Safety and Health Program Manual

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(The "Xyz Company" name depicted below will be replaced with YOUR Company/Business name in black print in the manual)

Xyz Company

Table of Contents
Safety and Health Policy Statement


Safety Education and Training Program


Safety and Health Communication


Hazard Identification and Communication


MSDS Responsibilities


Safety Inspection Checklist


Employee Safety Handbook


Accident and Incident Reporting


First Aid and Medical Treatment


Personal Protective Equipment


Machinery Tag Out Program


Hazard Prevention and Control


Property Maintenance ........................


Liability Report Form


Emergency Action Plan


OSHA Inspection


OSHA Record Keeping and Posting Requirements


OSHA Civil Penalties Policy


Common OSHA Violations


Bloodborne Pathogens


Hazardous Material Spill Response


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(The "Xyz Company" name depicted below will be replaced with YOUR Company/Business name in black print in the manual)

Xyz Company

Safety and Health Policy Statement


We are dedicated to providing a safe and healthful environment for employees and

customers, protecting the public, and preserving Xyz Company assets and property.


At Xyz Company, our most valuable resource are the people who work for us.

Injuries can be prevented. To achieve this objective, Xyz Company will make

all reasonable efforts to comply with all government regulations pertaining to safety and

health issues. An effective Safety and Health Program will be carried out throughout our



The Safety and Health Program will assist management and non-supervisory employees in

controlling hazards and risks which will minimize employee and customer injuries,

damage to customer's property and damage or destruction of Xyz Company



All employees will follow this program. This program is designed to encourage all

employees to promote the safety of their fellow employees and customers. To accomplish

our safety and health goals, all members of management are responsible and accountable

for implementing this policy, and to insure it is followed.


Xyz Company is sincerely interested in our employee's safety. The policy of

Xyz Company is to provide safe equipment, adequate tools and training, and the

necessary protective equipment. It is the employee's responsibility to follow the rules of

safety as established for their protection and the protection of others, and to use the

protective devices, which Xyz Company provides.



Safety Inspection Checklist

Inspected By: _____________________________________ Date: _________

-----------------------------------------------------......----------.......................--(Mark N/A as appropriate)

a. Posting OSHA and other work site warning posters _____
b. Are Safety Meetings conducted periodically?

....................................................When was the last Meeting?



c. First aid equipment properly stocked and accessible? _____
d. Are work site injury records being kept? _____
e. Are emergency telephone numbers conspicuously posted? _____
f. Is the EMERGENCY INFORMATION form posted (Page 8)? _____

Describe Violation - Location - Remedy Taken





a. Are emergency lights fully operational? mmmmmmm _____
b. General neatness of working areas _____
c. Regular disposal of waste and trash _____
d. Passageways and walkways clear _____
e. Waste containers provided and used - _____
f. Sanitary facilities adequate and clean _____
g. Adequate supply of water _____
h. Adequate lighting- _____
i. Trash receptacle for drinking cups _____
j. Are handrails and stair treads in good repair? _____
k. Is smoking restricted to certain locations? _____
l. Are electrical cords and plugs in good condition? _____
m. Are electric circuit breakers free of obstructions? _____

Describe Violation - Location - Remedy Taken






Emergency Action Plan


To establish Xyz Company policy and procedures regarding management's and employee's response

to various emergency situations. Examples of an emergency are fire, tornado, earthquake, and

bomb threat.


The procedures cover the following topics:

  1. Fire Reporting and Response

  2. Evacuation

  3. Tornado Preparation and Emergency

  4. Bomb Threat

  5. First Aid

  6. Hazardous Material Spill

  7. Earthquake

  8. Robbery


Xyz Company has developed plans that address emergency situations that may

arise in Xyz Company locations and which may threaten human health and safety,

and damages Xyz Company's assets. Management is responsible for implementing

the Emergency Action Plans. These Emergency Action Plans will meet the following


.1. Provide a means of notifying employees, customers and local authorities of an

....emergency situation.

2. Provide for a safe and orderly method of evacuation of employees and customers

....from Xyz Company's premises.

3. Account for all employees who occupied Xyz Company's premises at the time

....of evacuation, should one occur.


Admitting an OSHA Compliance Officer:

If an OSHA compliance inspector requests to conduct an inspection, the senior management

member of Xyz Company is to ask to see the officer's credentials. An OSHA inspector carries either U.S. or

the state's Department of Labor credentials bearing their photograph and a serial number. In

every case, verify the authenticity of the compliance inspector's identification by calling the

nearest OSHA office.


The senior management member is to contact the Safety and Health Manager immediately.

If Xyz Company requires a Search Warrant, inform the OSHA compliance

officer before the opening conference begins. Xyz Company's right to

challenge a warrant may be lost if it permits the inspection to proceed.

OSHA Facts:

An OSHA Inspection is divided into three parts:

1. The Opening Conference

2. The Walk Around Inspection

3. The Closing Conference


There are no time limits specifying how long an inspector may remain on the premises.


Violations are considered to be "alleged violations" until they become a final order of the

Occupational Safety and Health Review Commission.


.....1.  Xyz Company may contest (appeal), in writing any part of the citation

........within 15 working days after it has received it.

.....2.  The citation must be posted in the work place for three days following its receipt or

........until the condition creating the alleged violation is corrected.

. ...3.  Management will ask for clarification about any point(s) an inspector raises that

........they don't understand.

.....4.  Management and employees will not admit to violating any safety standard.

If Xyz Company contests (appeals) an alleged violation, copies of the appeal will

be posted at the work site.



Who Should Go With an OSHA Compliance Inspector During His/Her Inspection?

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