ACCIDENT PREVENTION PROGRAM (APP)

(Enter your Company Name here)

S A M P L E

PLEASE CUSTOMIZE THIS APP ACCORDING TO YOUR WORKPLACE. ALSO, YOUR WRITTEN APP CAN ONLY BE EFFECTIVE IF IT IS PUT INTO PRACTICE! You may follow this outline, however it is provided as an example only.

You must tailor your own Accident Prevention Program to your actual business operations and the potential hazards that may be encountered by your employees.

If you are using the electronic version, please read through the document and add and/or delete information as needed to make it tailored to the hazards associated with your type of business. You also have the option of pressing the “F11” key to scroll through the document and enter information into certain fields that need to be customized to your specific business and/or location.

This program must be implemented in order to be effective in practice. It also needs to be updated as changes occur in your business (new equipment, new processes, etc.).

Accident Prevention Program

(Add the name of your company here)

The purpose of this policy is to develop a high standard of safety throughout all operations of (Customize by adding company name here) and to ensure that no employee is required to work under any conditions, which are hazardous or unsanitary.

We believe that each employee has the right to derive personal satisfaction from his/her job and the prevention of occupational injury or illness is of such consequence to this belief that it will be given top priority at all times.

It is our intention here at (Customize by adding company name here) to initiate and maintain complete accident prevention and safety training programs. Each individual from top management to the working person is responsible for the safety and health of those persons in their charge and coworkers around them. By accepting mutual responsibility to operate safely, we will all contribute to the well being of our employees. _______________________________________________ Signed, (Customize by adding name of Company President /Owner

Element 1 - Safety Orientation: Each employee will be given a safety orientation by

(Add name or title of person who will provide the initial safety orientation) 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 (WAC 296-155-110). ? It consists of this safety an orientation and crew leader-crew meeting that is described in Part 2 below. ? 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

foreman/crew-leader. 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. ? Use your personal protective equipment whenever it is required.

? Follow procedures for scaffold erection/dismantling and working on scaffolds. ? Ensure proper procedures are followed when working near overhead power lines. ? Obey all safety-warning signs.

? Working under the influence of alcohol or illegal drugs or using them at work is prohibited. ? Do not bring firearms or explosives onto company property or worksite.

? 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 accidents.

? (Add any other basic safety rules that apply to your company. Delete any from the above list that do

not apply to your business.)