rks plumbing & mechanical, inc. safety programrks plumbing & mechanical, inc. has developed a...

RKS Plumbing & Mechanical, Inc.

Safety Program

RKS PLUMBING AND MECHANICAL, INC

Prepared by:RKS Plumbing & Mechanical, Inc.in association with:U.S. Compliance Systems, Inc.

This Safety Program is current as of: 01/22/2019

2019

Disclaimer: This Safety Program is licensed for theexclusive use of RKS Plumbing & Mechanical, Inc.. Program materials were selected fromstandardized materials by the customer. U.S.Compliance Systems does not collect or retaininformation specific to the customer and does notmodify standardized programs for customers. Customers are not permitted to modifystandardized content. USCS accepts noresponsibility for program materials selected andimplemented by customers.

Table of ContentsPolicy Statements 8

Safety and Health Policy Statement 9New Hire Safety Orientation Policy Statement 11Stop Work Authority & Workers' Right to Refuse Dangerous Work Policy Statement 12

Section I 14General Policies & Procedures 14

Safety Program Overview 15Accident/Injury Prevention 16Company Personnel 17

Safety Director 17Safety Program Administrator 17Employees 17

Subcontractor Involvement & Responsibilities 18Safety Meetings 19Housekeeping 20Sanitation 21Lifting, Pushing, and Pulling 23Slips, Trips, and Falls 24Drugs, Alcohol, and Other Prohibited Behaviors 25

Drug Free Job Sites 25Smoking 25Prohibited Behaviors 26

Workplace Violence 27Emergency Action Plan 29

Emergency Medical Response 30Fire Protection 30

Fire Prevention Plan 31Portable Fire Extinguishers 32First Aid and First Aid Kits 33Accident Investigation 39Recordkeeping: Injuries & Illnesses 40Postings 45Access to Employee Medical Records & Exposure Records 46Enforcement 50

Schedule of Enforcement Actions 51Section II 52Site/Job Specific Policies and Procedures 52

Abrasive Wheels 53Combustible & Flammable Liquid Handling 54Company Vehicles 56Compressed Air 58Compressed Gas Cylinders 59Disposable Respirators 62Electrical Work - Workplace Safety 63Elevated Work Platforms and Aerial Devices 68Excavating, Trenching, & Shoring 74Extension Cords 77Ground Fault Circuit Interrupters 78Hazardous Job Site Chemical Awareness and Exposure 79Hot Tap Operations 87

Ladders 88Lighting 90LP - Gas Storage 91LP - Gas Temporary Heating 92Machine Guarding 93Material Storage 94Mold & Mildew 95Pipe Tie-Ins 96Signs & Tags 97Silica Exposure 98Stairs 114Tools - Hand 115Tools - Pneumatic Powered 116Ventilation 118Welding, Cutting, & Brazing 120

Section III 125Specific Compliance Programs 125

Bloodborne Pathogens - Exposure Control Plan 126Policy Statement 127Definitions 128Exposure Control Plan 131Exposure Determination 131Methods of Compliance 132Exposure Control Plan Administrator 136Designated First Aid Provider 136Personal Protective Equipment (PPE) 136Housekeeping 138Hepatitis B Epidemiology 139Risk of Exposure 140Hepatitis B Vaccination 141Sharps Injury Log 141First Aid Provider Input 142Plan Review 142Post-Exposure Evaluation and Follow-Up 142Recordkeeping 145Training 146Waste Management 147Summary 147

Exposure Determination Form - List I 148Exposure Determination Form - List II 149Exposure Determination Form - List III 150Housekeeping Schedule & Checklist 151Hepatitis B Declination Form 152Sharps Injury Log 153Annual Exposure Control Plan Review 154Exposure Incident Report 155

Confined Spaces in Construction 156Definitions: 156General Requirements: 163Conditions Required to Use Alternate Procedures: 164Classification/Reclassification of a Space: 165Permit-required confined space program: 166

Permitting process: 171Training: 173Duties of authorized entrants: 174Duties of attendants: 174Duties of entry supervisors: 176Rescue and emergency services: 176Employee participation: 179Provision of documents to Secretary: 179

Emergency Phone Numbers 180Confined space/permit space evaluation survey 181Permit-Space Information & Attendant Designation 182Entry Roster 183Entry Permit 184

Fall Protection 190Policy Statement 190Overview 192Duties of the Program Administrator 193Pre-Project Planning 194Definitions 194Where Fall Protection is Required 199Pre-Construction Survey 203Fall Protection Systems 203Fall Protection Plan 211Accidents and Near Accidents 212Training/Retraining 213Fall Protection at the Job Site 214Residential Construction 214

Fall Protection Plan 217Changes to Fall Protection Plan 220Safety Net Installation Certification 223

Forklifts 224Overview 224General Requirements 225Hazards 226Other Concerns 229Operator Protection 229Forklift Operations 229Maintenance 230Duties of the Forklift Program Administrator 231Training 231Use of Forklifts to Support Scaffold Platforms 233

Hazard Communication 234Purpose 234Labels and Other Forms of Warning 236Employee Information and Training 238Documentation of Training 239

Request for Safety Data Sheets 240List of Hazardous Chemicals 241

Lockout/Tagout - Control of Hazardous Energy 242Overview 242Definitions 242Applicability 244

Procedures for Control of Hazardous Energy 245Device Selection Criteria for Non-Electrical Hazardous Energy 248Control of Electrical Hazardous Energy on Fixed Equipment 250Device Selection Criteria for Electrical Hazardous Energy 251Re-energizing Electrical Equipment 252Special Considerations 253Group Lockout and/or Tagout Procedures 253Shift and/or Personnel Changes 254Periodic Inspections 255Training 255

Energy Sources Evaluation & Control Procedures Form 256Group Leader Documentation Form 259Periodic Inspection Documentation Form 260

Personal Protective Equipment - General 261Overview 261Duties of the PPE Program Administrator 261Hazard Assessment and PPE Selection 262Dissemination of PPE Selection Information 263ANSI Standards and PPE 263Sizing and Fitting 264Care and Maintenance of PPE 264Training 265Eye and Face Protection 265Head Protection 266Hearing Protection 267Foot Protection 269Hand Protection 269Respiratory Protection 270Miscellaneous Personal Protection 270Summary 270

Certificate of Job Site Hazard Assessment 271Personal Protective Equipment - Respiratory Protection 272

Overview 272Duties of the Program Administrator 273Definitions 274Respirator Selection 276Particulate Respirator Selection 278Service Life of Filters 279Medical Approval for Respirator Use 280Respirator Fit Test 281User Seal Check 282Hazard Communication & Emergency Procedures 283Work Area Surveillance 283Air Quality 284Cleaning, Inspection, and Maintenance 285Maintenance of Emergency/Unassigned Respirators 285Storage of Respirators 286Program Evaluation 286Training 286Dust Masks – Use of Respirators when Not Required 287

Respiratory Protection Program Evaluation Form 289Report of Medical Examination 290

Medical Opinion for Respirator Wear 292Respirator Fit Test Summary 293Record of Inspection 294

Prevention of Heat and Cold Stress 295Prevention of Cold Stress 295Provision of Water 298Training 298Prevention of Heat Stress 299Provision of Water 300Provision of Shade 302Provision of Rest (Recovery Period) 303Training 303

Scaffolds 304Overview 304Scaffold Safety 304Definitions 305Guidelines for Scaffold Use 307Guidelines for the Control of Electrical Hazards 311Guidelines for the Control of Fall Hazards 312Special Precautions for the Prevention of Falling 313Fall Protection during Erection & Dismantling of Supported Scaffolds 315Guidelines for the Control of Falling Objects 316Access 317General Versus Specific Scaffold Safety Guidelines 318Training 318

Safety Program Addendum 319Company Specific Safety Requirements 320

RKS Plumbing & Mechanical, Inc. Page | 8© 2019 U.S. Compliance Systems, Inc. (888) 475-5353. Permission is granted to copy for internal use.

RKS Plumbing & Mechanical, Inc.Policy Statements


Safety and Health Policy StatementIt is the policy of RKS Plumbing & Mechanical, Inc. to provide a workenvironment that is inherently safe. The safety and health of ouremployees is of primary importance as they are our most importantresource. Safety takes a commitment from all personnel within ourorganization.RKS Plumbing & Mechanical, Inc. has developed a comprehensive safetyprogram that addresses specific safety concerns and provides guidance forthe performance of our individual job tasks within the framework ofappropriate Occupational Safety & Health Administration (OSHA)standards. There also may be times when RKS Plumbing & Mechanical, Inc. requiresits employees to meet safety policies that are specific to our company. Ifwe implement these additional policies, they must have more stringentsafety requirements than what OSHA has developed. These policies canbe found listed in the Safety Program Addendum at the end of this safetyprogram when applicable. All employees will receive interactive safety training using the informationcontained in this safety program. For this training, we may have safetymeetings, on-the-job training, on-line courses, formal instruction, and/orany other relevant methods needed.Safety training needs will be identified by continual reassessment of workmethods, equipment, and work stations; as well as employee andmanagement input.Frequent and regular job site inspections will be conducted by supervisorypersonnel and/or other competent persons. Employees in violation of theestablished safety procedures of RKS Plumbing & Mechanical, Inc. will besubject to our disciplinary procedures. Observation of unsafe acts will beaddressed immediately.


On every job site, there will be a competent person, by virtue of training orexperience, who will have the authority to stop work. Additionally, allemployees have stop work authority for their immediate task if they areaware of a safety hazard that cannot be immediately corrected. If anemployee stops work for an unresolved safety hazard, the supervisor willbe contacted immediately.Equipment operator/owner manuals will be readily available and the safetyprocedures contained therein will be followed. Equipment will be inspectedprior to use and, if defective, tagged out of service. Manufacturer’swarning labels on all equipment will not be removed, painted over ordefaced.Emergency medical response will be available on every job site either byan emergency rescue service within reasonable distance, by time, or anassigned emergency responder.Safety requires not only that each person understand and performindividual tasks in a safe manner, but also that each individual is aware ofhis surroundings and is actively involved in the safety of others.Each Employee is encouraged to contact their supervisor immediatelyshould a safety or health risk exist so that corrective action may be takenimmediately.This Policy Statement will be conspicuously posted.

_________________________________Bryce L. Basey

Safety Director


New Hire Safety Orientation Policy StatementBryce L. Basey, the safety director at RKS Plumbing & Mechanical, Inc., ora designated competent person, will ensure that all new hires are aware ofthe accessibility of the safety program and, through interactive discussionor practical demonstration, be assured that the new hire understands thesafety policies and procedures that pertain to the actual work the new hirewill perform. Further, each new hire will read (or have explained) the contents of ouremployee handbook and sign the Employee Acknowledgement form whichstates:

I have read and understand the contents of the RKS Plumbing &Mechanical, Inc. Employee Handbook.I will, to the best of my ability, work in a safe manner and followestablished work rules and procedures.I will ask for clarification of safety procedures of which I am not sureprior to performing a task.I will report to the job site supervisor or competent person any unsafeacts or procedures and will ensure they are addressed and resolvedbefore continuing work.I understand that the complete safety program is located at:23659 N. 35th Drive Glendale, AZ 85310602-996-1866and is available for my review.

It will be explained to all new hires that safety training and safetyperformance is an on-going process. Depending on circumstances,training will take the form of some or all of the following: safety meetings,on-the-job instruction, formal and informal training.Lastly, all new hires will be informed of the importance of the inspectionand enforcement policies and procedures of RKS Plumbing & Mechanical,Inc..

__________________________________________________

Bryce L. BaseySafety Director


Stop Work Authority & Workers' Right to Refuse Dangerous WorkPolicy Statement

As referenced in the New Hire Safety Orientation, each employee is:a. To work in a safe manner and follow established work rules and

procedures to the best of their ability.b. To ask for clarification of safety procedures of which they are not

sure prior to performing a task.c. To report to the job site supervisor or competent person any unsafe

acts or procedures and will ensure they are addressed and resolvedbefore continuing work.

Specific procedures have been established to ensure that all employeesunderstand the importance of not performing a job task if it cannot beperformed safely and in accordance with appropriate standards.Stop Work Authority Procedures training will be given during the new hiresafety orientation before initial assignment to any job task. Training will bedocumented and include the employee’s name, dates of training, andsubject. All employees not only have the authority to stop work when control of ahealth, safety, or environment hazard or risk is not clearly established orunderstood, they have an obligation to stop work.Procedures:

a. Upon discovery or realization that control of a health, safety, orenvironment hazard or risk is not clearly established or understood,the employee will immediately stop work.

b. Employees with whom he/she is working will be immediately informedso a health, safety, or environment hazard or risk does not impactthem or their work.

c. The supervisor/competent person will be notified as soon as possibleso the situation may be addressed (corrected).

d. If the supervisor/competent person can successfully address theissue, work will resume. If it is not resolved, work will remain stoppeduntil it is. Most stop work procedures can be resolved in a timelymanner at the job site. On occasion, it may require additionalinvestigation to determine the root cause of the problem and theproper procedures to proceed.

e. The stop work will be documented with a stop work report.


Supervisor Review:Supervisors reviewing stop work reports can determine employeeparticipation in the program, the quality of the interventions, trend commonissues, and identify opportunities for improvement and establish new safetyprocedures to preclude a reoccurrence.Follow-up:After the stop work intervention has been initiated and closed, thesupervisory review has been completed, all safety issues have beenresolved in a timely manner at the job site to the satisfaction of all personsconcerned prior to the resumption of work (or, if needed, after additionalinvestigation and corrective actions required to identify and address rootcauses have been completed), the importance of follow-up can bedemonstrated by:

a. providing a learning tool for developing improved training.b. establishing new safety procedures.c. facilitating sharing of learning.

Responsibilities:Employee: Initiate a stop work intervention when warranted.Supervisor/competent person: notify all affected personnel andsupervision of the stop work issue, correct the issue, and resume workwhen safe to do so.Management: Establish a culture where stop work authority is exercisedfreely.Employees, while fulfilling their obligation to stop work when warranted,are reminded that under no circumstances will fulfilling this obligation resultin any form of retribution or intimidation from our company or the companyfor whom we are workingThis Policy Statement will be conspicuously posted.

____________________________________________

Bryce L. BaseySafety Director


RKS Plumbing & Mechanical, Inc.Section I

General Policies & Procedures

Standards:29 CFR 1926.16 - Rules of Construction29 CFR 1926.20 - General Safety and Health Provisions29 CFR 1926.21 - Safety Training and Education29 CFR 1926.34 - Means of Egress29 CFR 1926.35 - Employee Emergency Action PlansPART 1904 - Recording and Reporting Occupational Injuries and Illnesses

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Safety Program OverviewThis comprehensive safety & health training program has been developedto address specific safety concerns of RKS Plumbing & Mechanical, Inc.and to provide guidance for the performance of individual job tasks withinthe framework of appropriate Occupational Safety & Health Administration(OSHA) standards.Safety demands a commitment from all personnel within RKS Plumbing &Mechanical, Inc.. As an employer, we have an obligation to ensure that allour employees are afforded the protection of an appropriate safety &health program.This program contains policies and procedures to deal with common jobsite place hazards, specific job-related hazards, and potential hazards thatmay arise.Hazard assessment, project pre-planning, and engineering controls, wherefeasible, will be the preferred method of providing a safe job site. Hazardsthat remain will be minimized or eliminated through training which providesemployees the ability to recognize job site hazards and understand theproper procedural and/or personal protective equipment requirements.Each employee is encouraged to contact their supervisor immediatelyshould a safety or health risk exist so that corrective action may be takento eliminate the hazard entirely or deal with the hazard in a safe mannerthrough modified work procedures, PPE, and/or other appropriate action.On all job sites, at least one person will be designated a “competentperson” by virtue of experience or training. This person will have the abilityto identify work related hazards, know the corrective procedures, and havethe responsibility, ability and authority to stop work if the job site cannot bemade safe.Bryce L. Basey, the safety director at RKS Plumbing & Mechanical, Inc., ora designated competent person will make routine and random job siteinspections to both identify new hazards and to monitor the effectivenessof our safety & health program.In the final analysis, the success of the safety effort by RKS Plumbing &Mechanical, Inc. depends on all employees, from senior management tothe newest hire, demonstrating a commitment to safety by working in asafe manner. Safe job performance is how our safety effort is ultimatelymeasured.


Accident/Injury PreventionThis safety program is designed so that employees at RKS Plumbing &Mechanical, Inc. do not work in conditions that are unsanitary, hazardous,or dangerous to their health or safety.One lax moment in terms of safety may result in a lifetime of needless painand suffering. Disregarding safety standards may even be fatal. While anaccident may happen in an instant, the consequences may last for years.Accident prevention requires a commitment from all personnel within RKSPlumbing & Mechanical, Inc. to actively participate in our safety program.All personnel should be aware of job site hazards and follow procedures toeliminate these hazards by using proper work methods, use of personalprotective equipment, and proper use of tools and equipment. All personsare encouraged to ask questions and make positive suggestions for safetyimprovement.Competent persons will be designated to provide job site expertise, as wellas regular inspections of equipment, materials, and procedures.Competent persons will have the authority to stop work if a safety hazard isidentified and it cannot be corrected immediately.All machinery, tools, materials, and equipment deemed unsafe will betaken out of service by physically removing, tagging, or locking controls torender them inoperable.Only persons qualified by training or experience will be allowed to operateequipment or machinery.All tools and items of equipment will be used for the purpose for which theywere designed. For example, a wrench is not a hammer, a ladder is not ahorizontal plank, and a fire extinguisher is not a cooler!Never take chances or attempt any job without being aware of the properprocedures, the potential safety hazards, and the methods to reduce oreliminate risk.


Company PersonnelThe following are descriptions of the different roles and expectations for allpersonnel of RKS Plumbing & Mechanical, Inc..

Safety DirectorThe safety director at RKS Plumbing & Mechanical, Inc. is Bryce L. Baseyand has overall responsibility for the implementation of our program. BryceL. Basey will ensure each employee has appropriate safety training for thetasks to be performed. Additionally, Bryce L. Basey will perform hazard assessments of job sitesto determine if hazards are present, or are likely to be present, which willnecessitate the use of personal protective equipment (PPE).Identified hazards which cannot be eliminated through engineering controlsor changes in procedures will be addressed by the use of selected PPE.While the responsibilities of Bryce L. Basey cannot be further delegated,most of the duties can be assigned to those who are competent persons byvirtue of training or experience.

Safety Program AdministratorBryce L. Basey, the safety program administrator, has been deemedcompetent by our Safety Director and may perform the below duties:

a. The actual training of personnel.b. Maintenance of training records.c. Random inspections to verify adherence to safety rules and policies.d. Completion of specific tasks identified within our OSHA compliance

programs.e. Hazard assessments.

Note: The safety director and the safety program administrator may or may not be the sameperson.

EmployeesAll employees are required to participate actively in the safety & healthprogram at RKS Plumbing & Mechanical, Inc.. Do not hesitate to point outperceived safety deficiencies to your supervisor or the competent person –you may prevent an injury to yourself or a fellow worker. With the goal ofproviding a safer job site for all of us, employee suggestions for improvingsafety management are welcomed and encouraged. Never perform a taskwhen you don’t understand all of the safety procedures. If in doubt, askyour immediate supervisor for guidance.


Subcontractor Involvement & ResponsibilitiesIt is the responsibility of RKS Plumbing & Mechanical, Inc. to reviewthe safety efforts made by subcontractors who may be working with us.Prior to initiation of work on multi-subcontractor job sites, a meeting willbe held to explain to all subcontractors the protective measures we havedetermined to be appropriate. Input and suggestions from subcontractorswill be solicited. Attention will be given to hazards one subcontractor maycreate and the measures they will take to prevent other subcontractorsfrom these exposures. One measure that will always be taken is thesharing of appropriate Safety Data Sheet information.The four major elements of safety management below apply to theoperations of RKS Plumbing & Mechanical, Inc. and they also apply toour subcontractors:

a. Management commitment and employee involvement.b. Worksite analysis.c. Hazard prevention and control.d. Safety & health training.

It is expected that our subcontractors work within the framework of OSHAStandards.


Safety MeetingsScheduled safety meetings provide an opportunity for reinforcing theimportance of general safety as well as specific work related proceduresapplicable to the work at hand. Properly prepared safety meetings willfocus on one or two topics and be direct and to the point. All safetyquestions will be addressed and interactive participation is encouraged.


HousekeepingHousekeeping? On a job site? What’s that all about? It’s about safety!Employees are to maintain a neat and orderly work area as far aspractical. Housekeeping and general cleanliness have a direct effect onsafety and health. Proper housekeeping can prevent slips and falls, alloweasy egress in the event of an emergency, prevent falling object injuries,and enhance fire safety. Below listed are general housekeeping rules:

a. Walking/working surfaces shall be kept clean and dry.b. Do not allow construction debris to accumulate.c. Stored materials will be neatly stacked at the job site.d. Containers, when not in use, will be sealed.e. No objects will be left unattended on stairways.f. Entrances and exits will be properly marked and not blocked.g. Tools shall be properly cleaned and put away after use.


Sanitation29 CFR 1926.51 - SanitationPotable Water:From a safety standpoint, you must not neglect your need for potable(drinkable) fluids. Water is not only the most abundant of allcompounds found on the earth; it is the most abundant part of you –actually about 65% of you is water.On construction sites, exertion and heat dictate the need for plentyof water.Potable water will be available on job sites. If portable containers areused, they will be clearly marked (Potable Water), capable of being tightlyclosed, and equipped with a tap. These containers will be used for noother purpose than supplying drinking water. Non-reusable (singleservice) cups in a sanitary container will be provided for drinking as wellas a receptacle for disposing of used cups. Employees are reminded oftheir need for adequate amounts of water.Non-Potable Water:Outlets of non-potable water should be clearly identified as such,through appropriate signage, and non-potable water may never beused for drinking, washing, or cooking.

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Toilets:Toilets will be provided at job sites according to the below table:

Number of Employees Minimum Number of Facilities20 or less 1

20 or more 1 toilet seat and 1 urinal per 40 workers200 or more 1 toilet seat and 1 urinal per 50 workers

Toilet facilities would include, unless prohibited by local law:a. Privies (where their use will not contaminate ground or surface water)b. Chemical Toiletsc. Recirculating toiletsd. Combustion toilets

Washing Facilities:Adequate washing facilities will be provided in near proximity to the jobsite if employees are working with contaminants that may be harmful totheir health such as paint, coatings, or other chemical products. Papertowels and cleansing agents will be provided.Showers and change rooms will be dictated by specific standardsdealing with specific toxic materials (i.e., lead; asbestos).Eating and Drinking Areas:No employee will be allowed to consume food or beverages in anyarea exposed to toxic material.


Lifting, Pushing, and PullingBack injuries are often caused by the obvious – putting excessive strain onthe lower back by lifting an object that is too heavy or awkward, or bybending and/or twisting while lifting.However, lifting injuries are also caused by less obvious reasons:

a. Poor physical conditionb. Poor posturec. Poor judgment (lifting, pulling, pushing an object that is obviously too

heavy or awkward without seeking assistance or a mechanical liftingdevice.)

d. Lack of exercisee. Excessive body weight

Proper lifting techniques are important for employee safety. Below arelifting techniques that will reduce the likelihood of injury:

a. Lift objects comfortably, not necessarily the quickest or easiest way.b. Lift, push, and pull with your legs, not your arms or back.c. When changing direction while moving an object, turn with your feet,

not by twisting at the waist.d. void lifting higher than your shoulder height.e. When standing while working, stand straight.f. When walking, maintain an erect posture; wear slip-resistant,

supportive shoes.g. When carrying heavy objects, carry them close to the body and avoid

carrying them in one hand.h. When heavy or bulky objects need to be moved, obtain help or use a

mechanical aid such as a dolly, hand truck, forklift, etc.i. When stepping down from a height of more than eight inches, step

down backwards, not forward.j. Handle heavy objects close to the body – avoid reaching out.k. Lift gradually and smoothly. Avoid jerky motions.l. Maintain a clear line of vision.


Slips, Trips, and FallsSlips, trips, and falls are among the most common job site accidents andthey are easily preventable. Below are some of the causes of slips, trips,and falls:

a. Running on the job site.b. Engaging in horseplay.c. Working off a ladder that is not firmly positioned.d. Carrying an object that blocks line of vision.e. Work boots not laced or buckled.f. Working off a scaffold without safety rails.g. Using ladders that have oil and grease on the rungs.h. Not using a handrail on steps.i. Messy work areas with debris strewn about.j. Not paying attention to what one is doing.

This list can go on and on, but all of the above are easily preventable byadherence to common safety procedures, common sense, and awarenessof potential hazards on the job site.


Drugs, Alcohol, and Other Prohibited BehaviorsDrug Free Job Sites

The type of work we perform can result in serious injury if employees arenot capable of focusing not only on their job task, but their surroundingsand others with whom they work. It is the policy of RKS Plumbing &Mechanical, Inc. to hire only persons free from any evidence of illegaluse of controlled substances or other drugs including alcohol. Note: OSHA has determined that drug testing after injuries or illnesses that occur at the

workplace can be considered retaliatory or discriminatory, and thus discourage employeesfrom properly reporting the injury or illness. This can be the case in situations where theinjury or illness wouldn’t have been reasonably expected to be the result of being underthe influence of drugs or alcohol. Example: A bee sting that results in an allergic reaction and leads to a stay at the

hospital. There is not a reasonable belief that a bee sting would be caused byimpairment and thus drug testing would be considered retaliatory ordiscriminatory.

With the exception of over the counter drugs such as aspirin or drugsprescribed by a physician, there shall be no drugs or alcohol at theworkplace. Alcohol and drug abuse cause an unacceptable level of safetyhazard not only for the offending employee, but for others in the vicinity. Those found to be under the influence of drugs and/or alcohol will beimmediately removed from the work area by the competent person andfurther disciplinary action will be taken by Bryce L. Basey, our SafetyDirector. Chemical dependency is a devastating problem for not only the employee,but also the employee's family and co-workers. For obvious safetyreasons, it cannot be tolerated in the workplace. Those with such aproblem should seek professional help. Bryce L. Basey will assist anyemployee in finding appropriate treatment should they voluntarily comeforward.

SmokingThere shall be no smoking except in designated smoking areas.Under no circumstances will there be smoking during refueling of vehiclesor within 50 feet of flammable materials.


Prohibited BehaviorsThe use, bringing onto company property or job site, possession,concealment, transportation, promotion or sale of the followingsubstances or items by any employee as well as the subcontractors thatRKS Plumbing & Mechanical, Inc. might hire, and their employees, of thebelow items is prohibited:

a. Illegal drugs, unauthorized controlled substances, look-a-likes,designer, synthetic or any other drug which may affect anemployee's motor functions or alter a person's working perception.

b. Prescription drugs/over the counter medication except underthe following conditions:1. The employee shall inform his supervisor prior to using any

prescription drug or over the counter medication and receivewritten permission to possess such drug while working on thejob.

2. The prescription vial shall be labeled by the dispensingpharmacy and the label shall show the employees name,physician, prescription number, date the prescription was filledand the dosage rate. Prescriptions more than 30 days old willnot be allowed.

3. The over the counter medication will be in its original packageor container and the employee may only possess enoughmedication for their normal shift.

c. Alcoholic beverages.d. Firearms, weapons, explosives, and ammunition.e. Unauthorized items such as stolen property or drug

paraphernalia.


Workplace Violence Although OSHA does not have any standards concerning workplaceviolence, to comply with Section 5(a)(1) of the Occupational Safety andHealth Act (OSHA) of 1970, which requires us to provide our employeeswith a place of employment that is free from recognizable hazards that arecausing or likely to cause death or serious harm to our employees, we areemploying this policy regarding workplace violence.Workplace violence can be defined as: “any act or threat of physicalviolence, harassment, intimidation, or other threatening disruptive behaviorthat occurs at the work site.” Keep in mind actions such as shouting,swearing, and destroying or throwing items could be considered workplaceviolence if the complaining employee feels their safety is in jeopardy.The CDC identifies 4 types of workplace violence:

a. Criminal Intent - workplace violence occurring during the process ofcriminal activity (e.g., robbery)

b. Customer/Client - workplace violence targeting an employee of abusiness by a customer/client

c. Worker-on-Worker - workplace violence occurring between two (2)employees

d. Personal Relationship - workplace violence occurring between anemployee and a personal acquaintance who has no ties to theworkplace.

When possible and applicable, we will implement recommendedengineering and administrative controls to prevent or reduce the likelihoodof all types of workplace violence. Some of these controls may include, butare not limited to:

a. Lighting controlsb. Surveillance (e.g., cameras, mirrors)c. Establishing a good relationship with local policed. Training on specific workplace violence events, such as responding

to an active shootere. Performing appropriate background checks and reference verification

on new hires


In the event that our employees are exposed to workplace violenceinstigated by acts of our employees or others, the following steps will betaken immediately:

a. Those not directly threatened or exposed to the violent acts willimmediately warn others and remove themselves from the area. Call911, or local police authorities, when you’ve reached a point ofsafety.

b. If you feel you are about to become a victim of workplace violenceand you do not have the opportunity to flee, try to remain calm. Donothing threatening. At the first opportunity, seek safety and call 911or local police authorities.

Any employee who is a victim of any type of workplace violence, physicalor verbal, is to immediately notify his or her supervisor. If an employee’sdirect supervisor is the offender, the employee should go to the next levelof management. Violent actions that result in injury will be reported to thepolice without exception.An internal investigation will begin immediately and will include interviewswith involved parties, including potential witnesses. When possible, we willdo our best to maintain privacy during the investigation and follow-upresponse. Our company expressly prohibits retaliation of any kind againstany employee bringing a complaint or assisting in the investigation of acomplaint. Such employees may not be adversely affected in any mannerrelated to their employment. Retaliation is also illegal under federal law.Any breach of workplace behavior that leads to a violent action againstanother employee will be treated as a serious safety violation subject toextreme corrective action, up to and including termination.


Emergency Action PlanAn Emergency Action Plan, if appropriate, will be posted at the job sites,along with emergency telephone numbers and an escape routediagram.After a hazard assessment of a job site, Bryce L. Basey, the SafetyDirector, will determine if conditions may develop that could possiblywarrant an evacuation. In this case, an emergency action plan will bedeveloped to address the threat. Certainly, if work is being done at ahazardous chemical plant, for example, an emergency action plan isrequired and coordination will be made with the facility operator.Events may occur which dictate the evacuation of a job site, such as afire, explosion, power failure, etc. Additionally, events may occur whichdictate the need for emergency medical responders. These sets of eventsfall under the Emergency Action Plan and a multitude of objectives mustbe met.The first and foremost objective is the safety of all personnel of RKSPlumbing & Mechanical, Inc.. To achieve this level of safety, our planis designed to get personnel away from danger, treat injury, andprovide for a thorough and accurate accounting of all employees.There may be situations where certain employees, trained in first aidand/or firefighting procedures, may prevent a small emergency situationfrom becoming a major disaster. In these types of situations, specificallyidentified employees will remain to perform the function for which they aretrained, provided they may perform these duties in a safe manner. At notime will any employee put himself/herself at risk.To the extent possible, job sites will have clear, direct egress.The actual implementation of this plan must be direct and carried outwithout confusion. Employees must know how to alert others, how to callfor assistance, the location of fire extinguishers and first aid kits, theescape route, and the rendezvous point (being accounted for so thatothers do not put themselves at risk looking for a person who has alreadyreached safety).


Emergency Medical ResponseShould an injury occur that requires an emergency medical responder,the below listed actions will be taken in the order given:

a. Call 911 or the emergency response number posted on the job site.1. In the absence of 911 services, the telephone numbers of

physicians, hospitals, or ambulances will be conspicuously postwith our emergency phone numbers.

b. Provide any medical assistance you are trained and certified to do. DO NOT provide any medical assistance you are not trained to do.

c. Designate an individual to direct the emergency responders to theinjured person and provide Safety Data Sheets if applicable.

d. Notify the competent person who, in turn, will notify the office.Fire Protection

The phone number of the local fire department shall be posted with otheremergency numbers.If a fire should occur, all personnel and the local fire department will benotified. As in all emergency situations, per the American Trauma Society,people calling the fire department should:

a. Remain calmb. Speak clearly and slowlyc. Give the exact locationd. Describe the situatione. Give the phone number from where you are calling.f. Do not hang up until told to do so


Fire Prevention PlanFire Prevention deals not with handling a fire emergency, butrather preventing a fire in the first place.To reduce the likelihood of a fire, personnel are to adhere to the followingrules:

a. Smoking is allowed only in designated areas and smoking materialswill be totally extinguished and placed in the appropriate receptacles.

b. All chemical products will be handled and stored in accordance withthe procedures noted on their individual SDS.

c. Heat producing equipment will be properly maintained and operatedper the manufacturer’s instructions to prevent accidental ignition ofcombustible materials.

d. Precautions will be taken when working with an open flame (such aswelding) and those areas will be made fire safe by removing orprotecting combustibles from ignition.

e. Combustible liquids must be stored in approved containers.f. Chemical spills must be cleaned up immediately. This is particularly

important for combustible and reactive liquids. Damaged chemicalcontainers and cleanup materials must be properly disposed.

g. Combustible liquids and trash must be segregated and kept fromignition sources.Note: Information on appropriate personal protective equipment, proper disposal, proper

cleanup procedures, required ventilation, etc. is found on the product’s SDS.

h. Keep clear access to fire hydrants as well as portable fireextinguishers.

i. Personnel will be notified by their Supervisor or the competentperson of any unusual fire hazard conditions existing on a job site.

j. Good housekeeping, good housekeeping!


Portable Fire ExtinguishersAll personnel will receive instruction on the proper use of fireextinguishers.

a. Fire extinguishers will be inspected monthly for general conditionsand adequate charge. They will be serviced and certified by qualifiedpersonnel at least annually.

b. Portable fire extinguisher locations will be clearly identified and easilyaccessible.

Below are the four classification of fire extinguishers and a briefdescription.

Class Distribution Notes

A“A” on a green triangle

75 feet or less travel distancebetween the employee and theextinguisher

For use on wood,paper, trash, etc.

B“B” on a red square

50 feet or less travel distancebetween hazard area and theextinguisher

For use onflammable liquid,gas, etc.

C“C” on a blue circle

Based on the appropriate patternfor the existing Class A or Class Bhazards

For use onelectrical fires

D“D” on a yellow star

75 feet or less travel distancebetween the combustible metalworking area and the extinguisheror other containers or Class Dextinguishing agent

For use oncombustible metals

Appropriate portable fire extinguishers will be used, as noted above.Supervisors will ensure that at least one extinguisher is on each floor of aproject near the stairway.Using the wrong fire extinguisher on some fires can actually spread thefire. Using a Type-A extinguisher on an electrical fire, for example, couldcause serious injury. When a fire occurs, it is imperative to use the properextinguisher.


First Aid and First Aid KitsShould a medical emergency occur, other than minor scrapes and bruises,and it is serious enough to call for professional medical assistance, youshould call the Emergency Response Number posted on the job sitebulletin board. Before the first aid providers arrive, to the extent possible,clear the way so they can reach the injured employee in the most directway possible.If any employees of RKS Plumbing & Mechanical, Inc. are working at alocation that is more than 3 or 4 minutes from medical assistance, we willutilize designated first aid providers who are trained and licensed inCPR/first aid and also is a designated first aid provider, as an additionaljob, as part of the company bloodborne pathogen program. Employeeswill not expose themselves to blood or other bodily fluids of otheremployees at any time.Per OSHA, first aid is limited to:

a. Using a non-prescription medication, such as aspirin, at non-prescription strength.

b. Cleaning, flushing or soaking wounds on the surface of the skin;c. Using wound coverings such as bandages, Band-Aids™, gauze

pads, etc., or using butterfly bandages or Steri-Strips™.d. Using hot or cold therapy.e. Using any non-rigid means of support, such as elastic bandages,

wraps, non-rigid back belts, etc.f. Using temporary immobilization devices while transporting an

accident victim (e.g., splints, slings, neck collars, back boards,etc.).

g. Draining fluid from a blister.h. Using eye patches.i. Removing foreign bodies from the eye using only irrigation or a

cotton swab.j. Removing splinters or foreign material from areas other than the

eye by irrigation, tweezers, cotton swabs or other simple means.k. Using finger guards.l. Using massages.

m. Drinking fluids for relief of heat stress.If an employee is injured and emergency responders have beencalled, stay calm and reassure the injured employee that help iscoming.


Below is basic first aid for various common job site injuries. Mostly, it iswhat not to do. When dealing with any injury, stay calm and never doanything unless you know what you are doing.

MINOR BURNS(Redness or blisters over a small area)

Flush with cold water; apply a sterile dressing.Do not use butter on any burn.Do not break open blisters.

MAJOR BURNS(White or charred skin; blisters and redness over a large area;

burns on face, hands, or genital area)Cover with sterile dressing and seek medical attention promptly.Do not apply salves, ointments or anything else.Do not break blisters.

CHEMICAL BURNS(Spilled liquid or dry chemical on skin)

Liquid: Flush with large amounts of water immediately (Keep water flowgentle).

Dry: Brush as much off as possible before flushing with water. Afterflushing at least 5 minutes, cover with sterile dressing.

Seek medical attention promptly.Do not use anything but water on burned area.Do not break open blisters.

EYE - FOREIGN OBJECT(Object visible; feeling of something in the eye)

Have patient pull upper eyelid over lower eyelid.Run plain water over eye.If object does not wash out, cover both eyes with a gauze dressing.Seek medical attention promptly.Do not rub the eye.


EYE - WOUNDS(Wound on eyelid or eyeball; pain; history of blow to eye area;

discoloration)Apply loose sterile dressing over both eyes.Seek medical help immediately.For bruising, cold compress or ice pack may relieve pain and reduceswelling.Do not try to remove any embedded object.Do not apply pressure to eye.

EYE - CHEMICAL BURN(Chemical splashed or spilled in eye)

Flush immediately with water over open eye for at least 10 minutes(20 minutes if alkali). It may be necessary to hold patient's eyelid open.

Note: In work situations where a possibility of eye (or body) exposure to corrosive materialsexists, suitable facilities for quick-drenching or flushing will be provided in the immediatework area.

Cover both eyes with sterile dressing.Seek medical help immediately.Do not put anything but water in eye.

HEATEXHAUSTION

(Fatigue; weakness; profuse sweating; normal temperature;pale clammy skin; headache; cramps; vomiting; fainting)

Remove from hot area.Have victim lay down and raisefeet. Apply cool wet cloths.Loosen or remove clothing.Allow small sips of water if victim is not vomiting.

HEAT STROKE(Dizziness; nausea; severe headache; hot dry skin;

confusion; collapse; delirium; coma and death)Call for immediate medical assistance.Remove victim from hot area.Remove clothing. Have victim lay down.Cool the body (shower, cool wet cloths)Do not give stimulants.


First Aid Kits:

First aid kits are worthless if not readily accessible. Therefore, they will notbe locked up on job sites. They’re also not very valuable if the items youneed are missing. It’s very important that the kits have the proper itemsand that they are replenished as they are used.OSHA defers to ANSI for determining what qualifies as an acceptable firstaid kit for the workplace. The ANSI standard that addresses first aid kits isANSI/ISEA Z308.1-2015. Two important topics covered in this standardare what items are required to be included in a first aid kit: Class, and inwhat kind of container the kit is kept: Type.ClassThere are two classes of first aid kits: Class A and Class B. The twoclasses are divided based on the type of first aid items included and thenumber of those items available in the kit. ANSI has defined the classesas follows:Class A first aid kits are intended to provide a basic range of products todeal with the most common types of injuries encountered in the workplaceincluding: major wounds, minor wounds (cuts and abrasions), minor burnsand eye injuries.Class B first aid kits are intended to provide a broader range and quantityof supplies to deal with injuries encountered in more populated, complexand/or high risk work environments.

The biggest difference between the classes of first aid kits is the amount ofitems included in the kit. Class B kits have more of each item and areneeded at a workplace that has many workers. Keep in mind that sterile items will be individually wrapped, sealed, andused only once. Other items, such as tape or scissors, can be reused andshould be kept clean.The supplies consumed in first aid kits can actually be used as a measureof safety. For example, if a kit constantly needs replacement of bandagesused for minor cuts, there is an obvious problem. Why are cuts happeningin the first place? Actual trends can be established and correctiveprocedures initiated, such as a protective glove requirement or improvedhandling practices.Remember, improper medical treatment can be more dangerous than notreatment at all. Only provide care that you have been trained and certifiedto do.


Below are the required contents, items and quantities of Class A and B firstaid kits:

Class A Class B16 Adhesive Bandage 1 x 3 in. 1 Adhesive Tape 2.5 yd (total) 10 Antibiotic Application 1/57 oz 10 Antiseptic 1/57 oz 1 Breathing Barrier 1 Burn Dressing (gel soaked) 4 x 4 in. 10 Burn Treatment 1/32 oz 1 Cold Pack 4 x 5 in. 2 Eye Covering w/ means ofattachment 2.9 sq. in.1 Eye/Skin Wash 1 fl oz total 1 First Aid Guide 6 Hand Sanitizer 1/32 oz 2 pr Medical Exam Gloves 1 Roller Bandage 2 in. x 4 yd 1 Scissors 2 Sterile pad 3 x 3 in. 2 Trauma pad 5 x 9 in. 1 Triangular Bandage 40 x 40 x 56 in.

50 Adhesive Bandage 1 x 3 in. 2 Adhesive Tape 2.5 yd (total) 25 Antibiotic Application 1/57 oz 50 Antiseptic 1/57 oz 1 Breathing Barrier 2 Burn Dressing (gel soaked) 4 x 4 in. 25 Burn Treatment1/32 oz. 2 Cold Pack 4 x 5 in. 2 Eye Covering w/ means ofattachment 2.9 sq. in. 1 Eye/Skin Wash 4 fl. oz. total 1 First Aid Guide 10 Hand Sanitizer 1/32 oz 4 pr Medical Exam Gloves 2 Roller Bandage 2 in. x 4 yd 1 Roller Bandage 4 in. x 4 yd 1 Scissors 1 Splint 4 Sterile pad 3 x 3 in. 1 Tourniquet 4 Trauma pad 5 x 9 in. 2 Triangular Bandage 40 x 40 x 56 in.


TypeAs important as the contents are, the first aid kit won’t be very useful if it’snot properly protected from the workplace environment. It the supplies aresoaked from rain or smashed from being tossed around, they just won’t beable to provide any help when needed. ANSI has addressed this byproviding guidelines for the containers that first aid kits can be stored in atthe workplace. They are broken down into four categories: Type I, Type II, Type III, &Type IV. Here are the descriptions that ANSI provides for each type.Type I first aid kits are intended for use in stationary, indoor settings wherethe potential for damage of kit supplies due to environmental factors andrough handling is minimal. Type I first aid kits shall have a means formounting in a fixed position and are generally not intended to be portable.Note: Typical applications for Type I first aid kits may include, but are not limited to, the

following: general indoor use, an office setting or a manufacturing facility. First aidcabinets would generally fall into the Type I classification.

Type II first aid kits are intended for portable use in indoor settings wherethe potential for damage of kit supplies due to environmental factors andrough handling is minimal. Note: Typical applications for Type II first aid kits may include, but are not limited to, the

following: general indoor use, an office setting or a manufacturing facility.

Type III first aid kits are intended for portable use in mobile, indoor and/oroutdoor settings where the potential for damage of kit supplies due toenvironmental factors is not probable. Type III kits shall have a means tobe mounted in a fixed position and shall have a water resistant seal. Note: Typical applications for Type III first aid kits may include general indoor use and sheltered

outdoor use.

Type IV first aid kits are intended for portable use in the mobile industriesand/or outdoor settings where the potential for damage to kit supplies dueto environmental factors and rough handling is significant. Type IV kitsshall have a means to be mounted in a fixed position and shall meet theperformance requirements set forth by ANSI.Note: Typical applications for Type IV first aid kits may include, but are not limited to, the

following: the transportation industry, the utility industry, the construction industry, andthe armed forces.


Accident InvestigationThe purpose of Accident Investigation is to prevent the same type ofaccident from reoccurring. An accident investigation will begin immediatelyafter the medical crisis is resolved. The competent person/supervisor onthe job site will complete an Accident Investigation Form as soon asfeasible. The five questions that must be answered are: Who? What?When? Where? And most importantly - Why did the accident happen?Apparently simple accidents may actually be caused by many complexreasons. Example: a worker is using a claw hammer on a working surfacemore than six feet above the ground. The hammer head breaks off andstrikes a worker below who is not wearing a hard hat. Why did thisaccident happen? How can it be prevented? With just the facts presented,the fault would seem to rest with the worker who was struck by the fallingobject.The accident investigation may reveal other contributing factors byanswering questions like:

a. Were hard hats required on the project, were they available, and wasthis policy enforced by the supervisors?

b. Were precautions taken to prevent objects from falling from above,such as a controlled access zone (CAZ)?

c. Did the worker inspect his hammer before use? Was he driving nails– the job for which a claw hammer is designed – or pounding metalbeams?

After determining the cause of the accident, steps can be taken to preventa reoccurrence. Near-miss mishaps, events which result in no injury ordamage, should be investigated because even though the outcomes aredifferent, the causes are the same.


Recordkeeping: Injuries & IllnessesOSHA Forms 300; 300A & 301

As a matter of law, all employers with 11 or more employees at any onetime in the previous year must maintain OSHA Form 300, Log of Work-Related Injuries and Illnesses, OSHA Form 301, Injury and Illness IncidentReport, and OSHA Form 300A, Summary of Work-Related Injuries andIllnesses.OSHA Forms 300 and 301 are used to record and classify occupationalinjuries and illnesses. The information on the OSHA Form 300 is related toemployee health and must be used in a manner that protects theconfidentiality of the employees to the extent possible. Recordable injuriesand illnesses must be entered on OSHA Forms 300 and 301 within seven(7) days of receiving information that a recordable injury or illness hasoccurred. Electronic Submission of Records

Effective on January 1st of 2017, certain employers are required toelectronically submit injury and illness data from their onsite OSHA Injuryand Illness forms. OSHA will analyze this data and will be able to use itsenforcement and compliance assistance resources more efficiently. Some of the data will also be posted to the OSHA website because OSHAbelieves that public disclosure will encourage employers to improveworkplace safety.OSHA will provide a secure website that offers three options for datasubmission: First, users will be able to manually enter data into a webform. Second, users will be able to upload a CSV file to process single ormultiple establishments at the same time. Last, users of automated recordkeeping systems will have the ability totransmit data electronically via an API using this link:https://www.osha.gov/injuryreporting/ita/.

https://www.osha.gov/recordkeeping/new-osha300form1-1-04.pdfhttps://www.osha.gov/recordkeeping/new-osha300form1-1-04.pdfhttps://www.osha.gov/recordkeeping/new-osha300form1-1-04.pdfhttps://www.osha.gov/injuryreporting/ita/


Compliance ScheduleThe new reporting requirements will be phased in over two years using thefollowing guidelines:Establishments with 250 or more employees in industries covered by therecordkeeping regulation must submit information from their 2016 Form300A by July 1, 2017. These same employers will be required to submitinformation from all 2017 forms (300A, 300, and 301) by July 1, 2018. Beginning in 2019 and every year thereafter, the information must besubmitted by March 2.Establishments with 20-249 employees in certain high-risk industries mustsubmit information from their 2016 Form 300A by July 1, 2017, and their2017 Form 300A by July 1, 2018. Beginning in 2019 and every yearthereafter, the information must be submitted by March 2.Retention of Forms:Old OSHA Forms 101 and 200 as well as OSHA Forms 300 and 301 willbe retained for five years following the year to which they relate.Items to be recorded on OSHA Forms 300, 300A and 301:Work related injuries and illnesses and fatalities are to be recorded usingthe criteria found in Part 1904, Recording and Reporting OccupationalInjuries and Illnesses.Injuries and illnesses must be recorded if they result in death, days awayfrom work, restricted work or transfer to another job, medical treatmentbeyond first aid, loss of consciousness, or if the injury or illness involves asignificant injury diagnosed by a physician or licensed health careprofessional even if it does not meet the forgoing conditions.Note: First aid (which is not reportable) is defined in 29 CFR 1904.7(b)(5)ii.

Employee Involvement:As an employee of RKS Plumbing & Mechanical, Inc., you have the rightand responsibility to report all work-related injuries and illness without thefear of being retaliated against, discriminated against, or terminated fromemployment.Note: OSHA has determined that drug testing after injuries or illnesses that occur at the

workplace can be considered retaliatory or discriminatory, and thus discouragesemployees from properly reporting the injury or illness. This can be the case in situationswhere the injury or illness wouldn’t have been reasonably expected to be the result ofimpairment. Example: A bee sting that results in an allergic reaction and leads to a stay at the

hospital. There is not a reasonable belief that a bee sting would be caused byimpairment and thus drug testing would be considered retaliatory ordiscriminatory.

https://www.osha.gov/doc/outreachtraining/htmlfiles/cfr1904.htmlhttps://www.osha.gov/doc/outreachtraining/htmlfiles/cfr1904.htmlhttps://www.osha.gov/doc/outreachtraining/htmlfiles/cfr1904.htmlhttps://www.osha.gov/doc/outreachtraining/htmlfiles/cfr1904.htmlhttps://www.osha.gov/doc/outreachtraining/htmlfiles/cfr1904.htmlhttps://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=9638https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=9638https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=9638https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=9638https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=9638


As a matter of policy, all employees are to report all work-related accidentsand injuries immediately to the competent person/supervisor on a job site. The competent person/supervisor will complete an accident investigationform and will forward it to Bryce L. Basey, the Safety Director.

Bryce L. Basey will extrapolate appropriate information for completion ofthe OSHA Form 300 and complete a review of our policies and proceduresto help ensure that there isn’t a reoccurrence of the reported injury orillness.

Failure to report injuries or illnesses would be a violation of our company’sreporting policy and is not acceptable.

Catastrophic Reporting Requirements:

The following events have to be reported to OSHA:1. All work-related fatalities2. All work-related in-patient hospitalizations of one or more employees3. All work-related amputations4. All work-related losses of an eye

RKS Plumbing & Mechanical, Inc. must report work-related fatalitieswithin 8 hours of finding out about it. For any in-patient hospitalization,amputation, or eye loss, we must report the incident within 24 hours oflearning about it.Only fatalities occurring within 30 days of the work-related incident must bereported to OSHA. Further, an inpatient hospitalization, amputation or lossof an eye incident must be reported to OSHA only if they occur within 24hours of the work-related incident.There are three options for reporting the event:

1. By telephone to the nearest OSHA Area Office during normalbusiness hours. The phone numbers can be found at the followingwebsite: https://www.osha.gov/html/RAmap.html.

2. By telephone to the 24-hour OSHA hotline (1-800-321-OSHA or1-800-321-6742).

3. By using OSHA's new means of reporting events electronically. Thiscan be done online at the following website:https://www.osha.gov/pls/ser/serform.html.

https://www.osha.gov/html/RAmap.htmlhttps://www.osha.gov/html/RAmap.htmlhttps://www.osha.gov/pls/ser/serform.html


Information to Be Reported:When reporting a fatality, in-patient hospitalization, amputation or loss ofan eye to OSHA, following information must be reported:

1. Establishment name2. Location of the work-related incident3. Time of the work-related incident4. Type of reportable event (i.e., fatality, in-patient hospitalization,

amputation or loss of an eye)5. Number of employees who suffered the event6. Names of the employees who suffered the event7. Contact person and his or her phone number8. Brief description of the work-related incident

Note: An event does not have to be reported if it:

1. Resulted from a motor vehicle accident on a public street or highway, except in aconstruction work zone; employers must report the event if it happened in aconstruction work zone.

2. Occurred on a commercial or public transportation system (airplane, subway, bus,ferry, street car, light rail, train).

3. Occurred more than 30 days after the work-related incident in the case of a fatality ormore than 24 hours after the work-related incident in the case of an in-patienthospitalization, amputation, or loss of an eye.

Note: A report must be made for an in-patient hospitalization due to a heart attack, if the heartattack resulted from a work-related incident.

Location of OSHA Forms 300 and 301:As a general rule, the OSHA Forms 300 and 301 will be maintained in themain office. However, in the event that a project is to last more than oneyear, that job site will be considered a fixed establishment and maintain itsown OSHA Forms 300 and 301.


Incident Rate:

One indication of the success of the safety effort put forth by RKSPlumbing & Mechanical, Inc. is our “incidence rate”. When bidding ajob, our incidence rate could be a determining factor in a successful bid. The incidence rate is determined by the following formula:

N/EH X 200,000 where:N = number of injuries and/or illnesses

EH = total hours worked by all employees during the calendar year.200,000 = base for 100 full-time equivalent workers (working 40 hours per

week, 50 weeks per year).To find the “Lost Workday Injury Rate” (LWDI), the following formulais used:

WDI Rate = (# LWDI’s X 200,000)/# employee hours worked# LWDI = sum of LWDI’s in reference years

# employee hours worked = sum of employee hours in reference years200,000 = base for 100 full-time equivalent workers

(working 40 hours per week, 50 weeks per year)When accidents and injuries occur, they have an immediatedetrimental impact on those employees involved. Additionally, theyhave a potential lingering negative impact on our company and ourability to get work.


PostingsOn every job site there will be a prominently displayed bulletin board orarea for postings. Every employee must be aware of this policy. Certainpostings are required as a matter of law in all cases and other postings arerequired depending on circumstances and types of work being done.In all cases, the following must be posted to meet OSHA requirements:

a. OSHA Form 3165, It’s the law!b. During the period from 1 February through to April 30, OSHA Form

300A, Summary of Work-Related Injuries and Illnesses, must beposted for work-related injuries and illnesses which have occurredduring the previous year.

c. Emergency phone numbers and site address for emergencyresponse.

If appropriate, the following must be posted:a. OSHA citations.b. Notice of informal hearing conference.c. Names and location of assigned first aid providers.d. Air or wipe sampling results.e. Emergency action plan.

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Access to Employee Medical Records & Exposure Records29 CFR 1910.1020 - Access to employee exposure and medical recordsAll employee exposure records and medical records are under thecontrol of the safety program administrator, .Exposure records must be retained for 30 years.Medical records must be retained for the duration of employment plus30 years.An employee’s medical record means: “a record concerning the healthstatus of an employee which is made or maintained by a physician,nurse, or other health care personnel, or technician.”This would include:

a. Medical and employment questionnaires or histories (including jobdescription and occupational exposures).

b. The results of medical examinations (pre-employment, pre-assignment, periodic, or episodic) and laboratory tests (includingchest and other X-ray examinations taken for the purpose ofestablishing a base-line or detecting occupational illnesses and allbiological monitoring not defined as an "employee exposure record".

c. Medical opinions, diagnoses, progress notes, and recommendations.d. First aid records.e. Descriptions of treatments and prescriptions.f. Employee medical complaints.

Note: An employee’s medical record does not include:a. Physical specimens (e.g., blood or urine samples) which are routinely discarded as a

part of normal medical practice, orb. Records concerning health insurance claims if maintained separately from the

employer's medical program and its records, and not accessible to the employer byemployee name or other direct personal identifier (e.g., social security number, payrollnumber, etc.).

c. Records created solely in preparation for litigation which are privileged from discoveryunder the applicable rules of procedure or evidence.

d. Records concerning voluntary employee assistance programs (alcohol, drug abuse, orpersonal counseling programs) if maintained separately from the employer's medicalprogram and its records.

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An employee’s employee exposure record means a record containing anyof the following kinds of information:

a. Environmental (job site) monitoring or measuring of a toxicsubstance or harmful physical agent, including personal, area,grab, wipe, or other form of sampling, as well as related collectionand analytical methodologies, calculations, and other backgrounddata relevant to interpretation of the results obtained.

b. Biological monitoring results which directly assess the absorptionof a toxic substance or harmful physical agent by body systems(e.g., the level of a chemical in the blood, urine, breath, hair,fingernails, etc.) but not including results which assess thebiological effect of a substance or agent or which assess anemployee's use of alcohol or drugs.

c. Safety data sheets, indicating that the material may pose ahazard to human health.

d. In the absence of the above, a chemical inventory or any otherrecord which reveals where and when used and the identity (e.g.,chemical, common, or trade name) of a toxic substance orharmful physical agent.

e. Objective Data for Exemption from Requirement for InitialMonitoring.

Employee InformationUpon first entering into employment, and at least annually thereafter,each employee will be informed of the following:

a. The existence, location, and availability of any records covered by 29CFR 1910.1020.

b. The person responsible for maintaining and providing access torecords (Bryce L. Basey, the Safety Director).

c. The employee's rights of access to his/her records.d. That a copy of 29 CFR 1910.1020 and its appendices will be

maintained in the office of Bryce L. Basey and made readily availableupon request.

Informational materials concerning access to medical recordsreceived from or provided by the Assistant Secretary of Labor forOccupational Safety and Health will be distributed to all currentemployees.

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Access to Records

Employees or their designated representatives will have access to theirmedical or exposure records within 15 working days of their request, or, ifthis is not possible, will provide, within 15 working days, the reason for thedelay and provide a best estimate of when the records will be available.Copies of employee medical or exposure records will be provided in areasonable time, place, and manner and at no cost to theemployee.Upon request, Bryce L. Basey will provide access to representatives ofthe Assistant Secretary of Labor for Occupational Safety and Healthemployee exposure and medical records and to analysis using exposureor medical records.Analysis Using Medical or Exposure Records"Analysis using exposure or medical records" means any compilation ofdata or any statistical study based at least in part on informationcollected from individual employee exposure or medical records orinformation collected from health insurance claims records, provided thateither the analysis has been reported to the employer or no further workis currently being done by the person responsible for preparing theanalysis.Before access is granted to an analysis using medical or exposurerecords, all personal identifiers must be removed that could directly identifythe employee. Identifiers would include: name, SSN, address, etc. Identifiers that could indirectly identify the employee will also be removed. These would include date of hire, sex, job title, etc.


Confidentiality

Nothing in the OSHA standards is intended to affect existing legal andethical obligations concerning the maintenance and confidentiality ofemployee medical information, the duty to disclose information to apatient/employee or any other aspect of the medical-care relationship,or affect existing legal obligations concerning the protection of tradesecret information.Transfer of recordsShould we cease to do business, the successor employer shall receiveand retain all the above medical and exposure records.Should we cease to do business and there is no successor employer toreceive and retain the above medical and exposure records, they shallbe transmitted to the Director of the National Institute for OccupationalSafety and Health (NIOSH).At the expiration of the retention period for the above medical records,we will notify the Director of the NIOSH at least 3 months prior to thedisposal of such records and shall transmit those records to the Directorof the NIOSH if he requests them within that period.


EnforcementIt is expected that all employees will abide by the safety rules andguidelines that RKS Plumbing & Mechanical, Inc. has in place, not only toprotect themselves, but also to protect their fellow workers from harm. If asafety violation occurs, the following steps will be taken by the employee’simmediate supervisor:Minor Safety Violations: Violations which would not reasonably be

expected to result in serious injury.a. The hazardous situation will be corrected.b. The employee will be informed of the correct procedures to follow

and the supervisor will ensure that these procedures are understood.c. The supervisor will make a written report of the occurrence using the

Enforcement Documentation Form and inform the employee that thisdocumentation will be forwarded to Bryce L. Basey, our SafetyDirector, for a retention period of one year.

d. A repeat occurrence of the same minor safety violation is consideredsubstantially more serious than the first.

Major Safety Violations: Violations which would reasonably beexpected to result in serious injury or death.

a. The hazardous situation will be corrected.b. The employee will be informed of the correct procedures to follow

and their supervisor will impress upon the individual

rks plumbing & mechanical, inc. safety programrks plumbing & mechanical, inc. has developed a...

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