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Tool 4 – Model List of Proposed Corrective Actions
Within sixty (60) days after a final audit report, each audited facility is required to develop and submit to NAME OF APPROPRIATE COMPANY OFFICIAL a detailed Corrective Action Plan to address the findings noted in the audit. The Corrective Action Plan will set forth:
Each deficiency that [...]
Documentation of Periodic Energy Control Procedure Inspection
Here’s a Model Form you can use to document that you’ve conducted periodic inspections of energy control procedures as required by the OSHA lockout/tagout standard. Speak to your attorney about adapting it for your own use.
ENERGY CONTROL PROCEDURES:
OSHA SELF-INSPECTION CERTIFICATION
1. Date of Inspection: __________________________________________________
2. Area or Department: __________________________________________________
3. Equipment Covered By Procedure(s) Inspected:
Name of [...]
HEALTH SAFETY & ENVIRONMENTAL METHOD STATEMENT
This Method Statement must be forward by the Sub Contractor, to the client and their Health Safety & Environmental Advisor during any tender, ongoing Sub Contraction and quotation process. No work can start on the site until a full method statement has been completed and agreed by the, clients Health Safety [...]
“Operation BodgeDab” Help Sheet
Please note: you can always click on the ASSE logo or ASSE items that appear to replenish your life line.
Level 1 Rooms – Restaurant
Hallway: Turn on lights, place broom in your inventory
Kitchen room one: Place all available items into inventory field, clean wet floor with mop
Closed door room: Place fire extinguisher into inventory field, open [...]
HEAT STRESS
Here’s a model briefing on heat stress that you can adapt and distribute to your workers.
HEAT STRESS
HOW TO RECOGNIZE IT AND WHAT TO DO
THE HEAT EQUATION
HIGH TEMPERATURE + HIGH HUMIDITY + PHYSICAL ACTIVITY =
HEAT ILLNESS
When the body gains heat faster than it can get rid of it, serious and potentially fatal heat illnesses may occur.
HEAT [...]
HazMat Suits for Emergency Response Team
BUDGET ITEM #6: HAZMAT Level A Suits for Emergency Response Team: $2,360.00
Tychem 10000 Level A Suits (4 @ $500.00): $2,000.00
Training Suits (4 @ $90.00): $360.00
APPLICABLE STANDARD: OSHA, 29 CFR 1910.120(H) and (c)(5)*
EXPLANATION: In the case of a hazardous chemical spill, company policy is to have a minimum of two Emergency Response Team (ERT) members respond [...]
MODEL POLICY ON WORKPLACE VIOLENCE
Definition. Workplace violence means more than just physically assaulting a person. It means the attempted, threatened or actual conduct of a person that causes or is likely to cause injury to another person in the course of employment. It includes, among other things:
Actual physical assaults or attacks
Threats or intimidation
Harassment, abuse or bullying
Gestures of a violent [...]
Sample Safety/Health Checklist
DATE OF INSPECTION _______________________
DATE OF LAST INSPECTION _______________________
PREPARED BY _______________________
REVIEWED BY _______________________
All NO answers require comments and a completion date for corrective action.
CONDITION AND PROTECTION SATISFACTORY?
YES
NO
COMMENTS
TOOLS AND EQUIPMENT
Tools/equipment inspected regularly to ensure safe operating condition.
Unsafe/unusable equipment tagged to indicate it must not be used.
Grinders properly guarded.
Tools stored properly.
Employees properly trained in the use of tools [...]
CHECKLIST FOR ANALYZING & RESPONDING TO RETALIATION COMPLAINTS
PART A: VALIDITY OF CASE
DOES EMPLOYEE HAVE A VALID CASE? [Yes] [No]
Explanation: A whistleblower’s complaint must make four allegations in order to be valid under law. The purpose of this section of the checklist is to determine if the employee has properly made all four of these allegations.
1. Does the Employee Claim He/She Engaged in [...]
PROGRESSIVE DISCIPLINE – ZERO TOLERANCE
It must be understood that progressive discipline is a last resort for safety management. However, there are circumstances when discipline will be required to reinforce, with some employees, that management is serious about safety. The steps to be followed are:
Stage 1 of Progressive Discipline – Verbal Reminder
The supervisor must ensure that he has sufficient facts [...]
