Construction Safety Plan

CONSTRUCTION SAFETY AND HEALTH PROGRAM

Control Number: US-00479-CPK

CONSTRUCTION SAFETY AND HEALTH PROGRAM FOR (COMPANY NAME)

Updated

TABLE OF CONTENTS

INTRODUCTION............................................................2

COVER SHEET..............................................................3

EMERGENCY RESPONSE PLAN.............................................5

EMERGENCY PHONE CONTACT NUMBERS..............................5

EMERGENCY RESPONSE TO HAZARDOUS SUBSTANCES.............6

FIRST AID........................................................................7

POLICY STATEMENT...........................................................8

GOALS.............................................................................9

MANAGEMENT COMMITMENT..............................................10

SAFETY COMMITTEE AND SAFETY MEETINGS.....................10

SAFETY MEETING MINUTES..............................................10

ASSIGNMENT OF RESPONSIBILITY.....................................12

SAFETY COORDINATOR...................................................12

SUPERVISOR/FOREMAN..................................................13

EMPLOYEES....................................................................13

POLICIES AND PROCEDURES ACKNOWLEDGEMENTS..............14

DISCIPLINE/ENFORCEMENT...............................................15

CONTROL OF HAZARDS....................................................16

FIRE PREVENTION...........................................................16

TRAINING AND EDUCATION..............................................17

RECORDKEEPING AND OSHA LOG REVIEW........................18

ACCIDENT INVESTIGATION..............................................19

ACCIDENT INVESTIGATION FORM.....................................20

SAFETY RULES AND PROCEDURES.....................................23

EMPLOYEE EMERGENCY ACTION PLAN FOR FIRE & OTHER EMERGENCIES........................................24

EMERGENCY RESPONSE PLAN

This must be filled out BEFORE beginning work on each site.

FOR JOBSITE

CITY/LOCATION:

SUBDIVISION:

STREET NAME:

JOB ADDRESS:

JOB PHONE CONTACT:

EMERGENCY PHONE CONTACT NUMBERS

LOCAL FIRE DEPT/EMS AREA:

AMBULANCE SERVICE:

NEAREST MEDICAL TREATMENT:

DIRECTIONS (type clinic name):

DIRECTIONS TO WORKSITE:

EMERGENCY RESPONSE TO HAZARDOUS SUBSTANCES

FOR SMALL CONSTRUCTION COMPANIES NOT NORMALLY INVOLVED IN HAZARDOUS WASTE CLEANUPS THE FOLLOWING IS APPROPRIATE

If any substance is found of unknown origin, company policy is to LEAVE IT ALONE!

Immediately evacuate the area, and contact the nearest hazardous material response team.

Do not allow employees on site until declared safe by the response team.

THE FOLLOWING IS AN APPROPRIATE START IF YOUR COMPANY IS INVOLVED IN HAZARDOUS WASTE CLEANUP

The employer shall determine before hand whether they will be involved in a hazardous substance cleanup. If so, the employer shall develop and implement a written safety and health program for their employees involved in hazardous waste operations.

FIRST AID

Arrangements must be made BEFORE starting the project to provide for prompt medical response in the event of an emergency.

If medical attention is not available within 4 minutes, then a person trained in administering first aid must be available on the jobsite at all times.

(COMPANY NAME) has designated as having adequate training to render first aid.

First aid kits are located at the following locations:

POLICY STATEMENT

Memo

To: All Employees

From:

Date:

Re: POLICY STATEMENT

It is (COMPANY NAME) belief that our employees are our most valuable asset.

GOALS

Safety begins at the top and extends to every employee throughout the company.

ENTER ADDITIONAL COMPANY GOALS AS NECESSARY

MANAGEMENT COMMITMENT

The management of is committed to the company's safety policy.

SAFETY COMMITTEE AND SAFETY MEETINGS

All employees of shall attend and participate in the weekly safety meetings.

SAFETY MEETING MINUTES

Topics:

Action Items:

Meeting Attended By:

ASSIGNMENT OF RESPONSIBILITY

SAFETY COORDINATOR

(COMPANY NAME) has designated as our Safety Officer.

Office:

Cell:

ENTER ADDITIONAL RESPONSIBILITIES AS NECESSARY

POLICIES AND PROCEDURES ACKNOWLEDGEMENTS

I have read and understand the attached company policies and procedures and agree to abide by them.

DISCIPLINE/ENFORCEMENT

The company seeks to establish and maintain standards of employee conduct and supervisory practices.

1. Verbal warning
2. Written warning
3. Suspension
4. Termination

CONTROL OF HAZARDS

Where feasible, workplace hazards are prevented by effective design of the job site or job.

FIRE PREVENTION

Fire prevention is an important part of protecting employees and company assets.

TRAINING AND EDUCATION

Training is an essential component of an effective safety and health program addressing the responsibilities of both management and employees at the site.

RECORDKEEPING AND OSHA LOG REVIEW

In the event of a fatality or catastrophe contact .

ACCIDENT INVESTIGATION

Supervisors/Foreman:

Safety Coordinator:

ACCIDENT INVESTIGATION FORM

INCIDENT INFORMATION

Shift: 1 2 3

Job Site

INJURED PERSON

Name: Address:

Age: Phone:

Job Title: Supervisor/Foreman Name:

Length of Employment at Company: Length of Employment at Job:

Employee Classification: Full Time Part Time Contract Temporary

Nature of Injury: Bruising Dislocation Other

Injured Part of Body:

Remarks:

Treatment: First Aid Emergency Room Dr.'s Office Hospitalization

Name and Address of Treating Physician or Facility

DAMAGED PROPERTY

Property, Equipment, or Material Damaged:

Describe Damage:

Object or Substance Inflicting Damage:

INCIDENT DESCRIPTION

ROOT CAUSE ANALYSIS (Check All that Apply)

Unsafe Acts Unsafe Conditions Management Deficiencies

Other:

INCIDENT ANALYSIS

How bad could the accident have been?

Very Serious Serious Minor

What is the chance of the accident happening again?

Frequent Occasional Rare

PREVENTIVE ACTIONS

INVESTIGATION TEAM

SAFETY RULES AND PROCEDURES

• No employee is expected to undertake a job until that person has received adequate training.
• All employees shall be trained on every potential hazard that they could be exposed to and how to protect themselves.
• No employee is required to work under conditions which are unsanitary, dangerous or hazardous to their health.
• Only qualified trained personnel are permitted to operate machinery or equipment.
• All injuries must be reported to your supervision/foreman.

ENTER ADDITIONAL SAFETY RULES/PROCEDURES AS NECESSARY

EMPLOYEE EMERGENCY ACTION PLAN FOR FIRE & OTHER EMERGENCIES

The following emergency action plan is only appropriate for small construction sites.

Emergency escape procedures: Immediately leave the building through the closest practical exit.

Critical plant operations: Shut off the generator on your way out if possible.

Accounting for Employees: Foreman/Supervisor is to account for all employees after emergency evacuation has been completed and assign duties as necessary.

Means to Report fires and other emergencies: Dial 911 on the cell-phone, report the location of the emergency and provide directions to the responders.

Further Information: Contact the Safety Coordinator for further information or explanation of duties under the plan.

ALARMS SYSTEMS/EVACUATION: (COMPANY NAME) establishes the call: Fire, Fire, Fire: (el fuego, el fuego, el fuego) by any employee, as the signal to immediately evacuate the building or work site.

TRAINING: Before implementing the emergency action plan, a sufficient number of persons to assist in the safe and orderly emergency evacuation of employees will be designated and trained.

The plan will be reviewed with each employee covered by the plan at the following times:

1. Initially when the plan is developed or upon initial assignment.
2. Whenever the employee's responsibilities or designated actions under the plan change.
3. Whenever the plan is changed.

The plan will be kept at the worksite and made available for employee review.

For those employers with 10 or fewer employees the emergency action plan may be communicated orally to employees and the employer need not maintain a written plan.