Accident Prevention Program

XYZ Corporation
You may follow this outline, however it is provided as an example only.
You must tailor your own Accident Prevention Program.
Element 1- Safety Orientation Each employee will be given a safety orientation by
his/her immediate supervisor when first hired. The orientation will cover the
following items:
1. A description of the accident prevention program:
• We have a formal written accident prevention program as described in WISHA
regulations
• It consists of this safety orientation and a safety committee that is described in
Element 2.
• We also have basic safety rules that all employees must follow. They are:
• Never do anything that is unsafe in order to get the job done.
• If a job is unsafe, report it to your supervisor or safety committee representative.
We will find a safer way to do that job.
• Do not remove or disable any safety device! Keep guards in place at all times on
operating machinery.
• Never operate a piece of equipment unless you have been trained and are
authorized to use it.
• Use your personal protective equipment whenever it is required.
• Obey all safety warning signs.
• Working under the influence of alcohol or illegal drugs or using them at work is
prohibited
and may be grounds for dismissal.
• Do not bring firearms or explosives onto company property.
• Smoking is only permitted outside the building away from any entry or ventilation
intake.
• Horseplay, running and fighting are prohibited
• Clean up spills immediately. Replace all tools and supplies after use. Do not allow
scraps to accumulate where they will become a hazard. Good housekeeping helps
prevent injuries.
2. How and when to report injuries. Where first aid facilities are located.
• If you are injured or become ill on the job, report this to your supervisor or an
available manager immediately.
• There is a first aid kit in the shop on the wall next to the time clock.
• There is also a first aid kit in each company vehicle in the glove box.
• We require all supervisors to have first-aid/CPR training.
• We have also posted emergency phone numbers next to all telephones.
3. How to report unsafe conditions and practices.
• If you see something that is unsafe or someone working in an unsafe manner,
immediately report it to the supervisor of that area, your own supervisor, or to a
member of the safety committee.
4. What to do in an emergency including how to exit the workplace.
• An evacuation map for the building is posted on the wall in the lunch room. It
shows the location of exits, fire extinguishers, first aid kits, and where to assemble
outside (North parking lot).
Fire Emergency
• You will be trained on how to use a fire extinguisher as part of this orientation.
If you discover a fire: Tell another person immediately. Call or have them call 911
and a supervisor.
If the fire is small (such as a wastebasket fire) and there is minimal smoke, you may
try to put it out with a fire extinguisher. If the fire grows or there is thick smoke, do
not continue to fight the fire.
Tell other employees in the area to evacuate. Go to the designated assembly point
outside the building.
Earthquake Emergency
During an earthquake: If you are inside a building:
• Drop under a desk or table, cover your head and hold on. Stay away from
windows, heavy
cabinets, bookcases or glass dividers.
• When the shaking stops, supervisors are to check for damage and available
evacuation routes
then begin an evacuation of their area to the designated assembly location.
• Evacuation should proceed as quickly as possible since there may be aftershocks.
• Supervisors must account for each employee in their work group as quickly as
possible.
• First aid certified employees should check for injuries and help evacuate injured
employees.
Do not attempt to move seriously injured persons unless they are in immediate
danger of further injury.
• If you smell gas, tell a supervisor to turn off the gas at the main. Open windows. A
wrench is available at the rear entrance to turn the gas shut-off outside the
building. All supervisors are trained in the gas shut off procedure.
• Supervisors and first aid employees must not re-enter the building once
evacuation is complete.
• Do not approach or touch downed power lines or objects touched by downed
power lines.
• Do not use the phone except for emergency use.
• Turn on a radio and listen for public safety instructions.
If you are outside: Stand away from buildings, trees, telephone and electric lines.
If you are on the road: Drive away from underpasses/overpasses. Stop in a safe
area. Stay in the vehicle.
5. Identification of hazardous chemicals used at this location.
• Safe use and emergency actions to take following an accidental exposure.
• We use several chemicals, including solvents and cleaners. You will receive a
separate orientation as part of our chemical hazard communication program on the
hazards of these chemicals before you work with them or work in an area where they
are used.
6. Use and care of required personal protective equipment (PPE).
• Some tasks in our company require an employee to wear PPE to protect against
injury.
• We require ANSI “Z87” marked safety glasses where there is a danger of flying
materials. For some operations, a full face shield is required to be worn over the
safety glasses.
• We require ANSI “Z89.1” marked hard hats where there is a danger of being
struck by swinging or falling materials.
• Item 7 below explains what tasks require the use of which PPE.
• You will be instructed by your supervisor on how to use and care for these PPE
using the manufacturer’s instructions (attached to this program).
7. The training you need to perform your job safely.
• Before you are first assigned a task, your supervisor will show you what to do along
with safety instructions and required PPE.
• We have established safety rules and personal protective equipment (PPE)
requirements based upon a hazard assessment for each task listed below.
• Do not use equipment or attempt to do any of these tasks until you have received
the required training and PPE.
Element 2-Safety Committee (required for employers with 11 or more employees)
• Our committee will have from one to three, management designated
representatives and will have one employee-elected
representative each, from the office, the factory and the outside sales divisions of
our company.
• Employees in each division will elect from among themselves a representative to
be on the committee.
• The safety committee members will elect a chairperson.
• The regularly scheduled meeting is the first Thursday of each month. This may be
changed by vote of the committee.
• A committee member will be selected each month to keep minutes. OR
Employee Safety Meetings (employers with 10 or fewer employees OR employers
with 11 or more employees who are segregated on different shifts or work in widely
dispersed locations in crews of 10 or fewer may elect to have safety meetings
instead of a committee).
• They are typically held on the first Thursday of the month. All employees are
required to attend.
• The leader of the meeting will designate a person to document attendance and the
topics discussed.