the above reasons and the following:

• A single serious violation of a rule or procedure that results in injury to an employee or property damage.

• Repeated violations, non-conformance to safety rules or procedures. TERMINATION ________________ may recommend, and Department Heads may concur in, the termination of any employee for repeated serious violations of the above circumstances. DOCUMENTATION The _______________________ will establish employee files. Violations of district rules or safety rules, regulations or procedures will be documented by filling out a report on the employee. The report will state the type of violation and corrective action taken. The employee must read and sign the report acknowledging that he or she understands the seriousness of the violation. Failure to sign may result in further disciplinary action.



ACCIDENT AND HAZARD INVESTIGATION COMPONENT The Administration is committed to correcting or controlling, in a timely manner, all hazards identified. HAZARD CORRECTION Whenever possible and feasible, all hazards identified at facilities will be corrected, by the responsible department, eliminating the cause of the hazard at its source. This will include, but not be limited to, the following:

• Discontinuation or removal of hazardous chemicals, materials, or substances from the workplace.

• Discontinuation from use or removal of defective equipment until replaced or repaired.

• Correction of any unsafe acts or conditions in existence, by in-service or individual training. .

HAZARD CONTROL When identified hazards cannot be eliminated, the hazard will be effectively controlled by engineering, administrative procedures, work practices, personal protective equipment, or any suitable combination of these measures.

Engineering controls will include, but not to be limited to, the following: • Isolation of employee exposure to the hazard. • Guarding or displacement of employee exposure to the hazard. • Preventive maintenance, or replacement of machinery and equipment.

Administrative procedures will include, but not be limited to, the following: • Written programs to establish administrative guidelines for safe work practices • Established and implemented work rules and procedures.

Work practices will include, but not be limited to, the following: • Careful planning and performance of each assigned job, duty, or task. • Reduction in duration of exposure to hazards. • Adherence to safety and health rules and procedures.

Personal protective equipment will be the control of last resort when all other means of eliminating the hazards have not provided adequate protection to the employee. When personal protective equipment is issued, the employee will be informed of the requirements, use, care, and limitations of the equipment.

ACCIDENT INVESTIGATION AND REPORTING The ______________________ will investigate all work related accidents and near miss incidents involving employees or district property in order to develop preventive measures and implement corrective actions.



EMPLOYEE REPORTING All employees and staff are required to report any of the following to their immediate supervisor:

• Accidents with injury or illness of any magnitude (including first aid related cases. • Accidents resulting in property or equipment damage of any magnitude. • Any near miss incidents that could potentially have resulted in injury, illness or

property damage. EMPLOYER REPORTING The ________________ will report the following accidents to local, state and federal agencies as required.

• For TWCC: Fatalities and accidents involving hospitalization of five (5) or more people will be reported within 24 hours.

• All serious accidents requiring hospitalization necessitate faxing the First Report of Injury to Claims Administrative Services, Inc.

ACCIDENT INVESTIGATION ___________________ will be responsible for conducting investigations of accidents that occur in their areas or that affect employees under their supervision. Upon notification of an accident or near miss incident, the responsible ___________________ will begin investigative proceedings to determine the following:

• How the accident or incident occurred. • Special circumstances involved. • Underlying, indirect, or associated causes. • Corrective actions or preventive measures and controls. • Follow-up of corrective actions and who will perform them.

Accidents and incidents involving situations where multiple supervisors are affected, (such as an employee of one department injured in another), will be investigated jointly. The _________________ of the area where the incident occurred will be in charge of, and held accountable for, the investigation. DOCUMENTATION All activities and findings of the investigators will be documented and recorded for review. Accident investigation documentation will record as a minimum, the following information (required for injury records per TWCC Rule 120.1):

• Date and time of occurrence. • Name of person(s) involved, job title(s), area assigned. • Date of birth, sex, wage, length of service and social security number. • Location of occurrence.



• Nature and severity of injury or illness. • Name of person(s) conducting the investigation. • Name of immediate supervisor of employee. • Job assignment or duties being performed at time of incident. • Special circumstances. • Details of how the accident occurred. • Injury sustained and part of body affected. • Description of any equipment affected or involved. • Names and comments of witnesses. • Direct cause. • Indirect, underlying, or contributing factors (including fault or failure in safety and

health program elements). • Corrective action implemented or preventive measures taken (including safety and

health program adjustments). SAFETY AND HEALTH TRAINING COMPONENT ___________________ is committed to providing safety and health related orientation training to all employees at all levels of the district. ___________________ will develop, implement, and maintain an aggressive safety and health orientation and training program. The program’s purpose is to educate and familiarize employees with safety and health procedures, rules, and work practices of the facility. All ongoing training will be conducted on a _________________ basis. The Administration of this district will encourage and require involvement and participation of all administrators, supervisors, and employees. Furthermore, the Board of Trustees and the district’s Superintendent will support the orientation and training program with allocations in funding, staff, resources, and time to develop and implement this program. Employees will be notified if any changes are made to the training program. TRAINING PROGRAM DEVELOPMENT The training subjects and materials are developed using industry and site specific criteria relating to identified and potential hazards, accident and incident data, and training required by governmental regulations. The orientation and subsequent training sessions will include, but not be limited to, the following:

• Hazards associated with the work area. • Hazards of the job or task assignment. • Emergency procedures. • Personal protective equipment. • Hazardous chemicals and materials. • Specific equipment operation training.



• Employee reporting requirements. • Accident investigation (supervisors and other designated personnel). • Confined space entry. • Any required training not included or addressed above.

The training program shall be administered in two phases consisting of the following:

1. New or reassigned employee orientation, and

2. Regular periodic training and refresher sections.

Aside from the formal safety and health related training classes, employees will receive guidance and instruction on safe operating procedures involved in each assigned job or task. ORIENTATION The orientation training will be administered to all new employees by their respective supervisors prior to initial work assignment and to employees assigned to new or different tasks or jobs. The orientation will consist of all required training programs as well as job and site specific safety and health information. All new employees will be given a tour of the district’s facility and an opportunity to ask questions in order to expedite the familiarization process. New employees will not be released to an individual job assignment until it has been determined by the ___________________ that the new employee has retained the minimal acceptable elements of the training provided and pertinent information to safely perform the assigned duties. ONGOING TRAINING All administrators, supervisors, and employees are required to participate and become involved in the ongoing safety and health-training program. Ongoing training will be conducted on an annual/semi-annual or quarterly basis during the month(s) of _____________________. This training will be conducted by District training personnel or their insurance carrier safety professional. The frequency, and repetitiveness, will be determined by training assessments and audits to be performed by the ___________________ and will be at intervals that ensure demonstration of adequate training. The assessments and audits will, for the most part, be informal questions and observations of employees and work areas. At some point a more formal survey, such as a written examination, may be required. At no time will an employee be approved to work at an interval greater than 12 months without retraining. All employees assigned to attend a training session must demonstrate competency and retention of the minimal acceptable information prior to returning to any job assignment. ___________________ have/has the authority to assess training effectiveness and is responsible for enforcing implementation of criteria for all training.



DOCUMENTATION Any and all safety and health related training administered or provided by ___________________ will be documented with the following minimum information:

• Date of training session. • Provider (name of person conducting training and affiliation) . • Legible name of attendee(s) and supplemental identification if needed or required. • Signature or acknowledgment of attendance.

All training records and documentation will become a permanent part of each employee’s record as well as a master record used to determine participation of all employees.

ANALYSIS COMPONENT The ___________________ of ___________________ will review and analyze all records and documentation pertaining to the safety and health program. This review will be conducted on a ___________________________ basis during the month(s) of _________________ and will focus on hazard analysis and recognition of developing trends.

Trend analysis will identify recurring accidents and near miss incidents resulting in or potentially involving injury, illness, or property damage.

The ___________________ will provide information and recommendations for corrective measures for trends developing in their areas.

Employees will be made aware of developing trends and hazardous exposures as they are recognized.

Trends of accidents and hazard recurrences will be the focal point for corrective action and employee training as needed.

Corrective measures will be followed by the ___________________ of each campus and district facility until the causal factor has been eliminated or controlled. SAFETY AND HEALTH SELF-INSPECTIONS The ____________________ has implemented a program to identify, correct, and control hazards on an ongoing basis. This program will employ multiple resources to ensure effectiveness. The ___________________ at each location of operation will conduct ___________________ in-house safety and health self-inspections, which will cover the entire facility and equipment.

All inspections will be conducted on an ongoing ________________________ basis during the month(s) of _____________________ without interruption. Administration will allocate adequate time and resources to perform the surveys.



Each location will develop and maintain an inspection checklist specific to the operation. The list will be developed using a general inspection checklist, and will be evaluated and updated with hazards that are identified during the inspections and with other pertinent data as it is acquired. The contents of this checklist will be reviewed regularly to ensure that it is current and updated. The checklist will become a part of the permanent record of the inspection and will serve as confirmation of the audit. Each checklist will indicate the location or specific site or area surveyed, name and title of the inspector, date of inspection, and corrective action taken for identified hazards or violations. The inspection report will be used in trend analysis and record keeping.

Employees must be notified of the hazards that pose an immediate threat of physical harm or property damage and informed of measures or steps that will be taken to eliminate, correct, or control the hazard.

The Superintendent will review the inspection checklists and any other established documentation to ensure that a timely course of corrective action has been established for eliminating each deficiency.

Reports generated, by the Superintendent or delegated representative, as a result of comprehensive surveys conducted by outside professional agencies will receive immediate attention and consideration. All hazards identified and recommendations for their removal will be acted upon in a timely manner. All methods of addressing the issues contained in the reports will be documented in writing and a copy maintained with the survey report. This documentation will also show the date corrections were made or actions taken. These reports and all associated documentation will be maintained for record and periodic review. Members of Administration who receive these reports will ensure that corrective actions are taken.

The checklists will be developed with the assistance of professionals providing comprehensive surveys (Claims Administrative Services, Inc. Loss Control and Safety Representatives, local fire inspectors, TWCC, etc.). RECORDKEEPING COMPONENT ___________________ believes that the only valid means of reviewing and identifying trends and deficiencies in a safety program is through an effective record keeping program. The record keeping element is also essential in tracking the performance of duties and responsibilities under the program.

This district is committed to implementing and maintaining an active up to date record keeping program.

All documentation will be kept for a minimum of five years, or as required by state and federal regulations including accident investigation reports.

Individual training records will be maintained for the current year plus five more.



INJURY AND ILLNESS DATA The ___________________ will maintain records of all work-related injuries or illnesses and attendant investigation reports of our associates or employees.

The following records are applicable to work related injuries and illnesses.

Applicable forms or records: • Texas Worker’s Compensation Commission form TWCC-1, Employer’s First

Report Injury. • Record of first aid or other incidents, which are not required to be reported by law. • Accident investigation reports.

SAFETY AND HEALTH SURVEYS AND INSPECTIONS PROGRAM The ___________________ will maintain and review records of all safety audits and inspections that are conducted within or that affect the district, our employees, or facilities.

Applicable forms and records: • Comprehensive survey reports and records of action taken. • Checklists of self-inspections and records of action taken.

SAFETY OR OTHER RELATED MEETINGS The ___________________ will maintain accurate records of all meetings associated with the safety and health program of this district.

Applicable forms and records: • Minutes and other records and data resulting from safety meetings or other

gatherings in which discussions occur that affect the safety and health program.

Records will be kept of all proceedings and appropriate administration or other designated staff actions affecting the safety and health program. These records will include the name of the recorder, date, a list of attendees, details of the topics discussed and action or corrective measures suggested, recommended or taken. The purpose of these records is to ensure that decisions affecting the safety and health program of this district are, implemented and results are documented. A recorder, responsible for keeping minutes or records at each meeting, will be designated. During each subsequent meeting, the record of minutes of the previous meeting will be reviewed, discussed, resolved, and the document closed with an authorized signature.

TRAINING RECORDS The ___________________ will maintain records of all safety and health related training.

Applicable forms or records: • Training documentation records.



All safety and health related training provided to employees of this district would be documented. This documentation will be maintained as proof of attendance and reviewed to assist in determining the need for additional or repeated training for employees on an individual basis. ACCIDENT INVESTIGATION The ___________________ will ensure proper records and documentation of all accident and incident investigation activities are maintained.

Applicable forms and records: • Accident investigation forms and supporting data including photographs. • Records of corrective action or preventive measures implemented.

EQUIPMENT INSPECTION AND MAINTENANCE The ___________________ will maintain records and data pertaining to equipment inspection and maintenance programs of the district.

Applicable forms and records: • Routine inspection and maintenance records. • Documentation of services performed by contract agreement. • Documentation of repair and replacement of parts or equipment.

Accurate records will be maintained involving all routine inspection and maintenance procedures performed on equipment at this district. This documentation will be periodically reviewed by those responsible for maintaining equipment and facilities. The documentation will be employed to determine an effective, ongoing equipment maintenance program and to ensure compliance with regulations that require inspections on certain equipment. PERIODIC REVIEW AND REVISION OF COMPONENTS The ___________________ or other designated representative will on an (quarterly, semi-annually, or annually - specify date(s)________________________ basis review and revise the components of the Accident Prevention Plan for effectiveness and relevancy. Special attention will be devoted to areas and criteria that demonstrate failure in a program component, as well as any changes relative to the introduction of new procedures, processes, or equipment. Corrective measures will be done as needed, by the Superintendent or his designated representative, to reemphasize or restructure the Accident Prevention Plan in order for the plan to perform at its optimum effectiveness.

The Superintendent will solicit information from area supervisors and employees to determine the effectiveness of each program component, and for assistance in developing adjustments and corrections.



Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________


Workers’ Compensation

Employer Responsibilities





Table of Contents

Introduction/Overview

Supplemental Reports of Injury

Employee Rights and Responsibilities Notice

If an Employee’s Work Status Changes

Record Keeping

Forms

EMPLOYER RESPONSIBILITIES


INTRODUCTION/OVERVIEW Claims Administrative Services, Inc. is firmly committed to providing you with the most current and relevant information available to employers covered by workers’ compensation in the state of Texas. In this guide, we have outlined some of your responsibilities as an employer, TWCC penalties and fines and some tips for managing your self-funded program. Please contact us if you have any questions about the following information. REPORTING WAGES

• If an employee misses more than seven (7) calendar days from work, complete an Employer’s Wage Statement form (TWCC-3) within thirty (30) days. Samples of these forms are shown in the General Forms section.

• Mail the original form to the TWCC, send a copy to the employee, retain a copy for your files and fax or mail a copy to Claims Administrative Services, Inc.

• The TWCC penalty for failure to file a complete wage statement is up to $500.00. REPORTING INJURIES

• An Employers’ First Report of Injury (TWCC-1) should be completed on each injury. Samples of these forms are shown in the General Forms section.

• If an employee misses more than a full day of work or if the injury is an occupational disease (inhalation, repetitive motion injuries, etc.), mail the original to the TWCC in Austin within eight (8) days, retain a copy for your files, send a copy to the employee and fax or mail a copy to Claims Administrative Services, Inc. We encourage workers’ compensation coordinators to file this report the same day the injury is reported by the employee.

• If an employee misses less than a full day of work, retain a copy for your files, send a copy to the employee and fax or mail a copy to Claims Administrative Services, Inc.

• The TWCC penalty for failure to comply is up to $500.00 per day. SUPPLEMENTAL REPORTS OF INJURY

• If an employee returns to work, has subsequent lost time, has a decrease in earnings, resigns or is terminated, fill out a Supplemental Report of Injury (TWCC-6). Samples of these forms are shown in the General Forms section.

• Send a copy of this form to the employee, retain a copy for your files, and fax or mail a copy to Claims Administrative Services, Inc. DO NOT send a copy to the TWCC unless requested to do so.



WRITTEN NOTICE TO NEW EMPLOYEES • Employers must give written notice of coverage in English and Spanish to all new

employees when they are hired. The notice advises employees that they have the right NOT to be covered by the employer’s workers’ compensation insurance.

• The notice must meet TWCC requirements. To obtain copies, contact Claims Administrative Services, Inc.

• The TWCC penalty for failure to comply is up to $500.00 for each occurrence. Samples of these forms are shown in the General Forms section.

IF YOU HAVE ANY QUESTIONS Call Claims Administrative Services, Inc. We would be happy to assist you! EMPLOYEE RIGHTS AND RESPONSIBILITIES NOTICE

• The Texas Workers’ Compensation Commission Law requires that when an employee reports an injury the employer must, at the same time, provide the injured employee with the form “Employees Rights and Responsibilities Under the Texas Workers’ Compensation System.”

SUPERVISORS MUST CONTACT THE ADMINISTRATION OFFICE All injuries, even those appearing to be minor, should be reported to your workers’ compensation coordinator the day you are notified of the injury. This step protects the employer and the employee. FILL OUT A FIRST REPORT OF INJURY A sample Employer’s First Report of Injury (TWCC-1 or T-1) and instructions for completing the form is available in the General Forms section.

If the employee DOES miss more than a full day of work or if the injury is an occupational disease (inhalation, repetitive motion injuries, etc.), mail or fax the original to Claims Administrative Services, Inc., within eight (8) days, retain a copy for your files, and provide a copy to the employee. If the employee DOES NOT miss more than a full day of work or if the injury is not an occupational disease, retain a copy of the report for your files, send a copy to the employee and fax or mail a copy to Claims Administrative Services, Inc. You will also need to provide to the employee, at the time he/she reports an injury, a copy of the Employee Rights and Responsibilities form. If the injury is serious (head injuries, serious burns, paralysis, etc.) or results in death, call Claims Administrative Services, Inc. immediately.



IF AN EMPLOYEE MISSES MORE THAN SEVEN CALENDAR DAYS OF WORK Fill out an Employer’s Wage Statement form (TWCC-3 or T-3) within thirty (30) days. A sample and instructions for completing the form is available in the General Forms section. Send a copy of this completed form to the employee, retain a copy for your files, and fax or mail a copy to Claims Administrative Services, Inc. DO NOT send a copy to the TWCC unless requested to do so. IF AN EMPLOYEE’S WORK STATUS CHANGES If an employee returns to work, has subsequent lost time, has a decrease in earnings, resigns or is terminated, fill out a Supplemental Report of Injury (TWCC-6 or T-6). A sample and instructions for completing the form is available in the General Forms section.

Send a copy of this completed form to the employee, retain a copy for your files, and fax or mail a copy to Claims Administrative Services, Inc. DO NOT send a copy to the TWCC unless requested to do so. IF YOU HAVE ANY QUESTIONS, PLEASE CALL US! If you have any questions about filing a claim or about the status of a claim, please feel free to call Claims Administrative Services, Inc.!

REQUIRED POSTERS • Employers must display the following posters in English and Spanish and they

must meet TWCC requirements. To obtain the posters, contact Claims Administrative Services, Inc.

• Coverage & Safety Hotline posters. The TWCC penalty for failure to comply is up to $500.00.

• Ombudsman posters. The TWCC penalty for failure to comply is up to $1,000.00.

RECORDKEEPING

• It is very important for all workers’ compensation coordinators to KEEP records of ALL injuries to employees as reported to the employer. This documentation protects the employer and the employee.

• Workers’ compensation coordinators should set up separate files for each injury to ensure accurate recordkeeping.

• Records should be kept until the expiration of five years from the last day of the year in which the injury occurred.

• The TWCC penalty for failure to comply is up to $500.00.



Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________



FORMS First Report of Injury (TWCC-1) Reporting Wages (TWCC-3) Supplemental Report of Injury (TWCC-6)

TWCC 1 (Rev. 6/97) Rule 120.2

TWCC CLAIM #

Send the specified copies to yourWorkers' Compensation Insurance Carrierand the injured employee.*Employers - Do not send this form to theTexas Workers' Compensation Commission,unless the Commission specifically requests a directfiling. CARRIER'S CLAIM #

EMPLOYER'S FIRST REPORT OF INJURY OR ILLNESS1. Name (Last, First, M.I.) 2. Sex

F M15. Date of Injury (m-d-y)

- -

16. Time of Injury

: am pm

17. Date Lost Time Began(m-d-y) - -

3. Social Security Number

- -

4. Home Phone

( )

5. Date of Birth (m-d-y)

- -

18. Nature of Injury* 19. Part of Body Injured or Exposed*

6. Does the Employee Speak English? If No, Specify Language

YES NO

20. How and Why Injury/Illness Occurred*

7. Race White

Black Asian

8. Ethnicity Hispanic

Native American Other

21. Was employee doing his YES regular job? NO

22. Worksite Location of Injury (stairs, dock, etc.)*

9. Mailing Address Street or P.O. Box

City State Zip Code County

23. Address Where Injury or Exposure Occurred Name of business if incident occurred on a business site

Street or P.O. Box County

10. Marital Status Married Widowed Separated Single Divorced

City State Zip Code

11. Number of Dependent Children 12. Spouse's Name 24. Cause of Injury(fall, tool, machine, etc.)*

13. Doctor's Name 25. List Witnesses

14. Doctor's Mailing Address (Street or P.O.Box)

City State Zip Code

26. Return to work date/or expected (m-d-y)

- -

27. Did employee die?

YES NO

28. Supervisor's Name

29. Date Reported

(m-d-y)

- -

30. Date of Hire (m-d-y)

- -

31. Was employee hired or recruited in Texas?

YES NO

32. Length of Service in Current Position

Months Years ______

33. Length of Service in Occupation

Months Years ______34. Employee Payroll Classification Code 35. Occupation of Injured Worker

36. Rate of Pay at this Job

$ Hourly $ Weekly

37. Full Work Week is:

Hours Days

38. Last Paycheck was:

$ for Hours or Days

39. Is employee an Owner, Partner,

or Corporate Officer?

YES NO

40. Name and Title of Person Completing Form 41. Name of Business

42. Business Mailing Address and Telephone Number Street or P.O. Box Telephone ( )

43. Business Location (If different from mailing address) Number and Street

City State Zip Code City State Zip Code

44. Federal Tax Identification Number 45. Primary Standard Industrial Classification (SIC) Code* (4 digit)

46. Specific SIC Code* (4 digit)

47. Texas Comptroller Taxpayer No.

48. Workers' Compensation Insurance Company 49. Policy Number

50. Did you request accident prevention services in past 12 months?

YES NO If yes, did you receive them? YES NO51. Signature and Title (READ INSTRUCTIONS ON INSTRUCTION SHEET BEFORE SIGNING)

X Date ________________________________________

TWCC-3 (Rev. 8/96) Rule 128.2 Page 1 of 4 Continued on next page

Initial Amended EMPLOYER’S WAGE STATEMENT The Texas Workers' Compensation Act and Commission rules require an employer to provide an Employer's Wage Statement to its workers' compensation insurance carrier and the injured employee or the employee's representative, if any. The purpose of the form is to provide the employee's wage information to the insurance carrier for calculating the employee's average weekly wage to establish benefits due the employee or a beneficiary.

The average weekly wage is based on the wages the employee earned in the 13 weeks immediately preceding the date of injury (or the wage a similar employee earned if the employee did not work the full 13-week period). "Wages" include all forms of remuneration payable to an employee for personal services, including fringe benefits. See instructions below for filing this form.

If an employee is disabled at least 8 days cumulatively, the employer shall file a signed completed wage statement with the insurance carrier and the employee within 30 days of the eighth day of disability.

An employer who fails without good cause to file a complete wage statement as required by the Texas Workers' Compensation Act, Texas Labor Code, Section 408.063(c) and Commission Rule 128.2 may be assessed an administrative penalty not to exceed $500.00. Do not send this form to the Texas Workers' Compensation Commission unless requested.

Send the completed Employer's Wage Statement to your workers' compensation carrier with a copy to the employee or the employee's representative, if any. An amended wage statement must be filed with your carrier within 7 days after any fringe benefit is suspended. Check the "amended" box above.

STEP ONE: EMPLOYER AND EMPLOYEE INFORMATION

1. Employee’s Name (Last, First, M.I.) 5. Employer’s Business Name

2. Employee’s Mailing Address (Street or P. O. Box) 6. Employer’s Mailing Address

City State ZIP Code City State ZIP Code

3. Social Security Number 7. Federal Tax I.D. Number

4. Date of Hire 8. Date of Injury

9. Has employee returned to work? NO YES If yes, date ___________________ If required, also file Form TWCC-6, Employer’s

Check one of the following: Full Duty, Full Pay Reduced Pay Supplemental Report of Injury.

10. Employee’s Status (Check all that apply.) � Full-time: employee who regularly works at least 30 hours per week and whose schedule is comparable to other employees of the company and/or other employees in the same business or vicinity who are considered full-time.

� Part-time - Regular Course of Conduct: employee whose work history for the 12-month period preceding the injury shows the person only worked part-time during that period.

� Part-time - Not Regular Course of Conduct: employee whose work history for the 12-month period preceding the injury shows part-time and full time work during that period.

� Seasonal: employee who as regular course of conduct engages in seasonal or cyclical employment which may or may not be agricultural in nature and that does not continue throughout the year.

� Student: employee enrolled in a course of study in high school, college or other institute of higher education or technical training.

� Minor: employee less than 18 years of age and not emancipated by marriage or judicial action who is also an apprentice, trainee or student.

� Apprentice: employee who is learning a skilled trade or art by practical experience under the direction of a skilled crafts person or artisan.

� Trainee: employee undergoing systematic instruction and practice in some art, trade or profession with a view towards proficiency in it.

Send to workers’ compensation carrier:

_______________ _______ ___ (name of carrier)

TWCC # CARRIER’S CLAIM #


Employee’s Name _____________________________________________________________ STEP TWO: SAME OR SIMILAR EMPLOYEE Social Security # ______________________________Date of Injury _____________________

The wage information on this form is for: � Injured Employee � Similar Employee (If a dispute is raised,

the employer must be able to identify the similar employee whose wages were provided on this form.)

If the employee worked for less than 13 weeks immediately preceding the date of injury, the employer must identify a similar employee who performs similar services. A similar employee is a person with training, experience, skills and wages that are comparable to the injured employee's. Similar services are tasks performed or services rendered that are comparable in nature and in the number of hours normally worked to those of the injured employee.

STEP THREE: WAGE INFORMATION

Provide all wage information in the boxes below. The wage information must be provided for each week in the 13 weeks immediately preceding the date of injury. Do not include the date of injury or any days after the date of injury. If no wages were paid during a week, place a zero (0) in boxes 11b and 11c.

Instructions 11. WAGE INFORMATION

11a. WEEK Week No.

FROM TO

11b. HOURS PAID

11c. GROSS WEEKLY PAY

1

2

3

4

5

6

7

8

9

10

11

12

11a. Provide the beginning date and ending date for each of the 13 weeks preceding the date of injury.

11b. Provide the number of hours worked in each of the 13 weeks from 12:00 a.m. on the first day of the week through 11:59 p.m. the last day of the week.

11c. Provide the amount of money paid to the employee in each of the 13 weeks for the services provided. Include all actual money paid to the employee for time off for vacation leave, sick leave and holidays. Do not include the market value of leave time earned but not used.

NOTE: To calculate the weekly amount for an employee who is paid once a month, divide the monthly gross wages by 4.34821 and place the weekly result in the appropriate box. 13

Special attention must be given to an employee who earns a commission. The amount of any commission should be listed in the week it was earned, not the week the employee actually received the money. Wages for each week should also include all tips and gratuities received by the injured employee or a similar employee. An annual bonus received during the 13-week period immediately preceding the date of injury should be prorated over a 52-week period to correctly calculate the employee's average weekly wage.


Employee’s Name ____________________________________________________ STEP FOUR: FRINGE BENEFITS

Social Security # ____________________ Date of Injury _____________________

In Box 12 below, list all fringe benefits provided to the employee for personal services in each of the 13 weeks preceding the injury. Place a check in Box 12a to indicate whether the fringe benefit was paid. If the answer is yes, list the value or cost of that benefit during the specific week in Box 12b.

PAYMENTS CONSIDERED A FRINGE BENEFIT Health Insurance Premiums: money paid by employer for employee's health insurance Laundry/Cleaning: money paid by employer or fair market value of laundry or cleaning services Clothing/Uniforms: money paid by employer or fair market value of clothing or uniforms provided by employer

Lodging/Housing/Rent: money paid by the employer or fair market value of the same items in the local area Food/Meals: actual cost provided by the employer Vehicle/Fuel Allowance: regular allowance provided from which an employee pays for transportation or fair market value Bonus: bonus money earned or accrued by employee during the 13-week period (Prorate for a 52-week period.)

PAYMENTS NOT CONSIDERED A FRINGE BENEFIT OR A WAGE z money paid by employer for a short or long term

disability z per diem reimbursement for lodging, food, etc. z employer payment of unemployment taxes z employer payment for workers' compensation insurance

z market value of accrued but not paid vacation/sick leave

z payment made by employer to reimburse

employee for use of employee's equipment z reimbursement for actual work-related travel

expenses z payment made by employer to reimburse

employee for paying helpers

12. FRINGE BENEFITS TYPE OF BENEFIT

12a. EMPLOYER PROVIDED

12b. IF YES, VALUE OR AMOUNT PAID IN EACH WEEK PRIOR TO INJURY 12c. EMPLOYER WILL CONTINUE TO PROVIDE

12d. DATE BENEFIT SUSPENDED (actual or projected)*

NO YES 1 2 3 4 5 6 7 8 9 10 11 12 13 YES NO HEALTH INSURANCE

LAUNDRY/ CLEANING

CLOTHING/ UNIFORMS

LODGING/ HOUSING/ RENT

FOOD/ MEALS

VEHICLE/ FUEL ALLOWANCE

BONUS

OTHER

*IF A FRINGE BENEFIT IS IDENTIFIED as being continued, and the employer later suspends that benefit, the employer must file an amended Employer's Wage Statement with the insurance carrier within 7 days reporting the date of suspension. Check the box at the top of page 1 indicating that it is an amended form.

TWCC-3 (Rev. 8/96) Rule 128.2 Page 4 of 4

E: SIGN THE FOR Employee’s Name _____________________________________________________________

STEP FIVE: SIGN THE FORM Social Security # ______________________________Date of Injury _____________________

13. I HEREBY CERTIFY THAT THIS STATEMENT is complete, accurate, and complies with the Texas Workers' Compensation Act and applicable rules, and that wages listed in Box 12 include the fair market value of all fringe benefits provided. Furthermore, the weekly value of all fringe benefits provided after the date of injury is listed above. An amended Wage Statement will be filed with the insurance carrier within 7 days after any fringe benefits are suspended. Printed name and title of person completing this form Signature Telephone No. ( ) Date __________________

References: Texas Workers' Compensation Act, Texas Labor Code 401.011(43), 408.041 - 408.046, 408.063; Rules in Chapters 128 and 129

The box below is for the optional use of the insurance carrier to assist in the calculation of the Average Weekly Wage (AWW) and the Temporary Income Benefits (TIBs) and Impairment Income Benefits (IIBs) Rates. FOR CARRIER USE ONLY

Total Gross Wages = Total of 13 weeks of gross weekly wages from section 11c: $

Total Fringe Wages = Total value of 13 weeks of fringe benefits from section 12: $

Total Hours Worked = Total hours worked during 13 weeks from section 11b:

$ = $ + $ Total Wages Total Gross Wages Total Fringe Wages

$ = $ ÷ 13 AWW Total Wages

$ = $ ÷ Hourly Rate Total Wages Total Hours Worked

Weekly Benefit Rates:

$ = (70% or 75%)* X ($ ---- $ ) TIBs Rate AWW Post Injury Earnings** *If Hourly Rate = $8.49 or less, use 75% for first 26 weeks; otherwise use 70%. **Post Injury Earnings include both wages and fringe benefits received after the injury.

$ = $ X 70% IIBs Rate AWW

TWCC 6 (Rev. 7/93) Rules 120.3, 129.4

File original with employer's carrier.File copy with injured employee.

SUPPLEMENTAL REPORT OF INJURY

DO NOT SEND THIS FORM TO TEXAS WORKERS' COMPENSATION COMMISSION UNLESS REQUESTED.

WHEN AND WHERE TO FILE: For all injuries occuring January 1, 1991 or after that require a TWCC-1, Employer's First Report ofInjury, to be filed, the employer must file by first class mail or personal delivery a Supplemental Report of Injury (TWCC-6) with theemployer's workers' compensation carrier and the injured employee: 1) within 3 days after the injured employee returns to work; 2) within 3days when the employee, after returning to work, has an additional day or days of disability because of the injury; 3) within 10 days after theend of each pay period in which the employee has an increase or decrease of earnings during the time the employee is entitled to temporaryincome benefits; 4) within 10 days after the employee resigns or is terminated. If the injured employee is no longer employed by theemployer, the employee is responsible for providing information to the carrier about amounts of earnings or offers of employment. Theemployee may use a TWCC-6, Employer's Supplemental Report of Injury for this purpose. An employee has disability if he/she is unableto work as a result of the injury or has returned to work earning less than pre-injury wages because of the injury.

EMPLOYEE INFORMATION1. Employee's Name (Last, First M.I.) and Telephone No.

( )

2. Social Security No. 3. Date of Injury (m-d-y)

4. Employee's Mailing Address (Street or P.O. Box)

City State Zip Code

TO EMPLOYER: Based on above rule requirements, check boxes which show reasons for filing Supplemental Report of Injury this date:employee returned to work change in weekly earnings after injury employee terminated/resigned additional day(s) of disabilityComplete Block 5a or 5b Complete Blocks 5a or 5b Complete Block 5a or 5b Complete Block 5bComplete Blocks 6 and 7 Complete Blocks 7 and 8 Complete Block 7 Complete Block 7

Complete Block 95. a) If initial filing of TWCC-6, first day of disability due to injury (m-d-y) 5. b) If second or subsequent filing of TWCC-6, give first day of disability

due to injury for this period only (m-d-y)

6. Date of Return to Work

(Check box) Full Duty, Full Pay

Limited Duty: Full Pay Reduced Pay

7. Weekly and Hourly Earnings at Time of This Report $ __________

(Check box) weekly Same as Preinjury Wage $

hourly Increase from Preinjury Wages Decrease from Preinjury Wages

8. No. of Hours Working Weekly at Time of This Report (Check box)

Increase from Preinjury Hours Worked Weekly Same as Preinjury Decrease from Preinjury Hours Worked Weekly

9. If the employee resigns or is terminated, fill in the appropriate section.

Date of Resignation (m-d-y)

Date of Termination (m-d-y) ________________________________

10. If applicable, eight days of disability began on (m-d-y) [see above definition of disability]

9a. Reason for Resignation or Termination

11. Has injured employee died? If so, give date of death (m-d-y) 12. Was employee on limited duty at time of termination? Yes No

EMPLOYER INFORMATION13. Employer's Business Name 14. Telephone No.

( )

15. Employer's Business Mailing Address (Street or P.O. Box)

City State Zip Code

16. Name of Workers' Compensation Carrier for Above Injury

17. The information provided in this report is accurate to the best of my knowledge. It may be relied upon for evaluation of the named employee's eligibility for benefits.

Signature and Title of Person Completing Form Employer Employee Date

CARRIER’S CLAIM #

TWCC #


Safety Committee






Forming Your Safety Committee

Goals

Feedback

Action

SAFETY COMMITTEE


INTRODUCTION/OVERVIEW A safety committee when properly formed, supported and budgeted can be an invaluable asset to any business.

To improve your chances for a successful safety committee:

• Make sure you want a safety committee. It must be approved from top management down.

• Effective policies and procedures must be implemented.

• Goals need to be established:

Solving problems

Communications

Employee participation

Education

Training

• Problem solving techniques need to be developed.

• Feedback Most safety committees fail because:

• Safety committee members bring problems to the committee that overwhelm the committee and stagnation results.

• Inspection teams usurp the authority of managers and supervisors.

• Not enough time is given to the safety committee members to perform effective safety functions.

• Most safety committee members feel it is their job to police the action of other employees.

FORMING YOUR SAFETY COMMITTEE Once you have determined a need for a safety committee the next step is selecting the committee. COMMITTEE SELECTION How the administration selects committee members is critical. The committee members influence the perception by the total population as to whether this is a genuine administrative effort to represent employees’ concerns.

SAFETY COMMITTEE


First select a few representatives from various departments. Leave membership open for three months so others interested in the safety committee can join. In this way, a group will form that employees believe is representative.

Next, the administration must show the committee members that the committee is important enough to influence the district.

Administration must make a commitment to convene and attend at least six monthly meetings. Participation by administrators assures that interest and ideas get turned into action as soon as possible.

If the district is relatively small but has more than one campus, the committee should consist of members from each campus. If the district is relatively large it might consider a separate committee for each campus.

Depending on the size of the district, the safety committee might range from a three to five person committee for a small district to a fifteen person committee for a large district. COMMITTEE MEETINGS In the first few meetings the following should be accomplished:

• Define the purpose of the group.

• Determine the roles of the members.

• Establish procedures.

• Determine when the safety committee will meet.

• Establish how feedback will be given to employees.

• Observe how committee members interact with each other.

Make certain each meeting has a clearly defined agenda in order to eliminate wasting anyone’s time. GOALS Once you have established the committee, determine what the goals of the committee are.

• What problems need to be solved and how to solve them.

• How to communicate to others what the problems are.

• Involve employees in solving the problems.

• Educate employees on the cause of the problems.

• Train employees.

SAFETY COMMITTEE


FEEDBACK In every meeting, questions are asked by employees that only management can answer. If the committee must wait for an answer, the drive for action is slowed. To create an action plan, the committee needs knowledge. Participation by the administrators assures that interest and ideas get turned into action as soon as possible. Employees outside the committee will also require answers to questions they have. It is important for everyone to be involved in the feedback process. ACTION Once the goals of the committee have been established, an agenda should be created to provide guidelines to accomplish those objectives. The committee was created to solve problems that exist and take action to solve those problems. An inactive committee will serve no purpose.

It is the individual responsibility of each safety committee member to do their part. A safety committee can do many things to improve safety awareness, communications and training. It takes a team effort.

SAFETY COMMITTEE


Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________


Early Return

To Work Program






Return To Work

Light Duty

EARLY RETURN TO WORK


INTRODUCTION/OVERVIEW Historically, employers have adopted a passive role in returning disabled employees to work. However, skyrocketing workers compensation medical and indemnity costs, legislative changes (such as the Americans with Disabilities Act), increases in litigation expenses, and the economic need to reduce costs in order to stay competitive, have all worked together to encourage employers to take a closer look at their disability-related policies and procedures. Each day that your injured employees are not on the job you are paying out indemnity and medical dollars. Employers are aware of these rising costs and are seeking proactive ways to reduce them. RETURN TO WORK As the injured employee reaches a level of medical improvement sufficient to perform some job duties, the employer/supervisor needs to work with the medical staff to develop a return-to-work schedule in the employee’s former job or in another transitional job which could be light duty. In some cases, job restructuring is used to accommodate the residual impairment of the employee. LIGHT DUTY When implemented correctly, light-duty jobs enable injured employees to work while they continue to recover. They can also be an alternative form of rehabilitation therapy that provides the strengthening needed to return employees to their full-time jobs within a matter of weeks or months. The first objective of transitional light-duty positions is to return an injured employee to work quickly and safely. Transitional jobs, and placement in them, should be done with care.

EARLY RETURN TO WORK


Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________


Written Hazard Communications

Program






Emergency Information

Labels, MSDSs and Lists

MSDSs

Before You Start

Hazardous Chemicals: Some Examples

Whom To Train

Training

Training Videos

Schools, Colleges and Universities

APPENDIX Label Example MSDS Example

WRITTEN HAZARDS COMMUNICATION


INTRODUCTION/OVERVIEW The Texas Hazard Communication Act of 1985, Chapter 502 of the Health and Safety Code and Chapter 295 of Rules of the Board of Health requires state and local agency employers to provide employees, local fire departments, the Texas Department of Health and other interested persons with specific information of the hazards of chemicals in use. The employer must also provide certain information and training. WORKPLACE CHEMICAL LIST Employers must develop a list of hazardous chemicals used or stored in the workplace. This list shall be updated by the employer as necessary, but at least annually. MATERIAL SAFETY DATA SHEETS Employees who may be exposed to hazardous chemicals shall be informed of the exposure by the employer and shall have ready access to the workplace chemical list and to the most current Material Safety Data Sheets, which detail physical and health hazards and other pertinent information. The list must state which chemicals are present in each work area. EMPLOYEE EDUCATION PROGRAM Employees shall receive training by the employer on the hazards of the chemicals and on measures they can take to protect themselves from those hazards, and shall be provided with appropriate personal protective equipment. This training shall be provided at least annually. LABELS Employees shall not be required to work with hazardous chemicals from unlabeled containers, except portable containers for immediate use, the contents of which are known to the user. EMERGENCY INFORMATION Employers must provide the names and telephone numbers of knowledgeable company representatives to the local fire department, as well as other information if the fire department requests it. LABELS, MSDSs, AND LISTS As previously stated, labels, MSDSs, lists, and other documents need to be in place in order to effectively train employees in hazard communication. One of the key concepts of this employee training is an understanding of the relationship between these documents.



Labels By law, labels must be in English, but this requirement does not prohibit the use of foreign languages to supplement the English label. The Act requires that a hazardous chemical label provide a common name or chemical name that can be found on the workplace chemical list and on the corresponding MSDS.

As a minimum, each hazardous chemical container label must list:

1. The identity of the hazardous chemical.

2. The appropriate hazard warnings, which would include the health and physical hazards of the chemical.

Original labels on containers of hazardous chemicals cannot be removed or defaced. These original labels will bear the name and address of the chemical manufacturer, as required under the OSHA Hazard Communication Standard.

Alternative labeling systems, such as the Hazardous Materials Information System (HMIS) or National Fire Protection Association (NFPA) system are acceptable as long as they are used properly. However, the law requires the employer to train all employees on such systems if they are exposed to the chemicals having such labels. MSDSs The Material Safety Data Sheet (MSDS) is the cornerstone of chemical hazard communication. MSDSs are produced by manufacturers and importers in accordance with federal law, and the State Act requires that they be provided to any business that is covered by the Act. Therefore, non-manufacturers usually would not have to write MSDSs, but must be sure to obtain them. Most MSDSs are at least two pages long and give the “identity” of the product near the top of the first page. This identity may be brand (common) name or a technical chemical name.

The hazardous ingredients section of the MSDS lists certain hazardous chemicals which exceed specific concentrations in the product, as required by the OSHA Hazard Communication Standard. This section also lists the permissible exposure limits (PELs) or Threshold Limit Values (TLVs) of each of the listed chemical ingredients. PELs are legal limits of exposure set by OSHA and TLVs are recommended limits of exposure set by the American Conference of Governmental Industrial Hygienists (ACGIH).

For most employees, the MSDS section covering physical and health hazards, spill and leak procedures, protective equipment, and special precautions will be particularly important. The more technical information in this section will be useful to safety and health personnel. An example of an MSDS can be found in the appendix.



Lists An inventory list of all hazardous chemicals should be created. The list should include the common name, chemical name, CAS number, and work area location for their listed chemicals. BEFORE YOU START Before you can adequately train your employees about hazardous chemicals, you should do the following:

1. Designate a leader. You should select one person who has overall responsibility and authority to implement, administer, and require compliance by your departments with the hazard communication program for your organization. This person could be your chief safety or health officer, industrial hygienist, or another person with technical or administrative experience. This “hazard communication officer” will need assistance from supervisors and others in your organization.

2. Train the team. The hazard communication officer should be responsible for training department heads, who would in turn train their supervisors or instructors, and who would in turn train their employees and students. The hazard communication teams should become familiar with the requirements of the law.

3. Get your documents. Certain documents will be needed before worker training can begin:

a. Proper labels on hazardous chemicals and their corresponding Material Safety Data Sheets (MSDSs), both of which come from the manufacturers or suppliers of these products. The MSDSs will be the best guides as to which products are legally hazardous, and should be kept in an up-to-date file, preferably in each of the employer’s buildings. Examples of a label and MSDS are located in the appendix. Be sure that all hazardous products are properly labeled prior to training.

b. A workplace chemical list for each hazardous chemical. Employers are encouraged to inventory all chemicals, as this may be the only way to determine which MSDSs should be obtained and to prioritize training for employees.

c. A mandatory “Notice to Employees”. This notice shall be posted at locations where notices are normally posted, informing employees of their rights. The notice must advise employees the following: Employees who may be exposed to hazardous chemicals shall be informed of the exposure and shall have access to the workplace chemical list and MSDSs for the hazardous chemicals. Employees, on request, shall be provided a copy of a specific MSDS with any trade secret information deleted.

d. Other documents, such as correspondence with the fire department and Texas Department of Health, and records of training, are needed to comply with the law.



Training cannot be accomplished without the proper document system. It will be necessary to involve your safety and health departments, supervisors, technical personnel, purchasing agents, and warehouse personnel to thoroughly comply with the law. The purchasing department may need to inform suppliers that they must provide MSDSs under the state law. Then, those MSDSs should be copied or distributed to responsible employees at each workplace and kept in an up-to-date file. Once a basic core of documents is in place and the trainers are ready, then training can be done effectively and with a minimum of confusion. HAZARDOUS CHEMICALS: SOME EXAMPLES There are about 6,000 pure chemicals and over 500,000 mixtures of chemicals that are defined as hazardous by federal and state laws. A few examples of hazardous chemicals include: toners and solvents used in office machines; fuels, such as gasoline, diesel, and propane; asbestos (in insulation and brakes); oil-based paints and lacquers and paint thinners; compressed gasses; and cleaning compounds such as bleach, ammonia, lye, and oven cleaners. Hazardous chemicals are found in many consumer products and in most areas of any organization. A prudent approach to identifying hazardous chemicals is to assume the chemical is hazardous until further investigation reveals otherwise.

Note that employees do not have to actually use any of these chemicals. Being routinely exposed to certain air contaminants is enough to qualify employees for training.

Some hazardous chemicals are not bought in containers, but are generated by processes, such as welding or mixing certain chemicals together. Employees may also be exposed to hazardous chemical byproducts of biological processes, such as hydrogen sulfide or methane gasses produced in sewers. MSDSs can still be obtained for such hazards. For example, a welding rod supplier can provide MSDSs which provide information on the hazardous byproducts of welding rods. The Texas Department of Health can provide employers with generic MSDSs on most hazardous chemical byproducts. WHOM TO TRAIN The Hazardous Communication Act requires employers to train their employees in any of four possible situations:

1. All staff that work with or are exposed to hazardous chemicals must be trained at least annually.

2. Employees will have to be retrained when new chemical hazards are introduced in their workplace or when new hazards are shown on updated MSDSs of chemicals already in use.

3. Employees will have to be retrained when they are assigned to different workplaces that involve new chemical hazards.

4. New employees will have to receive training after they are hired, and prior to working or being exposed to hazardous chemicals.



TRAINING OBJECTIVE The basic training objective is for the employees to learn about the materials they use so that they will know which ones are hazardous, and how to protect themselves from these hazards. For example, in some cases, avoidance of skin contact may be the primary protective step. In other cases, inhalation of vapors may also be of concern. In order to minimize exposures, the workers may need to understand use of protective clothing, basic ventilation, respirators, or process controls. In addition, workers should understand what kind of hazards can result under unexpected or adverse conditions (such as the potential exposure to hazardous chemicals in confined spaces) so they will know how to respond. TRAINING IMPLEMENTATION The trainer should hold a general orientation session or a series of orientation sessions in which employees are given basic information on the law, its purpose, and their rights under the law. In this session they should be shown the “Notice to Employees” and be given a general explanation of how the document systems of labels, MSDSs, and workplace chemical lists are used in hazard communication. Such orientation sessions must be provided to new employees before they work with hazardous chemicals. SPECIFIC TRAINING Smaller groups of employees can receive specific training on the chemicals they encounter in their work areas. These sessions should address the specifics of how to use the information on the label, the corresponding MSDSs, and the workplace chemical list. It is not enough to merely mention these documents. The employees should actually be shown where to find the documents and how to use them, or how to find someone who can help them with understanding the information in the document. Employers training non-English speaking employees must develop a training program which will be understandable to such employees. RIGHT-TO-KNOW A fundamental requirement of the Act is that employees who may be exposed to hazardous chemicals shall be informed of the exposure and shall have access to the workplace chemical list and MSDSs. The program must include information on the location of the chemicals; their acute and chronic effects; protective equipment and first aid treatment; and safety instructions on the handling, clean-up, and disposal of hazardous chemicals. Employees, on request, shall be provided a copy of a specific MSDS. TRAINING VIDEOTAPES VHS videotapes on chemical safety, personal protective equipment, respirators, confined space entry, asbestos, and community right-to-know are available free of charge from HHC/CAS. These tapes should be used to augment a training program.



TRAINING RECORDS Training sessions must be held at least once a year and as needed. The law requires that the employer keep records of the dates of training. It is recommended that the employer also keep training rosters and notes on the subjects covered to verify training. PROFESSIONAL TRAINING ASSISTANCE Some employers may want to seek professional training assistance, in the form of packaged programs, consisting of manuals, films, and/or videotapes. The employer may want to hire consultants to provide on-site assistance, including training of trainers or employees. HHC/CAS is available for these services. SCHOOLS, COLLEGES, AND UNIVERSITIES Schools, colleges, and universities are required to train their employees and all students who use or are routinely exposed to hazardous chemicals. The Act’s definition of workplace allows the employer to use judgment in defining workplaces on campus for the purposes of training, compiling MSDS files, and preparing workplace chemical lists. It is recommended that science, engineering, physical plant, medical, and art buildings be considered separate workplaces because of the very different chemical inventories to be found in each of them. Dormitories, non-laboratory classroom buildings, and administration buildings could be defined as group workplaces as long as the MSDS files and workplace chemical lists are readily available to employees and they are encouraged to use them. The employees should be able to easily find the information on chemicals located in the work areas that they frequent.

Laboratory students must be given access to MSDSs on chemicals used in the laboratory and be taught how to use them. It is important to note that any student activity which involves the use of a hazardous chemical may be defined as a laboratory. Therefore, art studios, engineering shops, and automotive, electrical, woodworking, repair, and agricultural education shops would be covered under the Act, as well as science laboratories. Students who are employed by the school, even on a part-time basis, must receive hazard communication training equivalent to that of other school employees. Research and teaching laboratories are not required to compile workplace chemical lists, but it is recommended that such laboratories maintain a complete list of all hazardous chemicals for their employees use. MSDSs and training must always be provided to laboratory students and employees, regardless of the quantities of the hazardous chemicals. These activities may be offered through the faculty and instructors, with assistance from the campus safety and health office.

Photographic labs use many products which require engineering controls for adequate ventilation. Most hazards of printing operations relate to the solvents used in inks and washes and the pigments used in inks and paints. The chemical hazards of photographic labs include caustics, bromides, iodides, mercuric chloride, and silver nitrate.



Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________



LABEL EXAMPLE

ACETONE CAS NO. 67-64-1

Flammable. Explosive Irritant, Eye, Skin and Lung Hazard. Consult Material Safety Data Sheet Before Using (Manufacturer’s name and address)

Physical Hazard:

Health Hazard:

MATERIAL SAFETY DATA SHEET

PRODUCT NAME: PH 1200BLF BLACK MUS CODES: H F R P PRODUCT CODE: PH 1200BLF 2 3 0 G DOT CODE : PAINT, 3, UN1263 #26

SECTION I - MANUFACTURER IDENTIFICATION

MANUFACTURER'S NAME: A C F INDUSTRIES, INC. ADDRESS: 3301 RIDER TRAIL SOUTH, EARTH CITY, MO 63045 EMERGENCY PHONE: (800) 424-9300 INFORMATION PHONE: (314) 344-4500 DATE-REVISED : 01-16-95 NAME OF PREPARER : K.E. KEMPEN

SECTION II - HAZARDOUS INGREDIENTS/SARA III INFORMATION

OCCUPATIONAL EXPOSURE LIMITS VAPOR PRESSURE WEIGHT HAZARDOUS COMPONENTS CAS NUMBER OSHA PEL ACGIH TLV IDLH m Hg @ TEMP PERCENT

2002 = MEDIUM AROMATIC NAPTHA 100 FLASH 64742-95-6 50 ppm 1.0 68F 6.49

2060 PM ACETATE 108-65-6 N/E N/E N/E 0.1 100F 0.75

*2070 = ETHYL BENZENE 100-41-4 100 ppm 2000 ppm 7.1 68F 0.03

*2042 B XYLOL MIXED ISO. 1330-20-7 100 ppm 100 1000 ppm 9.5 68F 0.23

RESIN SOLIDS 3238 BB N/A N/A N/A N/A N/A 17.51

2031 MINERAL SPIRITS 8052-41-3 500PPM 100 PPM 5000 2.6 37F 16.26

SOYBEAN PHOSPHATIDES 8030-76-0 N/A 0.88

ORGANO CLAY 68911-87-5 N/A 0.69

*2027 = METHANOL (METHYL ALCOHOL) 67-54L-1 200 ppm 25,000 ppm 97.0 68F 0.21

CARBON BLACK N/A N/A N/A N/A 2.05

BAPIUM SULFATE 7727-43-7 N/A 34.47

SOLIDS 3237 BB N/A N/A 12.84

*2039 = TOLUOL 108-88-3 200 ppm 100 ppm 2000 ppm 22.0 68F 2.14

METHYL N-PROPYL KETONE 107-87-9 26.9 68F 2.14

Zr CARBOXYLATES 22464-99-9 39049-04-2 5ppm-mg/m3 5ppm-mg/m3 N/A 0.35

CO NEODECANOATE 27253-32-2 .1 mg/m3 .05 mg/m3 N/A N/A 0.14

*COBALT METAL 27253-31-2 .1 mg/m3 .05mg/m3 N/A 0.03

METHYL ETHYL KETOXIME 96-29-7 N/E N/E N/E 8.0 45F 0.33

RARE EARTH CARBOXYLATE 68034-49-1 8032-32-4 N/A N/A N/A N/A 0.10

CALCIUM COMPOUND 136-51-6 27253-33-4 N/A N/A N/A N/A 0.38

*ETHYLENE GLYCOL MONOBUTYL ETHER 111-76-2 SKIN 25 25 ppm 700 PPM 0.9 77F 1.97

* Indicates toxic chemical(s) subject to the reporting requirements of section 313 of TitLe III and of 40 CFR 372. PAINT FLAMMABLE LIQUIDS, UN 1263, GUIDE #26

SECTION III - PHYSICAL/CHEMICAL CHARACTERISTICS

BOILING RANGE: 148 to 350 Deg F SPECIFIC GRAVITY (H20=1): 1.3 VAPOR DENSITY: HEAVIER THAN AIR EVAPORATION RATE: SLOWER THAN ETHER COATING V.O.C. : 3.38 LB/GL ( 405 G/L) MATERIAL V.O.C.: 3.38 LB/GL ( 405 G/L) SOLUBILITY IN WATER: INSOLUABLE APPEARANCE AND ODOR: BLACK LT.IQUID WITH ALIPHATIC NAPTHA ODOR

SECTION IV - FIRE AND EXPLOSION HAZARD DATA FLASH POINT: 40 Deg F METHOD USED: TCC FLAMMABLE LIMITS IN AIR BY VOLUME - LOWER: 0.7% UPPER: 36.0% EXTINGUISHING MEDIA: FOAM, C02, DRY CHEMICAL, WATER FOG

SPECIAL FIREFIGHTING PROCEDURES Full protective equipment, including self-contained breathing apparatus should be used. Water spray may be ineffective if water is used, fog nozzles are preferable. Water may be used to cool closed containers to prevent pressure build-up.

USUSUAL FIRE AND EXPLOSION HAZARDS Vapors may cause flash fire. Keep containers tightly closed and isolate from heat, electrical equipment, sparks and flame. Never, use welding or cutting torch on or near drum – even empty – because product – even residue can ignite explosively. If applied in confined area use only explosion proof and properly grounded equipment. Use spark-proof shoes and tools.


Alcohol & Controlled

Substance Abuse





Table of Contents


Potential Benefits

Drug Policy

It’s Your Choice

Rehabilitation/Re-Entry

Dealing with Addiction

Substances

Physical Signs/Conditions

Accidents

Where to Go for Help

An EAP Affirms Three Important Ideas

Creating Your District’s Drug Policy

We’re All in This Together

Your Policy – Check It Out!



Program Research

Policy Statement

Employee Education

Supervisory Training

Drug Detection Options

Pre-Employment Testing

Testing Security

Suggested Outlines

Drug Policy with Optional Testing Procedures

Drug Policy with Required Testing Procedures

Safety and Health Prevention Programs

Safety Education & Training Program

Appendix

TWCC Resource Center

ALCOHOL & CONTROLLED SUBSTANCES


INTRODUCTION/OVERVIEW This resource guide was designed to assist Texas school and college districts in the development and administration of substance abuse policies that will meet both the requirements of their workplaces and comply with state law. No substance abuse program or policy is perfect. New issues will arise that will require districts to amend their policies to ensure applicability to employee needs. Districts should constantly review their programs to ensure that they remain fair and reasonable as well as current. Claims Administrative Services, Inc. is not liable for any legal action that may result from the adoption or use of any material incorporated in this guide. Prior to the implementation of any substance abuse program, administration should consult with their district’s legal counsel to ensure compliance with appropriate legal statutes and to reduce the possibility of arbitration or litigation. IMPACT ON YOUR BOTTOM LINE Substance abuse is a serious problem within the workplace. Abuse in the social arena does not stop at the district’s doorstep. Workers who abuse drugs and alcohol bring their problem into the workplace and affect other workers. Studies indicate substance abusers:

• Are less productive. • Miss more workdays. • Are more likely to injure themselves or other workers. • File more workers’ compensation claims.

Substance abuse is a workplace problem because it affects employee health and safety, productivity, and health care costs. The workplace has a tremendous potential to educate employees and to assist substance abusers in seeking help. Regardless of the size of a district, a consistently administered substance abuse policy can prove very beneficial.

It is impossible to conclusively calculate how much is being lost by a district because of undetected or untreated substance abuse. The measurable costs include absenteeism, overtime pay, tardiness, sick leave, and insurance claims, just to name a few. Hidden costs are much harder to quantify. These are the costs resulting from diverted supervisory and managerial time, friction among workers, damage to equipment, and damage to the district’s public image.

Substance abuse problems are often difficult to detect. Subtle changes in behavior may be overlooked or not recorded. Denial of drug dependence is also a major problem. A district can be devastated by behaviors that affect the workplace and endanger the workers. To dismiss these issues as the cost of doing business is to accept an unacceptable situation. To ignore these issues is to create a situation where the problem of substance abuse worsens. Not everyone fits the stereotypical alcoholic or drug abuser image, which can delay the identification of a substance abuse problem. Since many substance abusers are not always obvious, districts may wish to re-examine the assumption that no substance abuse problem exists in their workplace.



POTENTIAL BENEFITS A Drug-Free Workplace Policy can save the district money and provide a safer work environment for employees.

Substance abuse (illegal drugs, alcohol, inhalants, and depending on the circumstances, prescription drugs) poses a problem in the workplace for districts and employees alike by decreasing productivity, and increasing accidents, absenteeism, product defects, medical and insurance costs, and employee theft.

It is difficult to put a price tag on the low morale and impaired decision-making capacity caused by substance abuse. Nor is it easy for an organization to calculate the costs of pilfering, high turnover, recruitment, and retraining which can result. No one knows how much is being lost to undetected or untreated substance abuse. Implementing a drug and alcohol policy can potentially create the following benefits: DRUG POLICY Increases Productivity Decreases Costs resulting from absenteeism, Increases Employee Morale accident rates, sick leave, insurance, etc. Increases Employee Motivation Improves District Safety Records A district without a drug policy becomes the drug addict’s employer of choice.

TO TEST OR NOT TO TEST? The Texas Workers’ Compensation Act and Rules DO NOT require any policy to include drug testing.

A study by the American Management Association found that employers who consider, then reject, testing are most often concerned with invasion of privacy, questionable accuracy of testing, and negative impact on employee morale.

On the other hand, some companies use drug testing to send a strong massage to applicants, employees, and supervisors alike, that drug use in the workplace will not be tolerated. Such companies believe that the work atmosphere created by this message may actually deter potential drug users and encourage non-drug using employees to remain drug-free.



ANY DRUG TESTING POLICY OR PROGRAM SHOULD: • be formulated in accordance with written district policy to satisfy

workplace needs; • verify a positive drug screen by using a different chemical process; • assure a chain-of-custody and proper documentation for test samples; • employ systematic, reliable, and confidential methods; • use certified laboratories; and • be implemented in conjunction with an Employee Assistance Program.

IT’S YOUR CHOICE Pre-employment Test all full-time and part-time applicants who are considered for a position. Applicants who test positive will not be considered suitable for employment. Post-accident Employees are tested if they:

• are involved in on-the-job accidents; • engage in unsafe behavior or activities on the job; • pose a danger to themselves or others; or • pose a danger to the overall operation of the district.

Appropriate disciplinary action is taken when test results are positive.

Reasonable Cause Employees are tested on the basis of:

• direct observation of drug use or the physical symptoms of being under the influence of a drug or alcohol;

• abnormal conduct or erratic behavior while at work; or • absenteeism, tardiness or deterioration in work performance which is continuous

and repeated over time.

Rehabilitation/Re-entry Periodic retesting of employees who have acknowledged substance abuse problems and have participated in or completed substance abuse treatment or rehabilitation programs may be mandated.

Random Random substance abuse testing is most likely to identify any abusers in the workplace. Selection must include everyone within the district. Everyone should have an equal chance of being selected so there is no chance for subjectivity, favoritism, or manipulation of the process. This option should be implemented with great caution and not without legal counsel.



Periodic Announced testing is typically implemented during the annual physical which includes a drug test as one of the many medical tests or procedures.

Several issues must be given serious consideration before a testing policy is adopted. A district may choose to have an outside laboratory perform all of the district’s drug testing or to perform testing on-site. When considering an outside laboratory for testing, the district should verify that the laboratory is certified by the National Institute on Drug Abuse (NIDA). NIDA has developed standards for proficiency testing and accreditation for laboratories engaged in drug testing.

If on-site testing is chosen, it is necessary to have a qualified staff person available to operate the equipment. Also, the testing area must be secured from unauthorized entry and must have a refrigerator and adequate air conditioning. An outside laboratory using an alternative method of testing should confirm positive test results obtained in on-site testing.

Prior to testing, it is important for the employer to receive written consent to test and to release the test results only to appropriate personnel.

An outside laboratory can perform all of a district’s testing. This may minimize the possibility of sample mishandling. Again, the employer should use a laboratory that meets NIDA’s standards. DEALING WITH ADDICTION

Raising Your Awareness The following elements are essential in creating an effective, drug-free workplace:

• administration support, leadership and commitment; • a clearly written and comprehensive substance abuse policy; • a good working partnership with employees and management; and • knowledgeable supervisors who are trained to implement the substance

abuse policy.

Supervisors have a responsibility to initiate corrective action when job performance and productivity begins to decline. Supervisors do not need to be experts in drug identification. They do need to recognize and document continued and repeated changes in normal job performance and/or erratic behavior. A supervisor’s responsibility does not extend to diagnosing and resolving personal problems.

Effective supervisors need to be able to recognize different types of drugs and their use. The following list identifies the more commonly used drugs:



SUBSTANCES LOOKS LIKE USE ______ Marijuana Dried parsley mixed with stems Eaten or smoked Hashish Brown or black cakes or balls Eaten or smoked Hydrocarbons Propellant for aerosol cans Vapors inhaled Cocaine White crystalline powder Inhaled or injected Crack Light brown or beige pellets, Smoked crystalline rocks Amphetamines Capsules, pills, tablets Taken orally, injected or inhaled Methamphetamine White powder, pills Taken orally, injected Heroin Powder, white to dark brown, Injected, inhaled or tar-like substance smoked Barbiturates Capsules: red, yellow and blue Taken orally or red and blue Mescaline/Peyote Hard brown discs, tablets Discs - chewed or smoked Tablets, capsules Taken orally Alcohol Liquid of varying color Taken orally Supervisors should also be able to recognize the physical signs of substance abuse listed below. It should be noted that diabetes, high blood pressure, thyroid disease, psychiatric disorders, emotional problems and certain heart conditions may share the same physical characteristics of substance abuse.

These signs and conditions are only indicators of possible problems which may be appropriately addressed by the Employee Assistance Program.



Physical Signs/Conditions • Weariness, exhaustion • Unusual effort to cover arms • Untidiness • Depression/anxiety • Blank stare • Irritability • Slurred speech • Suspiciousness • Unsteady walk • Emotional unsteadiness

Absenteeism

• Frequent unreported absences • Leaves work more than necessary • Unusually high incidence of colds, • Consistent unplanned

headaches, etc. Monday/Friday absences • Frequent use of unscheduled • Repeated two to four day absences

vacation time Accidents

• Takes needless risks • Higher than average accident rate (on and off the job)

• Disregards safe practices Work Patterns

• Inconsistent work quality • Difficulty in recalling instructions • Fluctuating periods of productivity • Uses more time to complete

Work/misses deadlines

• Poor judgment/more mistakes • Increased difficulty in handling than normal complex situations

Relationship to Others • Overreacts to real or imagined criticism • Borrows money • Avoidance and withdrawal from peers • Domestic complaints • Complaints from co-workers • Persistent job transfer requests Detailed, objective documentation by the supervisor is crucial in the administration of a drug-free workplace policy. Documentation of job performance provides a basis for support in intervention and disciplinary procedures. Objectivity is essential; hearsay and impressions are not appropriate. If possible, professional assistance should be sought for confirmation of suspected substance abuse, rather than relying solely upon the supervisor’s observations. In doubtful situations, legal assistance prior to intervention should be requested. A clear and concise substance abuse policy can assist in handling these sensitive issues. All information regarding a suspected substance abuser must be kept confidential. Source: U.S. Department of Labor, Institute for a Drug-Free Workplace



WHERE TO GO FOR HELP Employee Assistance Programs (EAP) are designed to identify and resolve productivity problems including but not limited to: health, marital, family, financial, alcohol, drug, legal, emotional, stress or other personal problems.

The specific core activities of EAPs shall include the following: • expert consultation and appropriate training to help employees identify and

resolve job-performance issues related to the concerns listed above; • confidential, appropriate and timely problem-assessment services; referrals for

appropriate diagnosis, treatment and assistance; • establishing linkages between workplace and community resources that provide

such services; and • follow-up services for employees who use the services.

An EAP Affirms Three Important Ideas:

• Employees are valuable members of the team. • It is usually more cost-effective to offer assistance to employees experiencing

personal problems than to discipline or fire them. • Recovering employees become more productive and effective.

There are over 10,000 EAPs in operation across the country. Participation in an EAP can help save money by lowering absenteeism, reducing accidents and workers’ compensation claims, and decreasing the use of medical and insurance benefits. Additionally, a well-run EAP improves employee morale, increases productivity and enhances the general well-being of employees. For these reasons all types and sizes of employers have instituted EAPs.

Employers generally find that for every dollar invested in an EAP, they save anywhere from $5 to $16. The national average annual cost for an EAP ranges from $12 to $20 per employee.

EAPs may be sponsored and run by the district, other employee organizations, or cooperatively. Large districts may find it cost effective to establish and staff an EAP internally. For smaller organizations, EAP services may better be provided on a contract basis from external EAP providers.

Some EAP providers are national or regional in scope. Other providers service only local areas. There is no lock-step process or ironclad formula for determining the most appropriate package of EAP services for any given organization. Before committing the organization to any type of EAP, the following steps should be taken:

• Gather as much information on EAPs in general and specific EAP providers as possible. A consumer who is well-informed about a product or service is more likely to make the right choice.

• Contact national or local professional associations of EAP practitioners for information and referrals.



• Contact local companies, business or trade associations, unions or labor councils about EAPs. They may be able to provide good information and references.

• Announce the district’s intention to explore establishing an EAP. Invite comments, questions, and discussion from the entire workforce.

Each organization has its own unique characteristics, dynamics, and culture. While it is useful to compare notes with other districts, each organization has some special characteristic to accommodate (high turnover, assorted shifts, predominantly one gender or ethnic make-up of the workforce, merger and acquisition issues, or considerable decentralization). No matter what the special requirement of the workforce, an EAP can be designed to fit those needs. Ultimately, the success of the EAP will depend on the quality of its staff and the commitment of those responsible for its operation.

In summary, EAPs are extremely beneficial. There are start-up costs, but in the long run EAPs are cost effective and help the district, the individual employee, family members, and society. CREATING YOUR DISTRICT’S DRUG POLICY Points to Remember

Do: • Implement a relevant substance abuse policy. • Ensure open communication between employees and administration by

encouraging policy input from all levels. • Offer a responsive Employee Assistance Program. • Involve both employees and administration in commitment to the policy. • Provide each employee with a copy of the drug policy statement. • Keep drug test results confidential. • Seek legal assistance when developing the drug policy. • If testing, perform a second drug test if the first test reads positive. • Include rehabilitation in the drug policy. • Provide a drug awareness program. • Maintain a good working relationship with local law enforcement officials and

seek their expertise and advice. • Implement a drug testing program when appropriate. • Enforce district policy consistently.

Don’t

• Act without the full support of top administration. • Use uncertified labs if drug testing is part of your policy. • Allow obviously impaired employees to operate delicate or dangerous machinery

or drive home.



• Delay confrontation and referral. • Cover up the problem. • Try to obtain a confession. • Address drug abuse without a parallel program for alcohol abuse.

We’re All In This Together To ensure that your drug and alcohol policy is efficient and effective, participation and support will be needed from each element of the organization.

The district must recognize the problem and research solutions available and then define, in clear and concise language, what behavior is acceptable and what is unacceptable in the workplace. Legal consultation should be employed to ensure the policy is in accordance with the law and district rules.

Unions can assist members to become drug free by making provisions for union activities that reinforce safe, healthful work behaviors and attitudes.

Employees can form peer groups to inform other workers about drug use prevention and detection, and support those who are becoming drug free.

Human resources, safety, security, insurance and other departments should participate in the development of a comprehensive district policy, provide referral information, and arrange for informational/educational programs. YOUR POLICY - CHECK IT OUT! Texas law does not require or mandate testing or specific consequences as a result of a violation of a published drug policy. Those options are open to the decisions of districts and need to be reviewed by their legal counsel prior to implementation.

Checklist For An Effective Substance Abuse Policy This checklist is designed as a yardstick for evaluating your district’s drug policy. It is in no way intended to be all encompassing, but rather an aid in formulating your policy. Once your policy has been written, be sure to consult with your legal counsel to ensure compliance with appropriate legal statutes and to reduce the possibility of arbitration or litigation. The following topics are suggested for your consideration.



Program Research

_____ Why policy/program needs to be implemented

_____ Federal/statutory requirements

_____ Comparison of accident rates with similar districts

_____ Drug-related accidents

_____ Measurable changes in productivity

_____ Increase in absenteeism

_____ Higher medical/hospitalization benefits paid

_____ Similar districts instituting policies/testing programs/screening job applicants

_____ Statistics from local substance abuse agencies or health and police departments

_____ Information from trade and industry associations, or local treatment centers

_____ Regional or national studies with data specific to your industry

_____ Definition of terms to be used in the policy, e.g., district premises, drug, intoxication

_____ Samples of employee acknowledgment forms Policy Statement

_____ Consequences of use, sale or possession of illegal drugs or alcohol in the workplace

_____ District’s position on job performance as it relates to drug usage

_____ Position on substance abuse testing

_____ Consequences of positive testing

_____ Available treatment and rehabilitative services

_____ Support of top management for the policy/program

_____ Involvement of all elements of the workforce

_____ Consultation with union representatives

_____ Monitoring and evaluating systems built into plan

_____ Legal counsel involvement



Policy Distribution

_____ Make every employee aware of the policy/program

_____ Make the policy available to each employee

_____ Ensure employees understand reasons for a testing policy (e.g., safety, product quality, increased production), if testing is instituted

_____ Extend the policy to include contractors and their employees Employee Education

_____ Conduct education/outreach of employees/families via: • discussion groups on drug abuse/district policy • videotapes/pamphlets on drugs in the workplace • brown bag lunch discussions • communication of available health benefits for drug/alcohol treatment

_____ Explain effects of substance abuse on the employee, their families, and the community

_____ Explain effects on the district and services Employee Assistance

_____ Research what employee education and training services an EAP provider will offer

_____ Identify treatment resources which have been evaluated as capable of handling substance abuse rehabilitation

_____ Provide employee orientation to EAP benefits

_____ Provide EAP counseling and support following rehabilitation

_____ Assemble resource file on providers of assistance, monitor, and update list

_____ Provide problem assessments

_____ Provide for a voluntary self-referral program for treatment

_____ Provide confidential counseling

_____ Provide referral to counseling and/or treatment

_____ Provide crisis intervention

_____ Establish a hot-line

_____ Provide family support services

_____ Conduct follow-up during and after treatment



_____ Conduct evaluation of job performance pre- and post-program contact

_____ Review insurance coverage for outpatient and inpatient treatment

_____ Add to insurance coverage if necessary

_____ Explain who pays for evaluation

_____ Explain whether employees will be given time off with pay

_____ Explain whether employees will be protected against discipline or termination if they volunteer for treatment

_____ Institute mechanism to review employee complaints

_____ Establish an EAP staffed with or guided by trained professionals Supervisory Training Management and supervisors may attend training on: _____ Drug abuse education _____ Signs and symptoms of addiction and abuse (physiological and psychological) _____ District policy on drug abuse _____ Employee assistance resources _____ How to observe and document poor performance _____ How to deal with employees suspected of drug use _____ How to confront a drug-impaired employee _____ How and when to take disciplinary action _____ How to make EAP or rehabilitation referrals Drug Detection Options If adopting a testing policy, consider whether to test: _____ All employees, without prejudice, including executives and hourly workers _____ Applicants or pre-employment _____ Employees based on reasonable suspicion, post-accident, during and after counseling and/or rehabilitation _____ Selected groups of employees _____ Part of routine annual physical _____ Randomly or unannounced _____ Only for cause Frequency of testing also needs to be determined.



If only testing selected employees:

_____ Provide criteria for selecting those employees

_____ If testing employees in sensitive positions, define sensitive If only testing for cause:

_____ Provide criteria

_____ Identify who will make judgments, supervisor or physician

_____ Determine whether testing will be mandatory

_____ Determine whether an employee who refuses testing will be disciplined, suspended or terminated Pre-employment testing

_____ Define when new hires will be tested

_____ Explain whether pre-employment physical will be required and if substance abuse testing is a routine part of the physical (Note: Americans with Disabilities Act limits use of physical exams and recommends testing only after an offer of employment has been made)

_____ Explain when applicants are told that hiring is subject to test results

_____ Decide policy if applicant tests positive: bar employment; reconsideration of application after a specific period; or reconsideration for only certain positions

_____ Decide policy if an applicant who tested positive is eventually hired: e.g., require periodic, random testing; inform supervisor; or set job restrictions

_____ Determine the kind of test that will be administered

_____ Determine substances that will be tested for

_____ Determine the type of drug test

_____ Review options offered by the various laboratories and testing consultants

_____ Determine cutoff levels

_____ Determine whether a confirmation test will be conducted by the laboratory

_____ Determine the type of laboratory to use

_____ Determine criteria for choosing a laboratory

_____ If facilities are scattered across the state, decide whether different laboratories will be used or whether all samples will be sent to one site



Testing security:

_____ Decide what type of laboratory security system, or chain of custody, is necessary

_____ Determine need to document specimen accountability, particularly if chance outcome will be challenged

_____ Decide precautions and assurance that a sample has not been adulterated by the provider

_____ Determine type of specimen seal to prevent tampering

_____ Receive assurance that a specimen will not be tampered with in transit

_____ Determine handling procedure for a specimen before and after testing

_____ Determine how results are reported: hard copy or phone call; understandable terms; quantitative values for positive reports

_____ Determine if positive samples are frozen following test and, if so, for how long

_____ Seek copy of laboratory ratings if the laboratory participates in proficiency testing programs sponsored by outside agencies

_____ Determine whether laboratory personnel are certified technicians

_____ Determine who will read and interpret test results

_____ Determine how confidentiality will be insured

_____ Determine who will inform the applicant/employee and how

_____ Determine who will be informed and what is expected from them: company physician; individual’s physician; human resources professionals; law enforcement officials

_____ Determine what will be done with the test results

_____ Determine policy for current employees who test positive: discipline; termination; reassignments; rehabilitation _____ Determine whether and under what circumstances terminated employees will be

eligible for rehire _____ Determine policy for employees who test positive from use of drugs at home but show

no sign of impairment on the job



SUGGESTED OUTLINES Drug Policy Without Testing Procedures

a) Purpose of Policy b) Policy Procedures c) Definition of Terms Used in Policy d) General Policy Provisions e) Descriptions of Actions Taken to Prevent Drug Use f) Description of Supervisor and Employee Training g) Description of Employee Assistance Programs Available h) How District Will Coordinate With Law Enforcement Agencies i) Reservation of Employer/Employee Rights j) Reference Other Laws and Regulations k) Employee Acknowledgment Form

Drug Policy With Optional Testing Procedures Purpose of Policy a) Policy Procedures b) Definition of Terms Used in Policy c) General Policy Provisions d) Description of Actions Taken to Prevent Drug Use e) Guidelines for Search Procedures f) Description of Actions Taken to Address Work-Related Accidents g) Description of Supervisor and Employee Training h) Employee Assistance Programs i) How Company Will Coordinate With Law Enforcement Agencies j) Reservation of Employer/Employee Rights k) Reference Other Laws and Regulations l) Employee Acknowledgment Form

Drug Policy with Required Testing Procedures a) Purpose of Policy b) Policy Procedures c) Definition of Terms Used in policy d) General Policy Provisions e) Description of Actions Taken to Prevent Drug Use f) Guidelines for Search Procedures g) Description of Actions Taken to Address Work-Related Accidents h) Guidelines for Applicant Testing i) Guidelines for Employee Testing j) Consequences of Policy Violation k) Description of Supervisor and Employee Training l) Provisions for Employee Assistance Programs m) How District will Coordinate with Law Enforcement Agencies



Preservation of Employer/Employee Rights n) Reference Other Laws and Regulations o) Employee Acknowledgment Form

SAFETY AND HEALTH PREVENTION PROGRAMS Drug-Free Workplace Program

• Coordinates with employers, industry trade associations, labor organizations and other state agencies to help employers develop and institute drug-free workplace policies.

• Publishes resource guides and literature, conducts and analyzes surveys and presents training programs to employers, employees and other entities.

• Administers the Texas Workers’ Compensation Act, Texas Labor Code, Section 411 requirements for elimination of drugs within the workplace.

• Provides information to employers to assist them in developing policies for the elimination of drug abuse in the workplace.

For more information call (512) 440-3627. Texas Safety Award

• Recognizes employers with workers’ compensation insurance that excel in occupational safety and health performance. Employers may be nominated by carriers, businesses, labor or safety associations, by themselves or by any other business. Companies are evaluated by the number of employees. (Awards for Category A - Fewer than 250, Category B - 250 to 750, Category C - 750 +.)

For more information call (512) 440-3627. Peer Review Program

• Certifies employers with good safety records and programs. • Identified employers serve as examples to assist other employers in developing

and refining their safety programs. • Assists employers who wish to achieve qualification as an OSHA Star or merit

work site. • Certification enhances public and peer relations.

For more information call (512) 440-3627. Safety Education & Training Program

• Conducts training programs in cooperation with businesses, trade associations, labor organizations, chambers of commerce and educational entities on:

• Accident Investigation • Accident Prevention (7 Steps)



• Agricultural Safety • Back Injury Prevention • Blood Borne Pathogens • Confined Space • Drug-Free Workplace • Ergonomics • Hazard Communications/MSDS • Lockout/Tagout • OSHA Voluntary Guidelines • Train-the-Trainer • Workplace Violence

Provides accident prevention, safety awareness, safety education, and training services through publications, training manuals, handbooks, program manuals, trade shows, conferences and seminars.

• Continually updates existing materials and provides new information to keep employers abreast of changes and trends in the workplace.

• Develops and conducts health and safety training programs resulting from relevant safety data analysis to help employers develop or improve safety and health programs.

• Approves industry safety and health training programs to improve quality and conformity to OSHA/MSHA standards.

For more information call (512) 440-3627.



APPENDIX DRUG-FREE WORKPLACE RULES

TEXAS LABOR CODE, Title 5, Subtitle A, Chapter 411, Subchapter G Section 411.091. POLICIES FOR ELIMINATION OF DRUGS IN THE WORKPLACE. (a) Each employer who has 15 or more employees and who maintains workers’ compensation insurance coverage shall adopt a policy designed to eliminate drug abuse and its effects in the workplace. (b) The employer shall distribute to each employee a written copy of the policy. Section 411.092. The commission shall enforce this requirement and may adopt rules for that purpose. TEXAS WORKERS’ COMPENSATION ACT AND RULES Chapter 169, Rule 169.1: NOTIFICATION OF DRUG ABUSE POLICY

A. Each employer who has 15 or more employees and who maintains workers’ compensation insurance coverage shall adopt a policy for elimination of drug abuse (hereinafter called “drug abuse policy”) by May 15, 1991. An employer who becomes subject to this subchapter after January 1, 1991, shall adopt a drug abuse policy within 45 days of the date on which the employer becomes subject. Employers who are in compliance with the Federal Drug-free Workplace Act of 1988 must mend their policies to include alcoholic beverages and must notify their employees of the change and provide their employees with a copy of the policy.

B. An employer shall provide a written copy of the drug abuse policy to each employee: 1) on or before the first day of employment; or 2) thirty days after the date the policy is adopted by the employer.

B. An employer shall provide the commission with a copy of the drug abuse policy for the purpose of compliance audit no later than 30 days after receipt of a written request.

C. After June 1, 1991, an employer who is subject to this section, and who does not have a drug abuse policy, may be subject to class D administrative violation, and may be assessed with a penalty not to exceed $500.

Rule 169.2: REQUIRED ELEMENTS OF DRUG ABUSE POLICY An employer adopting a policy for elimination of drug abuse shall provide each employee with a written copy of the policy, which shall include:

a) a statement of the purpose and scope of the policy; b) a statement that the policy includes alcoholic beverages as well as inhalants and

illegal drugs. The policy may include prescription drugs; c) a statement of any consequences the employee may suffer if found violating the

policy;



d) a description of available treatment programs, if any, and how they may be requested, such as assistance provided by the employee’s health care insurance or drug and alcohol abuse rehabilitation programs sponsored by the employer;

e) the availability of, and the requirements for participation in, drug and alcohol abuse education and treatment programs, if any; and

f) a description of any drug testing program that the employer has in force. TWCC RESOURCE CENTER TEXAS WORKERS’ COMPENSATION COMMISSION SOUTHFIELD BUILDING, 4000 SOUTH IH-35, AUSTIN, TEXAS 78704-7491 (512) 448-7900 ALCOHOL AND CONTROLLED SUBSTANCE ABUSE According to the HR Manager’s Legal Reporter, in a business meeting of 25 people, an average of five people will have an alcohol or drug problem. In a facility of 100 employees, there will be, on the average, one drug dealer “pushing” drugs to workers.

The Texas Workers’ Compensation Act attacks this serious problem by requiring all Texas employers who obtain workers’ compensation coverage and have 15 or more employees to adopt a policy to eliminate drug abuse and its effects in the workplace. All employers regardless of size or workers’ compensation insurance status have an obligation to create a safe workplace.

• Provides information on safety and health issues. • Resources include:

• VHS videotapes for loan • OSHA/MSHA slide training programs • Books and periodicals • On-line database searches • Connections to other libraries • Inter-library loan • Workers’ Health and Safety Publications

• Many videos are available in Spanish.

For more information call (512) 440-3702, FAX (512) 440-3831.



Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________


Hiring & Training The New Employee






The Supervisor

The New Employee

New Employee Training

NEW EMPLOYEE TRAINING


INTRODUCTION/OVERVIEW Employee training is probably your most valuable accident prevention tool in developing employee awareness of safety. Through training, your employees learn to recognize and eliminate hazards. Many accidents could be avoided if the employee was shown safe work practices and made aware of the hazards of the job. The following may be helpful: THE SUPERVISOR Your own supervisors are the key to any accident prevention program, and with your support and guidance they can have a direct impact on the reduction of workplace accidents. THE NEW EMPLOYEE Include safety in your discussion with any new employee during their orientation.

• Give the new employee a tour explaining the operation, the processes, and any equipment.

• Explain any hazards that could lead to injury, and the safety precautions to prevent injury.

• Discuss the district’s safety policy and dedication to providing a safe and healthful work environment

• Provide the employee with a copy of safety rules and procedures and discuss any questions or particular items of interest with the employee (accident reporting, hazard reporting, etc.).

• Discuss your Accident Prevention Plan with the employee.

• Discuss or provide training on any specific hazard(s) of the employee’s job.

• Include briefings, videos, discussions, informal talks, etc., on topics that affect their safety and health.



NEW EMPLOYEE TRAINING The efficiency of your district depends on how well your employees understand and carry out their jobs. Train them the right way by:

• Analyzing the task and its hazards.

• Putting the employee at ease.

• Showing the employee exactly what has to be done to perform efficiently and safely - explain each step.

• Watching the employee try out the task - explaining each step back to you.

• Following up - check the performance from time to time.

The few extra minutes taken at this time to make sure the employee understands the job will pay for itself later on.

Supervisors should review with each new employee equipment operation and maintenance manuals, product information, MSDS records, safety manuals, standards, and training instruction for specialized operations maintained at work locations for reference. Supervisors should also review with each new employee the procedure for reporting injuries that occur while on duty and performing assignments as employees. Failure to report an accident as soon as possible may cause a delay in the claim being processed by the district. It is the district’s responsibility to report promptly all accidents which require medical treatment to the Texas Workers’ Compensation Commission offices.



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Electrical and

Mechanical Lockout / Tagout Procedures






Energy Sources

Employees

Device and Tag

Inspections

ELECTRICAL AND MECHANICAL


INTRODUCTION/OVERVIEW District maintenance staffs are often called on to maintain electrical and mechanical powered equipment. It is important to the safety of the maintenance worker that all sources of power be disconnected before work actually begins. It is also imperative that these power sources not be re-established until all repairs are completed.

If guards or other protective devices must be removed for any reason, servicing personnel must use Lockout/Tagout procedures.

Electrical and Mechanical Lockout/Tagout procedures should be used to ensure that: • Machinery or equipment is free of all residual or accumulated energy before

Authorized employees do any servicing or maintenance activities where the unexpected energization, start-up, or release of stored energy could cause injury.

The purpose of lockout/tagout procedures is to control hazardous energy sources so that the maintenance employee and the worker are both safe from accidents. ENERGY SOURCES The following is a list of basic hazardous energy sources:

• Electricity • Steam • Heat • Gases • Chemicals

These are only a few of the basic hazardous energy sources. All machinery should be inspected to determine what hazardous energy sources are involved in running the machinery. Any energy source that has a potential to injure is hazardous and should be considered for lockout/tagout procedures before any maintenance is done. EMPLOYEES There are two types of employees involved in lockout/tagout procedures:

• Authorized • Affected

Authorized employees are those employees who are authorized to perform maintenance and actually use lockout/tagout procedures while they are cleaning or repairing equipment.

Affected employees are those employees who work around equipment or machinery.

All employees whether authorized or affected should be have a basic knowledge of lockout/tagout procedures.



DEVICE AND TAG A lockout device is any mechanism that uses a positive means, such as a lock, to prevent the accidental energizing of machinery or equipment. The lockout device cannot be removed by anyone other than the person who attached the device.

A tagout is a tag that shows the machine or equipment to which it is securely attached is not to be operated until the tagout device is properly removed by the person attaching the tag. WHEN TO LOCKOUT/TAGOUT When employees are protected by machine guarding, lockout/tagout is not necessary. If guards or other protection must be removed during normal production operations servicing employees need to use lockout/tagout procedures.

Lockout/tagout procedures should be used in clearing a jam during normal operation if it is determined that the possibility of injury is present.

The only exception to lockout/tagout procedures during maintenance is when an electrical cord is the only source of power. The person who is cleaning or maintaining the equipment must have control of the plug thus preventing the machine from becoming re-energized during these procedures.

The use of tagout procedures alone does not prevent re-energizing. The best method to prevent injury is to use both lockout and tagout procedures during maintenance. INSPECTIONS An inspection or audit should be done to ensure that employees are trained and have basic knowledge of company polices and procedures regarding lockout/tagout procedures. All machinery should be inspected to determine what lockout/tagout procedures are needed for each individual machine. Documentation should be kept on company policies, procedures and training involving lockout/tagout. POLICIES Policies should be adopted that consistently determine when and where lockout/tagout procedures will be used. Lockout/tagout hardware should never be used for any purpose other than what it is intended for. Each individual must accept the rules that are established for lockout/tagout and abide by them.

The purpose of lockout/tagout procedures is to ensure that whenever the possibility of unexpected machine or equipment start-up exists or when the unexpected release of stored energy could occur causing injury, the equipment is isolated from its energy source(s) and rendered inoperative before servicing or maintenance is begun.

Lockout/tagout procedures help prevent accidents for both machine operators and maintenance staff.



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First Aid






General Program

Bloodborne Pathogens

First Aid Supplies

Emergency Response

FIRST AID


INTRODUCTION/OVERVIEW Estimates of work related injury fatalities may exceed 10,000 workers per year, while work related disability injuries number approximately 1.8 million. Approximately 35 million lost work days occur each year due to nonfatal injuries. The direct and indirect costs of occupational injuries is estimated to be 47 billion dollars per year.

The outcome of occupational injuries depends not only on the severity of the injury, but also the rendering of first aid care. Prompt, properly administered first aid care can mean the difference between life and death, rapid vs. prolonged recovery, temporary vs. permanent disability.

The American Red Cross offers standard and advanced first aid courses. After completion of the course and successful passing of the written and practical tests, trainees receive two certificates; one in CPR and the other in first aid. Private institutions also teach courses in basic first aid, but they do not certify their trainees.

GENERAL PROGRAM General first aid should be available to employees in all departments. First Aid supplies should be stored in a convenient area available for emergency access in all departments. Depending on the number of employees in each department there should be at least one trained employee in CPR and general first aid available for emergency situations.

BLOODBORNE PATHOGENS Every first aid provider should be provided with adequate instruction on the need for and use of universal precautions. This should include:

• the meaning of universal precaustions, which body fluids are considered potentially infectious, and which are regarded as hazardous.

• the value of universal precautions for infectious diseases such as AIDS and Hepatitis B

• The necessity for keeping gloves and other protective equipment readily available and the appropriate use of them.

• Appropriate tagging and disposal measures of materials such as blood soaked material

• The appropriate management of blood spills.

FIRST AID


FIRST AID SUPPLIES The first aid provider should be responsible for the type, amount, and maintenance of first aid supplies needed for their particular department. These supplies need to be stored in a convenient area available for emergency access. EMERGENCY RESPONSE If you are unsure of the seriousness of an injury you should call for professional medical help. A list of emergency phone numbers should be posted at each location where first aid is provided for easy access. Prompt first aid care can mean the difference between life and death. PROGRAM UPDATE The first aid program should be periodically reviewed with current first aid techniques and knowledge. As new employees become first aid providers they need to be trained in current first aid techniques.

FIRST AID


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General Safety Rules






General Safety Rules

GENERAL SAFETY RULES


INTRODUCTION/OVERVIEW On the job accident prevention is the responsibility of all the district’s employees. It is the further responsibility of each employee to correct or report any unsafe condition or practice that he or she may observe.

Each supervisor is responsible for prevention of accidents to employees working under his/her supervision. It is the supervisor’s responsibility to train these employees to enable them to work safely and efficiently. GENERAL SAFETY RULES The following are some important general safety rules that each employee is required to follow, regardless of work assignments.

2. Lifting improperly is a major factor of the tremendous number of claims for back injuries. The following procedures must be followed:

a. Stand properly when lifting. Bend your knees and bring your body up with the load. Keep the load close to your body and keep your back straight.

b. Get help for heavy loads.

c. Take care when lifting. Lift properly and stay within your limitations.

Only qualified, designated employees should work on electrical wiring and equipment.

2. Horseplay or practical jokes will not be tolerated.

3. Good housekeeping is an aid to safety. All employees shall keep tools, equipment, and work areas clean and orderly.

Each employee should know the location of fire extinguishers in their work area. Employees should not fight fires that are beyond their fire training and limitations of the available fire fighting equipment. When in doubt, call professional help and evacuate to a safe area.

4. Gasoline will not be used as a washing or cleaning fluid. When cleaning solvent is required, use an approved cleaning solvent.

5. Material will be stored in a safe and orderly fashion. Flammable liquids should be stored in an approved Flammable Storage Cabinet.

6. Any employee, while on duty or on district property, who possesses, sells, or receives any illegal drug or who is under the influence of drugs or alcohol, will be discharged and, in appropriate situations, referred to law enforcement authorities.

7. Smoking will not be allowed at any facility, except in designated areas.

8. Clean up slipping hazards immediately.

9. Use caution when opening doors which serve two-way pedestrian traffic.



10. Use a stepladder or a step stool for high reaching.

Aisles and stairways are to be kept free and clear of boxes and tripping hazards.

11. While in a district vehicle, where provided by the manufacturer, seat belts are required to be worn at all times.

12. Obtain operating instructions for all equipment before attempting to operate any machinery with which you are not familiar; read operating instructions carefully.

13. After use put all tools/or equipment back in their proper place.

14. Disconnect all electrical cords by grasping the plug and carefully disengaging; never yank by the cord.

15. Use handrails when using the stairways.

16. Material Safety Data Sheets must be available, at the point of use, to any person who requests this information.

USE COMMON SENSE AT ALL TIMES. IF YOU ARE UNSURE OR IN DOUBT ABOUT SOMETHING, ASK your Supervisor!



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Professional and

Administrative Staff






Safety Rules

PROFESSIONAL & ADMINISTRATIVE


INTRODUCTION/OVERVIEW On the job accident prevention is the responsibility of all the district’s employees. It is the further responsibility of each employee to correct or report any unsafe condition or practice which he or she may observe. SAFETY RULES The following are some important general professional and administrative staff safety rules that each employee is required to follow:

1. Furniture, desks, chairs, file cabinets, etc., should be kept in safe condition and positioned so drawers do not open into walkways or halls.

2. Desk and file cabinet drawers should not be left open.

3. File cabinet drawers should be opened one at a time, and lower drawers should hold the heaviest load.

4. Furniture should not be used as stools or ladders.

5. Walkways, aisles, halls, and stairways should be kept clear of obstructions.

6. Do not attempt to move heavy objects; get help from maintenance or custodial personnel.

7. Office machines should be double insulated or grounded with ground wires or three-prong plugs.

8. Do not attempt to make any electrical repairs on equipment or electrical cords.

9. Electrical extension cords should be three-wire, ground type. Ensure they are not placed where they may cause a tripping hazard.

10. Store supplies in an orderly fashion. Heavier items should be stored waist high. Light items can be stored on upper or lower shelves.

11. Flammable liquids should be stored in approved Flammable Liquid Storage Cabinets.

12. Room doors which open into hallways should be opened slowly.

13. Duplicating machines which use ammonia, methanol, or other toxic liquids should be ventilated.

14. Personnel operating office equipment should be trained before operating equipment.

15. Employees should be trained in how to use portable fire extinguishers and should be familiar with building evacuation procedures. (See fire controls and emergency preparedness and evacuation plan.)

PROFESSIONAL & ADMINISTRATIVE


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Physical

Science Lab






Safety Rules

PHYSICAL SCIENCE LAB


INTRODUCTION/OVERVIEW On the job accident prevention is the responsibility of all the district’s employees. It is the further responsibility of each employee to correct or report any unsafe condition or practice which he or she may observe. SAFETY RULES The following are some important general physical science lab personnel safety rules that each employee is required to follow:

1. Know the location of the fire extinguisher and first aid kit and how to use each in case of an emergency.

2. In the event that clothing should catch fire, DO NOT RUN! Drop to the floor and roll. Observers should help extinguish the flames with a blanket or wet towel.

3. Always wear proper protective equipment when working with chemicals.

4. Contact lenses should not be worn when using any type of chemicals.

5. Flammable liquids should not be stored near an open flame.

6. When diluting acids always pour the acid into the water. Never pour water into acid.

7. Jewelry, neckties, and loose clothing should not be worn when working in the laboratory. Long hair should also be tied back.

8. All water, gas, and electrical outlets should be turned off when not in use.

9. Safe laboratory practices should be followed during all experiments.

10. All protective equipment should be checked and maintained on a regular basis.

11. A physical inspection of each chemical should be done to ensure against defective containers and improper labeling.

12. Storage and disposal of excess chemical and empty containers must be in accordance with the label.

13. A list of hazardous chemicals found in the laboratory and classroom must be compiled and maintained.

14. Maintain the most current Material Safety Data Sheet for each hazardous chemical. These sheets should be made readily available to students and employees.

15. Report the purchase of all chemicals to the proper authorities so that an MSDS can be obtained.

16. Chemical containers should not be used to store anything other than the original contents.

PHYSICAL SCIENCE LAB


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Printing & Graphics






Safety Rules

Guillotine Paper Cutter

Folders

Press Operations

Cleaning and Adjusting the Press

Storage in the Print Shop Area

PRINTING AND GRAPHICS


INTRODUCTION/OVERVIEW On the job accident prevention is the responsibility of all the district’s employees. It is the further responsibility of each employee to correct or report any unsafe condition or practice which he or she may observe.

SAFETY RULES The following are some important general printing and graphics personnel safety rules that each employee is required to follow:

SPECIAL DRESS REQUIREMENTS 1. Wear a half-sleeve shirt tucked in.

2. Sturdy, non-slip shoes are essential.

3. Loose clothing and jewelry are prohibited.

4. Use additional protective equipment required for the job being performed.

COPIER OPERATIONS 1. Ensure that the machine panels are in place on the copier before it operates.

2. Maintain document feeder mechanism in the “down” position when the copier is running to avoid bright light flashes.

3. Remove all paper jams quickly to avoid the possibility of fire.

4. Follow the manufacturer’s guidelines when clearing forms and installing chemicals and paper.

5. Power off the equipment before leaving each day.

GUILLOTINE PAPER CUTTER a. The machine must be lubricated and inspected regularly for proper operation.

b. Never block out the two-hand safety control for any reason or attempt to catch trim or straighten a falling pile.

c. Use a back-up board to control labels and small cuttings.

d. Report all unsafe conditions of the machine, brake failures, and peculiar motor sounds to your supervisor immediately.

e. Keep wiping rags, measuring instruments, wrenches, and other tools off the machine.



f. Keep the floor around and under the machine clear of oil, scrap paper, and other material to avoid slipping against the machine.

g. Follow the manufacturer’s recommended procedures in changing knives.

h. Never talk to anyone while operating the cutter.

i. Never wipe the blade with anything.

j. Handle the blade with caution when changing it. Use bolts in the hole when replacing the blade.

k. When handling stock under the blade, be sure the blade is above the clamp and never step on the clamp release pedal.

l. Power off the cutter after each use.

FOLDERS 1. Never put fingers or foreign objects in the folders, while the folder is on.

2. Make sure the folding plates are securely in their slots before starting the folder.

3. Never operate the folders with loose sleeves, ties, or unrestrained long hair.

4. Oil the ends of the rollers weekly.

5. Clean filter receptacles once a month.

6. Clean rollers with the proper cleaning solution after each use to remove ink.

7. Power off the folders after each use.

8. Do necessary maintenance to the folder only when it is turned off.

PRESSROOM REGULATIONS 1. Use safety containers for solvents, metal containers with cover for oily rags, and

waste containers for paper.

2. Never leave tools anywhere on the press.

3. Keep rollers properly racked so they cannot be knocked from their position.

4. Keep the press area free of grease, oil, and excess ink.

5. Stack paper in neat, sturdy piles without overstocking.

6. Provide adequate ventilation and illumination.

7. Maintain clear aisles.



PRESS OPERATIONS 1. Pull main switch when oiling, greasing, cleaning, and adjusting the press.

2. Replace all guards immediately after completing any repair or adjustment and be sure guards are in their proper positions before starting the press.

3. Presses should be equipped with approved starting, stopping, running, and warning controls.

4. Be sure everyone is in the clear before starting the press.

5. Never reach into a moving press for any reason.

6. An operating press must be monitored at all times - either by the operator or someone close by.

7. Never operate the press with loose clothing or unrestrained long hair.

8. Power off all equipment before leaving each day.

CLEANING AND ADJUSTING THE PRESS 1. Use only approved wash for cleaning rollers. (No toxic and flammable solvents are

permitted.) Make sure you know the properties of the solvents being used, use as little as possible to do the job, and keep it from spilling on the floor.

2. Keep cleaning solvent in a safety can. Store cleaning rags in a covered metal can. Use soft, clean rags - with no loose ends – for washing rollers.

3. The press switch should be “locked out” when rollers are being removed from or placed in the press. Watch finger clearance when handling rollers.

4. Use vinyl gloves when handling cleaning solvents.

5. Clean sink basins of chemical residues.

SHRINK WRAP MACHINE 1. Avoid contact with the heating equipment.

2. Make sure that the arm is in full “up” position before handling each package.

3. Power off the machine before leaving each day.



STITCHERS 1. Never put fingers under the stitch head while the stitcher is on.

2. Make adjustments to the stitcher only when it is turned off.

3. Oil the stitcher weekly (depending on use) and use only 1 drop per access hole.

4. Power off stitchers after each use.

STORAGE IN THE PRINT SHOP AREA 1. Keep all material shelved and free from walkways.

2. Use correct lifting techniques when moving materials.

3. Use correct ladder procedures for lifting above waist height.

4. Store as many materials as possible at waist height.



Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________


Grounds

Maintenance






Safety Rules

GROUNDS MAINTENANCE


INTRODUCTION/OVERVIEW On the job accident prevention is the responsibility of all the district’s employees. It is the further responsibility of each employee to correct or report any unsafe condition or practice which he or she may observe. SAFETY RULES The following are some important general grounds personnel safety rules that each employee is required to follow:

1. Do not operate any equipment unless you have been properly trained and are familiar with the specific equipment.

2. Use equipment for jobs it was designed, etc.; do not trim hedges with mowers.

3. Keep hands and body parts from under machines.

4. Do not leave mowers running unattended.

5. Prior to mowing, pick up rocks, wire, bottles, and any item that may damage a mower or become an airborne missile.

6. Prior to mowing, locate and mark all obstacles.

7. Always wear eye and ear protection when mowing (dust masks, optional).

8. Use drop chains on tractor-towed mowers; be sure the chains are within one-half inch of the ground. Watch for slopes and go slow.

9. Disengage PTO prior to leaving tractor seat.

10. Use proper “KILL” switches to stop engine.

11. Use extreme caution when attempting to field repair any mower. Ensure all ignition sources are deactivated.

12. Report all mechanical defects to your supervisor.

13. Do not refuel mowers indoors.

14. Keep all flammable liquids in an approved Flammable Liquid Storage Cabinet.

15. Use eye goggles and gloves when handling chemicals.

16. Know your chemicals; review chemical data sheets regularly.

17. When in doubt of any grounds procedures, contact your supervisor.

GROUNDS MAINTENANCE


Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________


Building

Maintenance






Safety Rules

Compressed Gas Cylinders

Extension Ladder Safety

Scaffolds

Portable Power Tools

Electric Hand Drills

Power Hand Saw

Grinder

Air Compressors

Painting

Plumbing

Welding, Arc Cutting and Brazing

BUILDING MAINTENANCE


INTRODUCTION/OVERVIEW On the job accident prevention is the responsibility of all the district’s employees. It is the further responsibility of each employee to correct or report any unsafe condition or practice which he or she may observe. SAFETY RULES The following are some important general building maintenance personnel safety rules that each employee is required to follow: ELECTRICAL EQUIPMENT

1. Office machines should be grounded if they are equipped with a ground wire or three-prong plug. New equipment should have grounded connections.

2. Electrical cords and plugs should be in safe repair. Check for loose plugs, worn insulation, and defective outlets.

3. If an adapter must be used to insert a grounded plug into an ungrounded receptacle, attach the pigtail to a grounded object.

4. Electrical extension cords should be 3-wire grounded type. They should be arranged so as not to cross walkways.

5. Wall outlets should not be overloaded by connecting additional appliances with adapters or extension cords.

6. Only electricians from the maintenance department should attempt any electrical repairs.

ELECTRICAL POWER CORDS

1. Worn cords can cause short circuits, shocks, and fires. Always be sure you are using the right type of cord for the right job. Use heavy duty cords for tools, moisture resistant for outdoors, and always use the 3-wire type of cords.

2. Extension cords must never be affixed to a wall with metal staples.

3. Never place cords under rugs or across a driveway because damage can occur to the insulation.

4. Never wrap cords around steam pipes, metal, or warm appliances. Protect them from heat and water.

5. Never use extension cords that are defective. Check the continuity and use no cords which are frayed. Check to see that the strain relief is proper.

6. Pull the plug - not the cord - to disconnect from a wall outlet and check the cord often for wear at the plugs and connections.



COMPRESSED GAS CYLINDERS Compressed gas cylinders can become extremely dangerous if mishandled or if the valve is broken off the top. They must be stored away from direct sunlight, out of extreme heat, and in an area that is properly ventilated. The cylinders should be kept in racks or stands or set in an upright position. They should also be leashed or chained to prevent them from falling over. Protective caps must be installed on all cylinders, whether empty or full, when they are not being used. Never drop a gas cylinder. STEP-LADDER SAFETY

1. Completely inspect all ladders before using and set up the ladder properly. The inspection should include the hardware and fittings. Defective ropes/cables should be replaced. Comply with the weight limits and specific uses for a ladder by referring to its label. When a ladder is detected to have defects it should be tagged or marked as “Dangerous, Do Not Use” and repaired or discarded.

2. Ladders should not be painted: defects may be covered by paint. Clean off any paint spilled on the ladder during use.

3. Secure ladders before climbing. If necessary, a second person should be present to hold the bottom from slipping. The ladder should be equipped with safety shoes to prevent the bottom from slipping. When on a ladder, the climber’s body must be centered at all times.

4. Never stand on the two top steps of a ladder nor on the bucket shelf.

5. All stepladders should be open wide enough that the spreaders lock in the fully-open position. Set the ladder base firmly on the ground.

6. Portable metal ladders should not be used for electrical work or where they may contact electrical conductors. Use a wood or fiberglass ladder instead and shut off power first if ladders must be used in such locations.

7. Do not place ladders in front of a door unless the door is locked or adequately guarded.

8. Never lean a ladder against unsecured or unsafe objects, surfaces, or piping that could be damaged.

9. Stepladders should not be substituted for scaffolds or work stands.

10. Select a ladder tall enough to reach the work. No attempts should be made to reach beyond a normal arm’s length while standing on the ladder, especially to the side. Move the ladder instead.



EXTENSION LADDER SAFETY 1. Completely inspect the ladder before using. The inspection should include the

hardware and fittings. If a defect is discovered tag or mark the ladder as “Dangerous, Do Not Use” and repair or discard the ladder.

2. Ladders should not be painted: defects may be covered by paint. Clean off any paint spilled on the ladder during use.

3. Never use a metal ladder near electrical wires or electrical equipment. Use a wood or fiberglass ladder instead and shut off power first if ladders must be used in such locations.

4. Secure ladders before climbing. If necessary, a second person should be present to hold the bottom from slipping. The ladder should be equipped with safety shoes to prevent the bottom from slipping.

5. Set the ladder squarely on the ground.

6. Shoes and ladder rungs should be free of dirt, mud, grease or ice.

7. Always face the ladder and have both hands free when climbing or descending.

8. Secure the ladder to prevent it from slipping or falling by tying it off to a fixed object at the top of both side rails or to a proper sized single support attachment.

9. Use ladders or ladder sections right side up. The extension ladder should always be erected so that the upper section is resting on the bottom section.

10. Position straight ladders so that the base of the ladder is a distance equal to one-fourth the vertical height away from the wall. If the ladder is too close, it can tip backwards. If it is too far away, the ladder may break or slide downwards.

11. When working from a position on the ladder, knees should be braced against the side rails near the end of the ladder rungs to increase stability.

12. Never lean out from a ladder to work. Get down and move the ladder.

13. Never carry heavy or bulky tools and materials up or down a ladder. Raise or lower them by a hand line, bucket or crane. Small tools should be carried in a tool pouch to leave both hands free.



SCAFFOLDS 1. The span-scaffold platform is designed to carry a maximum distributed load of 500

pounds with a safety factor of four. Do not exceed this 500 pound load. The maximum static load is 25 pounds per square foot on any platform and 3000 pounds total on any base section of 1600 pounds with legs extended.

2. The horizontal brace of the span scaffold should never be installed at the same level as the intersection of the diagonal braces. Always install it either higher or lower than this intersection point.

3. Never climb a span scaffold which does not have at least two diagonal braces and one horizontal brace properly installed in the bottom section. Double width spans require double bracing.

4. Lock all caster brakes before climbing the scaffold.

5. Never move a scaffold when anyone or material is on it.

6. If in doubt as to the ability of a scaffold to handle a job, write or telephone the manufacturer for instructions.

7. Never use a scaffold that is damaged or improperly erected. Do not force parts that do not fit freely.

8. Be sure the scaffold is level at all times. When the leg is adjusted, be sure to push the locking collar completely over the expanding nut and below the safety locks. Never make leg adjustments when anyone is on the scaffold.

9. Never lean a ladder against a scaffold. Never place a ladder on the platform of a scaffold. Never push or pull or lean against a wall or ceiling when standing or sitting on a scaffold, unless it is securely tied to the building.

10. Never try to stretch the platform height with the adjustable legs. When additional height is required, add more scaffold sections. Save the leg adjustment for leveling the scaffold.

11. Make sure all locking hooks are firmly in position and that the spring-loaded locking pins have functioned properly. These hooks appear at each end of the separate horizontal and diagonal braces and at the upper end of the stairways.

12. Before using a scaffold with folding braces, be sure that the latches of all locking hinges are locked.

13. Metal scaffolds must never be used while working near electricity, electrical wires or electrical equipment, even for changing light bulbs. Shut off power first if the scaffold must be used in such locations. Electricity is conducted by metal. Look up and look out for power lines.



PORTABLE POWER TOOLS All portable power tools should be electrically grounded when they are in use. On some machines this is done by the use of a three-wire cord and plug which fits a three-hole receptacle. The receptacle is grounded to the circuit ground. On others there is a three-wire cord with a small tail which should be screwed to the junction box, thus grounding it to the conduit.

Electrical accidents are not frequent but can be fatal. USE THE GROUNDS PROVIDED ON YOUR MACHINES. Do not cut ground prongs off plugs.

Be sure all portable machines are pointed in a safe direction with the switch off when the plug is put into the electrical circuit. ELECTRIC HAND DRILLS

1. Use only sharp, straight bits of the size intended for the machine.

2. Keep eyes away from electrical hand tool cooling air vents; wear an eye shield or goggles to keep dust from being blown into the eyes.

3. Severe injury may result if a live or coasting bit gets hold of a piece of clothing.

4. When using attachments, follow the instructions.

5. Do not try to hold small pieces of material with the fingers.

6. Always use the screwdriver attachment in such a way that it cannot injure the operator if it slips off the work.

PORTABLE BELT SANDERS

1. Always hold the handle of the sander when plugging it into the electrical circuit.

2. Never set a coasting machine down on the bench.

3. The user should inspect the tracking of the belt whenever a new belt is put on.

4. Wear eye protection when using the portable belt sander. The fan vents may blow dust into the eyes.

5. Keep both hands on the handles provided on the belt sander.

6. Arrange the electric cord so that it cannot be caught by the belt.



POWER HAND SAW

1. Be sure the switch is off and the saw lying or held in a safe position when the plug is inserted.

2. Unplug the power when changing the blade or handling the blade.

3. Care should be taken to prevent the electric cord from getting into the blade.

4. In a diagonal cut the guard may catch. Do not try to release it with your fingers, unless it has a handle for this purpose.

5. Do not stand directly in the saw line of this or any other saw. If the blade binds, it has a tendency to kick the saw back out of the cut, and legs have been severely cut in this way.

6. These machines are provided with two handles. Keep both hands on these handles when operating this saw. Holding work with one hand and cutting with the other is dangerous.

7. Sawing through loose knots may cause the saw to kick. Defective material may break under the weight of the saw when cut, thus causing the saw to strike the leg of the operator.

HAND ROUTER

1. Wear eye protection when using this tool.

2. Be sure the fence or pilot is securely locked.

3. Feed the machine so that the leading edge of the knife is biting in as the router is pushed along.

4. Keep both hands on the handles when using this machine.

5. Lay the machine down with the cutter pointing away, and beware of the coasting machine.

GRINDER

1. Wear clean goggles that shield the eyes from all directions when grinding.

2. Keep the tool rest as close to the wheel as possible. Under no conditions should the distance between the tool rest and the wheel exceed one-eighth inch.

3. Apply work gradually to a cold wheel.

4. Do not grind on the side of a light wheel. Side grinding must be done only on a wheel that is designed and built for side grinding.



5. Keep the fingers clear of the stone.

6. Keep the path of the wheel travel clear of any obstructions.

7. Do not rub the face or eyes with hands that are soiled with emery dust.

8. Do not stand in line with the wheel when starting the grinder. Faulty grinding wheels usually break on START.

9. Hold small pieces securely in a proper holder. Do not hold small pieces with the hand.

10. Ensure side guards are installed on all table grinders. AIR COMPRESSORS

1. Air compressors must have their flywheel and drive pulley fully enclosed. COMPRESSED AIR

1. Beware of compressed air, it can be dangerous. Alternate methods of cleaning surfaces should be sought.

2. Compressed air should never be used to blow debris from a person.

3. The downstream pressure of compressed air must remain at a pressure level below 30 PSI whenever the nozzle is dead-ended and then only when effective chip guarding and personal protective equipment are used.

PLANER

1. Make certain that the stock has no large cracks, loose knots, nails, screws, dirt, paint, or varnish on any of the surfaces.

2. Turn the shaving exhaust on before starting the machine.

3. Never run stock through the planer if it is less than 18” long.

4. Limit the depth of cut to one-eighth inch for narrow stock and one-sixteenth inch for stock of full planer width.

5. Never plane stock less than one-fourth inch thick unless it is placed on a thick board for support.

6. Keep hands away from the feed rolls, and keep “hands off” boards that are gripped by the feed rolls.

7. Never attempt to shift a board after it has been gripped by the feed rolls.

8. Never change the depth of cut while a board is going through.



9. Never plane two boards side by side. One board may be thinner than the other and a serious kickback may result.

10. Never plane the edge of a board in the planer.

11. Never attempt to look into the planer while it is in operation.

12. Never allow the planer to run unattended.

13. Never stand directly in line with the rotation of the planer head or directly behind the board that is being fed.

14. Anchor the planer to a solid foundation to reduce vibration.

15. Wear ear protection and eye protection.

16. Enclose the cutter heads completely.

17. Keep feed roll guards on and properly adjusted. PAINTING

1. Have the spray booth ventilation system in operation during every spraying operation.

2. Use the proper type of respirator at all times when spray painting with toxic paints.

3. Regulate the air and paint pressure on the spray gun before starting work. Exercise caution in the handling of compressed air and power paint equipment.

4. Clean the spray gun and other equipment thoroughly after each use.

5. Never put your hand in front of an airless paint spray nozzle.

6. Follow all rules governing safe handling of combustible materials. Read and follow the manufacturer’s directions carefully when using finishing materials. This is especially important when using lacquer, enamel, or paint in pressurized cans. Spray 20 feet away from possible source of ignition.

7. Store flammable paints and thinners, etc., in approved storerooms with explosion-proof wiring or a metal storage cabinet.

8. Never have more than a one-day supply of flammable paint outside an approved storage area.

9. Clean up all spills promptly.

10. Store thinners in UL approved safety cans with spring-loaded and vented lids.

11. Dispose of oily paint or solvent rags in metal containers with tight fitting lids.

12. Bond metal containers when transferring flammable liquids, especially those that are known as Class I Flammable liquids.



PLUMBING 1. Eye protection of an approved type should be worn when any type of eye hazard

exists. This would include welding or cutting operations, grinding, chipping, or working on steam or chemical lines.

2. Hard hats should be worn by all persons working in areas where tools, materials, or objects may fall from above.

3. Safety belts and life lines should be used when it is necessary to work at elevations where scaffolding or staging is not practical, such as running pipes or ducts along members of open roof trusses, and when working on unguarded catwalks.

4. Gloves should be worn when handling pipe, sheet metal, or other material having rough edges.

5. Wear adequate clothing, which includes long sleeves, and keep the cuffs buttoned when welding, cutting, or working on chemical or steam lines.

6. Care should be exercised when handling pipes, ducts, or other materials to avoid catching fingers and hands between the materials and the floor, or other objects.

7. Use only tools and equipment that are in first-class condition. Examine the tools periodically to make sure they are in good working order.

8. Be considerate at all times of the safety of your fellow workers and the general public, including the students.

9. All electricity-driven power tools and machinery should be properly grounded.

10. Check the torches to determine that no leaks exist and that they are in good operating condition. Do not place them where surrounding material could be ignited. Never leave any torches unattended when lighted.

11. Never leave tools on ledges, beams, or any other elevated places.

12. Store all material in a safe and orderly manner.

13. Material should not be stored in such quantity as to exceed the safe carrying capacity of the floor or platform.

14. Pipes or ducts should be securely tied and latched to prevent movement or shifting when being transported on elevators or material hoists.

15. When using a rope to hoist pipe or ducts, secure them with a double hitch, well spaced to prevent shifting.

16. Hoists or block and tackle should be of sufficient size and strength to safely raise or lower the load for which it is intended.



17. The sides of trenches should be shored or braced to prevent cave-ins or collapse when excavated to a depth of four (4) feet or more, where soil is likely to crumble, or where hydrostatic pressure exists and the sides are not sloped to the angle of repose.

18. Substantial barricades should be erected around pits and trenches to protect employees, the public, and students.

19. Do not force powered sewer augers, especially if there is too much distance between the auger and the drain.

20. All attempts should be made to avoid the use of caustic drain cleaners, but if necessary to use, always use goggles and gloves and follow product instructions.

WELDING, ARC CUTTING, AND BRAZING

1. Welding should be performed by qualified welders only.

2. When welding or cutting outside the designated welding area in a hazardous area, one person shall be designated to stand fire watch with a fire extinguisher. Additionally, a portable gas detector should be used periodically to check for combustible atmosphere. If the person standing fire watch is called away to perform another job, welding will cease.

3. Flammable and other materials should be cleaned from surfaces before welding.

4. Proper eye protection shall be worn by all personnel in the welding area.

5. Gas cylinders require careful handling. Cylinders should be stored under cover, protected from the direct rays of the sun, sparks, flame, and heat. They shall be secured in an upright position with caps in place when stored or not in use. Caps shall be in place before cylinders are moved.

6. Light acetylene first. This prevents back pressuring the acetylene with higher pressure oxygen.

7. Leave a special wrench in position on the valve stem so the fuel gas flow can be shut off in an emergency.

8. Keep the acetylene and oxygen hoses out of the doorways and the path of workers. If the hose is flattened, a flashback may occur, causing the hose to rupture and catch fire.

9. Report worn or leaking hoses.

10. Report damaged arc welding cables immediately.

11. Secure the ground lead firmly.

12. Never join cables without proper connectors. Do not force connections that do not fit.



13. Wear a welding helmet with the proper shade of lens.

14. Wear clean, fire-resistant gloves and clothes with collar and sleeves buttoned.

15. Protect others in the vicinity by using screens, shields or booths.

16. Never carry disposable butane lighters in shirts or pant pockets as these can be burned by welder sparks and could possibly explode.

17. Contact lenses should not be worn. Arcs generated by an arc welder may cause blindness.

18. Never use an arc welder in wet areas or when it is raining.

19. Never weld or cut containers (drums, cans, etc.) which have held a flammable substance until they have been thoroughly cleaned, made vapor free, and tested for presence of flammable vapors.

20. Check vessels and tanks with a gas detector any time there has been a break in welding or cutting operations to determine that there has been no accumulation of gas.

21. Move all combustible and flammable materials away before welding. Keep fire extinguishers handy.

22. Provide local exhaust ventilation when the ceiling is less than 16 feet high or when welding in confined spaces. Use respirators if you are going to do prolonged welding where ventilation is not provided, or when welding on metals or coated metals such as those painted with lead paint of cadmium-plated metals or plastics. These produce toxic fumes.

23. Welders shall be qualified to do the appropriate procedure for the given work.

24. All welding should be performed to procedures which have been reviewed by a qualified supervisor.



Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________


Food Service






Safety Rules

Use of Kitchen Equipment

Kitchen Storeroom Safety

Mopping Procedures

FOOD SERVICE


INTRODUCTION/OVERVIEW On the job accident prevention is the responsibility of all the district’s employees. It is the further responsibility of each employee to correct or report any unsafe condition or practice which he or she may observe. SAFETY RULES The following are some important general food service safety rules that each employee is required to follow:

1. Keep floors free from wet spots and debris. Wipe up spills immediately and until the floor is completely dry, use a “wet floor” safety sign. Keep all equipment clean.

2. Walk never run. Rushing is especially hazardous when carrying hot foods, dishes and glassware.

3. Report injuries to the manager.

4. A school kitchen is no place for horseplay and practical jokes.

5. Know your school’s fire safety plan.

6. Use equipment only after you have received proper instruction. Never talk to others or allow yourself to be distracted while you are operating electrical equipment, especially the meat slicer and mixer.

7. Use carts to move large quantities of food rather than carrying by hand. Never obstruct your view by overloading mobile carts. If necessary, ask for help in moving or lifting heavy loads. Use proper lifting techniques. It is recommended that a back belt be worn on duty, especially when lifting is necessary.

8. Guide a baker’s rack by walking beside it rather than in front or behind it. Be sure to have good visibility when moving rack.

9. Use dry cloth, mitts, or potholders to pick up hot receptacles. Have an area clean for placing hot items.

10. Never pour boiling liquids into glass jars, plastic, or foam containers. 11. Before cleaning steam tables or electrically powered machines, make certain that the

steam and/or electricity has been shut off and equipment is cool enough to handle. Ovens and stoves should also be allowed to cool before cleaning.

12. Remove the cover from a pot or pan so that the steam will be directed away from you; stand to the side when opening oven doors, steamer doors, or the lids to kettles and braising pans. Also be sure that the surrounding area is clear of other people whenever steam is to be released. The contents and/or liquids must be removed with extreme care.

13. Shut off the switch and pull the plug before cleaning any electrical appliance (including portables). Wait until the machine comes to a full stop.

FOOD SERVICE


14. Sharp knives and glass objects should never be placed in any compartment sink. A specific place should be designated to put soiled knives for washing. Sharp knives must be placed point down in dishwasher racks.

15. Return knives to their proper place with points and blades to the rear. Racks or sheaths should be provided and used.

16. Handle open cans with care. Never open cans with a knife. Use care when discarding can lids.

17. Store heavy utensils or stacks of dishes flat on the middle storage shelves for safer handling and so that they will not jar off.

18. Place cooking utensils so handles do not protrude beyond the edge of the range or table.

19. Guards on kitchen equipment are for your protection and should never be removed except for cleaning and then immediately replaced. Inform co-workers when the guards are off the equipment.

20. Keep oven doors closed when not in use.

21. Special care should be used when lighting equipment with pilots. a. Oven doors should be opened before lighting burners. b. If any odor of gas is detected, let it fully escape before striking a match. c. Always light the match before turning on the gas. d. At the end of the day, the person using any piece of gas-fired equipment must

inspect it carefully to ensure that all jets are properly closed.

22. Fill pans no more than 2/3 full.

23. Use care in handling produce crates to avoid slivers, nails, or jagged wires.

24. Keep all crates and boxes off the floor and away from walkways.

25. Cover all containers when stored in coolers or storage spaces.

26. Observe cleanliness rules and wash hands thoroughly.

27. Avoid wearing jewelry, necklaces, or loose clothing while working around rotating machinery.

28. Wear closed-toe non-skid shoes.

29. Use a step stool or ladder for reaching high places. Never stand on stacked boxes, cans, shelving, chairs, etc.

30. CPR and choking posters must be posted in the cafeteria.

31. Never leave greasy pans in the oven.

FOOD SERVICE


32. Never melt fat in its original container or in shallow pans.

a. If it is full, it may run over and cause a burn or start a fire.

b. Raw grease in a deep fat fryer against coils can catch fire.

33. A buildup of grease can present a fire hazard. Clean grease off equipment, such as stove tops, hoods, drip pans, cooking pans and utensils.

USE OF KITCHEN EQUIPMENT Accidents can happen easily when a tool is used incorrectly. Pay close attention to what you are doing and to what is going on around you.

1. Unplug electrical equipment before cleaning. Use caution when removing hot items from appliances.

2. The meat slicer should be unplugged when not in use and when being cleaned. Use the slicer only with safety guards. When the slicer is not in use, the thickness gauge is to be set at zero.

3. Keep hands and utensils out of the mixing bowl while it is in operation. Begin mixing at the lowest speed and, when the mixing is completed, return it to the lowest speed.

4. Gas and electric ovens can be extremely hazardous. a. Keep hands off the tops and sides of ovens when in use because of the heat. b. Always make sure the pilot light is on before turning on gas. c. Clean ovens when they are cool and turned off. d. Keep water away from electric cords. e. Ventilate a gas oven several minutes before striking a match. Then strike the

match and place to the jet before turning it on. Open the gas slowly to avoid blowing the match out prematurely.

f. If gas is smelled when opening the kitchen in the early morning, leave the lights off and call maintenance to inspect the premises.

5. Steam tables are another source of heat, so be careful not to touch them when they are in use. Always use hot pads when lifting hot pans from the steam table to the oven.

6. Knives can be dangerous whether sharp or dull.

7. It is best to use sharp knives so less pressure has be to exerted by the user and the likelihood of slippage is decreased.

8. Knives should be handled carefully, even when the task is done. For example, knives should be placed (rather than tossed). Never put knives into water.

9. The person using the knife should also wash, dry, and store the knife when finished with it.

FOOD SERVICE


10. A knife should be passed handle first.

11. If you drop a knife, let it fall rather than trying to catch it.

12. The food processor must be unplugged when not in use and when it is being cleaned. Its blades are sharp and must be handled cautiously. Never use hands to feed foods into the processor; use the food plunger with light pressure (not force).

13. Vent-a-hoods are to be on during all kitchen operations.

14. Use the appropriate size of ladder to clean the hoods.

15. Always have assistance when removing and replacing hood filters.

16. Oven cleaner blackens aluminum; therefore, never use this product on the vent-a-hood vents.

17. Have plenty of ventilation when spraying inside the hoods. KITCHEN STOREROOM SAFETY Good storeroom safety rules are effective only when put into practice.

1. Use a strong ladder that is the appropriate size for the job.

2. Replace sagging shelves with strong shelves.

3. Stack heavy loads on the middle shelves or on duckboards.

4. Store chemicals on bottom shelves or out of the storeroom and food production areas.

5. Keep storeroom well lighted.

6. Keep floor clean, dry, and free from clutter.

7. Keep aisles clear of objects. Put groceries and equipment away as soon as possible. MOPPING PROCEDURES

1. Wring out excess water from the mop to eliminate extra weight in the mop and to avoid leaving excess water on the floor.

2. Mop in an “S” motion (instead of back and forth in a sweeping motion) to relieve the back from excessive strain.

3. Use the proper cleaning agents designed for floors. This will prevent residue from building up on the floors and creating a slippery surface.

4. Put up “wet floor” signs while mopping and until the floor is dry.

FOOD SERVICE


Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________


Janitorial

and Custodial






Safety Rules

JANITORIAL AND CUSTODIAL


INTRODUCTION/OVERVIEW On the job accident prevention is the responsibility of all the district’s employees. It is the further responsibility of each employee to correct or report any unsafe condition or practice which he or she may observe. SAFETY RULES The following are some important general janitorial and custodian safety rules that each employee is required to follow:

1. Use caution when mopping floors. Do one-half of the hallway at a time, wait for that side to dry, then do the other half. Put out caution signs indicating “Caution - Wet Floors.”

2. Use care in handling crates, broken glass, jagged wires, etc. Use gloves.

3. Never store metal items or anything flammable or combustible in a storeroom where electrical equipment is located.

4. Do not block pathways.

5. Keep the storeroom and boiler rooms clean and roomy.

6. Always mix and apply waxes according to the label. Always use “UL Approved” non-slip waxes or floor coatings.

7. Proper floor cleaning is vital for keeping floors from becoming hazardous.

8. Store and use acid or caustic drain cleaners properly. Keep caustics away from chlorine cleaners. Use eye protection. Read the directions before using any cleaner.

9. Use extension handles on dust mops, etc., to reduce the need for climbing to high places.

10. Use handrails when using stairways.

11. If your hands are full, use a cart and keep the load light. Do not let the load obstruct your vision when going in hallways or stairways.

12. Always put tools, equipment, and machines back in their proper place after use. Do not leave pails and carts, etc., in the middle of hallways where they can become obstacles.

13. Do not store flammable or combustible materials such as paper products, gasoline cans, aerosol cans, mops with wooden handles, etc., in the vicinity of the boilers or other sources of heat such as gas water heaters.

14. Never overload electrical circuits.

15. When in doubt, ask your supervisor.

JANITORIAL AND CUSTODIAL


Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________


Warehouse






Safety Rules

Forklift Trucks

WAREHOUSE


INTRODUCTION/OVERVIEW On the job accident prevention is the responsibility of all the district’s employees. It is the further responsibility of each employee to correct or report any unsafe condition or practice which he or she may observe. SAFETY RULES The following are some important general warehouse personnel safety rules that each employee is required to follow:

1. Before loading and unloading a truck, set the brakes.

2. Do not move a truck before all persons are properly seated or protected from the hazards of a shifting load.

3. Do not hot rod fork-lifts or pallet jacks.

4. High lift rider trucks must be provided with an overhead guard.

5. Know the location of eye wash stations when handling batteries to be charged.

6. “NO SMOKING” signs should be posted in battery charging areas.

7. Keep vent caps off of batteries to prevent the build up of gases.

8. Cover vent openings with a cloth.

9. Lower forks to the ground when the truck is not in use or the operator is more than twenty five feet away.

10. Always travel with the load lowered.

11. Check the trucks daily or after each shift.

12. Travel backwards if the view to the front is obstructed by the load.

13. Do not overload lifts or hoists.

14. Keep out from under loads.

15. Do not jump off docks, pickup trucks, or other elevated surfaces.

16. Keep aisles unobstructed.

17. Stow pallets flat.

18. Do not store highly combustible chemicals in a warehouse. These should be kept in a separate storage area.

19. Avoid stacking materials on the floor. Use shelves when possible.

20. Forklift operators should be properly trained and qualified before using the vehicle.

WAREHOUSE


21. Each forklift should have a horn and backup warning noise. The horn should be used at every intersection.

22. When moving a load do not stop quickly; make sharp turns slowly.

23. Never carry hitchhikers. Forklifts were made for one person.

24. Never run over objects lying in the floor and try to avoid chuck holes. These hazards could easily topple the load.

FORKLIFT TRUCKS

1. Forklift trucks shall be examined before being used. Check the operator controls, brakes, fluid lines and levels, lights, filters, safety devices (horn, fire extinguisher, etc.), backup horns, and the movement of the fork.

2. Unless qualified, the operator should not attempt to make any repairs.

3. Portable and powered dockboards shall be strong enough to carry the load imposed on them.

4. Portable dockboards shall be secured in position, either by being anchored or equipped with devices which will prevent their slipping.

5. Handholds, or other effective means, shall be provided on portable dockboards to permit safe handling.

6. Only stable or safely arranged loads shall be handled. Caution shall be exercised when handling off-center loads which cannot be centered.

7. Only loads within the rated capacity of the forklift truck shall be handled.

8. A load engaging means (forks) shall be placed under the load as far as possible; the mast shall be carefully tilted backward to stabilize the load.

9. Extreme care shall be used when tilting the load forward or backward, particularly when high tiering.

10. The operator shall:

a. Maintain a safe distance (recommended 3’-5’) from the edge of ramps or platforms while on any elevated dock, or platform or freight car.

b. Assure efficient headroom under overhead installations, lights, pipes, sprinkler system, etc.

c. Observe all traffic safety rules, including authorized plant speed limits.

d. Maintain a safe distance, approximately three truck lengths from the truck ahead, and the truck shall be kept under control at all times.

e. Yield the right of way to pedestrians.

WAREHOUSE


f. Yield the right of way to ambulances, fire trucks, or other vehicles in emergency situations.

g. Slow down and sound the horn at cross aisles and other locations where vision is obstructed.

h. Look in the direction of, and keep a clear view of the path of travel.

i. Travel the load trailing if the load being carried obstructs forward view.

j. Cross railroad tracks diagonally whenever possible. k. Operate at a speed, under all travel conditions, that will permit the forklift truck to

be brought to a stop in a safe manner. l. Slow down for wet and slippery floors. m. Properly secure dockboard or bridgeplates before they are driven over.

Dockboard or bridgeplates shall be driven over carefully and slowly and their rated capacity never exceeded.

n. Approach elevators slowly, and then enter squarely after the elevator car is properly leveled.

11. The operator shall not:

a. Operate a forklift truck while using prescription or over the counter medications that may interfere with the safe operation of the forklift truck in any manner.

b. Drive forklift trucks up to anyone standing in front of a bench or other fixed object.

c. Run over loose objects on the roadway surface.

d. Allow persons to stand or pass under the elevated portion of any truck, whether loaded or empty.

e. Park closer than eight feet from the center of railroad tracks.

f. Allow any person to ride on forklift trucks except the operator, unless the forklift truck has provisions for passengers.

g. Place arms or legs between the uprights of the mast or outside the running lines of the truck.

h. Use forklift truck for opening or closing freight doors.

i. Block fire aisles, access to stairways, or fire equipment with the forklift truck or the load being handled.

j. Pass other trucks traveling in the same direction at intersections, blind spots, or other dangerous locations.

k. Participate in stunt driving or horseplay.

l. Push or tow other forklift trucks.

WAREHOUSE


12. An overhead guard shall be used as protection against falling objects.

13. A load backrest extension shall be used whenever necessary to minimize the possibility of the load or part of it falling rearward.

14. Only approved industrial trucks shall be used in hazardous locations.

15. Lift truck operators should know the weight of the load prior to moving the load.

16. Standing on a truck or adding counterweights to compensate for an overload will not be permitted.

17. Operators should never attempt to operate a truck with an overload. Such a load is dangerous because it removes weight from the steering wheels, which affects the steering.

18. Extreme care must be taken when mast and load are raised high.

19. When lifting a load, always check for any overhead obstructions that might be damaged or cause the load to spill or topple the truck.

20. Always heed instructions about stacking height.

21. Never allow other workers to stand nearby when you stack materials.

22. Do not stack material in aisles or roadways.

WAREHOUSE


Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________


Vehicle

Maintenance






Safety Rules

VEHICLE MAINTENANCE


INTRODUCTION/OVERVIEW On the job accident prevention is the responsibility of all the district’s employees. It is the further responsibility of each employee to correct or report any unsafe condition or practice which he or she may observe. SAFETY RULES The following are some important general vehicle maintenance personnel safety rules that each employee is required to follow:

1. Report any injury to your supervisor immediately. 2. Do not indulge in horseplay, practical jokes, or scuffling. 3. Wear proper work clothes, with no open shirt cuffs or shirt tails left hanging out. Roll

up your sleeves and avoid loose clothing. 4. Remove rings, watches, necklaces, and ID chains with metal bands, especially when

working on engines or when testing electrical circuits and parts. 5. Do not put sharp, pointed tools in pockets. 6. Always wipe up spills, oil, or grease off the floor immediately and wipe the area dry.

Dispose of oil absorbent material properly. 7. Avoid using refrigerants, aerosols, adhesives, propellants, or any toxic or flammable

liquids or gases in a tight or closed area. 8. Do not smoke near, and keep flames and sparks away from, “flammable liquids.” 9. Be sure to wash hands after handling acids or batteries to avoid getting chemicals on

your skin, mouth, or into eyes. 10. Always use mechanical handling or lifting devices wherever possible and get help

when pushing vehicles. 11. Always use the right tool for the job. 12. Keep tools off the floor. 13. Do not leave creepers on the floor. 14. Always position the jack handle to its highest point. Never allow a jack handle to

stick out from under a vehicle. 15. Be sure to place safety jack stands under the vehicle after it has been raised. Never

overload a lift, hoist, or jack. 16. Keep legs under a vehicle when working under it. 17. Never lift or lower a vehicle with someone under it. 18. Do not point an air blow gun at others. Never use compressed air to spin bearings, to

blow dust or dirt off clothes. The maximum pressure allowable at the nozzle is 30 PSI.

VEHICLE MAINTENANCE


19. Turn off ignition and remove key before working on an engine. 20. Always disconnect battery ground cable before starting work on an engine. 21. Use protective goggles and face shields when drilling, using wire brushes, bench

grinders, brake drum lathers, valve grinders, or when using caustics. Also use protective eye equipment when cutting off mufflers or tail pieces or while working under a vehicle.

22. Use a good step-stool with non-slip tread bearing surface to gain access to high vehicles. Use stools with a wide base. Do not climb on bumpers or fenders with grease or oil on your shoes.

23. Use ladders properly. (See the special safety rules on ladder usage). 24. Do not run an engine in a closed room. Provide a means to vent the exhaust to the

outside. 25. Do not stand in front of a car when it is being started. 26. Be careful when removing a radiator cap from a hot radiator. Use a heavy cloth, or let

the radiator cool down. 27. Remove gas or fuel tanks and drain the gasoline before welding near them. Do not

repair any tanks that have held any fuel or oil unless it has been thoroughly steamed and tested with an “explosimeter.”

28. When removing a battery, always disconnect the ground cable first. 29. Always carry a battery with a carrier strap or handle. 30. Always place oily rags, oily waste materials, or solvent soaked rags in closed metal

containers with tight fitting covers to prevent spontaneous combustion. 31. Know the location of fire extinguishers and how to use them. (See the section on fire

controls). 32. When working on fuel lines or fuel pumps, clean up all spills immediately and

dispose of the rags properly. 33. Always store gasoline in safety cans: this means the type which has a spring-loaded

vented cap. Never carry flammable liquids in open containers. 34. Prevent flash fires by avoiding sparks around the battery charging areas. 35. Always report any broken or damaged tools or equipment. 36. Do not pour gasoline into a carburetor while the engine is being turned over. Don’t

use your hand to cover a carburetor to choke it. 37. Always turn the power switch off before removing battery charger cables. When

using cables, make the last connection to a part of the vehicle far away from the battery to avoid explosion if a spark occurs.

38. Do not lay tools on operating machines.

VEHICLE MAINTENANCE


39. Keep hands away from moving parts. 40. Always keep the work area clean, especially bench tops and underneath benches. 41. Do not get under raised objects on a chain hoist. 42. Always wind up the droplight when you are finished with it. 43. Always return special tools and testing machines and battery charger to their

specified place. 44. Do not throw tools. 45. Do not use any electrical power tools when your feet are wet. 46. Be extremely careful when using a 1/2 inch electrical drill. Always have a firm grasp.

Be sure the drill switch requires constant pressure and stops if released. 47. Before starting the engine, make sure the vehicle is out of gear. 48. Keep hands out of door jambs. 49. Handle brake fluid carefully so that it does not splash in the eyes. 50. Keep all chemicals, solvents, etc., properly sealed and labeled. 51. Keep all traffic lanes, parking stalls, zones, and aisles properly marked. 52. Sound horn before passing through entrance or exit doors. 53. Use a tire safety cage when inflating tires with split rims. Use good lock rings and

double check the fit of the ring before inflating. Only authorized persons should work on tires with split rims.

54. Stand to one side when inflating any tire. Do not inflate a split rim tire if it is on a vehicle; remove it first and have it repaired.

55. Do not cut, weld, or use the torch unless authorized. 56. Get help by having someone give you signals when backing up. Never stand directly

behind the vehicle when giving signals; that is, stand to one side. 57. Post a list of emergency phone numbers near the phone. 58. Wear rubber boots with nonskid treads in the wash rack area. 59. Do not jump-start any vehicle without proper safety instructions and/or authorization.

Report defective equipment in time so that it can be maintained to avoid the need for jump-starting.

60. When spray painting, in the absence of a rated paint booth, always paint in a well ventilated area and use goggles and proper respiration.

VEHICLE MAINTENANCE


Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________


Motor Vehicle

Operation






Safety Rules

MOTOR VEHICLE OPERATION


INTRODUCTION/OVERVIEW On the job accident prevention is the responsibility of all the district’s employees. It is the further responsibility of each employee to correct or report any unsafe condition or practice which he or she may observe. SAFETY RULES The following are some important general motor vehicle operation safety rules that each employee is required to follow:

1. Concentrate on driving. A good driver dismisses all worries or anger when operating a vehicle.

2. Never press for the right of way. Always yield to avoid an accident.

3. Always limit vehicle speed so there is clear space and time for an emergency stop. Remember that at high speed, drivers have less time to think and react in an emergency and a far greater distance is required to stop.

4. Slow down in heavy traffic or densely populated areas.

5. Adjust speed for low visibility or adverse weather conditions.

6. Slow down at intersections or curves. Use appropriate signals well in advance of any action.

7. When driving in city traffic, be alert for mistakes or unexpected actions of others, drive more slowly and keep alert for pedestrians and cross traffic.

8. Before stopping or changing directions, plan ahead of time, signal early and slow down gradually to give drivers following a chance to change pace and react accordingly.

9. Avoid “tailgating”. Use safe following distance.

10. Use extra caution and slow vehicle when approaching children at play or when passing through school zones.

11. Keep alert at railroad crossings. Make sure you have a clear view of the tracks. School buses must stop at all railroad crossings.

12. When driving at night, keep the windshield clean, keep to the right, avoid looking into the headlights of oncoming vehicles, and use lower beam.

13. Drive at speeds, which permit stopping within visibility range of your headlights.

14. Keep headlight beams depressed to reduce the reflected glare caused by fog, rain, or wet pavement.

15. Vehicles should be parked off the traveled way where they will not interfere with normal flow of traffic and will not obstruct the view of other drivers.



16. When parking put transmission in lowest gear or in park, set parking brake firmly, turn the front wheels toward the curb.

17. Engines are to be stopped ignition keys removed, and the doors locked when the operator leaves the vehicle unattended.

18. All persons riding inside a vehicle shall use seat belts, when provided and required by law.

19. Perform a pre-trip inspection. This includes checking the following:

a. All fluid levels.

b. Directional signals.

c. Lights and warning reflectors.

d. Safety belts.

e. Tires, including spare, if provided.

f. Windshield wipers.

g. Heater and defroster.

h. Horn.

i. Fire extinguisher, if provided.

j. Rear view mirrors. Inside and outside.

k. Safety equipment, flares, flags, chock blocks, chains.

l. Brakes and related equipment.

m. Steering mechanism.

n. Muffler and exhaust system.

1. When a vehicle is returned to the facility a post trip inspection is is required. It is a requirement that vehicles transporting students be parked with no less than ½ tank of fuel. All other vehicles will be fueled as designated by the appropriate department.

2. Always consider proper loading and proper load distribution as factors in safe driving.

3. Tools and equipment placed in cars or truck cabs shall be stored in such a manner as not to interfere with vision or in any way interferes with the proper operation of the vehicle. Any equipment or materials being transported in the bed of the truck should be secured.

4. Nothing shall be stored on the rear window ledge of any vehicle.

5. When entering, exiting, or dismounting from a vehicle, watch footing to avoid slipping or falling. Never attempt to enter, exit or dismount from a vehicle while it is moving.



6. Trailer, tool boxes, and trailer mounted machinery should be hitched to the towing truck with safety chains, in addition to the towing eye fastening.

7. No person shall be permitted to ride in or on trailer mounted equipment while it is being towed.

8. Trailer mounted equipment shall be towed at a speed reasonable under the conditions and with due regard for safety.

9. Slow moving vehicle signs (inverted triangle) must be used on tractors, slow moving vehicles, and equipment (maximum speed 25 miles per hour).

10. No one shall drive a vehicle or operate a piece of equipment that is defective.

11. If involved in an injury accident, your first duty is to help the injured. Do not attempt anything beyond making the injured comfortable and providing emergency first aid. Send someone for medical help.

12. In the event of an accident, all employees must contact their supervisor immediately. Any bus driver involved in an accident may be subject to a drug and alcohol test.

13. Never take drugs or strong medications before driving. Remember that drugs, illness, or extreme fatigue may affect your ability to judge distances, speed and driving conditions, and slow your reaction time.

14. Do not hang items from the rear view mirror of vehicles.

15. Ear protection is required for heavy equipment operators when there is a noise hazard to the ear.

16. Emergency/hazard warning lights should be used when vehicles are operating (or parking) under conditions that might interfere with other vehicle traffic.

17. Do not operate, nor instruct other employees to operate an unsafe vehicle or equipment.

18. Drivers of vehicles transporting loose materials such as dirt, sand, gravel, sludge, or other material that can blow (or spill) off the vehicle, shall cover the material with canvas or otherwise secure it as appropriate.



Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________


Security






Safety Rules

SECURITY


INTRODUCTION/OVERVIEW To ensure the safety of all security officers, the exterior PA system on each security vehicle should be checked regularly. Furthermore, each individual officer should have the following items when patrolling: SAFETY RULES

1. Hand-held radio

2. Mag light

3. Flares

4. Fire Extinguisher

5. First aid kit

SECURITY


Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________


AG Shop Safety Rules

501 Shelley Drive � P.O. Box 7500 � Tyler, Texas 75711 (903) 509-8484 � (800) 765-2412 � Fax (903) 509-1888




Table of Contents

Introduction / Overview

Safety Rules

AG SHOP SAFETY RULES


Introduction / Overview Working in AG Shops involves extensive contact with tools and machinery. These precautions will help make the AG Shop workplace a safer place:

1. Install all electrical devices according to National Electric Code 2. Install all machinery according to the manufacturers specifications 3. Keep all tools and equipment adjusted or fitted according to specifications 4. Use tools and equipment skillfully 5. Provide proper storage for tools, materials, fuels, chemicals, and waste material 6. Keep moving parts properly guarded 7. Avoid area where objects may fall 8. Avoid the flight path of objects that could be discharged from machinery 9. Protect eyes, face, feet, and hands with the use of approved personal protective at all

times 10. Use caution to avoid creating hazards for others 11. Read all precautions 12. Report unsafe conditions immediately to your teacher

Students must be instructed in the correct and safe way to use each tool. Therefore, Safety Policy and Procedures should be provided and required a signature of acknowledgement.

AG SHOP SAFETY RULES


Notes ________________________________ ________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


Special Education

501 Shelley Drive � P.O. Box 7500 � Tyler, Texas 75711 (903) 509-8484 � (800) 765-2412 � Fax (903) 509-1888




Table of Contents

Special Needs Classrooms and Professional Staff


Safety Rules

SPECIAL EDUCATION


Special Needs Classrooms and Professional Staff

Introduction /Overview On the job accidents are the responsibilities of all the districts employees. It is the further responsibility of each special needs classroom employee to correct and report any unsafe conditions or behaviors that he or she may witness

Safety Rules 1. Furniture, desks, chairs, etc. should be kept in safe working condition. 2. Desk and file cabinet drawers should not be left open. Close when finished.

3. Furniture should not be used as stools or ladders.

4. Walkways, aisles, hallways, stairways should be kept clear of obstructions.

5. Do not attempt to lift students from the floor without help.

6. Never turn your attention away from a known hostile student.

7. Always have at least two staff members in all special needs classrooms. When

ever possible.

8. Get help when attempting a manual student transfer.

9. Always use a gait belt when making student transfers.

10. Use proper lifting devices whenever the transfer is too complicated for the two-person lift.

11. Size up the task at hand, if to big for one person, GET HELP.

12. Always use universal precautions when assisting a student to the restroom.

Note: Claims Administrative Service�s Safety Manual and Training Manual have a back safety

program listed. Please use these training aids to support your back injury prevention program. Your Safety Consultant can provide additional training.

SPECIAL EDUCATION


Notes ________________________________ ________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


Safety

Shortstops



————— Claims Administrative Services, Inc. ————— 501 Shelley Drive • P.O. Box 7500 • Tyler, Texas 75711 (903) 509-8484 • Fax (903) 509-1888 • (800) 765-2412

Back Injury Prevention in the Cafeteria Department

Safety is a very important part of School Food Service. Every food service employee must help maintain safety standards to prevent accidents. Most accidents can be prevented. You can learn practices that will reduce the possibility of accidents. Back injury or strains are usually the result of carelessness. Strains, which usually occur in the lower back, are often caused by using incorrect methods for lifting heavy objects. You can help prevent back strains by observing these rules for lifting. FIRST: Size up the load! • Know what you are about to lift • Choose the clearest route to your destination • Look for a place to rest along the way, if necessary • Remove any objects you may trip over • Lift a corner of the load first to check the weight MAKE SURE YOU CAN LIFT IT SAFELY or ASK FOR HELP!! SECOND: Think about the Lift! • Stand close to the load with both feet firmly on the floor, about shoulder width apart • Squat down close to the load with your back straight, knees bent, stomach muscles tight • Place your hands on diagonally opposite corners of the load so one pulls it towards you and one lifts • Grip the load with your whole hand, not just the fingers • Bring the load as close as possible to your body. Keep your weight centered over your feet. Tuck your arms and elbows into your side • Stand up slowly, keeping your back straight letting your legs do the lifting When you reach your destination, unload carefully: • Lower the load slowly, so your legs do the work • Position your hands so the fingers do not get caught under the load

Remember.......Practice Safety DON’T LEARN BY ACCIDENT!

Safety Shortstops

Make a Hit for Safety


Preventing Bloodborne Pathogen Exposure A Bloodborne Pathogen is an infectious virus or disease that can be transmitted through blood or other body fluids. Body fluids most likely to carry the viruses are Blood, Semen, Vaginal Secretions and Breast Milk. UNIVERSAL PRECAUTION means that all blood and certain other body fluids should be treated as if they were infectious. Follow these rules to help prevent exposure to Bloodborne Pathogens:

1. Observe Universal Precautions. 2. Keep a clean up kit available. (Including rubber gloves, powder absorbent, paper towels, bio hazard disposal bag.) 3. Wash hands immediately after exposure. 4. Use protective rubber gloves. 5. Use other protective equipment when needed. (Gowns, mask, protective eye ware.) 6. Follow good Housekeeping: All contaminated surfaces must be cleaned and disinfected. 7. Decontaminate: Use 1 part bleach and 10 parts water. 8. Occupationally exposed employees should be vaccinated against Hepatitis B Virus.

REMEMBER - THE MOST IMPORTANT MEANS FOR CONTROLLING THE SPREAD OF INFECTION IS PROPER HAND WASHING. UNIVERSAL PRECAUTIONS SHOULD BE FOLLOWED WITH ANY EXPOSURE TO BLOOD OR BODY FLUID.

Remember.......Practice Safety

DON’T LEARN BY ACCIDENT!

Safety Shortstops



Preventing Burns in the Cafeteria Department

Safety is a very important part of school food service. Every food service employee must help maintain safety standards to prevent accidents. Most accidents can be prevented. Employees can learn practices that will reduce the possibility of accidents. Employees must understand that they have a responsibility to learn how to prevent accidents. Burns are common accidents that occur in the food service department. Even small burns are painful and often take a long time to heal. To avoid burns from hot equipment, food and liquids, observe these safety precautions.

• Wear close-fitting clothing in the food preparation area. • Use thick, dry hot pads or mitts when handling hot pans. • Always lift utensil covers away from the face to let steam escape before removing. • Be sure all steam is gone before opening a pressure cooker. • Keep flammable materials, such as towels, away from open flames. • Avoid over-filling containers with hot liquids or food. • Get help to handle heavy, hot containers. • Open door slightly to let heat and steam escape before bending face and arms over it. • Pull oven rack out, then remove container. Do not reach into oven. • Be careful when putting cold, wet food into hot grease. It may spatter or boil over and catch fire. • ABOVE ALL - PAY ATTENTION.



Safety Shortstops



Carpal Tunnel Syndrome Preventing Repetitive Motion Problems

Your wrist aches, your fingers feel numb, you have difficulty doing even the most simple tasks like opening a juice jar. What's going on? It may be that you suffer from carpal tunnel syndrome; a hand disorder resulting from repetitious, forceful motion of the hands and wrists. Carpal tunnel syndrome is common and affects workers who use the same motions over and over again at work or at home - painters, textile workers, word processors, cashiers, electronics assemblers, and many others. Fortunately, you don't need to “grin and bear it.” Carpal tunnel syndrome is often preventable through proper hand positioning and hand exercises. Why Your Hand Hurts The carpal tunnel is a bony cavity in your wrist through which your nerves and tendons extend to the hand. When you repeat the same hand and wrist movements day in and day out, the excess strain causes tendons to swell and press on the main nerve of the hand. This persistent irritation of the nerve can result in pain, numbness, and dysfunction not only in the hands and wrists, but may extend up to the forearm and elbow as well. What You Can Do About It If you are at risk for developing carpal tunnel syndrome, why not try to prevent the condition before it occurs? By learning how to position your hands properly and by exercising your hands regularly, you can relieve excess pressure on your tendons and nerves and prevent unnecessary pain and disability. Hand Positioning When you keep your wrists and elbows straight, you place less pressure on the tendons and nerves in your hands. Try adjusting your work so that you can keep your forearm and hand straight. Use hand tools with the appropriate width, size, and shape - that is, make sure that you can grip the tool comfortably, that the tool can absorb vibration, and that handles are positioned to keep your wrists and hands in alignment. Hand Exercises The following exercises, when done daily, can help strengthen wrist and hand muscles and can help relieve strain caused by tasks requiring repetitive motions.



Safety Shortstops



STRETCH, TWO, THREE, FOUR From stretching to limbering up, there are many simple exercises you can do – at or near your computer – to prevent or reduce the threat of CTS and other repetitive strain injuries. The American Physical Therapy Association, based in Alexandria, Virginia, suggests the following simple carpal tunnel syndrome-prevention exercises you can do at your computer.

Safety Shortstops


Rest your forearm on the edge of the desk. Grasp the fingers of one hand with the other, gently bending back the wrist. Hold for five seconds.

Tightly clench your hand and release, fanning out your fingers each time. Repeat five times.

Gently press your hand against a firm, flat surface, stretching your fingers and wrist. Hold for five seconds.


Staying on the Safe Side of Dollies and Hand Trucks If lifting and moving loads of materials are part of your job, you know what a tremendous convenience dollies and hand trucks can be. But like all equipment, these material-handling aids require safety awareness and proper use to prevent damage and injury. Use them correctly and they will make your job easier and safer! Choose the Right Material-handling aid for the Job.

Your workplace may have a selection of dollies and hand trucks that differ in design, load capacity, and other features. It's important to learn about their differences so you can choose the best truck for each job. Loading Tips Before loading a dolly or hand truck, check for any defects that could affect its operation or pose a hazard: loose parts, torn wheels, greasy surfaces. Report any potential hazards and have them corrected when appropriate. The safest loads have heavy objects on the bottom, with the load balanced over truck axles. Balanced loads are especially important on four-wheeled hand trucks, which can easily tip if the load is off-center. Before moving the load, double-check to make sure that nothing hangs over the top. Move It Safely!

Safe moving means you take care of both your body and the load. To move a two-wheeled hand truck or dolly, use your legs-not your back-to shift the load into a travel position. Keep your knees bent and your back in its natural curve. Push loads; don't pull them. Pushing is easier on your back and lets the truck do most of the work. Always keep the load ahead of you and lean your body in the direction you're going. Avoid walking backward unless you need to maneuver in a tight space. When going into tight spaces, always move the truck ahead of your body so you don't get pinned. Move More Safely!

Common hand truck accidents include collisions with people, objects or other trucks; injuries to the operator's hands and feet; and running truck wheels off platforms. These accidents result from inattention and carelessness. If you follow safety procedures, take your time and stay alert, dollies and hand trucks will help you move and lift more safely!



Safety Shortstops



Using A Fire Extinguisher Report Any Fire Immediately. District employees should know where fire extinguishers are located, for what type of fire each extinguisher is suitable, and how to use each type before a fire occurs. Remember - a fire must have three things to burn: Oxygen + Fuel + Heat = FIRE To put out a fire, you must remove one of its essential ingredients. A fire extinguisher is a storage container for an extinguishing agent such as water OR chemicals. It is designed to put out a small fire, not a large one. The three types of fire likely to occur in districts are:

Class A - Wood, paper, rubbish Class B - Gas, grease or other liquid Class C - Live electrical equipment

Fire extinguishers are labeled for the class of fire for which they are to be used. Traditionally the labels A, B or C have been used alone to identify fire extinguishers. Recently pictograms have come into use. Either label may be found. Make sure the extinguisher you choose to use is suitable for putting out the type of fire you have. To use a fire extinguisher, think of the word PASS and follow these general directions:

1. Pull the Pin. Some units require the releasing of a lock latch, pressing a puncture lever or other motion. 2. Aim the extinguisher nozzle (horn or hose) at the base of the fire. 3. Squeeze or press the handle. 4. Sweep from side to side at the base of the fire until it goes out. Watch for reflash.

Remember - Keep an escape route open so you can get out if the fire gets bigger! Report any fire immediately! GET HELP!!



Safety Shortstops



Preventing Fires and Explosions in the Cafeteria Safety is a very important part of school food service. Every food service employee must help maintain safety standards to prevent accidents. The kitchen is the most common area for fire and explosions in the food service department. With taking the proper precautions, most fires and explosions can be prevented. Many school food service kitchen fires are caused by grease. Grease, oil and fat catch fire easily, and the fire spreads rapidly.

To help prevent grease fires, observe these rules:

• Keep range, ovens, and hoods clean and free from grease. • Do not overheat fats. Use equipment with a thermostat or check temperature with a thermometer frequently. • Never leave hot fat or grease unattended. • Do not overfill utensil with fat or oil or add cold wet food to hot fat or oil. • Wipe up spilled fat or oil immediately. • Never use water or flour to put out or douse a grease fire. • Never try to carry a burning pan to another location.

Gas as a cooking fuel is safe if properly used. However, if gas is confined in a small area without sufficient air, it will explode when ignited. To avoid gas explosions, observe these precautions:

• Check pilot lights and all burners before lighting the range, oven or other gas appliance. • Turn on the exhaust fan before lighting gas range, oven or other gas appliance. • Always open the oven door for a moment to allow any gas to escape before striking a match. • Strike the match before turning on the gas when lighting the oven. • If there is a smell of gas upon entering the kitchen, check all pilot lights. • If pilot lights are lit, and there is still a smell of gas, open the windows and call the district's maintenance personnel

or the gas company. Fires do occur often in food service kitchens. Every employee should understand fire safety and know what to do in case of a fire.



Safety Shortstops



Preventing Back Injury in the Classroom Safety is a very important topic of all school employees, including teachers. Most accidents can be prevented.

Back injuries or strains are usually the result of carelessness. Strains usually occur in the lower back. Strains are caused by using incorrect methods for lifting, over reaching, twisting while lifting, and slips and falls. Follow these rules to help prevent back injury from strains in the classroom:

1. Use proper lifting methods: • Think: Can I lift the load? Get help if needed! • Keep your back straight. Get a good grip on the load (both hands). • Lift slowly with your legs (not your back). • Hold the object close to your body. • Turn with your feet. Don't twist your back. • Set the object down smoothly. Keep your back as straight as possible.

2. Don't over reach for objects on high shelves.

3. Don't use substitutes such as chairs, desk or boxes to reach high shelves. Only use approved ladder or step stools.

4. If possible, avoid walking on freshly mopped or wet floors.

5. Be aware of tripping hazards on the floor including pencils, bottles, wastebaskets, power cords and extension cords.

6. Do not tip any chair backwards on two legs while seated. Use extreme care while decorating your classroom during the various seasons.



Safety Shortstops



Preventing Injury in the Athletic Department Safety is a very important topic for all school employees including coaches. Accidents and strains are expensive. Various types of strains and joint injuries are common among coaching staffs. The most common factor in the cause of these type injuries is human error. To help avoid these types of injuries, follow these rules: Set an example for students by following safe work out and exercise habits.

Know your own condition: don’t over exert yourself demonstrating for students (know your limits).

Keep yourself in good condition.

Stretch before and after your workout.

Stop any exercise that causes pain.

Wipe up any floor spills immediately.

Be aware of any bloodborne pathogen exposure.

(Infection comes through contact with blood and other body fluids).

Use rubber gloves when treating athletic injuries involving blood.

All surfaces contaminated with blood or body fluids must be cleaned and disinfected.

Do not stand on chairs or desks to reach high objects. Use a proper step ladder.

Do not tip any chair backwards on two legs while seated.

Follow safe lifting procedures when lifting heavy objects or equipment.



Safety Shortstops



Preventing Injury in the Classroom Safety is a very important topic for all employees including teachers. Accidents are expensive. Personal injuries not only cost the district for the injured employee, it also is very difficult to replace a good teacher. The most common factor in the cause of these type injuries is human error (unsafe acts). Many unsafe acts occur when employees pay little attention to what they are doing or get in a hurry!

1. Set an example for students and other employees by following safe work habits.

2. Follow safe lifting procedures. Lift with your legs, not your back. Call for help with heavy objects.

3. Don’t stand on chairs or desks to reach high objects or decorate your classroom. Call for a proper step ladder or help from maintenance.

4. Use sharp equipment (scissors, staplers, paper cutter) cautiously and only for the purpose they are designed.

5. Inspect all electrical equipment (cords).

6. Be careful when plugging or unplugging electrical equipment.

7. Do not overload wall outlets.

8. Do not tip any chair backwards on two legs while seated.

9. Keep floors, halls, and stairways clear of loose objects, extension cords, wastebaskets or other tripping hazards.

10. If you see a tripping hazard, report it or take care of it immediately.

11. While working with special education children, remember always to pay attention. Be aware of their actions.



Safety Shortstops



Preventing Injury while Operating Power Mowers, Edgers and Trimmers

Safety is very important for all maintenance and grounds maintenance employees. Follow these rules to help prevent accidents while operating power equipment. Power Mowers.

• Mow only when there is sufficient daylight. • Inspect the equipment before using. • Wear proper shoes (never tennis shoes). • Keep in control of the machine. • Never lift a running mower. • Shut off power when going from one level to another. • Be extremely careful on slopes. Use extreme caution to avoid overturning on slopes. • Watch for low hanging branches. • Never refuel a running or hot engine. • Make sure blades are sharp and tight. • Do not leave equipment or machinery unattended with the motor running.

Edgers and Trimmers.

• Understand operating instructions (Get training). • Make sure all guards are in place and properly adjusted. • Use caution when starting the equipment. • Always wear eye protection when edging, trimming or sawing. Use heavy protection when needed. • Wear proper clothing including proper shoes. • Never refuel a running or hot engine. • Inspect equipment before starting. • All fuel or combustible liquid must be stored in approved and clearly labeled containers. • Always be aware if others are around your work area.

ABOVE ALL, PAY ATTENTION!



Safety Shortstops



Preventing Slips & Falls in the Cafeteria Department Safety is a very important part of school food service. Every school food service employee must help maintain safety standards to prevent accidents.

The most common factor in the cause of accidents is human error. People cause the majority of accidents by unsafe acts. Unsafe acts occur when workers do not pay attention to what they are doing, get in too much of a hurry, or do not know and follow rules.

Employees can avoid most slip and fall accidents by following these simple rules:

• Keep floors as clean and dry as possible.

• Wipe up spills immediately. Don't wait for someone else to wipe it up.

• Walk - do not run.

• Wear low heeled, comfortable work shoes with rubber soles.

• Keep work areas and traffic lanes clear.

• Watch where you are going, especially when going through doors or around corners.

• Use a sturdy stepladder, never a chair, for reaching objects on high shelves.

• Never over-reach.

• Inspect your work area.

• Correct floor hazards and obstructions.

• ABOVE ALL - PAY ATTENTION!



Safety Shortstops



Hazardous Communication Right-to-Know Chemical exposure in a school district may be minimal; however, any chemical can become hazardous if it is handled improperly. Make yourself and others aware of all potential chemical hazards in your work area. Follow these simple rules:

I. Make yourself aware of the chemicals used in your work area. (stripping solvents, degreasers, etc.)

II. Know safe work practices and handling procedures when using chemicals, including proper waste disposal.

• Make sure all containers have labels.

• Read the instructions on the label.

• Follow label directions carefully.

• Don't mix chemicals unless labels allow it.

• Dispose of waste hazardous chemicals as directed. Refer to MSDS Sheets.

• Do not re-use empty hazardous chemical containers.

III. Know when to use Personal protective Equipment (glasses, gloves, etc.)

IV. Know how to deal with emergencies (spills, unusual contact, inhalation, etc.)

• Refer to MSDS.

V. Know how and where to store hazardous chemicals.

VI. Know and discuss specific chemical hazards in work areas



Safety Shortstops



Preventing Knife Cuts In The Cafeteria Department

Safety is a very important part of school food service. Every school food service employee must help maintain safety standards to prevent accidents. Accidents are caused by either unsafe conditions or unsafe acts. Unsafe acts occur when workers do not pay attention to what they are doing, get in too much of a hurry, or do not know and follow rules. One of the most common accidents that occurs in the cafeteria is knife cuts. Most cuts result from the improper use of knives. To help avoid knife cuts, follow these rules:

• Use the correct knife for the job.

• Keep knives sharp.

• Pick up knives by the handle.

• Always carry a knife with the point down and the cutting edge away from the body.

• Don't carry a knife while carrying other larger items (bowls, pans, etc.).

• Cut away from the body and fellow workers.

• Curl the fingers like a claw to keep them away from the knife blade.

• Use a cutting board when possible.

• Do not use knives for prying lids, opening cans, cutting paper and string.

• Keep hands free from grease when using a knife.

• If a knife falls, do not try to catch it. Get out of it's way.

• Do not leave knives laying on work tables or in the sink.

• Wash knives separately immediately after use.

• Never leave knives in a sink of water where they cannot be seen.

• Turn the sharp edge away from the body when wiping or cleaning a knife.

• Store knives in a knife rack, not loosely in a drawer.



Safety Shortstops



Material Safety Data Sheets (MSDS) Material Safety Data Sheets (MSDS) should be maintained for each hazardous chemical that the school district uses. The MSDS sheet must be written in English and contain the following information. SECTION I. Identification of Product.

a. Name, address and phone number of Manufacturer. b. Date MSDS prepared or last change to it. c. Chemical and/or common name.

SECTION II. Hazardous Ingredients. a. Chemical and common name and other mixture ingredients that contribute to the known hazards.

Note: Chemical and common names of all ingredients that have been found to present a health or a physical hazard when a mixture should be identified.

SECTION III. Physical Data. a. Physical and chemical characteristics of the hazardous chemical including vapor, pressure, flash point,

boiling point and physical state.

SECTION IV. Fire and Explosion Hazard Data. a. Physical hazards (fire, explosion, reactivity).

SECTION V. Health Hazards. a. Signs and symptoms of exposure. b. Any medical condition that is generally aggravated by exposure. c. OSHA permissible exposure limits.

SECTION VI. Reactivity Data. a. When the hazardous chemical is stable/unstable and what conditions to avoid. b. Incompatibility. c. What is caused by decomposition (breakdown).

SECTION VII. Spill and Disposal Procedures.

SECTION VIII. Protection Information. a. General control measure (engineering, work practice, protection equipment).

SECTION IX. Handling and Storage Precautions.

SECTION X. Miscellaneous Information. a. Other relevant information about the hazardous chemicals.

Remember.......Practice Safety DON’T LEARN BY ACCIDENT!

Safety Shortstops



Preventing Poison Ivy Exposure for Grounds Maintenance Department

Poison ivy exposure occurs most often in the spring and summer when the sap is most abundant. Any grounds maintenance employees could be exposed to this type of hazard if they are not aware of how to spot the shrub or vine. Follow these guidelines to help identify and avoid this type of hazard.

1. Poison ivy and poison oak may occur as a vine or shrub. 2. The leaves may vary; however, all have three leaflets. The upper surface has a glossy, waxy appearance and is

dark green. The lower surface may be a light green with fine hairs in some cases. 3. The color of the leaves changes to red orange in the fall. 4. White flowers with a greenish tint grow on the plants in a cluster. 5. The plant can bear fruit in clusters, usually white or ivory with a green tinge, about the size of a pea. 6. Exposure can result from dust, soot or smoke from burning plants. 7. Sensitivity to the plants can vary and show up at different times. 8. Exposure hazard is greatest in spring and summer.

Typical Symptoms:

1. A rash can occur from a few hours to several days or more after exposure. 2. Skin becomes red and irritated. 3. Blisters can appear. 4. Usually there is itching, and as symptoms progress, there may be swelling and fever.

Treatment:

1. Wash the exposed areas with soap and water as soon as possible. 2. Rubbing alcohol may help alleviate the exposure after washing. 3. Commercial washing preparations should be used directly after exposure, if possible. 4. If rash occurs, commercial preparations may be applied.

IF RASH PERSISTS OR SWELLING INCREASES, SEEK MEDICAL ATTENTION.



Safety Shortstops



Employee Safety Responsibility

Each year millions of workers suffer workplace injuries that are largely preventable. Accident Prevention has always been an important part of a districts safety program. We ask you to follow safety procedures, use common sense, and report any unsafe conditions to your supervisor. The district places a high priority on providing a safe environment for staff, students, and visitors. Employees must also take responsibility for performing their duties in a safe manner. Taking responsibility means being accountable for your actions. Safe workers keep machines in good repair, clean up (or report) spills and debris, keep walkways free of obstacles, and avoid unsafe acts. We would like to remind you that the district is self-insured for Workers’ Compensation. This means that the district pays directly for medical or disability costs due to job related accidents. This requires each of us to perform our job duties in a safe and prudent manner.



Safety Shortstops



General Custodial Safety Safety and Accident Prevention is very important for custodial employees. Most accidents are caused by human error and can be prevented. Follow these rules to help prevent a potential serious accident.

A. Keep all storage rooms or closets clean and unobstructed. B. Keep all circuit boxes accessible. C. Make sure all chemicals are stored properly when not in use. D. Make sure all chemicals are properly labeled including spray bottles. E. Keep storage rooms locked. F. Wash your hands after using chemicals. G. Check walkways, steps and entrances for possible hazards. H. Don’t walk in the dark. Turn lights on when necessary. I. Clearly identify hazardous conditions on floors, ramps and steps. J. Mark any slick or wet areas of floors with wet floor signs. Route traffic around these areas. K. Wear good slip resistant footwear when waxing floors. L. Properly maintain all equipment and tools. M. Wear personal protective equipment when appropriate. N. Use care in handling crates, broken glass, jagged wires, etc. Use gloves. O. Do not block pathways. P. Use extension handles on dust mops, etc., to reduce the need for climbing to high places. Q. Never overload electrical circuits. R. If your hands are full, use a cart and keep the load light. Do not let the load obstruct your

vision when going in hallways or stairways.



Safety Shortstops



Preventing Chemical Injury for Custodial Employees

Safety is a very important topic for all school district employees. Chemical accidents are a common hazard associated with custodial duties. Using safe chemical handling procedures can prevent these types of accidents. Follow these rules to help prevent Chemical Accidents.

A. Do not mix chemicals, unless the label specifically allows it. B. Read product labels and mix products in recommended solutions. Ask your supervisor if

you do not understand. REMEMBER IF A LITTLE IS GOOD, A LOT IS NOT NECESSARILY BETTER!

C. USE Personal Protective Equipment. (Gloves, long sleeve shirts, eye protection, etc.). D. Never transfer chemicals from one container to another. (Measure only what you will

use during your work shift.) E. Wash your hands after using any chemical. F. Make sure you have Material Safety Data Sheets for your chemicals. If you do not, ask

your supervisor for them. It is important you understand how to use these sheets and what to do in an emergency.

G. Store all chemicals away from the public when not in use. Keep storage area locked if necessary.



Safety Shortstops



Supervisors Safety Role Helping Employees Change Bad Safety Habits

As a supervisor you are committed to the safety of your employees. Sometimes habits, attitudes or behaviors may be putting your workers in danger. As a supervisor, you play a key role in preventing accidents and keeping employees off the injury list. Directing employees to use safe work practices is not always easy, but it pays off in the long run. Follow these suggestions to help keep your employees safe.

A. Assess Safety Practices. 1) Monitor your employees. 2) Are employees paying attention to their jobs? 3) Are employees using Personal Protective Equipment? 4) Are employees trained to do their job?

B. Involve Your Workers. 1) Share the responsibility for safety with your workers. 2) Meet with your workers and discuss safety concerns. 3) Pay attention to workers safety suggestions. 4) Stress the team effort to promote safety.

C. Provide Training. 1) Provide job and duty orientation for any new employee. 2) Discuss specific hazards associated with a specific job. 3) Review general safety procedures. 4) Discuss employee responsibility.

You are the key. The safety of your workers reflects upon your supervisory skills. You are the safety link between management and your employees. You are the key to Accident Prevention in the workplace.



Safety Shortstops



Accident Prevention For Custodians While Mopping, Stripping and Waxing Floors

Safety and accident prevention is very important while performing floor maintenance. Most accidents are caused by human error and can be prevented. Follow these rules to help prevent a possible serious accident while performing floor maintenance.

A. Wear proper footwear when mopping or waxing. B. When mopping hallways, only do one-half at a time. C. Don’t mop yourself into a corner. D. Use “Caution - Wet Floor” signs. Put up signs first and mop away from them. E. Inspect wooden handles for possible splinters before using. F. Do not mix chemicals unless you are trained to do so. G. When working with chemicals, always wear rubber gloves and eye protection. H. When diluting chemicals, fill the bucket with water first, then pour the correct amount of

chemicals into the measuring container. Submerge the container instead of pouring the chemical in the water. This will help avoid splashing.

I. Use extreme caution while stripping floors. Use non-slip booties or other appropriate footwear when stripping floors when possible.

J. Remove any clothing and wash any exposed skin area that comes in contact with the stripping agent. (Follow directions on the MSDS Sheets in case of accidental contact).

K. Wash your hands after using any chemicals. L. Use caution when lifting mop buckets. Try to avoid lifting mop buckets. If you must lift the

buckets use caution and lift with your legs not your back. M. Be sure the buffing machines are in the “Off” position before plugging in the power cord.



Safety Shortstops



Safety Shortstops


Accident Investigation It is proven that Accident Investigations reduce the recurrence of similar accidents. All accidents should be investigated no matter how minor. Eliminating the cause of minor accidents will help prevent serious accidents in the future. For an effective Accident Investigation follow these simple steps.

• Investigate all accidents no matter how minor. • Investigate accident as soon as possible. • Discuss the accident with the employee after first aid or medical treatment has been given. • Avoid jumping to conclusions or placing blame. • Obtain facts from any witnesses. • Compile all facts no matter how small. • Take the necessary corrective action to eliminate cause and prevent recurrence.

Remember the Six Key Accident Investigation Questions:

1) Who 2) What 3) When 4) Why 5) Where 6) How




Safety Shortstops


General Arc Welding Safety Rules Good Safety Rules should always be followed when welding is being performed. Follow these safety rules to help prevent an accident while Arc Welding: 1. Inspect all equipment prior to use. 2. Report and replace damaged ARC welding cables immediately. 3. Do not join cables without proper connectors. 4. Make sure the atmosphere in the welding area is free of flammable gases or vapors. 5. Provide local exhaust ventilation when the ceiling is less than 16 feet high or when welding in

confined spaces. 6. Use respirators when you are going to do prolonged welding or when the ventilation is not

provided or when welding on metals that may produce toxic fumes. 7. Secure the ground lead firmly. 8. Do not Arc weld in wet areas or when it’s raining. 9. Wear a welding helmet with the proper shade of lens.

10. Protect others in the vicinity by using screens or shields or booths. 11. Do not weld on any thing, which have or may have contained flammable liquids, oils or

poisons-especially if the tanks are closed. 12. Move all combustible and flammable materials away before welding. Keep fire

extinguishers handy. 13. Wear clean; fire resistant gloves and clothes with collar and sleeves buttoned. 14. Mark on any hot metal with soapstone to warn other workers.




Safety Shortstops


Safety Rules for Gas Welding and Cutting Safety rules should always be followed when working with oxygen-Acetylene rigs. Follow these safety rules to help prevent a serious accident while welding or cutting with cylindered gas. 1. Inspect all equipment prior to use. 2. Report and replace worn or leaking hoses. 3. Do not get oil or grease on oxygen hoses, regulators or fittings. 4. Be sure all oxygen-Acetylene rigs are equipped with antireverse flow check valves installed in

line at both hoses near the torch. 5. Keep stored cylinders secured with chains. 6. Keep cylinders upright with caps on when not in use. 7. Store all cylinders away from radiators or other source of heat. 8. Leave special wrench in place on the valve stem so the gas flow can be shut off in an

emergency. 9. Wear proper eye protection.

10. Light Acetylene first. This prevents back pressuring the Acetylene with higher-pressure oxygen.

11. Wear clean-fire resistant gloves and clothes with collar and sleeves buttoned. 12. Do not weld or cut on any tanks, which have or may have contained flammable liquids, oils, or

poisons-especially if the tanks or cylinders ARE CLOSED. 13. Move all combustible and flammable materials away from the work area. Keep a fire

extinguisher handy. 14. Mark any hot metal with soapstone to warn other workers. 15. Never use oxygen as a substitute for compressed air.




Safety Shortstops


General Power Hand Saw Safety Safety is important while operating any power equipment. Many power saw accidents occur from workers not paying attention, getting in a hurry, or not following safety rules. Follow these simple rules to help prevent Power Saw Accidents. A. Inspect all components of the equipment prior to use (cords, blades etc). Wear eye

protection. B. Make sure the equipment is grounded. C. Make sure the switch is off and the saw lying or held in safe position when the plug is inserted. D. Pull the power when changing the blade or handling the blade. E. Be extremely careful when cutting short pieces. F. Care should be taken to prevent the electrical cord from getting into the blade. G. Be careful to prevent blade binding. H. Do not stand directly in the saw line of any saw. If the blade binds, it can have a tendency to

kick the saw back. I. Holding work with and cutting with the other is dangerous and should be avoided. J. Be careful when sawing through loose knots. Saws can kick back.




Safety Shortstops


General Grinder Safety Safety is important while operating any power equipment. Many grinder accidents occur. When workers do not pay attention. Follow these simple rules to help prevent accidents while operating a grinder. A. Inspect all components of the equipment prior to use. B. Wear clean goggles that shield the eyes from all directions when grinding. C. Do not stand in line with the wheel when starting the grinder. Faulty grinding wheels usually

break on START. D. Keep tool rest close to wheel as possible, never to exceed 1/8 inch. E. Apply work gradually to a cold wheel. F. Side grinding must be done ONLY on a wheel that is designed and built for side grinding. G. Keep fingers clear of stone. H. Do not rub face or eyes with hands that are soiled with emery dirt. I. Hold small pieces securely in a proper holder.




Safety Shortstops


Drill Press Safety Safety is important while operating any power equipment. Many accidents occur when workers do not pay attention to what they are doing, get in a hurry, or do not know and follow rules. Follow these basic rules to help avoid accidents while operating a drill press. A. Inspect all components of the tool prior to use. B. Make certain bits are properly sharpened and securely fastened in the drill, check before

starting the machine. C. Keep loose clothing away from point of operation. D. Wear proper eye protection. E. Adjust pulleys for proper speed. The belt guard must be in place before operating the

machine. F. Hold stock securely on table.

1. Clamp stock to table if it cannot be held by hand. 2. Place small pieces in a vice or jig.

G. Set the depth stop to proper depth. H. Make all adjustments while the machine is stopped. I. Locate center for holes in metal by center punching. J. Never attempt to use a wood bit to drill metals. K. Do not allow the drill press speed to exceed 3,000 RPM when boring holes up to ¾ inch in

diameter. L. Reduce the speed when boring deep holes to keep the bit from heating. M. Bore large diameter holes at the slowest drill press speed.




Safety Shortstops


Electrical Hand Drill Safety Safety is a very important when using any Electrical Power Tool. Many accidents occur when workers do not pay attention to what they are doing, get in too much of a hurry, or do not know and follow rules. Follow these rules to help avoid accidents when using an electrical hand drill. A. Make sure all electrical power tools are grounded. B. Inspect all electrical power tools (plugs, cords etc.) C. Be sure the electrical hand drill is held in a safe position with the switch off when the plug is

put into the electrical circuit. D. Use only sharp, straight bits of the size intended for the machine. E. Unplug the drill before changing or inserting bits. F. Wear an eye shield or goggles to keep dust or shavings from being blown into the eyes. G. Keep eyes away from fan vents. H. Do not drill through cloth. I. Keep any bit away from clothing of the operator. J. Follow instructions when using attachments. K. Do not try to hold small pieces of material with the fingers. L. Lay the electrical hand drill down with the bit pointing away from the operator.




Safety Shortstops


General Hand Tool Safety Hand Tool Safety is very important for all employees who use hand tools. Follow these simple rules to help prevent injuries while using common hand tools. A. Know the name of each tool and its capacity for doing work. B. Select and use the proper tool for the job. C. Examine tools before using. Report faulty tools immediately. D. Beware of eye hazards. Wear appropriate personal protection equipment. E. Never put sharp edged tools in your pocket. F. Place tools in a safe position when they are not in use.




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Safety Shortstops



Fire Controls






How Fires Start

How Fires Are Classified

When Not to Fight a Fire

How to Extinguish Small Fires

How to Identify the Proper Fire Extinguisher

How to Use a Portable Fire Extinguisher

How to Inspect Your Fire Extinguishers

How to Use an Emergency Action Plan

FIRE CONTROLS


INTRODUCTION/OVERVIEW Fire is the third leading cause of accidental deaths in the United States, yet most people ignore it. More than 150 workplace fires occur every day.

When employees don’t take steps to stop hazards and prepare for fires, the chances of a fire starting increase.

By practicing fire safety on the job, you’ll be better able to prevent fires and be ready to make the right decisions if a fire occurs.

It is the responsibility of all teachers and auxiliary staff to familiarize themselves with the routing to the nearest location of FIRE EXITS by noting the location of the FIRE EXIT lighted signs. It is also their responsibility to notify the principal of mal-functioning signs.

Obviously displayed should be FIRE EXIT routing maps, in large, legible lettering and in languages understood by the student body and teachers.

HOW FIRES START Fire is a chemical reaction involving rapid oxidation or burning of a fuel. It needs four elements to occur:

• Fuel fuel can be any combustible material solid, liquid, or gas. Most solids and liquids become a vapor or gas before they will burn.

• Oxygen the air we breathe is about 21 percent oxygen. Fire only needs an atmosphere with at least 16 percent oxygen.

• Heat heat is the energy necessary to increase the temperature of the fuel to a point where sufficient vapors are given off for ignition to occur.

• Chemical Reaction A chain reaction can occur when the other three elements are present in the proper conditions and proportions. Fire occurs, when this rapid oxidation, or burning takes place.

HOW FIRES ARE CLASSIFIED Fires are classified into four categories:

• Class A Ordinary combustibles or fibrous material, such as wood, paper, rubber and some plastics.

• Class B Flammable or combustible liquids such as gasoline, kerosene, paint, paint thinners and propane.

• Class C Energized electrical equipment, such as appliances, switches, panel boxes and power tools.

• Class D Certain combustible metals, such as magnesium, titanium, potassium and sodium, These metals burn at high temperatures and give off sufficient oxygen to support combustion. They may react violently with water or other chemicals, and must be handled with care.

FIRE CONTROLS


HOW TO PREVENT FIRES FROM OCCURRING You can reduce the risk of fires in your workplace by keeping fire ingredients apart. While it’s hard to keep oxygen out of the mix, you can keep heat and fuel from uniting by looking for possible hazards.

Class A - Ordinary combustibles can be prevented by: • Keeping storage and working areas free of trash. • Placing oily rags in covered containers.

Class B - Flammable liquids or gases: • Don’t refuel gasoline-powered equipment in a confined space, especially in the

presence of an open flame such as a furnace or water heater. • Don’t refuel gasoline-powered equipment while it’s hot. • Keep flammable liquids stored in tightly closed, self-closing, spill-proof

containers. Pour from storage drums only what you’ll need. • Store flammable liquids away from spark-producing sources. • Use flammable liquids only in well-ventilated areas.

Class C - Electrical equipment: • Look for old wiring, worn insulation and broken electrical fittings. Report any

hazardous condition. • Prevent motors from overheating by keeping them clean and in good working

order. A spark from a rough-running motor can ignite the oil and dust in it. • Utility lights should always have some type of wire guard over them. Heat from

an uncovered light bulb can easily ignite ordinary combustibles. • Don’t misuse fuses. Never install a fuse rated higher than specified for the circuit. • Investigate any appliance or electrical equipment that smells strange. Unusual

odors can be the first sign of fire. • Don’t overload wall outlets. Two outlets should have no more than two plugs.

WHEN NOT TO FIGHT A FIRE Never fight a fire:

• If the fire is spreading beyond the spot where it started. • If you can’t fight the fire with your back to an escape exit. • If the fire can block your only escape.

• If you don’t have adequate firefighting equipment.

In any of these situations, DON’T FIGHT THE FIRE YOURSELF. CALL FOR HELP.

FIRE CONTROLS


HOW TO EXTINGUISH SMALL FIRES If a fire starts, fire extinguishers are your first line of defense. Each type of extinguisher removes one or more ingredients from the fire or interrupts the chemical reaction. By knowing how fires are classified and how to choose and use the proper extinguisher, you may be able to save lives and property during a fire. Keep in mind that most extinguishers in the workplace are portable, and aren’t designed to fight large or spreading fires. If a fire is too large, or if you don’t have the right type of extinguisher, leave the building and let the firefighters do the job. Extinguish ordinary combustibles (Class A) by cooling the material below its ignition temperature and soaking the fibers to prevent re-ignition. Use pressurized water, foam or multipurpose dry chemical extinguishers. DO NOT USE carbon dioxide or ordinary dry chemical extinguishers on Class A fires. Extinguish flammable liquids, greases or gases (Class B) by removing the oxygen to prevent the vapors from reaching the ignition source or inhibiting the chemical chain reaction. Foam, carbon dioxide, ordinary dry chemical, multipurpose dry chemical and halon extinguishers may be used to fight these fires. Extinguish energized electrical equipment (Class C) by using an extinguishing agent that is not capable of conducting electrical currents. Carbon dioxide, ordinary dry chemical, multi-purpose dry chemical and halon fire extinguishers may be used to fight these fires. DO NOT USE water extinguishers on energized electrical equipment. Multipurpose chemical extinguishers leave a residue that can harm sensitive equipment, such as computers and other electronic equipment. Carbon-dioxide or halon extinguishers are preferred in these instances because they leave very little residue. Extinguish combustible metals such as magnesium, titanium, potassium and sodium (Class D) with dry powder extinguishing agents specially designated for the material involved. In most cases, they absorb the heat from the material, cooling it below its ignition temperature. HOW TO IDENTIFY THE PROPER FIRE EXTINGUISHER All ratings are shown on the extinguisher faceplate. Some extinguishers are marked with multiple ratings such as AB, BC, and ABC. These extinguishers are capable of putting out more than one class of fire.

Class A and B extinguishers carry a numerical rating that indicates how large a fire an experienced person can safely put out with that extinguisher.

Class C extinguishers have only a letter rating to indicate that the extinguishing agent will not conduct electrical current. Class C extinguishers must also carry a Class A or B rating.

Class D extinguishers carry only a letter rating indicating their effectiveness on certain amounts of specific metals.

FIRE CONTROLS


HOW TO USE A PORTABLE FIRE EXTINGUISHER To operate most portable fire extinguishers, remember the word PASS. But because some models differ, be sure to read the directions on the extinguisher in your workplace. Also keep in mind that extinguishers discharge for very short periods of time often less than a minute.

P Pull the pin. A Aim extinguisher nozzle at the base of the flames. S Squeeze trigger while holding the extinguisher upright. S Sweep the extinguisher from side to side, covering the area of the fire with the

extinguishing agent. HOW TO INSPECT YOUR FIRE EXTINGUISHERS Know the locations of your fire extinguishers. Make sure the class of the extinguisher is safe to use on fires likely to occur in the immediate area. Check the seal. Has the extinguisher been tampered with or used before?

Look at the gauge and feel the weight. Is the extinguisher full? Does it need to be charged? Make sure the pin, nozzle and nameplate are intact. Report any missing, empty or damaged fire extinguishers to the appropriate person at your facility whenever you notice any discrepancies. HOW TO USE AN EMERGENCY ACTION PLAN A written, up-to-date Emergency Action Plan for your workplace is essential in case of emergency. Make sure you read and understand your company’s Emergency Action Plan. The plan should contain information about evacuation from the facility, including who is in charge of the evacuation. Primary and secondary escape routes should be outlined for every area of the building. Since stairways are the primary escape route in multiple story buildings, they should not be used for any kind of storage. Pre-fire planning must clearly show the locations of the workstations of the disabled workers. Disabled workers and those with known medical problems such as heart disease or epilepsy, should each be assigned an Emergency Action Leader to guide them to safety. All workers who might need assistance during a fire should be identified during planning.

Fire drills should be scheduled to test the Emergency Action Plan. Let the drill be used to find problems before a fire happens, then make the necessary changes.

Accidents can happen at any time, even though everyone practices fire prevention. Be ready for a fire emergency by having a plan of action. Remember: your safety during a fire depends on how well you have prepared before the fire starts.

FIRE CONTROLS


Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________


Emergency

Preparedness and Evacuation Plan






Planning

Chain of Command

Emergency Response Team

Training

Personal Protection

Medical Assistance

EMERGENCY PREPAREDNESS


INTRODUCTION/OVERVIEW The time to plan for an emergency is before the emergency. Regardless of how effective a health and safety plan may be, accidents still occur in the workplace. The goal is to reduce frequency and severity of workplace accidents. Planning for emergencies, therefore, is necessary to minimize employee injury and property damage. Some of these emergencies include accidental release of toxic gases, chemical spills, fires, explosions, and personal injury. PLANNING The effectiveness of emergency response depends on the amount of planning and training performed. Management commitment is a key factor in determining the successful implementation of an emergency plan.

Employee involvement is another critical element of an emergency plan. A locally developed and comprehensive plan incorporates employee input to deal with all types of emergencies faced within the workplace.

When an emergency plan is required by a particular OSHA standard, the plan must be in writing. Employers with less than 10 employees may communicate the plan orally to employees. The plan must include, as a minimum, the following elements:

• emergency escape procedures and

• emergency escape route assignments;

• procedures to be followed by employees who remain to perform critical plant operations before they evacuate;

• procedures to account for all employees after emergency evacuation;

• rescue and medical duties for those employees who are to perform them;

• preferred means for reporting fires and other emergencies; and

• names or regular job titles of persons or departments to be contacted for further information or explanation of duties under the plan.

Potential emergencies in the workplace should be listed on an emergency action plan. An emergency action plan should list detailed procedures for employees and provide essential plant operations until last minute evacuation becomes necessary.

Employees should review the emergency plan during new employee orientation and at least annually thereafter to ensure they understand their responsibilities under the plan. A copy should be accessible for employee review.



CHAIN OF COMMAND To avoid confusion, a chain of command should be established detailing who has authority to make decisions during an emergency situation. An emergency response team is the first line of defense in emergencies. Duties of an Emergency Response Team Coordinator should include:

• assessing the emergency and determining whether it requires activating emergency response procedures;

• directing all response efforts, including evacuating personnel and minimizing property loss;

• ensuring outside emergency response is requested (i.e., fire departments and medical aid); and

• directing shutdown of plant operations should it become necessary.

COMMUNICATIONS A primary and alternate communication method should be planned. During an emergency, communication is critical. When the primary communication link is lost, an alternative method should be prescribed to ensure a communication link exists with emergency response teams. This link then becomes the focal point for incoming and outgoing communication.

The emergency plan should specify how employees are to be selected so they can take proper action. Employees need to be alerted to evacuation requirements or other actions as specified by the emergency plan. Alarms should be audible and seen by all people throughout the facility. An auxiliary power supply should also be available. Emergency phone numbers should be posted on or near telephones, on bulletin boards, and other conspicuous locations.

A key personnel list should also be available identifying personnel to notify during off-duty hours. This list should be updated periodically to ensure currency. ACCOUNTING FOR PERSONNEL A responsible individual in the control center should be identified to account for personnel and inform police or Emergency Response Team members of persons believed missing. EMERGENCY RESPONSE TEAM Depending upon the size of the facility, there may be several teams trained in the following areas:

• use of fire extinguishers; • first aid and CPR; • shutdown procedures; • evacuation procedures;



• chemical spill control procedures; • use of self-contained breathing apparatus (SCBA); • search and emergency rescue procedures; and

• various firefighting techniques.

An important consideration is knowing when not to intervene. TRAINING Training is a key element of an effective emergency response plan. All employees should be trained in the following:

• evacuation plan; • alarm systems; • reporting procedures for personnel; • shutdown procedures; and

• types of potential emergencies.

Training should be provided: • initially when the plan is developed; • for all new employees; • when new equipment, materials or processes are introduced; • when procedures have been updated or revised; • when exercises show that employee performance must be improved; • and at least annually.

Random drills, at least annually, should be held for all personnel. The emergency plan itself should be reviewed periodically and updated to maintain optimum efficiency. PERSONAL PROTECTION Personal protection is essential for any employee who may be exposed to potentially hazardous situations or conditions. During an emergency, response personnel may be exposed to a wide variety of hazardous situations, including:

• chemical spills or contact with toxic materials; • falling objects and flying particles; • unknown atmospheres that may contain toxic gases, vapors, mists, or inadequate

oxygen; and

• fires and electrical hazards.



Examples of safety equipment that may be used to protect response personnel are: • eye protection - safety glasses, goggles, or face shields; • head and foot protection - hard hats and safety shoes; • hand protection - gloves; • breathing protection - proper respirators; • hearing protection - earplugs and earmuffs; and

• whole body protection for abnormal environmental conditions and chemical operations - thermal suits, gloves, hoods, boots, belts, harnesses, and lifelines.

The equipment selected must meet OSHA standards criteria. MEDICAL ASSISTANCE If covered by OSHA reporting standards, an employer is required to have the following medical and first-aid services:

• In the absence of an infirmary, clinic, or hospital nearby, a person or persons must be adequately trained to render first-aid.

• Eye washes or suitable equipment for quick drenching or flushing must be provided for employees who may be exposed to injurious corrosive materials. Employees must also be trained in how to use the equipment.

• Medical personnel must be readily available for advice and consultation. This means only that medical assistance is available, not that health care be provided.

SECURITY Consideration should be given to providing security against unauthorized access to a hazardous situation and to protect vital records and equipment.



Notes ________________________________ ________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________ ________________________________ ________________________________ ________________________________


Self Inspection Checklist and

General Forms





Table of Contents Checklists

Abrasive Wheel Equipment-Grinders Compressors and Compressed Air Confined Spaces Control of Harmful Substances by Ventilation Electrical Elevated Surfaces Environmental Conditions Exiting or Egress Fire Protection Flammable and Combustible Materials Floor and Wall Openings Fueling Hand Tools and Equipment Hazardous Chemical Exposure Hazardous Substances Communication Health & Safety Training Hoist and Auxiliary Equipment Identification of Piping Systems Industrial Trucks-Forklifts Ladders Lockout/Tagout Procedures Machine Guarding Material Handling Medical Services/First-Aid Noise Personal Protective Equipment (PPE) Portable Power Tools and Equipment Powder-Actuated Tools Record keeping Spraying Operations Stairs and Stairways Transporting Employees and Materials Walkways Welding, Cutting and Brazing Worksite General

Forms TWCC-1 TWCC-3 TWCC-6

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Abrasive Wheel Equipment – Grinders

___ ___ ____ ______________ 1. Work rest used and kept adjusted to within 1/8 inch of the wheel?

___ ___ ____ ______________ 2. Adjustable tongue on the top side of the grinder used and kept adjusted to within ¼ inch of the wheel?

___ ___ ____ ______________ 3. Side guards cover the spindle, nut and flange and 75 percent of the wheel diameter?

___ ___ ____ ______________ 4. Bench and pedestal grinders permanently mounted? ___ ___ ____ ______________ 5. Goggles or face shields always worn when grinding? ___ ___ ____ ______________ 6. Maximum RPM rating of each abrasive wheel

compatible with the RPM rating of the grinder motor? ___ ___ ____ ______________ 7. Fixed or permanently mounted grinders connected

to their electrical supply system with metallic conduit or other permanent wiring method?

___ ___ ____ ______________ 8. Each grinder has an individual on/off control switch? ___ ___ ____ ______________ 9. Each electrically operated grinder effectively grounded? ___ ___ ____ ______________ 10. Before new abrasive wheels are mounted, are they

visually inspected and ring tested? ___ ___ ____ ______________ 11. Dust collectors and powered exhausts provided on grinders used in

operations that produce large amounts of dust? ___ ___ ____ ______________ 12. Splash guards mounted on grinders that use coolant to prevent the

coolant from reaching employees? ___ ___ ____ ______________ 13. Cleanliness maintained around grinders?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Compressors and Compressed Air ___ ___ ____ ______________ 1. Compressors equipped with pressure relief valves and pressure

gauges? ___ ___ ____ ______________ 2. Compressor air intakes installed and equipped to ensure only clean

uncontaminated air enters? ___ ___ ____ ______________ 3. Air filters installed and regularly inspected? ___ ___ ____ ______________ 4. Compressor safety devices checked frequently? ___ ___ ____ ______________ 5. Before repair work is done on the pressure system, is the pressure

bled off and the system locked-out? ___ ___ ____ ______________ 6. Signs posted warning of automatic starting feature of the

compressors? ___ ___ ____ ______________ 7. Belt drive system totally enclosed? ___ ___ ____ ______________ 8. Is it strictly prohibited to direct compressed air towards a person? ___ ___ ____ ______________ 9. Safety chains or other suitable locking devices used at couplings of

high pressure hose lines where connection failure could create a hazard?

___ ___ ____ ______________ 10. When compressed air is used with abrasive blast cleaning equipment, is the opening valve a type that must be held open manually?

___ ___ ____ ______________ 11. Is every compressed air receiver equipped with a pressure gauge and with one or more automatic spring-loaded safety valves?

___ ___ ____ ______________ 12. Is the total relieving capacity of the safety valve capable of preventing pressure in the receiver by more than 10 percent?

___ ___ ____ ______________ 13. Every air receiver provided with a drain pipe and valve at the lowest point for the removal of accumulated oil and water?

___ ___ ____ ______________ 14. Compressed air receivers periodically drained of moisture and oil? ___ ___ ____ ______________ 15. All safety valves tested frequently and at regular intervals to

determine whether they are in good operating condition? ___ ___ ____ ______________ 16. Is there a current operating permit? ___ ___ ____ ______________ 17. Inlets of air receivers and piping systems free of accumulated oil

and carbonaceous materials?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Confined Spaces ___ ___ ____ _____________ 1. Confined spaces thoroughly emptied of corrosive or hazardous

substances before entry? ___ ___ ____ ______________ 2. All lines to a confined space containing hazardous substances

locked and tagged out before entry? ___ ___ ____ ______________ 3. Adequate ventilation provided prior to confined space entry? ___ ___ ____ ______________ 4. Appropriate atmospheric tests performed prior to confined space

entry? ___ ___ ____ ______________ 5. Atmosphere inside the confined space frequently tested or

continuously monitored during work? ___ ___ ____ ______________ 6. Atmospheric tests done at all levels, from top to bottom? ___ ___ ____ ______________ 7. Adequate illumination provided in confined space? ___ ___ ____ ______________ 8. Assigned safety observer outside of the confined space? ___ ___ ____ ______________ 9. Safety observer appropriately trained and equipped to handle an

emergency? ___ ___ ____ ______________ 10. Approved respiratory equipment required if the atmosphere inside

the confined space cannot be made acceptable? ___ ___ ____ ______________ 11. Portable electrical equipment used inside confined spaces either

grounded or insulated, or equipped with ground fault protection? ___ ___ ____ ______________ 12. Hot work permits required before welding and other oxygen

consuming equipment is used? ___ ___ ____ ______________ 13. Safety observer has authorization to shut down the job if needed? ___ ___ ____ ______________ 14. Atmospheric tests done at all levels, from top to bottom?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Control of Harmful Substances by Ventilation ___ ___ ____ _____________ 1. Volume and velocity of air in each exhaust system sufficient to

gather the dusts, fumes, mists, vapors or gases to be controlled, and conveyed to a suitable point of disposal?

___ ___ ____ ______________ 2. Exhaust inlets, ducts, and plenums designed, constructed, and supported to prevent collapse or failure of any part of the system?

___ ___ ____ ______________ 3. Clean-out ports or doors provided at intervals not to exceed 12 feet in all horizontal runs of exhaust ducts?

___ ___ ____ ______________ 4. Where two or more different types of operations are being controlled through the same exhaust systems, will the combination of substances being controlled constitute a fire, explosion or chemical reaction hazard in the duct?

___ ___ ____ ______________ 5. Adequate makeup air provided to areas where exhaust systems are operating?

___ ___ ____ ______________ 6. Source point for makeup air located so that only clean, fresh air, which is free of contaminates will enter the work environment?

___ ___ ____ ______________ 7. Where two or more ventilation systems are serving a work area, is their operation such that one will not offset the functions of the other?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Electrical ___ ___ ____ _____________ 1. Do you specify compliance with OSHA for all contract electrical

work? ___ ___ ____ ______________ 2. Employees required to report as soon as practicable any obvious

hazard to life or property observed in connection with electrical equipment or lines?

___ ___ ____ ______________ 3. Employees instructed to make preliminary inspections and/or appropriate tests to determine what conditions exist before starting work on electrical equipment or lines?

___ ___ ____ ______________ 4. When electrical equipment or lines are to be serviced, maintained, or adjusted, are necessary switches opened, locked-out, and tagged when possible?

___ ___ ____ ______________ 5. Portable electrical tools and equipment grounded or of the double insulated type?

___ ___ ____ ______________ 6. Extension cords in use have a grounding conductor? ___ ___ ____ ______________ 7. Multiple plug adapters prohibited? ___ ___ ____ ______________ 8. Ground-fault circuit interrupters installed on each 15 or 20 ampere,

120 volt AC circuit at locations where construction, demolition, modifications, alterations or excavations are being performed?

___ ___ ____ ______________ 9. Temporary circuits protected by suitable disconnecting switches or plug connectors at the junction with permanent wiring?

___ ___ ____ ______________ 10. Electrical installations in hazardous dust or vapor areas meet the National Electrical Code (NEC) for hazardous locations?

___ ___ ____ ______________ 11. Exposed wiring and cords with frayed or deteriorated insulation repaired/replaced promptly?

___ ___ ____ ______________ 12. Flexible cords and cables free of splices or taps? ___ ___ ____ ______________ 13. Cord, cable and raceway connections intact and secure?

Check Items Inspected: Yes No N/A Date Corrected Electrical ___ ___ ____ ______________ 14. Location of electrical power lines and cables (overheads,

underground, underfloor, other side of walls, etc.) determined before digging, drilling or similar work is begun?

___ ___ ____ ______________ 15. Use of metal ladders prohibited in areas where the ladder or the person using the ladder could come in contact with energized parts of equipment, fixtures or circuit conductors?

___ ___ ____ ______________ 16. Disconnecting switches and circuit breakers labeled to indicate their use or equipment served?

___ ___ ____ ______________ 17. Disconnecting means always opened before fuses are replaced? ___ ___ ____ ______________ 18. Sufficient access and working space provided and maintained

around all electrical equipment to permit safe operations and maintenance/

___ ___ ____ ______________ 19. Unused openings (including conduit knockouts) in electrical enclosures and fittings protected with appropriate covers, plugs, or plates?

___ ___ ____ ______________ 20. Electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tight-fitting covers or plates?

___ ___ ____ ______________ 21. Disconnecting switches for electrical motors in excess of two horsepower, capable of opening the circuit when the motor is in a stalled condition, without exploding? (Switches must be horsepower rated equal to or in excess of the motor hp rating).

___ ___ ____ ______________ 22. Low voltage protection provided in the control device of motors driving machines or equipment which could cause probable injury from inadvertent starting?

___ ___ ____ ______________ 23. Each motor disconnecting switch or circuit breaker located within sight of the motor control device?

___ ___ ____ ______________ 24. Each motor located within sight of its controller or the controller disconnecting means capable of being locked in the open position or is a separate disconnecting means installed in the circuit within sight of the motor?

___ ___ ____ ______________ 25. Controller for each motor in excess of two horsepower, rated in horsepower equal to or in excess of the rating of the motor it serves?

___ ___ ____ ______________ 26. Employees who regularly work on or around energized electrical equipment or lines instructed in the cardio-pulmonary resuscitation (CPR) methods?

___ ___ ____ ______________ 27. Employees prohibited from working alone on energized lines or equipment over 600 volts?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Elevated Surfaces ___ ___ ____ _____________ 1. Signs posted, as appropriate, showing the surface load capacity? ___ ___ ____ ______________ 2. Surfaces elevated more than 30 inches above the floor or ground

provided with standard guardrails? ___ ___ ____ ______________ 3. Elevated surfaces with expose people or machinery to falling

objects provided with standard 4 inch toeboards? ___ ___ ____ ______________ 4. Permanent means of access and egress provided to elevated

storage and work surfaces? ___ ___ ____ ______________ 5. Material on elevated surfaces piled, stacked or racked in a manner

to prevent it from tipping, falling, collapsing, rolling or spreading? ___ ___ ____ ______________ 6. Dock boards or bridge plates used when transferring materials

between docks and trucks or rail cars?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Environmental Conditions ___ ___ ____ _____________ 1. Work areas properly illuminated? ___ ___ ____ ______________ 2. Workers aware of the hazards involved with the various chemicals

they may be exposed to in their work environment? ___ ___ ____ ______________ 3. Employee exposure to chemicals in the workplace kept within

acceptable levels? ___ ___ ____ ______________ 4. Work area’s ventilation system appropriate for the work being

performed? ___ ___ ____ ______________ 5. Spray painting operations done in spray rooms or booths equipped

with an appropriate exhaust system? ___ ___ ____ ______________ 6. Noise level(s) in work area(s) within acceptable levels? ___ ___ ____ ______________ 7. Proper precautions being taken when handling asbestos and other

fibrous materials? ___ ___ ____ ______________ 8. Caution labels and signs used to warn of hazardous substances

and biohazards? ___ ___ ____ ______________ 9. Wet methods used to prevent the emission of hazardous airborne

fibers? ___ ___ ____ ______________ 10. Grinders, saws and other machines that produce respirable dusts

vented to an industrial collector or central exhaust system? ___ ___ ____ ______________ 11. Potable water provided for drinking, washing and cooking? ___ ___ ____ ______________ 12. Water outlets not suitable for drinking clearly identified?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Exiting or Egress ___ ___ ____ _____________ 1. All exits marked and illuminated by reliable light source? ___ ___ ____ ______________ 2. Doors, passageways, or stairways that are not exits, nor accessible

to exits, appropriately marked? ___ ___ ____ ______________ 3. “Exit” sign lettering at least 5 inches high and ½ inch wide? ___ ___ ____ ______________ 4. Exit doors side-hinged? ___ ___ ____ ______________ 5. All exits free of obstruction? ___ ___ ____ ______________ 6. Sufficient exits to permit prompt emergency escape? ___ ___ ____ ______________ 7. Where ramps are used as required exit, is ramp slope limited to 1

foot vertical and 12 foot horizontal? ___ ___ ____ ______________ 8. If frameless glass doors, glass exit doors, storm doors, etc., are

doors fully tempered and meet safety requirements for human impact?

___ ___ ____ ______________ 9. Exit doors open from the direction of exit travel without the use of a key or any special knowledge or effort?

___ ___ ____ ______________ 10. Where panic hardware is installed on exit door, with it allow other door to open with 15 pounds or less force in the direction of the exit traffic?

___ ___ ____ ______________ 11. Exit doors opening onto street, alley, or vehicle parking area provided with adequate barriers and warnings to prevent employees stepping into traffic or vehicles blocking exit?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Fueling ___ ___ ____ _____________ 1. Prohibited to conduct fueling operations while the engine is

running? ___ ___ ____ ______________ 2. Fuel tank caps replaced and secured before starting the engine? ___ ___ ____ ______________ 3. In fueling operations, is there always metal contact between the

container and the fuel tank? ___ ___ ____ ______________ 4. Fueling hoses designed to handle the specific type of fuel? ___ ___ ____ ______________ 5. Fueling operations prohibited in buildings or other enclosed areas

not specifically ventilated for this purpose? ___ ___ ____ ______________ 6. Where fueling or transfer of fuel is done through a gravity flow

system, are the nozzles of the self-closing type?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Fire Protection ___ ___ ____ _____________ 1. Local fire department acquainted with work facilities and its specific

hazard? ___ ___ ____ ______________ 2. Fire suppression equipment inspection current? ___ ___ ____ ______________ 3. Fire alarm system tested at least annually? ___ ___ ____ ______________ 4. Interior stand pipes and valves inspected regularly? ___ ___ ____ ______________ 5. Fire doors and shutters maintained and inspected regularly? ___ ___ ____ ______________ 6. Automatic sprinkler system water control valves, air and water

pressure checked as required? ___ ___ ____ ______________ 7. Sprinkler heads protected by metal guards if exposed to possible

physical damage? ___ ___ ____ ______________ 8. Fire extinguishers provided in adequate number, type and are in

readily accessible locations? ___ ___ ____ ______________ 9. Employees periodically trained in the use of fire suppression and

protection procedures?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Flammable and Combustible Materials ___ ___ ____ _____________ 1. Combustible materials stored in covered and metal receptacles and

removed from working areas promptly? ___ ___ ____ ______________ 2. Approved containers and tanks used for the storage and handling of

flammable and combustible liquids? ___ ___ ____ ______________ 3. Flammable liquids kept in closed containers when not in use? ___ ___ ____ ______________ 4. Are bulk drums of flammable liquids grounded and bonded to

containers during dispensing? ___ ___ ____ ______________ 5. Storage rooms have explosion-proof lights and adequate

ventilation? ___ ___ ____ ______________ 6. No smoking signs posted on liquefied petroleum gas tanks and in

areas where flammable or combustible materials are used and stored?

___ ___ ____ ______________ 7. Fuel gas cylinders and oxygen cylinders separated by distance, fire resistant barriers, etc. while in storage?

___ ___ ____ ______________ 8. Spills of flammable or combustible liquids cleaned up promptly? ___ ___ ____ ______________ 9. Storage tanks adequately vented to prevent the development of

excessive vacuum or pressure?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Floor and Wall Openings ___ ___ ____ _____________ 1. Floor openings guarded by a cover, guardrail, or equivalent on all

sides? ___ ___ ____ ______________ 2. Toeboards installed around edges of permanent floor openings? ___ ___ ____ ______________ 3. Skylight screens capable of supporting at least 200 pounds? ___ ___ ____ ______________ 4. Grates or similar type floor covers designed so that foot traffic or

rolling equipment will not be affected by grate spacing? ___ ___ ____ ______________ 5. Unused portions of pits not actually in use, either covered or

protected by guardrails or equivalent? ___ ___ ____ ______________ 6. Manhole covers, trench covers and similar covers, plus their

supports designed to carry a track rear axle load of at least 20,000 pounds?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Hand Tools and Equipment ___ ___ ____ _____________ 1. All tools and equipment maintained in good condition? ___ ___ ____ ______________ 2. Hand tools such as chisels, punches, etc., which develop

mushroomed heads during use, reconditioned or replaced as necessary?

___ ___ ____ ______________ 3. Broken or fractured handles on hammers, axes and similar equipment replaced promptly?

___ ___ ____ ______________ 4. Worn or bent wrenches replaced regularly? ___ ___ ____ ______________ 5. Appropriate handles used on files and similar tools? ___ ___ ____ ______________ 6. Employees made aware of the hazards caused by faulty or

improperly used hand tools? ___ ___ ____ ______________ 7. Appropriate safety glasses, face shields, etc., used while using

hand tools or equipment which might produce flying materials or be subject to breakage?

___ ___ ____ ______________ 8. Jacks checked periodically to assure they are in good operational condition?

___ ___ ____ ______________ 9. Tool handles wedged tightly in the head of all tools? ___ ___ ____ ______________ 10. Tool cutting edges kept sharp so the tool will move smoothly without

binding or skipping? ___ ___ ____ ______________ 11. Tools stored in dry, secure location?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Hazardous Chemical Exposure ___ ___ ____ _____________ 1. Employees trained in the safe use of hazardous chemicals and

materials? ___ ___ ____ ______________ 2. Employees knowledgeable of potential workplace chemical

hazards? ___ ___ ____ ______________ 3. Eye wash fountains and safety showers provided in areas where

corrosive chemicals are handled? ___ ___ ____ ______________ 4. Containers labeled? ___ ___ ____ ______________ 5. Employees required to use personal protective clothing and

equipment when handling chemicals? ___ ___ ____ ______________ 6. Flammable and toxic chemicals kept in closed containers when not

in use? ___ ___ ____ ______________ 7. Chemical piping systems clearly marked as to their content? ___ ___ ____ ______________ 8. Adequate means readily available for containing spills or overflows

properly and safely? ___ ___ ____ ______________ 9. Standard operating procedures been established and are they

being followed when cleaning up chemical spills? ___ ___ ____ ______________ 10. Respirators stored in a convenient, clean and sanitary location? ___ ___ ____ ______________ 11. Respirators intended for emergency use adequate for the various

uses for which they may be needed? ___ ___ ____ ______________ 12. Employees prohibited from eating in areas where hazardous

chemicals are present? ___ ___ ____ ______________ 13. Personal protective equipment provided, used and maintained

where needed? ___ ___ ____ ______________ 14. Written standard operating procedures for the selection and use of

respirators where needed? ___ ___ ____ ______________ 15. If you have a respirator protection program, are your employees

instructed on the correct usage and limitations of the respirators?

Check Items Inspected: Yes No N/A Date Corrected Hazardous Chemical Exposure

___ ___ ____ ______________ 16. Regularly inspected and cleaned, sanitized and maintained? ___ ___ ____ ______________ 17. If hazardous substances are used in your processes, do you have a

medical or biological monitoring system in operation? ___ ___ ____ ______________ 18. Control procedures instituted for hazardous material, where

appropriate, such as respirators, ventilation systems, handling practices, etc.?

___ ___ ____ ______________ 19. Hazardous substances handled in properly designed and exhausted booth locations?

___ ___ ____ ______________ 20. If internal combustion engines are used, is carbon monoxide kept within acceptable levels?

___ ___ ____ ______________ 21. Whenever possible, is vacuuming used, rather than blowing or sweeping dusts for clean-up?

___ ___ ____ ______________ 22. Materials which give off toxic asphyxiant, suffocating or anesthetic fumes, stored in remote or isolated locations when not in use?

___ ___ ____ ______________ 23. Annual spirometry and medical examinations maintained for personnel using respirators?

___ ___ ____ ______________ 24. Areas that use cryogenic nitrogen or carbon dioxide equipped with oxygen level monitors and warning devices?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Hazardous Substances Communication ___ ___ ____ _____________ 1. List of hazardous substances used in your workplace? ___ ___ ____ ______________ 2. Current written exposure control plan for occupational exposure to

bloodborne pathogens and other potentially infectious materials? ___ ___ ____ ______________ 3. Written hazard communication program dealing with Material Safety

Data Sheets (MSDS), labeling and employee training? ___ ___ ____ ______________ 4. Container(s) for a hazardous substance (i.e., vats, bottles, storage

tanks, etc.) labeled with product identity and a hazard warning (communication of the specific health hazards and physical hazards)?

___ ___ ____ ______________ 5. Material Safety Data Sheet readily available for each hazardous substance used?

___ ___ ____ ______________ 6. Employee training program for hazardous substances? ___ ___ ____ ______________ 7. Employees trained in the following: ___ ___ ____ ______________ a. How to recognize tasks that might result in occupational

exposure? ___ ___ ____ ______________ b. How to use work practice, engineering controls, and personal

protective equipment and to know their limitations? ___ ___ ____ ______________ c. How to obtain information on the types, selection, proper use,

location, removal, handling, decontamination, and disposal of personal protective equipment.

___ ___ ____ ______________ d. Who to contact and what to do in an emergency?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Health & Safety Training ___ ___ ____ _____________ 1. New employees received orientation training? ___ ___ ____ ______________ 2. Employees participate in regularly scheduled safety meetings? ___ ___ ____ ______________ 3. Adequate training resources available and management committed

to employee training? ___ ___ ____ ______________ 4. Employees received and documented required training? ___ ___ ____ _____________ a. Work area hazards ___ ___ ____ ______________ b. Emergency action plan ___ ___ ____ ______________ c. Equipment operation ___ ___ ____ ______________ d. Personal protective equipment ___ ___ ____ ______________ e. Location and use of emergency equipment ___ ___ ____ ______________ f. Hazard communication/MSDS ___ ___ ____ ______________ g. Hearing conservation ___ ___ ____ ______________ 5. All employees receive refresher training at least annually? ___ ___ ____ ______________ 6. Employees received instruction on reporting procedures to report

unsafe conditions, defective equipment, and unsafe acts?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Hoist and Auxiliary Equipment ___ ___ ____ _____________ 1. Each overhead electric hoist equipped with a limit device to stop the

hook travel at its highest and lowest point of safe travel? ___ ___ ____ ______________ 2. Will each hoist automatically stop and hold any load up to 125

percent of its rated load if its actuating force is removed? ___ ___ ____ ______________ 3. Rated load of each hoist legibly marked and visible to the operator? ___ ___ ____ ______________ 4. Stops provided at the safe limits of travel for hoists? ___ ___ ____ ______________ 5. Controls of hoist plainly marked to indicate the direction of travel or

motion? ___ ___ ____ ______________ 6. Each cage controlled hoist equipped with an effective warning

device? ___ ___ ____ ______________ 7. Close fitting guards or other suitable devices installed on hoists to

assure hoist ropes will be maintained in the sheave grooves? ___ ___ ____ ______________ 8. All hoist chains or ropes of sufficient length to handle the full range

of movement of the application while still maintaining two full wraps on the drum at all times?

___ ___ ____ ______________ 9. Nip points or contact points between hoist ropes and sheaves which are permanently located within seven feet of the floor, ground or working platform guarded?

___ ___ ____ ______________ 10. Prohibited to use chains or rope slings that are kinked to twisted? ___ ___ ____ ______________ 11. Prohibited to use the hoist rope or chain wrapped around the load

as a substitute for a sling? ___ ___ ____ ______________ 12. Operator instructed to avoid carrying loads over people? ___ ___ ____ ______________ 13. Hoists and load bearing structures load tested and annually

certified? ___ ___ ____ ______________ 14. Pelican hooks equipped with a spring loaded safety clip to prevent

accidental load release?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Identification of Piping Systems ___ ___ ____ _____________ 1. When nonpotable water is piped through a facility, are outlets or

taps posted to alert employees that it is unsafe and not to be used for drinking, washing or other personal use?

___ ___ ____ ______________ 2. When hazardous substances are transported through above ground piping, is each pipeline identified at points where confusion could introduce hazards to employees?

___ ___ ____ ______________ 3. When pipelines are identified by color painting, are all visible parts of the line so identified?

___ ___ ____ ______________ 4. When pipelines are identified by color painted bands or tapes, are the bands or tapes located at reasonable intervals and at each outlet, valve or connection?

___ ___ ____ ______________ 5. When pipelines are identified by color, is the color code posted at all locations where confusion could introduce hazards to employees?

___ ___ ____ ______________ 6. When the contents of pipelines are identified by name or name abbreviation, is the information readily visible on the pipe near each valve or outlet?

___ ___ ____ ______________ 7. When pipelines carrying hazardous substances are identified by tags, are the tags constructed of durable materials, clearly and permanently distinguishable, and are tags installed at each valve or outlet?

___ ___ ____ ______________ 8. When pipelines are heated by electricity, steam or other external source, are suitable warning signs or tags placed at unions, valves or other serviceable parts of the system?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Industrial Trucks - Forklifts ___ ___ ____ _____________ 1. Only employees who have been trained in the proper use of hoists

allowed to operate them? ___ ___ ____ ______________ 2. Only trained personnel allowed to operate industrial trucks? ___ ___ ____ ______________ 3. Substantial overhead protective equipment provided on high lift

rider equipment? ___ ___ ____ ______________ 4. Required lift truck operating rules posted and enforced? ___ ___ ____ ______________ 5. Directional lighting provided on each industrial truck that operates in

an area with less than 2 foot of general lighting? ___ ___ ____ ______________ 6. Industrial truck have a warning horn, whistle, gong, or other device

which can be clearly heard above the normal noise in the areas where operated?

___ ___ ____ ______________ 7. Brakes on each industrial truck capable of bringing the vehicle to a complete and safe stop when fully loaded?

___ ___ ____ ______________ 8. Industrial trucks’ parking brake effectively prevents the vehicle from moving when unattended?

___ ___ ____ ______________ 9. Industrial trucks operating in areas where flammable gases or vapors, or combustible dust or ignitable fibers may be present in the atmosphere, approved for such locations?

___ ___ ____ ______________ 10. Drive motor shutoff and brakes applied when motorized hand and hand/rider control grips realeased?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Ladders ___ ___ ____ _____________ 1. Ladders inspected and maintained in good condition? ___ ___ ____ ______________ 2. Non-slip feet provided on each ladder and each rung? ___ ___ ____ ______________ 3. Ladder rung and steps free of grease and oil? ___ ___ ____ ______________ 4. Employees trained in the proper use and operation of ladders? ___ ___ ____ ______________ 5. Is it prohibited to place ladders on boxes, barrels, or other unstable

bases to obtain extra height? ___ ___ ____ ______________ 6. Ladders with broken, missing steps, rungs, or cleats and broken

side rails or other faulty equipment removed from service? ___ ___ ____ ______________ 7. Employees instructed to face ladder when climbing or descending? ___ ___ ____ ______________ 8. Employees instructed not to use top step or stepladder as a step? ___ ___ ____ ______________ 9. When in use, do ladders extend at least 3 feet above elevated

surface? ___ ___ ____ ______________ 10. Metal ladders legible marked with signs cautioning against using

them around electrical power source? ___ ___ ____ ______________ 11. Rungs of ladders uniformly spaced at 12 inches, center to center?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Lockout/Tagout Procedures ___ ___ ____ _____________ 1. All hazardous energy sources required to be de-energized,

disengaged, blocked or locked-out during cleaning, servicing, adjusting, setting-up operations, or as required?

___ ___ ____ ______________ 2. When electrical control circuit cannot be disconnected, are the appropriate electrical enclosures identified?

___ ___ ____ ______________ 3. When electrical control circuit cannot be disconnected, is a means provided to assure control circuit can also be disconnected and locked-out?

___ ___ ____ ______________ 4. Lockout of control circuits in lieu of locking-out main power disconnects prohibited?

___ ___ ____ ______________ 5. All equipment control valve handles provided with a means for lockout?

___ ___ ____ ______________ 6. Lockout procedures require stored energy be released or blocked? ___ ___ ____ ______________ 7. Appropriate employees provided with individually keyed personal

safety locks? ___ ___ ____ ______________ 8. Employees required to keep personal control of their key(s) while

they have safety locks in use? ___ ___ ____ ______________ 9. Required that only employee exposed to the hazard, place or

remove the safety lock? ___ ___ ____ ______________ 10. Required that employees verify equipment lockout by attempting a

start-up after making sure no one is exposed?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Machine Guarding ___ ___ ____ _____________ 1. Training program to instruct employees on safe methods of

machine operation? ___ ___ ____ ______________ 2. Adequate supervision to ensure that employees are following safe

machine operating procedures? ___ ___ ____ ______________ 3. Regular program of safety inspection of machinery and equipment? ___ ___ ____ ______________ 4. Machinery and equipment kept clean and properly maintained? ___ ___ ____ ______________ 5. Sufficient clearance provided around and between machines to

allow for safe operations, servicing, material handling and waste removal?

___ ___ ____ ______________ 6. Equipment and machinery securely placed and anchored, when necessary to prevent tipping or other movement that could result in personal injury?

___ ___ ____ ______________ 7. Power shut-off switch within reach of the operator’s position at each machine?

___ ___ ____ ______________ 8. Electric power to each machine locked out for maintenance, repair, or security?

___ ___ ____ ______________ 9. Noncurrent-carrying metal parts of electrically operating machines bonded and grounded?

___ ___ ____ ______________ 10. Foot-operated switches guarded or arranged to prevent accidental actuation by personnel or falling objects?

___ ___ ____ ______________ 11. Manually operated valves and switches controlling the operation of equipment and machines clearly identified and readily accessible?

___ ___ ____ ______________ 12. All emergency stop buttons colored? ___ ___ ____ ______________ 13. Pulleys and belts that are within 7 feet of the floor or working level,

properly guarded? ___ ___ ____ ______________ 14. All moving chains and gears properly guarded?

Check Items Inspected: Yes No N/A Date Corrected Machine Guarding

___ ___ ____ ______________ 15. Splash guards mounted on machines that use coolant to prevent the coolant from reaching employees?

___ ___ ____ ______________ 16. Methods provided to protect the operator and other employees in the machine areas from hazards created at the point of operation, nip points, rotating parts, flying chips and sparks?

___ ___ ____ ______________ 17. Machinery guards secure and arranged so that they do not offer a hazard when in use?

___ ___ ____ ______________ 18. If special hand tools are used for placing and removing material, do they protect the operator’s hands?

___ ___ ____ ______________ 19. Revolving drums, barrels, and containers guarded by an enclosure that is interlocked with the drive mechanism, so that revolution cannot occur unless the guard enclosures are in place?

___ ___ ____ ______________ 20. Arbors and mandrels have firm and secure bearings and are they free from play?

___ ___ ____ ______________ 21. Provisions made to prevent machines from automatically starting when power is restored after a power failure or shutdown?

___ ___ ____ ______________ 22. Machines constructed so as to be free from excessive vibration when the largest size tool is mounted and run at full speed?

___ ___ ____ ______________ 23. If machinery is cleaned with compressed air, is air pressure controlled and personal protective equipment or other safeguards utilized to protect operators and other workers from eye and body injury?

___ ___ ____ ______________ 24. Fan blades protected with a guard having openings no larger than ½ inch, when operating within 7 feet of the floor?

___ ___ ____ ______________ 25. Saws used for ripping, equipped with anti-kick back devices and spreaders?

___ ___ ____ ______________ 26. Radial arm saws so arranged that the cutting head will gently return to the back of the table when released?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Material Handling ___ ___ ____ _____________ 1. Safe clearance for equipment through aisles and doorways? ___ ___ ____ ______________ 2. Aisles properly marked and clear? ___ ___ ____ ______________ 3. Motorized vehicles and mechanized equipment inspected daily or

prior to use? ___ ___ ____ ______________ 4. Vehicles shutoff and brakes set prior to loading or unloading? ___ ___ ____ ______________ 5. Containers of combustibles or flammables, when stacked while

being moved, always separated by dunnage sufficient to provide stability?

___ ___ ____ ______________ 6. Dock boards (bridge plates) used when loading or unloading operations are taking place between vehicles and docks?

___ ___ ____ ______________ 7. Trucks and trailers secured from movement during loading and unloading operations?

___ ___ ____ ______________ 8. Dock plates and loading ramps constructed and maintained with sufficient strength to support imposed loading?

___ ___ ____ ______________ 9. Hand trucks maintained in safe operating condition? ___ ___ ____ ______________ 10. Chutes equipped with sideboards of sufficient height to prevent the

materials being handled from falling off? ___ ___ ____ ______________ 11. Chutes and gravity roller sections firmly placed or secured to

prevent displacement? ___ ___ ____ ______________ 12. At the delivery end of the rollers or chutes, are provisions made to

brake the movement of the handled materials? ___ ___ ____ ______________ 13. Pallets inspected before being loaded or moved? ___ ___ ____ ______________ 14. Hooks with safety latches or other arrangements used when

hoisting materials so that slings or load attachments won’t accidentally slip off the hoist hooks?

___ ___ ____ ______________ 15. Securing chains, ropes, chokers or slings adequate for the job to be performed?

Check Items Inspected: Yes No N/A Date Corrected Material Handling ___ ___ ____ ______________ 16. When hoisting material or equipment, are provisions made to

assume no one will be passing under the suspended load? ___ ___ ____ ______________ 17. Material interlaced or stacked to prevent sliding or tipping? ___ ___ ____ ______________ 18. Shelves secure and constructed to withstand maximum designed

storage weight? ___ ___ ____ ______________ 19. Shelves secured to prevent tipping or falling?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Medical Services/First-Aid ___ ___ ____ _____________ 1. Bloodborne pathogen plan in place? ___ ___ ____ ______________ 2. Regulated waste discarded according to applicable laws and

regulations? ___ ___ ____ ______________ 3. Medically approved first-aid and sharps container adequately

supplied? ___ ___ ____ ______________ 4. If medical/first-aid facilities are not in proximity, is at least one

employee on each shift qualified to render first-aid? ___ ___ ____ ______________ 5. Medical personnel readily available for advice and consultation? ___ ___ ____ ______________ 6. Quick drenching and/or flushing areas available, where corrosive

liquids or materials are handled?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Noise ___ ___ ____ _____________ 1. Are there areas in the workplace where continuous noise levels

exceed 85dBA? ___ ___ ____ ______________ 2. Ongoing preventive health program to educate employees in safe

levels of noise exposures; effects of noise on their health; and the use of personal protection?

___ ___ ____ ______________ 3. Work areas where noise levels make voice communication between employees difficult been identified and posted?

___ ___ ____ ______________ 4. Noise levels being measured with a sound level meter or an octave band analyzer and records being kept?

___ ___ ____ ______________ 5. Engineering controls been used to reduce excessive noise levels? Where engineering controls are determined as not feasible, are administrative controls (i.e. work rotation) being used to minimize individual employee exposure to noise?

___ ___ ____ ______________ 6. Approved hearing protective equipment (noise attending devices) available to every employee working in noisy areas?

___ ___ ____ ______________ 7. If you use ear protectors, are employees properly fitted and instructed in their use?

___ ___ ____ ______________ 8. Employees in high noise areas given periodic audiometer testing to ensure an effective hearing protection system is in place?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Personal Protective Equipment (PPE)

___ ___ ____ _____________ 1. Protective goggles or face shields provided and worn where there is a danger of flying particles or corrosive materials?

___ ___ ____ ______________ 2. Approved safety glasses worn at all times in areas where there is a risk of eye injuries?

___ ___ ____ ______________ 3. Protective gloves, aprons, shields, or other means provided where employees could be cut or where there is reasonable anticipated exposure to corrosive liquids, chemicals, blood or other potentially infectious materials?

___ ___ ____ ______________ 4. Hard hats provided and worn where dander of falling objects exists? ___ ___ ____ ______________ 5. Hard hats inspected periodically for damage to the shell and

suspension system? ___ ___ ____ ______________ 6. Appropriate foot protection as required? ___ ___ ____ ______________ 7. Approved respirators provided for regular and emergency use as

needed? ___ ___ ____ ______________ 8. PPE maintained in a sanitary condition and ready for use? ___ ___ ____ ______________ 9. Eye wash and quick drench shower within work area where

employees are exposed to injurious corrosive materials? ___ ___ ____ ______________ 10. Hearing conservation program established for noise levels

exceeding 85 decibels? ___ ___ ____ ______________ 11. Hearing protection required when noise levels are exceeded? ___ ___ ____ ______________ 12. Adequate work procedures and PPE provided and used when

cleaning up spilled toxic or hazardous materials or liquids? ___ ___ ____ ______________ 13. Appropriate procedures in place for disposing of or decontaminating

PPE? ___ ___ ____ ______________ 14. Employees trained in use, limitations, maintenance, storage and

inspection requirements of PPE? ___ ___ ____ ______________ 15. Machines and equipment, which process, handle or apply materials

that could be injurious to employees, cleaned and/or decontaminated before overhauled or placed in storage?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Portable Power Tools and Equipment ___ ___ ____ _____________ 1. Grinders, saws and similar equipment provided with appropriate

safety guards? ___ ___ ____ ______________ 2. Power tools used with the correct shield, guard, or attachment,

recommended by the manufacturer? ___ ___ ____ ______________ 3. Portable circular saws equipped with guards above and below the

base shoe? ___ ___ ____ ______________ 4. Circular saw guards checked to assure they are not wedged up,

thus leaving the lower portion of the blade unguarded? ___ ___ ____ ______________ 5. Rotating or moving parts of equipment guarded to prevent physical

contact? ___ ___ ____ ______________ 6. All cord-connected, electrically-operated tools and equipment

effectively grounded or of the approved double insulated type? ___ ___ ____ ______________ 7. Effective guards in place over belts, pulleys, chains and sprockets? ___ ___ ____ ______________ 8. Portable fans provided with full guards or screens having opening ½

inch or less? ___ ___ ____ ______________ 9. Hoisting equipment available and used for lifting heavy objects, and

are hoist ratings and characteristics appropriate for the task? ___ ___ ____ ______________ 10. Ground-fault circuit interrupters provided on all temporary electrical

15 and 20 amp circuits, used during periods of construction? ___ ___ ____ ______________ 11. Pneumatic and hydraulic hoses on power-operated tools checked

regularly for deterioration or damage?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Powder-Actuated Tools

___ ___ ____ _____________ 1. Employees who operate powder-actuated tools trained in their use and carry a valid operators card?

___ ___ ____ ______________ 2. Each powder-actuated tool stored in its own locked container when not being used?

___ ___ ____ ______________ 3. Sign at least 7 inches by 10 inches with bold face type reading “POWDER-ACTUATED TOOL IN USE” conspicuously posted when the tools are being used?

___ ___ ____ ______________ 4. Powder-actuated tools left unloaded until they are actually ready to be used?

___ ___ ____ ______________ 5. Powder-actuated tools inspected for obstructions or defects each day before use?

___ ___ ____ ______________ 6. Powder-actuated tool operators have and use appropriate personal protective equipment such as hard hats, safety goggles, safety shoes and ear protectors?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Recordkeeping ___ ___ ____ _____________ 1. OSHA 200/TWCC-1/7 logs maintained as required? ___ ___ ____ ______________ 2. Medical records and exposure records maintained as required? ___ ___ ____ ______________ 3. Training records maintained in accordance with OSHA

requirements? ___ ___ ____ ______________ 4. Employee records being maintained for required time frame? ___ ___ ____ ______________ 5. Operating permits and records up-to-date? ___ ___ ____ ______________ 6. Procedures in place to maintain records and logs? ___ ___ ____ _____________ a. Safety inspections ___ ___ ____ ______________ b. Safety meeting minutes ___ ___ ____ ______________ c. Accident investigations ___ ___ ____ ______________ d. Emergency response drills

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Spraying Operations

___ ___ ____ _____________ 1. Adequate ventilation assured before spraying operations are started?

___ ___ ____ ______________ 2. Mechanical ventilation provided when spraying operations are done within enclosed area?

___ ___ ____ ______________ 3. When mechanical ventilation is provided during spraying operations, does it properly vent contaminated air?

___ ___ ____ ______________ 4. Spray areas free of hot surfaces? ___ ___ ____ ______________ 5. Spray area at least 20 feet from flames, sparks, operating electrical

motors and other ignition sources? ___ ___ ____ ______________ 6. Portable lamps used to illuminate spray areas suitable for use in a

hazardous location? ___ ___ ____ ______________ 7. Approved respiratory equipment provided and used when

appropriate during spraying conditions? ___ ___ ____ ______________ 8. Solvents used for cleaning have a flash point of 100 degrees

Fahrenheit or more? ___ ___ ____ ______________ 9. Fire control sprinkler heads kept clean? ___ ___ ____ ______________ 10. “NO SMOKING” signs posted in spray areas, paint rooms, paint

booths, and paint storage areas? ___ ___ ____ ______________ 11. Spray area kept clean of combustible residue? ___ ___ ____ ______________ 12. Spray booths constructed of metal, masonry, or other substantial

noncombustible material? ___ ___ ____ ______________ 13. Spray booth floors and baffles noncombustible and easily cleaned? ___ ___ ____ ______________ 14. Infrared drying apparatus kept out of the spray area during spraying

operations? ___ ___ ____ ______________ 15. Spray booth completely ventilated before using the drying

apparatus? ___ ___ ____ ______________ 16. Electric drying apparatus properly grounded?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Stairs and Stairways

___ ___ ____ _____________ 1. Standard stair rails or handrails on all stairways with four or more risers?

___ ___ ____ ______________ 2. Stairways at least 22 inches wide? ___ ___ ____ ______________ 3. Stair landing platforms not less than 30 inches in the direction of

travel and extending 22 inches in width at every 12 feet or less of vertical rise?

___ ___ ____ ______________ 4. Stairs angle no more than 50 degrees and no less than 30 degrees?

___ ___ ____ ______________ 5. Stairs of hollow-pan type treads and landings filled to top edge of the pan with solid material?

___ ___ ____ ______________ 6. Step risers on stairs uniform from top to bottom? ___ ___ ____ ______________ 7. Steps designed or provided with a slip resistant surface? ___ ___ ____ ______________ 8. Handrails located between 30 and 34 inches above leading edge or

stair treads? ___ ___ ____ ______________ 9. Handrails have at least 3 inches of clearance between the handrail

and the wall surface they are mounted to? ___ ___ ____ ______________ 10. Where doors or gates open directly on a stairway, is there a

platform provided so the swing of the door does not reduce the width of the platform to less than 21 inches?

___ ___ ____ ______________ 11. Handrails capable of withstanding a load of 200 pounds, applied within 2 inches of the top edge?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Transporting Employees and Materials

___ ___ ____ _____________ 1. Employees who operate vehicles on public thoroughfares have valid operator’s licenses?

___ ___ ____ ______________ 2. When seven or more employees are regularly transported in a van, bus or truck, is the operator’s license appropriate for the class of vehicle being driven?

___ ___ ____ ______________ 3. Each van, bus or truck used regularly to transport employees, equipped with an adequate number of seats and seat belts?

___ ___ ____ ______________ 4. When employees are transported by truck are provisions provided to prevent their falling from the vehicle?

___ ___ ____ ______________ 5. Vehicles used to transport employees equipped with lamps, brakes, horns, mirrors, windshields and turn signals in good repair?

___ ___ ____ ______________ 6. Transport vehicles provided with handrails, steps, stirrups or similar devices, so placed and arranged that employees can safely mount or dismount?

___ ___ ____ ______________ 7. Employee transport vehicles equipped at all times with at least two reflective type flares?

___ ___ ____ ______________ 8. Fully charged fire extinguisher, in good condition, with at least 4 B:C rating maintained in each employee transport vehicle?

___ ___ ____ ______________ 9. When cutting tools or tools with sharp edges are carried in passenger compartments of employee transport vehicles, are they placed in closed boxes or containers which are secured in place?

___ ___ ____ ______________ 10. Employees prohibited from riding on top of any load which can shift, topple or otherwise become unstable?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Walkways

___ ___ ____ _____________ 1. Aisles and passageways kept clear and clean?

___ ___ ____ ______________ 2. Wet surfaces covered with non-slip materials?

___ ___ ____ ______________ 3. Pits and floor openings covered or guarded?

___ ___ ____ ______________ 4. Aisle clearance provided for motorized or mechanical handling equipment operation?

___ ___ ____ ______________ 5. Walkways properly marked?

___ ___ ____ ______________ 6. Aisles and walkways passing near moving or operating machinery, welding operations or similar operations arranged to minimize potential hazard exposure?

___ ___ ____ ______________ 7. Adequate headroom provided for entire length or walkway?

___ ___ ____ ______________ 8. Standard guardrails provided when walkway surface is elevated more than 30 inches above any adjacent floor or ground?

___ ___ ____ ______________ 9. Bridges provided over conveyors and similar hazards?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Welding, Cutting and Brazing

___ ___ ____ _____________ 1. Only to authorized and trained personnel permitted to use welding, cutting or brazing equipment?

___ ___ ____ ______________ 2. Does each operator have a copy of the appropriate operating instructions and do they follow them?

___ ___ ____ ______________ 3. Compressed gas cylinders regularly examined for obvious signs of defects, deep rusting, and/or leakage?

___ ___ ____ ______________ 4. Precautions taken to prevent mixture of oxygen with flammable gases, except at a burner or in a standard torch?

___ ___ ____ ______________ 5. Only approved apparatus (torches, regulators, pressure-reducing valves, acetylene generators, manifolds) used?

___ ___ ____ ______________ 6. Cylinders kept away from sources of heat? ___ ___ ____ ______________ 7. Cylinders kept away from elevators, stairs or gangways? ___ ___ ____ ______________ 8. Hot work permits required? ___ ___ ____ ______________ 9. Used drums, barrels, tanks and other containers thoroughly cleaned

so that no explosive or hazardous chemical substances remain? ___ ___ ____ ______________ 10. Required PPE used properly and inspected periodically? ___ ___ ____ ______________ 11. Is an inspection made to ensure adequate ventilation where welding

or cutting is conducted? ___ ___ ____ ______________ 12. When working in a confined space, are environmental monitoring

tests taken and means provided for quick egress in case of emergency?

GENERAL INDUSTRY INSPECTION REVIEW CHECKLIST Company Name: _________________________________________________________ Jobsite Address: _________________________________________________________ Supervisor: _________________________________________________________ Date/Time: _________________________________________________________ Inspector(s): _________________________ ___________________________ _________________________ ___________________________ Check Items Inspected: Yes No N/A Date Corrected Worksite General

___ ___ ____ _____________ 1. OSHA/TWCC posters displayed in prominent location? ___ ___ ____ ______________ 2. Safety signs/warnings posted where appropriate? ___ ___ ____ ______________ 3. Emergency telephone numbers posted where they can be found

readily? ___ ___ ____ ______________ 4. First aid kit available and adequately stocked? ___ ___ ____ ______________ 5. Substance abuse policy in place? ___ ___ ____ ______________ 6. Summary of Occupational Illnesses posted? ___ ___ ____ ______________ 7. Emergency evacuation traffic routes identified? ___ ___ ____ ______________ 8. All work areas clean and orderly? ___ ___ ____ ______________ 9. Combustible scrap, debris and waste stored safety and removed

from work areas promptly? ___ ___ ____ ______________ 10. Adequate toilets and washing facilities provided? ___ ___ ____ ______________ 11. Toilettes and wash areas clean and sanitary? ___ ___ ____ ______________ 12. Work areas adequately illuminated?

COMPLETING THE TWCC-1


Instructions for Completing Form TWCC-1 Employer’s First Report of Injury or Illness

1. Enter the name of the injured worker (Last, First, MI) 2. Check the appropriate box (M, F) 3. Enter the injured worker’s Social Security Number 4. Enter the phone number of the injured worker 5. Enter the date of birth of the injured worker (month/day/year) 6. Check the appropriate box 7. Check the appropriate box 8. Check the appropriate box 9. Enter the address of the injured worker 10. Check the appropriate box 11. Enter the number of dependents of the injured worker 12. Enter the name of the injured worker’s spouse 13. Enter the name of the injured worker’s doctor 14. Enter the address of the injured worker’s doctor 15. Enter the date the accident occurred (month/day/year) 16. Enter the time the injury occurred 17. Enter the date lost time began for the injured person (month/day/year) 18. Enter the nature of the injury 19. Enter the part of the body injured or exposed to injury 20. Enter how and why the injury/illness occurred 21. Check the appropriate box 22. Enter the location the injury occurred 23. Enter the address of the location where the injury occurred 24. Enter the cause of the injury 25. Enter any persons who observed the injury to the worker

Mail two copies of the document to TEXAS WORKERS’ COMPENSATION COMMISSION (if appropriate). Mail one copy to Claims Administrative Services, Inc. Mail one copy to the employee. Keep one for your records.

COMPLETING THE TWCC-6


Instructions for Completing Form TWCC-6 Supplemental Report of Injury Form

1. Enter the injured worker’s name (Last, First, MI)

2. Enter the injured worker’s Social Security Number

3. Enter the injured worker’s date of injury (month/day/year)

4. Enter the injured worker’s mailing address

5. Check the appropriate box as to the reason you are filing this form

a. Enter the first day of disability for the injured worker if appropriate (month/day/year)

b. Enter the first day of disability for the injured worker if appropriate (month/day/year)

6. Enter the date the injured worker will return to work and check the appropriate box

7. Enter the pay amount of the injured worker at the time of the filing of this report and check the appropriate box

8. Enter the number of hours the injured worker was working at the time of the filing of this report and check the appropriate box

9. If the employee resigns or is terminated check the appropriate box and enter the date (month/day/year)

10. Enter the date the eight days of disability began if applicable (month/day/year)

11. If the injured worker died enter the date of death (month/day/year)

12. Check the appropriate box

13. Enter the employer’s business name

14. Enter the employer’s telephone number

15. Enter the employer’s mailing address

16. Enter the worker’s compensation carrier

17. Sign the form and date it


Accident

Investigation





Table of Contents

Goals of the Investigation

Create an Investigation Plan

Sample Implementation

Accident Investigation Report Form

ACCIDENT INVESTIGATION


In your role as a supervisor, you’re quite aware that accidents are undesirable. It is important that supervisors determine the cause of accidents and take prompt action to prevent them from happening again. Thorough accident investigation is a vital step toward avoiding injuries and financial losses tot he district. GOALS OF THE INVESTIGATION The purpose of accident investigation is to find the causes and recommend corrective actions to eliminate or minimize these events. ALL accidents should be investigated (including minor incidents and near misses), not just those that cause serious injury or property damage. The investigation should emphasize finding the facts, not finding fault. CREATE AN ACCIDENT INVESTIGATION PLAN Well-managed organizations insist on quality accident investigations, just as they insist on quality productivity from employees.

Each work-related accident should be investigated immediately after its occurrence. A systematic investigation should include:

• A visit to the scene of the accident; • An interview with the injured person(s); • An interview with any witnesses; and • Reconstruction of the chain of events leading up to the accident.

In addition, the investigation should include a description of the following:

• Accident type or event that directly resulted in the injury. • The part of the injured person’s body directly affected by the injury. • Nature or specific type of physical injury. • Unsafe physical conditions which caused or contributed to the accident. • Unsafe personal acts which caused or contributed to the accident. • Other related factors or elements that may have contributed to the accident.

Once all the facts and information concerning the accident have been obtained, the following questions should be addressed to prevent its recurrence.

• What equipment checks and/or repairs are needed to prevent a similar accident? • Should new equipment or materials be substituted? • Are any changes needed in existing operations or procedures? • Is there a need for additional training or personnel?



SAMPLE IMPLEMENTATION When an occupational injury or illness occurs, the district should take the following steps:

• Talk with the employee involved at the time of the occurrence and complete an Accident Investigation Report.

• File the Accident Investigation Report with the proper district personnel.

• Follow all district procedures to assure the completion of the First Report of Injury (TWCC 1) form.

• Perform follow-up investigation as needed.

A serious accident may not have happened in the district, but it is essential that emergency procedures be established before one does occur. In case of an accident, supervisors should see that injured workers get immediate medical attention, then secure the accident site for the duration of the investigation. A clear plan for handling accidents can prevent a serious situation from getting out of control and can save lives, protect property, and ensure a timely investigation.

A sample accident investigation report is presented here as a guide to assist the district in formulating and carrying out a formal accident investigation procedure.



ACCIDENT INVEVSTIGATION REPORT

1. Name of injured: _____________________________ Job title: ______________________

2. Injury date: ____/____/_____ Time: _____________ Medical care: Yes _____ No _____

3. Accident location: ____________________________ Room/Area: ___________________

4. Type of Injury: _______________________________ _____________________________

(body parts) (signs/symptoms)

5. What was the injured doing at the time of the accident? _____________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Equipment, tool, materials in use: ______________________________________________

_________________________________________________________________________

_________________________________________________________________________

6. Accident description: ________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

7. Findings of investigation: ____________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

8. Name(s) of witnesses: _______________________________________________________

_________________________________________________________________________

_________________________________________________________________________

9. Witnesses’ description of events leading up to the accident:__________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________



10. Object or substance that directly caused the injury: ________________________________

_________________________________________________________________________

_________________________________________________________________________

11. Result of tool/equipment investigation: _________________________________________

_________________________________________________________________________

_________________________________________________________________________

12. Primary accident cause(s): ___________________________________________________

_________________________________________________________________________

_________________________________________________________________________

13. Contributing factor(s): ______________________________________________________

_________________________________________________________________________

_________________________________________________________________________

14. Unsafe act(s): _____________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

15. Unsafe condition(s): ________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

16. What procedure modifications, equipment checks or repairs are needed to prevent a similar accident? ___________________________________________________________

_________________________________________________________________________

17. Can additional employee training prevent a recurrence of this type of accident? _________

_________________________________________________________________________

_________________________________________________________________________

Investigator: ___________________________________ Date:__________________________

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