Purpose The purpose of this safety program is to aid business owners with their Federal OSHA compliance efforts. Each business is unique and each program will require customization. As the program is customized, remember to only include words, sections, concepts, procedures, etc. that are relevant to the operations. The purpose of any written safety program is to provide a clear and consistent plan for addressing safety in a particular area of focus. Use Use this wizard to customize your program Instructions To develop your customized plan, follow steps 1 through 3 in order, by clicking the buttons and following the instructions prompted by the program. Customize Review and Format Approve & Save

<CompanyName>

Injury & Illness Prevention Plan

Version <Version>

Updated: <Date>

Contents

1.	Introduction & Policy Statement	1

2.	Safety Goals <Add to/edit content in blue font>	2

3.	Safety Rules <Add to/edit content in blue font>	6

4.	Progressive Disciplinary Program	12

5.	Incident Investigation	14

6.	Hazard Recognition & Control	15

7.	Safety Committee	17

8.	Safety Training	17

Guidelines for Training by Trade or Position	19

Employee Orientation Checklist	30

9.	Communication	31

10.	Recordkeeping	31

Appendix I - Hazard Communication Program	33

Appendix II – Lock-out/Tag-out Program	34

Appendix III - Return to Work Program	35

Appendix IV - Hearing Conservation Program	36

Appendix V - Emergency Program	37

Appendix VI - BBP Program	38

Appendix VII - Substance Abuse Policy	39

Appendix VIII - PPE Assessment	40

Appendix IX – Company Forms	41

Introduction & Policy Statement

An effective safety policy is an essential element in the operation of <CompanyName>. We are committed to preventing losses due to occupational injuries and illnesses. Our commitment to safety excellence requires that everyone be responsible for safety and loss prevention.

Guidelines for safety have been established, and it is required that all employees follow them. We demand the same commitment to safety that we do for quality and production. Unsafe operations or procedures are not productive and not acceptable practices for <CompanyName> employees.

We expect a total commitment to safety at all levels and ask that all personnel work with us to attain our safety and loss control goals. We solicit safety suggestions at any time. With the help and cooperation of everyone, we will have a safe, healthful, and productive work environment.

NO JOB IS SO IMPORTANT AND NO SERVICE IS SO URGENT THAT WE CANNOT TAKE TIME TO PERFORM OUR WORK SAFELY

_______________________________

<Leader>

_______________________________

<SafetyLeader>

Safety Goals <Add to/edit content in blue font>

Primary Safety Goal

To facilitate a safe work environment for all and provide a workplace free of recognized hazards.

Secondary Safety Goals

To eliminate any hazards, acts, or conditions that could cause incidents and/or injuries or related illnesses to any employee, fellow worker, subcontractor, or to the public.

To maintain neat, clean, safe, and healthful working conditions.

To comply with federal, state, local, and client’s rules and regulations pertaining to fire hazards, incident prevention, working conditions, and safety requirements.

To fully utilize the talents of each employee toward making a safer and healthier place in which to work.

General Responsibilities

All management personnel, employees, subcontractors, and any additional persons on premises will:

Act in a manner to promote safety and incident prevention during all work activities.

Pursue incident prevention through compliance with all provisions of <CompanyName> loss prevention plan and all federal, state, and local safety codes and regulations, as well as other nationally-recognized safety, fire protection, and health standards.

Maintain mental and physical health conducive to safe work.

Keep all work areas clean and free of debris.

Assess the result of their actions on the entire workplace. Work will not be performed in ways that cause hazard to themselves or others.

Before leaving work area, repair or replace safety precaution signs/devices that were removed or altered. Unsafe conditions will not be left to imperil others.

Safety Coordinator

The safety coordinator coordinates the safety effort for the entire company. Specific duties include:

Designing, developing, and implementing safety programs for all areas and operations of the company.

Providing information and advice to senior management in all areas affecting or affected by accidental loss.

Providing managers with information and tools with which to implement the loss prevention program. For example, periodic loss reports.

Assisting supervisors in the investigation and coordination of activities following major loss events.

Monitoring job and company safety performance, which includes reviewing incident records, reports, and statistics.

Providing for and assisting locations with safety and health training efforts.

Ensuring compliance with applicable federal, state, local, and contract safety requirements.

Conducting routine and periodic safety inspections with reports, as prescribed by this program.

Providing input for the monthly safety meetings. This should include materials and ideas related to anticipated operations so that advanced safety planning can be incorporated as early as possible.

Being responsible for the completion and maintenance of incident reports and records including:

OSHA and state recordkeeping requirements

Incident reports for insurance purposes

Reports and records required by company management

Conducting incident investigations of all serious incidents and injuries on the job. Also, conducting incident investigations of near-incidents which have the potential for serious injury or damage.

Coordinating acquisition and distribution of necessary safety equipment for activities. This equipment should be distributed through the line supervisors for better administrative control.

Following up on recommended changes or corrective actions made as a result of incident investigations or jobsite inspections.

Coordinating appointment of safety committees to assist in this loss prevention program.

Presenting safety committee recommendations and comments to the management of the company so further action can be taken.

Department Manager

The department manager is ultimately responsible for all matters pertaining to safety in their area. They are responsible for ensuring that the safety effort is fully supported. Specific duties include:

Making themselves as visible as possible in playing a positive and active role in the safety and loss control program.

Setting a good example for all employees by using safe practices and observing all safety rules.

Holding their subordinate leads responsible and accountable for safety in the same manner that they hold them accountable for quality and production.

Scheduling and attending weekly safety meetings for their departments.

Providing for a brief safety orientation including safety requirements for all subcontractors, suppliers, etc. coming onto the jobsite. Requiring conformance to safety regulations.

Ensuring a new employee safety orientation and other required safety training is conducted for all employees from the time of hire.

Ensuring proper safety materials and protective devices are available and used, and all equipment is in safe, working order.

Planning work in advance with their subordinate managers/foremen so that all work will be done in compliance with established safety regulations.

Providing for the protection of the public from company operations.

Reviewing incidents, ensuring correction of safety deficiencies and proper reporting of incidents. Reporting serious incidents immediately to the company safety coordinator. Ensuring injury reports are completed and distributed properly.

Maintaining current certification in first-aid and CPR.

Supervisors (All Levels)

The supervisor is a key element in the safety program. The supervisor builds an understanding with their employees through day-to-day contact, which better ensures the continuation of safe work rules and procedures at their employees’ work level. Specific duties include:

Being aware of all safety requirements and safe working practices.

Being responsible for the safety of their work crew and taking this responsibility as seriously as their responsibility for their crew's work quality and production.

Planning all their work in advance and trying to anticipate the development of safety problems ahead of time.

Providing a "job safety training" to each crew member. Ensuring that all crew members know and understand the safety rules and regulations as they apply to their respective jobs and operations.

Correcting safety infractions immediately, both on the spot and on a routine basis, never ignoring an unsafe procedure, condition, or situation.

Ensuring that necessary and adequate personal protective equipment is provided for their personnel. Also ensuring that the equipment is utilized as needed or as required.

Ensuring devices are installed and maintained to protect the public and other workers from company operations.

Seeing that all injuries are immediately cared for and a supervisory report of incident and investigation is completed. Forwarding the report to the manager.

Employee

The active interest and cooperation of each employee is vital to the success of our safety and loss control program. Therefore, safety is the responsibility of each individual. Specific duties include:

Following all safety rules and procedures contained in the employee safety and information handbook, and as instructed for the particular job.

Reporting uncorrected unsafe acts or conditions to the supervisor as soon as possible. Correcting unsafe acts or conditions within the scope of the immediate work.

Working safely in such a manner as to ensure personal safety as well as that of coworkers and others.

Setting an example for new employees and providing fellow employees help with safety requirements.

Reporting for work in good mental and physical condition to safely carry out assigned duties.

Undertaking only those jobs you are authorized to do and that you understand. Requesting help when unsure about how to perform any task safely.

Making safety suggestions and attending all scheduled safety meetings.

Availing themselves of company and industry sponsored safety programs.

Using and maintaining all personal protective equipment and all safety devices provided.

Maintaining and properly using all equipment and tools under your control.

Reporting all incidents or injuries to your supervisor immediately.

Subcontractors, Suppliers, Engineers, etc.

Specific duties include:

Abiding by the safety rules of <CompanyName> when at our facilities.

Notifying all parties concerned when their activities could affect the health or safety of other company employees.

Safety Rules <Add to/edit content in blue font>

General Rules

Each employee shall use proper reasoning and care to prevent injury to himself/herself and to others. Employees are expected to work in a safe manner and in accordance with both the spirit and letter of the safety guidelines for <CompanyName>.

Do not lift anything you feel is too heavy or awkward. Do not perform any act you feel is unsafe; if you need help, ask for it.

Each employee is responsible for housekeeping in his/her work area.

Put tools and supplies away when finished with a job.

Clean spills immediately.

Keep aisles and exits clear of debris, electrical cords, hoses, equipment, etc.

Report all unsafe conditions to your immediate supervisor.

Promptly report all injuries to your immediate supervisor.

The use of, or being under the influence of, intoxicating beverages or illegal drugs while on the job is prohibited.

Comply at all times with all known federal, state, and local safety laws as well as <CompanyName> regulations and codes.

Employees who are taking any prescribed medications that may induce drowsiness or impair their abilities must report use and provide a copy of the prescription to the supervisor prior to working shift.

Dress properly. Wear appropriate work clothes, gloves, shoes, or boots. Loose clothing and jewelry should not be worn.

Never operate any machine unless all guards and safety devices are in place in proper operating condition.

Keep all tools in safe, working condition. Never use defective tools or equipment. Report any defective tools or equipment to immediate supervisor promptly.

Be alert and watch for overhead loads and powered industrial trucks (forklifts).

Do not operate equipment or machinery if you are not authorized to do so.

Do not perform tasks that you are not authorized or trained to perform.

Do not leave materials in aisles, walkways, stairways, etc.

Do not stand or sit on moving machinery or equipment.

Horseplay causes incidents and will not be permitted.

Lock-out/tag-out procedures should be followed for working on any potentially energized equipment.

Specific Safety Rules

Housekeeping

Storage areas – all materials should be maintained in neat stockpiles for ease of access. Keep aisles and walkways clear of loose materials and tools.

Work areas – clean up loose materials, waste, etc., immediately. Tools, equipment, and loose materials should be removed immediately if a hazard is being created.

Areas used by personnel – empty bottles, containers, and papers should not be allowed to accumulate where lunches are eaten on the jobsite. Trash disposal cans should be provided.

Personal Protective Equipment – If hazards cannot be eliminated or controlled by engineering or administrative controls, we must rely on personal protective equipment (PPE). The following requirements must be observed (see attached PPE Program for more information):

Footwear

Steel-toed safety shoes are not a requirement, but are recommended. Rubber protective boots are required of all personnel in the processing area.

All footwear must be well-constructed and provide proper support and protection. There shall be no slippers, sandals, or open-toed shoes. SLIP-RESISTANT SOLES ARE REQUIRED.

Hand Protection

Suitable gloves shall be worn, when required, by all personnel.

Heavy leather gloves shall be worn for maintenance welding and burning.

Plastic or rubber gloves are required for special types of work. For example: working with any hazardous chemical or chemically treated materials, and when welding in wet conditions.

Di-electrically tested gloves are to be used when there is a possible contact with energized circuits.

Work gloves are recommended for all personnel, unless prohibited for equipment operation.

Hearing Protection

Hearing protection, earplugs or earmuffs, is required in all work areas identified as having a noise hazard exceeding that identified in Table 1.

Employees exposed to impulsive or impact noise hazards exceeding 140 decibels should wear appropriate hearing protection even though the noise hazard is momentary.

Table 1 - Permissible Noise Exposures

Duration Per Sound Level dBA:

Duration Per Day (Hours)	Slow Response
8	90
6	92
4	95
3	97
2	100
1 1/2	102
1	105
1/2	110
1/4 or less	115

Eye Protection (See Attached PPE Program)

All employees will be issued safety glasses with side shields at time of employment.

Any prescription eyeglasses worn by employees must meet ANSI Z-87.1 standards for impact resistance.

Appropriate side shields will be issued to prescription eyeglass wearers. These glasses with side shields are required to be worn at all times while on the jobsite and while performing any duties where airborne or flying debris hazards occur.

Face shields, or mono goggles, will be used by employees performing duties in areas where safety glasses do not provide adequate protection. For example, areas in which the following activities are performed:

Grinding (light or heavy)

Chipping

Using air or high pressure water to clean materials

Using a powder actuated tool

Working on systems containing caustics or corrosives

While performing any task where any form of eye irritants may exist (liquids, catalyst, insulation, heavy dust concentrations, etc.)

Goggles may also be required in posted areas

Approved welding goggles or hoods are required for each of the following:

Gas burning – approved goggles with no less than a #4 filter

Electric welding – approved welding helmet with no less than a #9 filter plate

Clothing, Hair, and Jewelry

All clothing worn at the plant must be in good repair. Loose or torn clothing can cause a serious injury. Loose or dangling jewelry is also a safety hazard and should not be allowed. It is recommended that rings not be worn while working on machinery.

Employees must report for work fully clothed. Shirts must cover upper arms, chest, back, and stomach area. Pants must be full length – no shorts or cut-offs will be allowed. Rain suits or other protective clothing should be worn on the processing line.

If welding or performing any other type of hot work, beware of clothing made with synthetic fibers that support combustion. The higher the percentage of cotton the better.

Hair is to be worn in a manner so as not to create a hazard.

Storing and Handling Materials and Materials Handling Equipment

Storage of materials has been planned to avoid creating hazards and, in many instances, eliminating hazards. Always place items in their appropriate storage areas.

Store all containers, bags, bundles, and stock in tiers or stacked, blocked, interlocked, and limited in height so as to make them stable.

Storage areas shall be kept free of accumulated materials that create tripping, fire, or explosion hazards. Materials that are hazardous should be kept segregated and marked with appropriate warning signs.

Only trained operators authorized by <CompanyName> shall be permitted to operate industrial equipment, powered industrial trucks (forklifts), etc.

Powered Industrial Trucks (Forklifts) and Hoists

Attachments used with cranes shall not exceed the capacity, rating, or the scope recommended by the manufacturer.

No modifications or additions which affect the capacity or safe operation of the equipment shall be made without approval of the plant engineer and the manufacturer's written approval.

Rated load capacities and recommended operating speeds are posted on all equipment – FOLLOW THEM!

A thorough inspection shall be completed on each piece of equipment prior to each day's use to make sure it is in safe, operating condition.

Only approach hazardous pinch point areas after informing the operator of your intent.

Workers are prohibited from riding forks, slings, or other rigging. No work shall be performed by workers on the forks.

Portable Electric Hand Tools

Supervisors will ensure that employees using portable electric hand tools are trained in the safe use and handling of these tools.

The use of unsafe portable electric hand tools is prohibited. Tools found defective or unsafe shall be tagged and removed from service.

Tools shall only be used for the purpose for which they were manufactured. Portable electric saws and electric drills shall not be used as table saws or drill presses, etc.

When tools are made to accommodate safety guards, they shall not be removed, secured, tied back, or made inoperable in any way.

Portable electric tools of the double insulated type are required to be distinctively marked by the manufacturer, including the seal of an approved testing laboratory.

Grounding

Electric tools shall either be of the approved double insulated type or properly grounded.

All tools shall be checked prior to use to make certain that the tool itself is correctly rounded.

All 120 volt, single phase 15 and 20 ampere outlets on construction sites shall have approved Ground Fault Circuit Interrupter (GFCIs) protection when the receptacle is being used with cord- and plug-connected equipment.

The employer is responsible for providing and requiring the wearing of appropriate personal protective equipment in all hand tool operations having an exposure to hazardous conditions.

Impact tools such as drift pins, wedges, and chisels shall be kept free of mushroomed heads.

The wooden handles of tools shall be kept free of splinters and cracks, and shall be kept tight in the tool.

Tools will only be used for the job they are designed to do.

All tools and equipment shall be maintained and in good condition.

Pipe or Stillson wrenches shall not be used as a substitute for other wrenches.

Wrenches shall not be altered by the addition of handle extensions or cheaters except where approved by the supervisor.

Files shall be equipped with handles and not be used to punch or pry.

Screwdrivers shall not be used as chisels.

Saws shall not be operated without the guard in place.

Where possible, push sticks should be used to move stock over the point of operation.

Avoid placing hand into the point of operation of power equipment.

Use compressed air to remove debris from point of operation.

Allow blade/cutting head to spin down prior to cleaning point of operation.

Only authorized machine operators are permitted to operate equipment.

Progressive Disciplinary Program

Employee Progressive Disciplinary Program

There is a comprehensive employee training program where all employees will be introduced to the above safety rules and guidelines.

The supervisor will also review the job hazards for each position with the employee, including the hazards and controls.

It is the responsibility of all employees to learn and adhere to the procedures and policies as outlined in this program.

Any employee found in violation of a safety rule or guideline will be subject to disciplinary action, up to and including termination of employment. The following is the guideline for discipline:

Verbal warning

Written warning

Written warning plus three day suspension

Termination

It should be noted that the steps listed are recommended guidelines. Some violations may be serious enough to warrant immediate termination or suspension on the first offense.

An appeal of any termination or suspension can be placed with the project manager. A meeting will take place with the supervisor, employee, and project manager to evaluate any action taken. Termination can be reversed if a Last Chance Agreement is drafted and the employee signs.

Supervisor Progressive Disciplinary Program

There is a comprehensive supervisor training program where all supervisors will be introduced to the above safety rules and guidelines.

The department managers will also review the supervisor safety responsibilities with all new supervisors.

It is the responsibility of all supervisors to learn and adhere to the procedures and policies as outlined in this program.

Any supervisor who does not complete his formal safety responsibilities, does not adequately supervise his crew by correcting unsafe acts and conditions, or who does not actively participate in <CompanyName>’s safety program is subject to disciplinary action up to and including permanent demotion. The following is a guideline to disciplinary action:

Verbal warning

Written warning

Written warning plus one work week demotion

Permanent demotion

It should be noted that the steps listed are recommended guidelines. Some violations may be serious enough to warrant immediate demotion, termination, or suspension for the first offense. An appeal of any demotion or suspension can be placed with the plant manager. A meeting will take place with the supervisor, department manager, and plant manager to evaluate any action taken. Permanent demotion can be reversed if a Last Chance Agreement is drafted and signed.

Incident Investigation

All incidents and injuries are to be fully investigated using the following procedures:

Employees will report all incidents, injuries, near misses, and property incidents to immediate supervisor immediately.

Upon report of injury, the supervisor will notify the safety coordinator.

The supervisor and safety coordinator will then:

Immediately administer first aid and ensure employee receives proper medical attention and the treating physician receives a copy of <CompanyName> Early Return to Work Program and the Report of Workers Compensation Medical Treatment.

Complete the supervisor first report of incident form

Interview injured employee

Interview witnesses – have them complete the witness form

Survey incident scene

Reconstruct incident, if necessary

Report who-what-where-when-why-how on form

Correct any unsafe conditions immediately

Make recommendations to prevent reoccurrence

Follow up on corrective action

All incident investigation forms will be reviewed by department managers and corporate safety; significant reports by the plant manager and president with further corrective action recommendations being developed as applicable.

All incidents will be reviewed by the safety committee during each month's meeting, with corrective action recommendations being developed if applicable. All recommended corrective action will be followed up by the safety coordinator to ensure the proper action is taken.

Periodically (annually at the minimum), the corporate safety coordinator will complete a trend analysis of all incidents and injuries to determine if trends are developing and to determine what ability they have to impact these trends.

An injury review process will be used to evaluate all cumulative trauma injuries, significant acute injuries, and random general incidents.

Hazard Recognition & Control

Inspection Procedures

Incidental Inspection

Department managers, supervisors, and, ideally, all employees will continuously engage in a visual inspection procedure. Items to be noted are employee acts, machine operations, maintenance processes, manual materials handling, and other applicable conditions that affect employee safety and health.

Unsafe acts and conditions shall be addressed immediately via correction or in severe cases, implementation of the progressive disciplinary program.

All corrective actions shall be followed up by the person(s) initiating them.

Planned Inspection

Monthly inspections will be completed for one or more areas of the plant by the corporate safety coordinator or their designee.

All planned inspections will be documented on safety inspection report form. Corrective action taken will be documented.

Unsafe conditions will be corrected as soon as possible, with any that present an immediate threat to employees corrected immediately or the equipment/area de-energized and red tagged.

All corrective action will be followed up, with completion documented on the inspection.

The safety committee will complete monthly plant inspections documenting it on the safety inspection report form.

Specific Inspection Guidelines

Inspection Item	Inspection Description	Form?	Pre-use	Daily	Weekly	Monthly	Other
General Area Inspection	Conduct regular inspections of all operations, equipment, work areas, and facilities.	Y	Rec	R	Entire facility must be done over a one-year period
Fire Protection	Extinguishers, routes of egress, alarms, and sprinklers all need to be inspected on a periodic basis. The frequency is at least in part based on the hazard of the operation.	Rec (or use general area form)	Rec	As needed for operation
Chains and Rigging	Chains and rigging used for material handling tasks should be inspected every day prior to use. In some cases, detailed inspection (magnaflux of hooks) may need to be completed.	Rec	Rec	Rec
Powered Industrial Truck (Forklift) or Lift Truck	Forklifts and lift trucks should be inspected daily, prior to use for each shift. Each operator should inspect their lift truck PRIOR to using it during their shift.	Rec	R	Manufacturer recommended
Crane	Cranes should be inspected daily prior to use to ensure operability. More detailed inspections should be completed weekly or monthly based on manufacturer’s hours of operation recommendations. The detailed inspection should be done by a competent crane mechanic.	Rec	R	Manufacturer recommended
Mobile Equipment	All mobile equipment should be inspected prior to use on a daily basis. In addition, any manufacturer recommended inspection checks should be incorporated into the schedule.	Rec	Rec	Rec	Manufacturer recommended
Powered Equipment	Powered equipment should be inspected prior to use to ensure it is not damaged, guards are in place, and it is operable. In general, this does not need to be documented, with the exception of larger and more complex equipment.	N	Rec	R
Vehicle Inspection	Company over-the-road vehicles should be inspected regularly to ensure safe operation.	Y	Rec
Ladders	Ladders should be inspected every day prior to use. Each person using a ladder should do a quick informal check as well.	Rec	Rec
Scaffolds	Scaffolds must be inspected daily, prior to use. The inspection must be completed by a competent person.	Y	Y	Y	Manufacturer recommended
Fall Protection Systems	Fall protection systems, including anchorage points, arrest systems, nets, and related equipment should be inspected daily, prior to use. Formal documented inspection can be done as part of the general inspection. Users should inspect their components prior to use.	N	Y	Y	Documented inspection as part of general inspection
Electrical Systems	Electrical systems should be inspected by a qualified person according to equipment manufacturer’s guidelines.	N	Manufacturer recommended

Form Required: Y = Yes, N = No, Rec = Recommended	Frequency: R = Required, Rec = Recommended

Safety Committee

Safety committees will be established at all locations with over 10 employees.

Committee Members

Committee membership will be made up of:

Department manager, or designee who will represent management, and two supervisors

One employee from each crew

Committee Procedures

Committee will meet at a regular interval established by plant management. Ideally, the committee should meet a minimum of once a month.

Read minutes from last meeting. Review all outstanding items from previous meetings and inspection. Update status. A "Notice of Safety Committee Meeting" followed by a safety committee agenda will be prepared in advance of the meeting.

Review all incidents and incidents since the last meeting. Discuss and review the causes and corrective action taken. Re-enact incident if necessary to fully understand. Make recommendations as seen fit. Bring the supervisor and injured employee in to question if possible.

Open forum – A specific incident review, safety contest, specific safety topic review, presentations, etc.

The safety committee will complete monthly walkthrough safety inspections of the jobsite using the safety inspection forms.

Safety committee minutes will be posted in the employee break area at each jobsite after each meeting so all employees can review information discussed at the safety committee meeting.

Safety Training

Safety Orientation Program

All incoming employees will complete an orientation with <OrientationLeader> or their designee prior to beginning work. During this orientation:

A copy of the employee manual will be supplied to the employee.

Designee will review the entire loss prevention plan with new employee using a checklist review form (see following) with a sign-off. All items on the orientation checklist will be reviewed and signed off on. Supervisors will initiate job instruction training.

Job Instruction Training

All new incoming employees will complete a job instruction training program with the supervisor in his/her particular area.

The supervisor will demonstrate the task while pointing out hazards and controls.

The supervisor will observe the employee completing the desired task properly. The supervisor will correct any improper behavior.

The supervisor will observe the employee for one month. At the end of that period, the supervisor and employee will review the past month's activities. The supervisor will provide corrections as needed.

Specialized Training

All employees will be trained in the physical and health hazards of the workplace, the information contained in the Safety Data Sheet, and their related items as contained in the Hazard Communication Program.

Applicable <CompanyName> employees will be trained in safety through video presentations in specific hazard areas. Areas that will be included are:

Manual materials handling

Hearing conservation

Lock-out/tag-out

Any other applicable program

Specialized training will be provided to all employees as the need is identified through the use of job analysis, inspection, incident investigation, and incident trend analysis. New processes will be evaluated for training needs by the safety committee.

Guidelines for Training by Trade or Position

Pos No.	Position/Trade Name
Pos 1	<position1>
Pos 2	<position2>
Pos 3	<position3>
Pos 4	<position4>
Pos 5	<position5>
Pos 6	<position6>
Pos 7	<position7>
Pos 8	<position8>
Pos 9	<position9>
Pos 10	<position10>

Key:

I = Initial

A = Annual

C = Change

MR = Manufacturer Recommended

IR = Industry Recommended

Training	Pos 1	Pos 2	Pos 3	Pos 4	Pos 5	Pos 6	Pos 7	Pos 8	Pos 9	Pos 10
1926.61 Retention of DOT Markings, Placards, and Labels	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1926.150 Fire Protection	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.155 Definitions Applicable to this Subpart	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.200 Accident Prevention Signs and Tags	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.201 Signaling	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.202 Barricades	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1910.178 Powered Industrial Trucks	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.503 Training Requirements (Fall Protection)	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.350 Gas Welding and Cutting	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.351 Arc Welding and Cutting	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.352 Fire Prevention (Welding and Cutting)	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.1207 Confined Space Training	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.1211 Rescue and Emergency Services	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.53 Ionizing Radiation	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.1011 Asbestos	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.1127 Cadmium	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.64 Process Safety Management of Highly Hazardous Chemicals	I,A,C, MR,IR	I,A,C, MR,IR	I,A,C, MR,IR	I,A,C, MR,IR	I,A,C, MR,IR	I,A,C, MR,IR	I,A,C, MR,IR	I,A,C, MR,IR	I,A,C, MR,IR	I,A,C, MR,IR
1926.65 Hazardous Waste Operations and Emergency Response	I,A,C,IR	I,A,C,IR	I,A,C,IR	I,A,C,IR	I,A,C,IR	I,A,C,IR	I,A,C,IR	I,A,C,IR	I,A,C,IR	I,A,C,IR
1926.1126 Chromium VI	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.1076 Qualifications of Dive Team	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.901 Blaster Qualifications	I,A,C,MR	I,A,C,MR	I,A,C,MR	I,A,C,MR	I,A,C,MR	I,A,C,MR	I,A,C,MR	I,A,C,MR	I,A,C,MR	I,A,C,MR
1926.20 General Safety and Health Provisions	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.21 Safety Training and Education	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.32 Definitions	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.35 Employee Emergency Action Plans	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.50 Medical Services and First-Aid	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.760 Fall Protection (Steel Erection)	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.761 Training (Steel Erection)	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.55 Gases, Vapors, Fumes, Dusts, and Mists	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.54 Non-ionizing Radiation	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.52 Occupational Noise Exposure	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.102 Eye and Face Protection	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.1401 Definitions	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1926.1404 Assembly and Disassembly - General Requirements	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1926.1408 Power Line Safety (Up to 350 KV) & Equipment Operations	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1926.1419 Signals - General Requirements	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1926.1423 Fall Protection	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1926.1424 Work Area Control	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1926.1425 Keeping Clear of the Load	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1926.1427 Operator Qualification and Certification	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1926.1428 Signal Person Qualifications	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1926.1430 Training	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1926.1436 Derricks	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1926.1438 Overhead and Gantry Cranes	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1926.1441 Equipment with Rated Hoisting/ Lifting Capacity of 2,000 lbs or Less	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1926.1060 Training Requirements	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.103 Respiratory Protection	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1910.134 Respiratory Protection	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.602 Material Handling Equipment	I,A,C,MR	I,A,C,MR	I,A,C,MR	I,A,C,MR	I,A,C,MR	I,A,C,MR	I,A,C,MR	I,A,C,MR	I,A,C,MR	I,A,C,MR
1926.800 Underground Construction	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.955 Overhead Lines	I,A,C,IR	I,A,C,IR	I,A,C,IR	I,A,C,IR	I,A,C,IR	I,A,C,IR	I,A,C,IR	I,A,C,IR	I,A,C,IR	I,A,C,IR
1926.450 Scope, Application, and Definitions Applicable to this Subpart	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.451 General Requirements	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.454 Training Requirements (Scaffolds)	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.59 Hazardous Communication	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1200 Hazard Communication	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.803 Compressed Air	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.300 General Requirements	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1926.60 Methylenedianiline	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.416 General Electrical Safety Training	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1926.302 Power-Operated Hand Tools	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1926.57 Ventilation	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C

Training	Pos 1	Pos 2	Pos 3	Pos 4	Pos 5	Pos 6	Pos 7	Pos 8	Pos 9	Pos 10
1910.38 - Emergency Action Plans	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.39 - Fire Prevention Plans	I,A	I,A	I,A	I,A	I,A	I,A	I,A	I,A	I,A	I,A
1910.132 General Requirements	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.145 Specifications for Accident Prevention Signs and Tags	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1910.151 Medical Services and First-Aid	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.155 Fire Protection	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1910.157 Portable Fire Extinguishers	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.165 Employee Alarm Systems	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.178 Powered Industrial Trucks	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR
1910.252 General Requirements	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1910.253 Oxygen - Fuel Gas Welding and Cutting	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1910.254 Arc Welding and Cutting	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1910.255 Resistance Welding	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1910.146 Permit Required Confined Spaces	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1096 Ionizing Radiation	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1001 Asbestos	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1027 Cadmium	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.119 Process Safety Management of Highly Hazardous Chemicals	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR
1910.120 Hazardous Waste Operations and Emergency Response	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1026 Chromium VI	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.410 Qualifications of Dive Team	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1910.269 Electric Power Generation, Transmission, and Distribution	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR
1010.142 Temporary Labor Camps	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1910.272 Grain Handling Facilities	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR
1910.164 Fire Detection Systems	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.164 Fire Detection Systems	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.158 Standpipe and Hose Systems	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.156 Fire Brigades	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.264 Laundry Machinery and Operating Rules	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR
1910.266 Logging	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR
1910.217 Mechanical Power Press	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR
1910.179 Overhead and Gantry Cranes	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR
1910.180 Crawler, Locomotive, and Truck Cranes	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR
1910.261 Pulp, Paper, and Paperboard Mills	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR
1910.134 Respiratory Protection	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.95 Occupational Noise Exposure	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.268 Telecommunications	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR	I,A, C,IR
1910.160 Fixed Extinguishing Systems	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.66 Powered Platforms for Building Maintenance	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR
1910.177 Servicing Multi Piece and Single Piece Rims	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1910.1044 1,2-Dibromo-3-Chrlorpropane	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1051 1,3-Butadiene	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1045 Acrylonitrile (Vinyl cyanide)	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1200 Hazard Communication	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.111 Storage and Handling of Anhydrous Ammonia	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1028 Benzene	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1030 Bloodborne Pathogens	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1450 Occupational Exposure to Hazardous Chemicals in Laboratories	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1029 Coke Oven Emissions	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1043 Cotton Dust	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.218 Forging Machines	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.332 Electrical Safety Training	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR	I,C,MR
1910.1047 Ethylene Oxide	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.109 Explosive and Blasting Agents	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR	I,A, C,MR
1910.106 Flammable Liquids	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C	I,C
1910.1048 Formaldehyde	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1018 Inorganic Arsenic	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1003 13 Carcinogens	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1025 Lead	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.110 Storage and Handling of LPG	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1017 Vinyl Chloride	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1052 Methylene Chloride	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C
1910.1050 Methylenedianiline	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C	I,A,C

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The above training will be provided in special sessions and via the toolbox meeting. Once each month a toolbox meeting will be dedicated to providing update training for the above issues. Corporate safety will issue topic sheets for the once a month toolbox meeting dedicated to safety training.

Employee Orientation Checklist

Employee Name: _______________________________________________________

Start Date: ___________________________ Job Classification: __________________

Site Location: _________________________ Job Number: ______________________

Supervisor: ____________________________ Trainer: _________________________

Place a check mark next to items discussed during employee orientation:

Yes	No

[ ]	[ ] Employee Safety & Information Handbook (reviewed questions & answers)

[ ]	[ ] Proper lifting procedures

[ ]	[ ] Safety rules

[ ]	[ ] Lock-out/tag-out procedures

[ ]	[ ] Hazard Communication Program and job-related SDSs

[ ]	[ ] Probationary period and evaluations

[ ]	[ ] Safety & loss control program and related requirements

[ ]	[ ] Substance abuse policy and acknowledgment

[ ]	[ ] Work hours, lunch time, break time, location of lunch and break facilities

[ ]	[ ] Call in procedures for absentees, tardiness, missed work from injury, and doctor appointments

[ ]	[ ] Incident reporting and early return to work procedures

[ ]	[ ] Personal protective equipment

[ ]	[ ] Machinery operation

The signatures below acknowledge and document completion of the employee general orientation. As a new employee to <CompanyName>, I have been introduced to and understand the applicable <CompanyName> policies, procedures, and regulations which help to ensure a safe, healthful, and productive work environment. In addition, I understand that following these policies, procedures, and regulations are a condition of my employment with <CompanyName>.

________________________________	________________________

Instructor’s Signature	Date

________________________________	________________________

Employee’s Signature	Date

Employee File Contains:

[ ] Signed employee status change notice	[ ] Completed insurance application

[ ] Completed employment app	[ ] Substance abuse policy acknowledgment

[ ] Federal W-4 tax form & state forms	[ ] Hazard communication signoff statement

[ ] Handbook review questions and answers	[ ] Employee orientation checklist

[ ] Completed I-9 citizenship form

Communication

Communication of safety goals and objectives from management to the employees, as well as the communication of safety concerns and recommendations from employees to management, is crucial to an effective safety program.

Management Communication

Safety newsletters will be provided to all employees through the corporate safety coordinator. The safety bulletins will be used to notify employees of safety-related issues.

Annual bulletins will be developed covering general safety information and performance of <CompanyName> over the period.

Urgent safety memos will be prepared as needed to notify employees of immediate safety concerns.

Employee Communication

A suggestion sheet is located in the employee break areas for non-critical recommendations for safety-related items. These suggestions will be reviewed at the monthly safety committee meeting.

All unsafe conditions and actions should be reported to the supervisor or department manager who will then act upon it or refer it to the safety committee for further review.

Employees may bring any concerns to their supervisor who will then act upon this information accordingly. <CompanyName> and any management representative can be contacted with any safety concerns as well.

Recordkeeping

Good recordkeeping procedures are critical for our safety program. Documentation of training, discipline, and other safety activities demonstrate safety efforts to outside observers. Incident data and inspection reports can also be used to identify problem areas through trend analysis of incidents and review of inspection reports.

Inspection Documentation

All inspection forms will be maintained by department managers or their designee on their office. See inspection section for specific information of what documentation is required.

Incident Investigation – Incident and injury records

A file will be established for each incident. The file will be maintained in <AccidentRecordkeeper>'s office. The file will contain:

Insurance forms – first report of injury

Notes and related items

OSHA 300 logs will be maintained by <OSHALogOwner> and forwarded to the jobsite where they will be posted per the applicable standards.

Training

All training programs will have attendance sheets which the employee will sign at the time of the training. This sheet will be maintained with a description of the training at <TrainingRecordsOwner>'s office or in personnel files (orientation documentation).

Supervisor safety training and competent person training and certification records will be maintained in spreadsheet form at <TrainingRecordsOwner>'s office.

Toolbox training sessions will be documented on the toolbox meeting form, with all employees in attendance signing in. This documentation will be sent to <TrainingRecordsOwner>.

Maintenance

A record of all maintenance completed on equipment and vehicles will be maintained by the department manager or the site designee. These will record date and type of repair as well as the person completing the repairs.

All vehicle pre-trip inspection forms and other equipment inspection notes, work orders, etc. will be kept and updated by the designee.

Safety Committee

Safety committee meeting minutes will be maintained by the committee secretary. Minutes will be copied to all safety committee members during the following month's meeting.

Safety Committee suggestion sheets, agenda, and progress reports will be attached to the master copy of the safety committee minutes and will be maintained by the committee secretary.

Safety committee minutes will be copied and posted in employee break areas for all employees to review.

Appendix I - Hazard Communication Program

<CompanyName>

Hazard Communication Program

Appendix II – Lock-out/Tag-out Program

<CompanyName>

Lockout/Tagout Program

Appendix III - Return to Work Program

<CompanyName>

Return to Work Program

Appendix IV - Hearing Conservation Program

<CompanyName>

Hearing Conservation Program

Appendix V - Emergency Program

<CompanyName>

Emergency Program

Appendix VI - BBP Program

<CompanyName>

BBP Program

Appendix VII - Substance Abuse Policy

<CompanyName>

Substance Abuse Policy

Appendix VIII - PPE Assessment

<CompanyName>

PPE Assessment

Appendix IX – Company Forms

<CompanyName> Forms

1.	Incident Investigation Forms

2.	Inspection Forms

3.	First Report

4.	Witness Statement

5.	Powered Industrial Truck (Forklift)

6.	Employee Statement

7.	Lockout/Tagout Form

8.	Doctors Statement

9.	ERTW Release & Notice of Work

10.	Near Miss Report

11.	Injury Review Process Worksheet

12.	Orientation Checklist

13.	Safety Committee

14.	Toolbox Meeting

15.	Emergency Information

16.	Employee Warning