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This document was developed to assist members of the Texas Municipal League Intergovernmental Risk Pool (TMLIRP) with the development of a safety and accident prevention program. It is designed to be utilized as a guideline or template to develop new policies and procedures or enhance current programs that may already be in place within the entity. While every effort has been made to ensure completeness, this program is a template and is generic in design; therefore, not all information may be appropriate to your entity. In addition, your entity may conduct operations or provide services or functions that are not included or addressed within this document but may need to be included within policies. Please also remember that changes frequently occur in the safety field and that appropriate changes should be made with regard to policies and procedures.
The sample program is structured into three sections, plus an Appendix.
Section 1 contains seven recommended components of a comprehensive safety and accident prevention program, including:
Management Statement of Safety
Accident/Incident Investigation Policy
Safety Education & Training Policy
Safety Audit & Inspection Policy
Accident/Incident Analysis Policy
Safety Program Review & Revision Policy
Section 2 contains general administrative policies, procedures, and standards as well as written safety programs, specifically developed for high-risk tasks, including:
Hazard Communication (Right to Know)
Safety-Related Disciplinary Policy
Safety Committee Formation
Return-to-Work (Modified Duty) Policy
Confined Space Entry
Excavation and Trenching
Section 3 contains general safety rules, practices, and procedures for a variety of tasks and jobs, including administrative/clerical positions, a variety of maintenance and labor positions, public safety positions, and other general tasks common to all employees, regardless of the type of work.
The Appendix contains sample forms and reports referred to throughout the manual, such as an Accident/Incident Investigation Report, Inspection Forms, and other administrative reports and forms. The appendix is in Excel format. The forms are separate from the Microsoft Word document.
As described above, this manual is designed to be used as a sample or template in the development of a comprehensive program for your entity. Please carefully read each section of the manual in its entirety before determining whether or not it will be used in your particular application.
Highlighted and/or parenthetically identified items, for example (ENTITY NAME), will need to be addressed by your entity prior to implementation. The Find and/or Replace tools in Microsoft Word can be used to assist with this endeavor as there are many references throughout the document.
However, in some cases, references will be made to a (RESPONSIBLE PERSON) or some other area in which non-generic information is required. Please read the document carefully to determine who the person(s) should be, based upon the topic or circumstance. It is unlikely that the same person would be the Responsible Person throughout the entire program.
Section I - Components of a comprehensive safety and accident prevention program5
MANAGEMENT STATEMENT OF SAFETY6
ACCIDENT/INCIDENT INVESTIGATION POLICY9
SAFETY EDUCATION & TRAINING POLICY12
SAFETY AUDIT & INSPECTION POLICY13
ACCIDENT/INCIDENT ANALYSIS POLICY15
SAFETY PROGRAM REVIEW & REVISION POLICY16
SECTION 2 - GENERAL ADMINISTRATIVE POLICIES/PROCEDURES & HIGH-RISK ACTIVITY SAFETY POLICIES17
RETURN-TO-WORK (MODIFIED DUTY) PROGRAM18
HAZARD COMMUNICATION PROGRAM21
DISCIPLINARY POLICY FOR VIOLATIONS OF SAFETY RULES/PROCEDURES26
SAFETY COMMITTEE DEVELOPMENT27
VEHICLE OPERATOR STANDARDS29
RESPIRATORY PROTECTION PROGRAM32
CONFINED SPACE ENTRY PROGRAM40
EXCAVATION & TRENCHING SAFETY PROGRAM50
SECTION 3 - GENERAL SAFETY RULES & DEPARTMENT/OPERATION - SPECIFIC SAFETY RULES66
GENERAL SAFETY RULES67
MOBILE (CELLULAR) TELEPHONES & WIRELESS COMMUNICATION DEVICES68
JOB, TASK, & PROJECT BRIEFINGS69
CHEMICAL HANDLING & STORAGE71
COMPRESSED GAS CHLORINE SAFETY73
PERSONAL PROTECTIVE EQUIPMENT - GENERAL REQUIREMENTS79
PERSONAL PROTECTIVE EQUIPMENT FIRE & EMS SERVICES81
PERSONAL PROTECTIVE EQUIPMENT LAW ENFORCEMENT82
GENERAL RULES FOR MOTOR VEHICLE AND EQUIPMENT OPERATION83
SOLID WASTE, REFUSE, AND RECYCLING COLLECTION SAFETY87
LOCKOUT/TAGOUT SAFETY PROCEDURES90
BLOODBORNE PATHOGEN SAFETY93
CONFINED SPACE SAFETY95
EXCAVATION AND TRENCHING SAFETY97
WORK ZONE/TRAFFIC CONTROL SAFETY99
LAW ENFORCEMENT SAFETY101
FIRE & EMS PERSONNEL SAFETY104
BACK INJURY PREVENTION & MATERIAL HANDLING107
FIRE PREVENTION & LIFE SAFETY108
MATERIAL STORAGE SAFETY115
STORAGE & EQUIPMENT YARD SAFETY120
COMPRESSED GAS CYLINDER SAFETY121
MACHINE GUARDING SAFETY123
WELDING & CUTTING SAFETY124
WEATHER-RELATED ILLNESS PREVENTION126
PESTICIDE & HERBICIDE SAFETY128
CHAIN SAW SAFETY129
TREE CUTTING & TRIMMING SAFETY130
BACKHOE & LOADER SAFETY132
DUMP TRUCK SAFETY134
TRACTOR & SHREDDER SAFETY135
LANDSCAPING & GROUNDS MAINTENANCE SAFETY136
POISONOUS PLANT AWARENESS138
AGGRESSIVE ANIMAL AWARENESS144
WORKPLACE VIOLENCE AWARENESS145
INDOOR AIR QUALITY147
Section I - Components of a comprehensive safety and accident prevention program
MANAGEMENT STATEMENT OF SAFETY
The success of the (ENTITY NAME) depends upon the efficient and effective use of resources to maintain high quality services for the citizens of our community. Our most important resource is our employees and, to protect this resource, we are committed to providing a safe and healthful work place for all employees by establishing and maintaining an effective safety and accident prevention program. Safety is, and will continue to be, a fundamental part of our organizations operations.
The responsibility for safety resides within all of us and we are each challenged to stay informed and to take responsibility for our own safety and the safety of our co-workers. To ensure the success of the safety process, we must all give our full participation and support to the safety policies and procedures that have been developed to protect us. Working safely, and in accordance with established safety policies, is an absolute requirement for all employees, supervisors, and managers.
(CHIEF EXECUTIVE) Signature
The (RESPONSIBLE PERSON) has the responsibility to administer and implement this Safety & Accident Prevention Plan, assigning tasks to staff members as defined within the individual components.
Management Safety Responsibilities
Managers are responsible for providing a place of employment that is free from recognized hazards that could result in injuries or accidents. Since it is impossible for managers to personally observe all employee activities, they must ensure that all supervisors and employees alike are trained and are aware of their safety responsibilities. Other safety responsibilities for managers include:
Provide leadership and direction concerning safety activities.
Participate actively in the continuous evaluation of the safety program.
Set goals concerning safety performance within the department.
Review losses for potential trends on a regular basis.
Enforce all safety rules.
Participate in facility and work site audits.
Participate and support all accident investigation activities.
Review accident reports and recommend corrective actions.
Supervisor Safety Responsibilities
Safety is as much a part of the supervisors responsibility as is getting the job done efficiently. In addition to the aforementioned responsibilities of managers, the important safety responsibilities of each and every supervisor also include:
Familiarize yourself with and enforce the safety rules and regulations that have been established by applicable local, state, and federal organizations. These regulations are intended to set minimum standards for safety and the contents of the regulations should be enforced as minimum safety requirements for all activities on our work sites or in our facilities.
Correct, or have corrected, all reported hazards. Operating under known hazardous conditions will not be tolerated.
Do not permit new or inexperienced employees to work with power tools, machinery or complex equipment without proper instruction and training.
Give adequate instructions. Do not assume that an employee knows how to do a job unless you personally have knowledge that the person can perform that task correctly.
Ensure tools, equipment, and