INJURY AND ILLNESS PREVENTION PROGRAM

RESPONSIBILITY

The Injury and Illness Prevention Program (IIP Program) administrator,
________________________________________________________________________
Program Administrator

has the authority and responsibility for implementing the provisions of this program for
____________________________________________________________.
Establishment Name

All managers and supervisors are responsible for implementing and maintaining the IIP Program in their work areas and for answering worker questions about the IIP Program. A copy of this IIP Program is available from each manager and supervisor.

COMPLIANCE

Management is responsible for ensuring that all safety and health policies and procedures are clearly communicated and understood by all employees. Managers and supervisors are expected to enforce the rules fairly and uniformly.

All employees are responsible for using safe work practices, for following all directives, policies and procedures, and for assisting in maintaining a safe work environment.

Our system of ensuring that all employees comply with the rules and maintain a safe work environment include:

1. Informing employees of the provisions of our IIP Program;

2. Evaluating the safety performance of all employees;

3. Recognizing employees who perform safe and healthful work practices;

4. Providing training to employees whose safety performance is deficient;

5. Disciplining employees for failure to comply with safe and healthful work practices; and

6. The following practices: ________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

COMMUNICATION

We recognize that open, two-way communication between management and staff on health and safety issues is essential to an injury-free, productive workplace. The following system of communication is designed to facilitate a continuous flow of safety and health information between management and staff in a form that is readily understandable and consists of one or more of the following checked items:

• New employee orientation including a discussion of safety and health policies and procedures.
• Review of our IIP Program.
• Workplace safety and health training programs.
• Regularly scheduled safety meetings.
• Effective communication of safety and health concerns between employees and supervisors, including translation where appropriate.
• Posted or distributed safety information.
• A system for employees to anonymously inform management about workplace hazards.
• Our establishment has less than ten employees and communicates with and instructs employees orally about general safe work practices and with respect to hazards unique to each employee's job assignment.
• A labor/management safety and health committee that meets regularly, prepares written records of the safety and health committees meetings, reviews results of the periodic scheduled inspections, reviews investigations of accidents and exposures and makes suggestions to management for the prevention of future incidents, reviews investigations of alleged hazardous conditions, and submits recommendations to assist in the evaluation of employee safety suggestion.
• Other: _________________________________________________________________________
  ________________________________________________________________________________
  ________________________________________________________________________________
  ________________________________________________________________________________

HAZARD ASSESSMENT

Periodic inspections to identify and evaluate workplace hazards shall be performed by the following competent observer(s) in the following areas of our workplace:

Competent Observer                           |             Area

---------------------------------------------------------------------------------

______________________________|__________________________________________________

______________________________|__________________________________________________

______________________________|__________________________________________________

______________________________|__________________________________________________

______________________________|__________________________________________________

______________________________|__________________________________________________

Periodic inspections are performed according to the following schedule:

1. ________________________________;
   Frequency (Daily, weekly, monthly, etc.)
2. When we initially established our IIP Program;
3. When new substances, processes, procedures or equipment which present potential new hazards are introduced into our workplace;
4. When new, previously unidentified hazards are recognized;
5. When occupational injuries and illnesses occur;
6. When we hire and/or reassign permanent or intermittent employees to processes, operations, or tasks for which a hazard evaluation has not been previously conducted; and
7. Whenever workplace conditions warrant an inspection.

Periodic inspections consist of identification and evaluation of workplace hazards utilizing applicable sections of the attached Hazard Assessment Checklist and any other effective methods to identify and evaluate workplace hazards.

ACCIDENT/EXPOSURE INVESTIGATIONS

Procedures for investigating workplace accidents and hazardous substance exposures include:

1. Visiting the accident scene as soon as possible;
2. Interviewing injured workers and witnesses;
3. Examining the workplace for factors associated with the accident/exposure;
4. Determining the cause of the accident/exposure;
5. Taking corrective action to prevent the accident/exposure from recurring; and
6. Recording the findings and corrective actions taken.

HAZARD CORRECTION

Unsafe or unhealthy work conditions, practices or procedures shall be corrected in a timely manner based on the severity of the hazards. Hazards shall be corrected according to the following procedures:

1. When observed or discovered;
2. When an imminent hazard exists which cannot be immediately abated without endangering employee(s) and/or property, we will remove all exposed workers from the area except those necessary to correct the existing condition. Workers necessary to correct the hazardous condition shall be provided with the necessary protection; and
3. All such actions taken and dates they are completed shall be documented on the appropriate forms.

TRAINING AND INSTRUCTION

All employees, including managers and supervisors, shall have training and instruction on general and job-specific safety and health practices. Training and instruction shall be provided as follows:

1. When the IIP Program is first established;
2. To all new employees, except for those in construction who are provided training through a Cal/OSHA approved construction industry occupational safety and health training program;
3. To all employees given new job assignments for which training has not been previously provided;
4. Whenever new substances, processes, procedures or equipment are introduced to the workplace and represent a new hazard;
5. Whenever the employer is made aware of a new or previously unrecognized hazard;
6. To supervisors to familiarize them with the safety and health hazards to which workers under their immediate direction and control may be exposed; and
7. To all employees with respect to hazards specific to each employee's job assignment.

Workplace safety and health training practices for all industries include, but are not limited to, the following:

1. Explanation of the employer's IIP Program, emergency action plan and fire prevention plan, and measures for reporting any unsafe conditions, work practices, and injuries.
2. Use of appropriate clothing, including gloves, footwear, and personal protective equipment.
3. Information about chemical hazards to which employees could be exposed and other hazard communication program information.
4. Availability of toilet, hand-washing and drinking water facilities.
5. Provisions for medical services and first aid including emergency procedures.

In addition, we provide specific instructions to all employees regarding hazards unique to their job assignment, to the extent that such information was not already covered in other training.

RECORDKEEPING

We have checked one of the following categories as our recordkeeping policy.

• Category 1. Our establishment is on a designated high hazard industry list. We have taken the following steps to implement and maintain our IIP Program:

  1. Records of hazard assessment inspections, including the person(s) conducting the inspection, the unsafe conditions and work practices that have been identified and the action taken to correct the identified unsafe conditions and work practices, are recorded on a hazard assessment and correction form; and

  2. Documentation of safety and health training for each employee, including the employee's name or other identifier, training dates, type(s) of training, and training providers. are recorded on an employee training and instruction form. We also include the records relating to employee training provided by a construction industry occupational safety and health training program approved by Cal/OSHA.

  Inspection records and training documentation will be maintained according to the following checked schedule:

  • For one year, except for training records of employees who have worked for less than one year which are provided to the employee upon termination of employment; or
  • Since we have less than ten workers, including managers and supervisors, we maintain inspection records only until the hazard is corrected and only maintain a log of instructions to employees with respect to employee job assignments when they are first hired or assigned new duties.
• Category 2. We are a local governmental entity (any county, city, or district, and any public or quasi-public corporation or public agency therein) and therefore are not required to keep written records of the steps taken to implement and maintain our IIP Program.

LIST OF TRAINING SUBJECTS

We train our workers about the following checked training subjects:

• The employer's Code of Safe Practices.
• Confined spaces.
• Safe practices for operating any agricultural equipment.
• Good housekeeping, fire prevention, safe practices for operating any construction equipment.
• Safe procedures for cleaning, repairing, servicing and adjusting equipment and machinery.
• Safe access to working areas.
• Protection from falls.
• Electrical hazards, including working around high voltage lines.
• Crane operations.
• Trenching and excavation work.
• Proper use of powered tools.
• Guarding of belts and pulleys, gears and sprockets, and conveyor nip points.
• Machine, machine parts, and prime movers guarding.
• Lock-out/tag-out procedures.
• Materials handling.
• Chainsaw and other power tool operation.
• Tree falling/bucking procedures and precautions, including procedures for recognizing and working with hazard trees, snags, lodged trees, and unsafe weather conditions.
• Yarding operations, including skidding, running lines, unstable logs, rigging and communication.
• Landing and loading areas, including release of rigging, landing layout, moving vehicles and equipment, and log truck locating, loading and wrapping.
• Fall protection from elevated locations.
• Use of elevated platforms, including condors and scissor lifts.
• Safe use of explosives.
• Driver safety.
• Slips, falls, and back injuries.
• Ergonomic hazards, including proper lifting techniques and working on ladders or in a stooped posture for prolonged periods at one time.
• Personal protective equipment.
• Respiratory Equipment.
• Hazardous chemical exposures.
• Hazard communication.
• Physical hazards, such as heat/cold stress, noise, and ionizing and non-ionizing radiation.
• Laboratory safety.
• Bloodborne pathogens and other biological hazards.
• Other job-specific hazards, such as ______________________________________________
  _______________________________________________________________________________
  _______________________________________________________________________________
  _______________________________________________________________________________

The following checklists contain safety and health hazard assessment items commonly found in the workplace. It is the employer's responsibility to identify, evaluate and control job-specific safety and health hazards in the workplace, and to meet all applicable Cal/OSHA requirements.