ZYX COMPANY HEALTH AND SAFETY POLICY

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ZYX COMPANYHEALTH AND SAFETY POLICY

• The XYZ Company is committed to a proactive
  health and safety program aimed at protecting our
  staff, our property, our clients, the general
  public and the environment from injury or loss.
• Employees at every level are responsible and
  accountable for the companys health and safety
  performance. Active participation by everyone,
  every day, is necessary for the safety excellence
  this company expects.
• Management will set an example and provide
  leadership in the health and safety program.
  Management will develop safe work procedures
  along with the help and input from the employees.
  Management will provide training and equipment
  appropriate for the tasks. Management is
  responsible to monitor and enforce the company
  policies as described in the Health and Safety
  Program and Disciplinary Policy.
• Workers at every level are to be familiar with
  the requirements of Alberta Human Resources and
  Employment Occupational Health and Safety
  Legislation as it relates to their work process.
  Workers are responsible for following all
  procedures, with an awareness of health and
  safety, and cooperating in achieving improved
  health and safety conditions at the work sites.
• Our goal is to be a leader in loss control
  management in our field and provide a healthy,
  injury free work place for all workers. By
  working together, in all elements of this program
  we will achieve this goal.
• ___________________________ __________________
• General Manager Date

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Corporate Policy on Health and Safety

• Safety is an integral part of our companys work.
  It is part of our operations and is there to
  protect our employees, visitors, clients and
  company property, the environment and the public.
  
• There are many costs to accidents and unsafe work
  practices. The greatest costs are human costs.
  By protecting our employees we are also
  protecting their friends, families, fellow
  workers, management, the public and the
  environment from the far-reaching effects of
  serious accidents. We are also protecting our
  ability to continue doing business and employing
  people.
• Everyone employed by this company (employees,
  contractors, sub-contractors) is responsible for
  maintaining the safety program by understanding
  their assigned responsibilities. It is the
  responsibility of all employees to ensure a
  visitor to their work site is aware of the
  hazards and assisting them in following all
  safety rules and regulations. All workers have
  the right and responsibility to refuse unsafe
  work.
• Every employee of the company shall be aware of
  and understand the legislative requirements,
  industry standards and company policies and
  procedures that apply to their work sites.
• Our goal is a healthy, injury free workplace.
  Through personal commitment and active
  participation we can achieve this goal.
• ________________________________ ________________
  __
• Senior Officer Date

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CORPORATE HEALTH AND SAFETY POLICYSTATEMENT

• XYZ COMPANY is committed to promoting safe and
  healthy working conditions within the company,
  therefore
• It shall be the responsibility of MANAGEMENT to
  establish and maintain acceptable standards for
  the work sites, premises, operations and
  equipment to ensure that physical and health
  hazards are guarded against or eliminated, and to
  develop work procedures that will achieve optimum
  productivity levels without accidents and
  industrial diseases. Management is responsible
  to monitor the employee performance.
• It shall be the responsibility of every
  SUPERVISOR to ensure that employees are trained
  in proper work procedures to obtain optimum
  productivity levels without accidents and
  industrial disease, and to ensure the observation
  by employees of proper work procedures and all
  pertinent rules and regulations.
• It shall be the responsibility of every EMPLOYEE
  to follow proper work procedures, to perform
  duties in a safe manner, to observe all rules and
  regulations, and to cooperate in creating a safe,
  healthy and productive working environment.
• It is the responsibility of EVERYONE to know and
  understand all legislative requirements as they
  apply to their work site and job tasks.
• TOGETHER we will reach these goals.
• ___________________________________ _____________
  _______
• Chief Executive Officer Date

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Assignment of Responsibility and Accountability
for Health and Safety

• Management
• will set an example and provide leadership in the
  health and safety program
• will provide information, instructions and
  assistance to all supervisory staff in order to
  protect the health and safety of all our
  employees
• will understand and enforce the accident
  prevention policy as well as the OHS Legislation
  as it applies to all areas of the company
  operations
• will provide all supervisory staff with proper,
  well maintained tools and equipment as well as
  personal protective equipment as may be required
  
• will provide ongoing health and safety training
  as required by legislation and industry and
• will monitor all departments and projects and
  will hold them accountable for their individual
  safety performance.
• Supervisors
• will know and apply the companys safety policies
  and procedures and OHS legislation
• will ensure all employees are trained and
  educated to company standard and requirements,
  which included use and care of personal
  protective equipment
• will advise employees of potential hazardous
  situations as they relate to their job tasks
• will arrange for medical treatment as required,
  including appropriate transportation for
  treatment
• will report all accidents/incidents/near
  misses/health concerns to senior management
  immediately
• will take the lead role for accident
  investigations in their area of responsibility,
  working with the Safety Coordinator and JWHSC
  Representative and
• will perform, or ensure a designate performs
  regular inspections as required in their area of
  responsibility

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Assignment of Responsibility and Accountability
for Health and Safety

• Employees
• are responsible to read, understand and comply
  with XYZ Companys Health and Safety policies and
  safe work practices
• are responsible to wear the appropriate personal
  protective equipment and clothing for their
  tasks
• are responsible to report any unsafe, unhealthy
  condition to their immediate Supervisor
  immediately
• are responsible to report any near miss, injury,
  equipment damage accident to their immediate
  Supervisor immediately and complete the required
  reports
• are responsible to take every reasonable
  precaution to protect the safety of themselves,
  other workers in their area and the general
  public
• are responsible to attend safety meetings and
  actively participate in the Health and Safety
  Program.
• Contractors, Suppliers and Visitors
• are required to cooperate with XZY Company
  representative in all areas of the Health and
  Safety Program
• are responsible to report to their contact
  immediately upon arrival at the work site and
• contractors and visitors will be held accountable
  to comply with all prescribed safety procedures
  while at XYZ Company work sites.
• Sub-contractors
• any person or organization hired to perform work
  on behalf of XYZ Company is required to complete
  a sub-contractor orientation
• all sub-contractors and their employees are
  required to understand and follow XYZ Company
  Health and Safety Program.

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• Specifically, senior management/owners are
  responsible for
• Providing a company safety policy and committing
  to it
• Ensuring all established policies and procedures
  are enforced
• Providing information, instruction, and
  assistance to all supervisory staff
• Providing ongoing training and education
  programs
• Monitoring departments and projects and holding
  staff accountable for their individual
  performance
• Assisting all supervisors with an understanding
  of accident prevention as well as relevant OHS
  legislation and
• Setting a good example.

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• Supervisors within an organization are
  responsible for, but not limited to
• Knowing and applying the company policies and
  relevant OHS legislation
• Ensuring all workers are educated to work in a
  safe manner and that all protective devices and
  procedures are utilized
• Advising employees of any potential or actual
  dangers, how to isolate, prevent and/or remove
  them
• Arranging for medical treatment of injured
  employees as required
• Recording and investigating accidents, potential
  losses and property damage
• Advising management and safety committees on how
  to prevent similar accidents/incidents in the
  future
• Becoming involved in safety inspections and carry
  out on-going inspections within area of
  responsibility
• Setting a good example and performing work in a
  safe manner and
• Enforcing all established safety regulations and
  work methods.

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• Employees are responsible for
• Carrying out work in a manner that will not
  create a hazard
• Assisting the Health and Safety Committee by
  volunteering to be a member
• Working with the supervisor to help create a safe
  working environment by making safety suggestions
  
• Reporting any accidents, incidents, near misses,
  injuries and/or occupational health concerns
  immediately to the area supervisor
• Following the company medical and first aid
  procedures and
• Using the safe work procedures and setting a good
  example.

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OBLIGATIONS OF EMPLOYERS AND WORKERSUNDER THE
ALBERTA OCCUPATIONAL HEALTH AND SAFETY ACT

• 2(1) Every employer shall ensure, as far as it
  is reasonably practicable for him
• to do so,
• (a) the health and safety of
• (i) workers engaged in the work of that
  employer, and
• (ii) those workers not engaged in the work
  of that employer but present at the work site
  at which that work is being carried out and
• (b) that the workers engaged in the work of
  that employer are aware of their
  responsibilities and duties under this Act and
  the regulations.
• (2) Every worker shall, while engaged in an
  occupation,
• (a) take reasonable care to protect the health
  and safety of himself and of other workers
  present while he is working and
• (b) cooperate with his employer for the purpose
  of protecting the health and safety of
• (i) himself
• (i.1) other workers engaged in the work of the
  employer and
• (ii) other workers not engaged in the work
  of that employer but present at the work site
  at which that work is being carried out.

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EMPLOYEE EVALUATION FORM

• NAME ____________________________________________
  ___________________
• Review Date ______________________ Last Review
  Date __________________
• Position/Location _______________________________
  _______________________
• Supervisor ____________________________ Review
  Rating _________________
• Punctuality and time management consistently
  arrives at work in time to be dressed and ready
  to start work on time. Avoids personal business
  on Company time (telephone, visitors, friends,
  day dreaming, salesmen,etc.).
• 1 2 3 4 5
• Displays a positive, polite, cooperative attitude
  towards management and co-workers. Contributes
  to the overall positive morale of the workplace.
• 1 2 3 4 5
• Can be called upon in high pressure situations
  (overtime, evenings, weekends, holidays).
• 1 2 3 4 5
• Low frequency of come backs on work performed.

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• Demonstrates stress tolerance and anger control.
• 1 2 3 4 5
• Demonstrates interpersonal skills disseminates
  clear, accurate information to supervisor.
• 1 2 3 4 5
• Satisfactory attendance record.
• 1 2 3 4 5
• Ability to effectively troubleshoot and address
  problems in the assigned area of responsibility.
• 1 2 3 4 5
• Displays satisfactory work ethics including
  maintaining a clean, orderly and organized work
  area.
• 1 2 3 4 5
• Willingly accepts instruction, suggestions, or
  direction.
• 1 2 3 4 5
• Willingly assists co-workers.

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• Completes documents accurately and within
  appropriate time frames.
• 1 2 3 4 5
• Demonstrates respect, care and concern for
  company property and equipment.
• 1 2 3 4 5
• Produces the quality of work expected by the
  Company for this position. Pays attention to
  detail ability to recognize, evaluate,
  comprehend and prioritize and make rationale
  decisions with limited supervisory guidance.
• 1 2 3 4 5
• Produces the quantity of work expected by the
  Company for this position.
• 1 2 3 4 5
• Supervisors comments and Goals for Next Review

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• Employees comments and Goals for Next Review

Supervisor Signature ____________________________
______ Date __________ Employee Signature
___________________________________ Date
__________
A6
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GENERAL HEALTH AND SAFETY RULES AND ENFORCEMENT
POLICY

• All staff are expected to comply with all health
  and safety rules as well as all of Albertas
  Occupational Health and Safety Regulations.
  Supervisors are expected to set an example and
  enforce the rules.
• SPECIFIC RULES
• No smoking in fuel area or any designated areas.
• Safety reflective vests must be worn by all road
  repair crews, water and sewer line crews and park
  maintenance crews.
• Respirators must be worn where any toxic vapors
  or particles are involved, as per OHS
  Regulations and company policies and procedures.
• Eye protection is to be worn where potential eye
  hazards exist as per OHS Regulations and company
  policies and procedures.
• Hearing Protection must be worn where required as
  per OHS Regulations and company policies and
  procedures.
• Hard hats must be worn where there is a risk of
  head injury as per OHS Regulations and company
  policies and procedures.
• ENFORCEMENT POLICY

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HEALTHY AND SAFE WORK ENVIRONMENT

• It is the intent of XYZ Company to provide a
  healthy and safe work environment for all job
  tasks that are to be performed. Proper hazard
  identification and controls will provide
  employees with proper direction in the safe
  performance of their duties.
• All XYZ Company employees required to perform
  hazardous tasks will receive appropriate
  instruction and training. Written copies of safe
  work procedures will be accessible and available
  to all employees.
• Whenever a new job task or piece of equipment is
  implemented or acquired, a written procedures and
  proper training will precede the performing of
  the new task or use of the new equipment. A
  hazard assessment will be completed which will
  assist in the development of adequate controls.
  The Supervisors and JWHSC will assist in the
  hazard assessment and development of the
  controls.
• Written procedures will be prepared or revised
  when any of the following occur
• When new Regulations are implemented that affect
  a specific written procedure.
• Inspection reports indicate changes.
• Incident investigations indicate changes
• New specifications are implemented.
• First aid records indicate a trend and need.
• Employee suggestions are received and valid.
• Safety committee requests changes.
• Hazard assessments indicate the need for change.
• Supervisors must ensure that all appropriate
  procedures are available to the workers in their
  area of responsibility. Workers are expected to
  follow all applicable procedures and inform
  supervisors if they have a concern about a
  procedure.

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HAZARD IDENTIFICATION AND ASSESSMENT POLICY

• This element requires all job tasks within the
  XYZ Company to be identified, all hazards
  associated with those tasks identified, then
  analyze and risk rate each job task.
• A hazard is defined as anything that places a
  persons health and/or safety at risk. Each job
  task will then be prioritized to determine which
  job task is the most critical. Once all job
  tasks have been risk rated and prioritized the
  appropriate controls must be identified to
  eliminate or minimize the risk. This formal
  assessment is to be reviewed and updated
  annually.
• The annual Hazard Assessment will be completed as
  follows
• 1. The lead role is taken by the Supervisor for
  each area , working with the employees under
  his supervision.
• 2. Using the assessment forms the team will
  identify each job task for their area and the
  hazards associated with those tasks.
• 3. Risk evaluation will be completed through
  quantitative measurement using the risk rating
  guide provided.
• 4. Each job task risk ratings will be totaled
  to provide prioritization of the tasks from
  highest to lowest risk level.
• 5. Finally the appropriate controls will be
  identified for each job task which will
  eliminate or minimize the risks associated with
  the task.
• 6. Upon completion of the assessments, the
  Supervisors will submit to the Safety
  Coordinator to enable the Health and Safety
  Program to be updated annually.
• On-going hazard assessments will be completed as
  needed on the Hazard Report forms provided and
  submitted to the area Supervisor when completed,
  when the hazard has been effectively dealt with
  the Supervisor is responsible to submit to the
  Safety Coordinator with supporting documentation
  showing how the hazard was controlled. All
  hazard reports must be recorded on the Hazard
  Control Plan and will be kept on file by the
  Safety Coordinator.
• B2

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JOB TASK INDENTIFICATION ANDHAZARD ASSESSMENT
POLICY

• We believe that compiling a job task inventory
  and identifying the hazards associated with the
  tasks is an important and necessary part of our
  Health and Safety program. The tasks will be
  rated according to how hazardous they are by
  using a risk rating system. The rating system we
  will use is 1 5 with 1 being remote and 5 being
  extreme. Any task with a total rating of 25 or
  more will have a job procedure written and
  implemented.
• The hazard analysis should be completed by the
  employees performing the tasks, with assistance
  from their supervisor. If a job procedure needs
  to be written, it should also be written with
  input from the employees. The company will
  provide leaderships in the process and assist in
  the writing of the procedures.
• The complete job task and hazard analysis will be
  reviewed annually to ensure changes to the
  operation and new tasks are adequately assessed
  and updated. All employees are encouraged to
  participate in this process.
• ___________________________________
  ___________________
• Senior Officer Date

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HAZARD IDENTIFICATIONRISK RATING TABLE

• LIKELIHOOD is the probability of a loss when the
  hazardous event does occur.
• Five (5) Occurs under normal operating
  conditions
• Four (4) Occurs in unusual operating conditions
• Three (3) May occur if worker is inattentive or
  equipment poorly maintained
• Two (2) Only likely in abnormal conditions (ie.
  Loss of power incapacitated worker malicious
  damage emergency conditions)
• One (1) Not likely to happen remote
  possibility- only in extreme conditions
• EXPOSURE is how frequently the hazardous event
  presents itself.
• Five (5) Continuous on/two times per day
• Four (4) Frequent one/two times per week
• Three (3) Possible once per month
• Two (2) Some chance of occurring
• One (1) Note likely to happen very remote
  possibility

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Risk Rating Values

• OVERALL LEVEL OF RISK
• 5 Extreme - very high risk consider changing or
  
• eliminating operations.
• 4 High - immediate correction required.
• 3 Medium - substantial risk, controls/correction
  needed.
• 2 Low - Risk is acceptable with controls.
• 1 Remote - not much chance of happening.

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HAZARD IDENTIFICATION REPORT

• Date of Report __________________________________
  ______________________
• Time of Report __________________________________
  ______________________
• Name of Identifier ______________________________
  _______________________
• Reported to _____________________________________
  ______________________
• Date and Time ___________________________________
  _____________________
• Hazard Description ______________________________
  _______________________
• __________________________________________________
  ________________________________________________
  ________________________________________Name of
  Witnesses _______________________________________
  ______________
• Additional Comments _____________________________
  ________________________________________________
  ___________________________________________Corre
  ctive Measures and Date _________________________
  ________________________________________________
  ________________________________________________
  __________________________________________________
  ___________
• Copies to Safety Committee YES ( ) NO (
  ) Initials ________
• Area Supervisor YES ( ) NO ( )
  Initials ________
• Originator YES (
  ) NO ( ) Initials ________

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HAZARD IDENTIFICATION WORK SHEET
Location Job Job
Team Conducting Evaluation Team Conducting Evaluation Team Conducting Evaluation
Special Equipment Required Special Equipment Required Special Equipment Required
Description of Job/ Steps/ Process Hazard(s) Existing Control Measure(s)
















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Process for Developing Safe Work Procedures

• Safe work procedures are step by step
  instructions for doing work the right way. A
  safe work procedure identifies the materials and
  equipment needed, and how and when to use them.
  Safe work procedures usually include
• Regulatory requirements.
• Personal protective equipment requirements
• Training requirements
• Responsibilities of each person involved in the
  job.
• A specific sequence of steps to follow to
  complete the work safely.
• Permits required.
• Emergency procedures.
• Safe work procedures are generally prepared for
  jobs that
• Are critical (high risk jobs where accidents have
  or could result in severe injuries).
• Are hazardous and where accidents occur
  frequently.
• Are new or have been changed.
• Have had new equipment added.
• Require many detailed tasks.
• Involve two or more workers who must perform
  specific tasks simultaneously.
• Are done infrequently.
• An easy way to develop a procedure is to break
  the task into small steps. For each step,
  determine the hazards and ways to correct them.
  Some hazards to think about include

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• You can then use the breakdown of hazards and
  corrective measures to prepare a written safe
  work procedure.
• Consider using the following process to develop
  your safe work procedures.
• List all jobs on your work sites. Concentrate
  on those which have potential for
• serious injuries
• frequent injuries
• severe property damage
• significant interruptions to production
• public liability
• government intervention
• Put the list of jobs in order of the degree of
  hazard they present and the frequency they are
  performed.
• Analyze each job by observing and interviewing
  workers. Record the following information
• job name and location
• each step of the job and its hazards
• roles of each worker involved
• special equipment required
• applicable regulatory requirements

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• Also describe
• regulatory requirements
• special equipment required
• specific training requirements for workers (e.g.
  journeymen ticket, H2S)
• Test the procedure in the field to ensure it
• is accurate
• meets regulatory requirements
• is understandable to workers
• Finalize the written procedure and place it at
  appropriate work site.
• Train workers to follow the procedure.
• Include in the orientation of new hires.

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MAINTENANCE POLICY

• All tools and equipment shall be properly
  maintained to reduce a risk of injury to
  employees or damage to property. Preventative
  maintenance is an important part of the
  maintenance program. To ensure this program is
  enforced and documented the following apply
• All mobile heavy equipment will be serviced
  every 150 hours of operation and documented in
  the maintenance logs.
• All vehicles will have a pre-trip inspection
  report completed daily and documented.
• Light vehicles will be completely serviced
  every 5000 km. And documented in the
  maintenance log.
• Tools (hand and mounted) will be inspected
  monthly to determine deficiencies. Any tool
  needing repair will be promptly taken out of
  service and replaced or repaired.
• It is the responsibility of the employee assigned
  the tools and equipment to ensure these
  procedures are followed.
• _______________________________ _________________
  _
• Signature Date

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SAFE WORK PROCEDURES

• TRAFFIC CONTROL
• Ensure all members of the road repair crew are
  wearing reflective vests and appropriate
  personal protective equipment.
• Stop the first lane of traffic.
• Walk to a point where you can be seen by
  traffic in the oncoming lane
• Display the stop sign and your raised free
  hand maintaining eye contact.
• When the first vehicle is stopped walk to a
  position where you can be seen by traffic coming
  up behind the stopped vehicles.
• Keep the stop sign held high maintaining eye
  contact and keeping your free hand raised with
  the palm facing traffic.
• Allow construction activity to proceed after
  it is safe to do so while maintaining a safe
  distance from the equipment.
• When it is safe for traffic to proceed, walk
  in a straight line back to the side of the road.
  
• If there is more than one lane stopped release
  one lane at a time as you move towards the curb.
  

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SAFE WORK PROCEDURES

• CONFINED SPACE ENTRY
• Sewer, Manhole or Vault Entry
• Every worker is responsible for the health and
  safety of himself and other workers in the work
  area.
• The employer will supply personal protective
  equipment to ensure safe entry.
• Each entry must be pre-planned using the WORK
  CHECKLIST and must include the following
• A. Classification of the Confined Space High,
  Moderate or Low Risk
• B. Identify Hazards a) Oxygen Deficient
• b) Explosive Atmosphere
• c) Toxic Atmosphere
• d) Difficult Rescue
• C. Isolation requirements
• a) determine need for blinding/blanking or
  lockout/tagout
• D. Testing Equipment requirements
• - gas detector
• - particulate contaminate
• - oxygen detector
• E. Determine Lighting needs

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SAFE WORK PROCEDURES

• Defective Tools
• Defective tools can cause serious and painful
  injuries.
• If a tool is defective in some way, DONT USE
  IT.
• Be aware of problems like
• - chisels and wedges with mushroomed heads
• - split or cracked handles
• - chipped or broken drill bits
• - wrenches with worn out jaws
• - tools which are not complete, such as files
  without handles
• To ensure safe use of hand tools, remember
• 1. never use a defective tool
• 2. double check all tools prior to use and
• 3. ensure defective tools are repaired.
• Air, gasoline or electric power tools, require
  skill and complete attention on the part of the
  user even when they are in good condition. Dont
  use power tools when they are defective in any
  way.

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SAFE WORK PROCEDURES

• Fire and Use of Fire Extinguishers
• General
• Good housekeeping is essential in the prevention
  of fires. Fires can start anywhere and at any
  time. This is why it is important to know which
  fire extinguisher to use and how to use it.
• Always keep fire extinguishers visible and easy
  to get at. Fire extinguishers have to be
  properly maintained to do the job. Where
  temperature is a factor, ensure that care is
  taken in selecting the right extinguisher.
• Types of Fires
• Class A These fires consist of wood, paper,
  rags, rubbish and other ordinary
• combustible materials.
• Recommended Extinguishers Water from a hose,
  pump type water can, or
• pressurized extinguisher, and
  soda acid extinguishers.
• Class B Flammable liquids, oil and grease.
• Recommended Extinguishers ABC units, dry
  chemical, foam and carbon dioxide extinguishers.
  

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SAFE WORK PROCEDURES

• Use of Portable Ladders
• Ladders can be used safely if they are given the
  respect they deserve.
• Before using any ladder, make sure that it is in
  good condition and is the right ladder for the
• job task to be done.
• When setting up a ladder, secure the base and
  walkthe ladder up into place.
• The ladder should be set at the proper angle of
  (1) horizontal to every four (4) vertical.
• Before using a ladder, make sure it is secured
  against movement.
• When in position, the ladder should protrude one
  (1) metre above the intended landing point.
• Workers shall not work from the top two rungs of
  a ladder.
• Dont overreach while on a ladder. It is easier
  and safer to climb down and move the ladder over
  a few feet to a new position.

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SAFE WORK PROCEDURES

• Use of Step Ladders
• As with all ladders, make sure that the step
  ladder is in good condition, and is the right
• ladder for the job to be done.
• Step ladders are to be used only on clean and
  even surfaces.
• No work is to be done from the top two steps of a
  step ladder, counting the top platform as a rung.
  
• When in the open position ready for use, the
  incline of the front step section shall be one
  (1) horizontal to six (6) vertical.
• The step ladder is only to be used in the fully
  opened position with the spreader bars locked.
• Tops of step ladders are not to be used as a
  support for scaffolds.
• Dont overreach while on the ladder. Climb down
  and move the ladder over to a new position.
• Only CSA Standard ladders will be used.

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SAFE WORK PROCEDURES

• Use of Scaffolds
• There are various types of metal scaffolds and
  they all have a right and wrong way to be
• erected.
• The misuse of scaffolding is the cause of
  numerous serious injuries. Every worker who
• designs or constructs a scaffold should be
  competent and know what the manufacturers
• specifications are for that type of scaffold.
• The scaffold type which will be best suited for
  the job and capable of withstanding the
• loads to be imposed on it must be determined
  before the job begins.
• Ensure that
• the scaffold you intend to use is the correct one
  for the job
• the location in which the scaffold is to be
  constructed is level or is capable of presenting
  secure footing by use of mudsills or some other
  device
• the scaffold will be erected by a competent
  worker
• compliance with Legislative and manufacturers
  requirements occurs
• safe access and egress to both the scaffold and
  the general work area has been provided
• leveling adjustment screws have not been over
  extended

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GENERAL SAFE WORK PROCEDURES

• Eye protection is to be worn in accordance with
  the Specific Equipment Safe Work procedures.
• The shop and storage areas are to be kept clean
  at all times.
• All vehicles are to be kept clean inside and out.
  
• Before each work day an under hood inspection
  must be performed on each vehicle or piece of
  mobile equipment. This inspection must include
  oil and coolant levels, power steering fluid
  levels, windshield washer fluid level, and
  inspection of all belts, hoses and linkages.
  This inspection includes a vehicle walk around
  and check for loose or missing hardware.
• Vehicle first aid kits are to be checked every
  Monday morning before the work day starts
• All injuries are to be recorded in the injury
  record log book regardless of how minor the
  injury may appear.
• The shop overhead door is to be either all the
  way up or all the way down.
• Place garbage and waste materials in appropriate
  containers.
• All exits and doorways are to be kept clear at
  all times.
• Clean up spills promptly and properly.

34
GENERAL SAFE WORK PROCEDURES

• Proper lifting equipment must be used when loads
  are to be lifted, are awkward or heavy enough to
  warrant it.
• Protect yourself from back injuries by knowing
  and practicing proper lifting techniques.
• Report to your supervisor all unsafe acts, unsafe
  conditions and near miss incidents.
• Report all injury or damage accidents
  immediately.
• Perform all work in accordance with safe work
  practices and your supervisors direction.
• Maintain good housekeeping in your work area.
• Operate all vehicles and mobile equipment in
  accordance with site rules and highway
  regulations.
• Prohibitions
• The following are prohibited at all times on all
  company property and work sites
• 1. Possession or consumption of alcohol or
  illegal drugs.

35
INSPECTION POLICY

• Inspections of all places of employment,
  including buildings, work sites, equipment,
  tools, machinery and work practices. These
  inspections will be conducted on a regular basis
  with a maximum interval between inspections of
  one month.
• A Health and Safety Committee representative,
  Safety Coordinator and one employee from the area
  being inspected will form the Inspection Team.
• Inspections will be recorded on the standard
  inspection form provided and copies will be
  distributed by the Safety Coordinator to
• - Area Supervisors
• - Management
• Where unsafe or un-healthy conditions, procedures
  or practices are found in the course of an
  inspection, the supervisor shall take action to
  have the matter remedied without undue delay.
• The General Manager shall review the inspection
  reports on a quarterly basis with the Safety
  Coordinator.
• Supervisors are responsible to conduct on-going
  informal inspections in their areas of
  responsibility to ensure day to day operations
  maintain the standard.
• Pre-trip or pre-equipment use inspections must be
  conducted and documented as stated in the General
  Safety Procedures.
• Contractors/Sub-contractors are responsible to
  conduct inspections in their work areas on a
  regular basis and forward copies to the Prime
  Contractor Supervisor.

36
INSPECTION POLICY

• It is the policy of this company to maintain a
  program of safety inspections. The
• objective of this program is to control hazards
  in the workplace.
• All company facilities and job sites shall be
  included in the inspection program.
• Inspections of equipment and tools will be
  conducted according to the maintenance
• policy.
• Informal inspections shall be conducted by
  management on an ongoing basis and may
• be done in conjunction with other business.
  Formal inspections involving Management
• shall be conducted at least quarterly and
  documented.
• Supervisors shall conduct regular formal,
  documented inspections in their area of
• responsibility, or ensure the inspection is
  conducted by a qualified designate.
• ________________________________ ________________
  _____
• Signature Date

37
INSPECTIONS

• MONITORING OF WORKPLACE EXPOSURES
• To protect workers from exposure to dangers at
  the work site XYZ Company requires monitoring of
  places of employment, equipment and machinery as
  follows
• Daily and Ongoing
• Chlorine levels at the water treatment and
  sewage plants.
• Ammonia in the machine room at the ice rink
• Sewer hazards such as
• Oxygen deficiency
• hydrogen sulphide
• Carbon monoxide
• Methane
• Gasoline vapors
• Weekly
• All S.C.B.A. equipment will be checked for
  readiness
• Annually
• Noise exposure levels on mobile equipment or any
  area near noisy machinery

38
WHMIS Inspection Checklist
Product Name WHMIS Label Yes / No MSDS Yes / No Worker Training Completed (Date) Corrective Action Required by (Date)
















Completed by ______________________ Position
_________________________ Date
________________________ Reviewed by
__________________________
D7
39

• When conducting inspections observe the
  following
• GENERAL PHYSICAL CONDITIONS
• Electrical fixtures wiring, cords, grounds,
  connections.
• Mechanical power transmission condition and
  guarding
• Machine guarding nip points, cutting and shear
  edges, presses, rotating parts and gear devices.
• Walking and working surfaces guarding and
  conditions
• Compressed gas cylinders segregation in storage,
  weather protection and restraints.
• Flammables storage and ventilation.
• Exits marked, visibility, lighting, and
  unobstructed access.
• Deluge showers and eye baths water flow,
  temperature and drainage.
• Ladders and climbing devices condition, storage
  and proper use.
• Hand tools condition, storage and proper use.
• Materials handing equipment and lifting devices
  condition, proper use and storage.
• Scrap and refuse accumulation, removal, storage
  and disposal.
• Aisle ways and storage stacks accessibility,
  marking, adequate dimensions.
• Tag out and lockout adequate, used and condition
  of tags and lockout devices.

40

• ENVIRONMENTAL HEALTH
• Caustic, corrosive, and toxic materials
  container, labels, storage, disposal, and spill
  clean-up.
• Ventilation of toxic fumes, vapors, mists,
  smoke and gases.
• Noise exposure measurement and controls.
• Radiation exposure measurement and controls.
• Temperature extremes measurement and controls.
• Hazardous substances information to affected
  employees.
• Illumination surveys and controls.
• Human factors engineering surveys and controls.
• Personal protective equipment selection, location
  and compliance.
• External environmental protection evaluations
  and actions.

41
SAFETY TRAINING POLICY

• PURPOSE
• The purpose of this policy is to ensure that all
  employees receive adequate safety training.
• POLICY
• The company will provide and ensure that all
  employees participate in the following safety
  training
• Orientations for all new hires.
• Job specific training as required
  (on-the-job)
• Standard First Aid/CPR all workers
• H2S Alive - sewer workers
• WHMIS - all workers
• XYZ Company holds safety meetings monthly and
  requires all workers to participate.
• ______________________________ ________________
• Signature Date

42
SAFETY TRAINING POLICY

• XYZ COMPANY strives to provide the highest of
  quality services and product while
• maintaining a safe and healthy workplace. To
  accomplish this goal we must ensure our
• workers are adequately trained and qualified.
• The company will provide and ensure that all
  employees receive the following training
• Safety orientation the first day of employment
• Job specific training as required
• WHMIS training
• First aid training
• Employees are required to attend general safety
  meetings which are scheduled on a regular basis.
• It is the responsibility of the Supervisor to
  ensure the training requirements are met,
• documented and the necessary information given to
  the Human Resources department.
• _______________________________
  __________________

43
PERSONAL PROTECTIVE EQUIPMENT POLICY

• It is the policy of XYZ Company to enforce the
  use of personal protective equipment by all
  employees.
• The requirements are as follows
• All employee, contractors, and visitors will wear
  CSA approved boots, hard hats, and any other PPE
  specific to certain areas.
• All PPE used by the company will meet the
  requirements of OHS regulations.
• All PPE that is damaged, modified or in need of
  repair will be removed from service.
• All PPE that has been removed from service will
  be tagged OUT OF SERVICE and will not be
  returned to service until repaired and inspected
  by a qualified person.
• All PPE will be worn, used and cared for as per
  manufacturers instructions.
• ______________________________________ ___________
  ______
• Signature Date

44
ORIENTATION FOR NEW WORKERS

• Instruction to Safety Coordinator
• Use this checklist to orient all new employees on
  the first day of employment.
• Only check off each subject when you are sure
  that the employee fully understands it.
• This orientation should take approximately 2
  hours.
• Once finished have the employee sign the bottom.
  This is to indicate they have received the
  orientation.
• The Safety Coordinator will also sign the bottom
  to indicate the orientation has been given.
• Once the orientation is completed a copy will go
  to the appropriate Supervisor and a the original
  to Personnel for the employee file.
• Employee Name ___________________________________
  Employee _________
• Supervisor _______________________________
  Department__________________
• Date of Hire_______________________ Orientation
  Date _____________________
• Orientation Topics
• Health and Safety Policies
• Hazard Assessments / Work site specific hazards
• Controls and Safe Work Procedures
• General Safety Rules

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45
TRAINING OF WORKERS AND SUPERVISORS

• Workers will receive adequate specific
  instructions for new or different work they are
  assigned.
• Whenever a worker receives training, such
  training will be recorded.
• Supervisors must ensure that employees are
  trained sufficiently to perform their tasks
  safely.
• Supervisor Training
• Supervisors will receive specific training and
  direction, where necessary, to carry out their
  duties in a responsible manner.
• Additional training for Supervisors will
  include
• Legal requirements
• How to conduct inspections
• How to conduct investigations
• Proper use and care of personal protective
  equipment
• Emergency response training
• How to conduct safety meetings
• Supervisory skills and communication

E5
46
TRAINING RECORDS
EMPLOYEE COURSE DATE COMPLETED TRAINER EXPIRY DATE



















E6
47
ON-THE-JOB TRAINING RECORD FORM

• Employee ______________________________ Job
  Title ______________________
• Tasks to be performed
• __________________________________________________
  ____________________
• __________________________________________________
  ____________________
• __________________________________________________
  ____________________
• Hazards
• __________________________________________________
  ____________________
• __________________________________________________
  ____________________
• __________________________________________________
  ____________________
• Training Provided
• __________________________________________________
  ____________________
• __________________________________________________
  ____________________

E7
48
EMERGENCY RESPONSE

• It is XYZ Companys intent to provide Emergency
  Response Procedures to all
• employees that are easy to follow and will assist
  in a quick effective response in the
• event of an emergency.
• The plan contains a phone list of contacts and
  organizations trained and prepared to
• handle emergency situations. As well, the phone
  list will include company contacts.
• The phone lists are to be posted in all
  facilities beside telephones and in vehicles.
• The emergency response plan is to be practiced
  through active drills and/or discussions
• at safety meetings to ensure a good understanding
  by all employees.
• Building Evacuation
• If a fire or explosion is evident pull the
  nearest alarm.
• Once the alarm has sounded evacuate through the
  nearest exit.
• Proceed to the assigned meeting area.
• Wait at the meeting area for further
  instructions.
• Work Crews

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49
FIRST AID SERVICES AND EQUIPMENT

• The XYZ Company will maintain first aid stations
  at the main facility and at the water treatment
  facility. Vehicles will contain standard first
  aid kits which meet the OHS Legislative
  requirements.
• All employees will be trained in St. John
  Ambulance Emergency First Aid/CPR and Supervisors
  will receive Standard First Aid/CPR training and
  certifications.
• Supervisors are responsible
• to ensure all first aid supplies are inspected
  each Monday morning and replenished as needed.
• to ensure first aid records are maintained
• to ensure all workers have been trained
• Records of first aid treatment will be reviewed
  by the Safety Committee and Safety Coordinator at
  a monthly meeting to track trends and needs.
  Suggestions for improvement and prevention of
  injury will be brought to the attention of the
  General Manager for final approval and direction
  for implementation of the necessary changes.
• All records will be maintained by the Safety
  Coordinator in keeping with the OHS Regulations.
  

F2
50
LIST OF EMERGENCY CONTACTS

• Emergency Response Phone Number
• Fire ___________________________
• Ambulance ___________________________
• Police / RCMP ___________________________
• Disaster services ___________________________
• Hospital ___________________________
• Doctor ___________________________
• Poison control centre ___________________________
  
• EUB ___________________________
• Company
• Senior manager __________________________
• Safety coordinator __________________________
• Alberta Government Agencies
• Workplace Health and Safety ______________________
  ____

F4
51
INVESTIGATION POLICY

• The Investigation Team will consist of the Safety
  Coordinator, representative from the
• Safety Committee and Supervisor of the area.
• All accidents/incidents/near misses/ occupational
  illness must be reported and
• investigated.
• All lost time claims must be promptly reported
  and investigated. The investigation
• determines the cause or causes of the
  accident/incident, determining unsafe or
  unhealthy
• conditions, acts or procedures. Recommendations
  for corrective actions must be
• determined and followed to completion.
• The following information shall be on the report
  
• place, date, time of accident/incident
• Names and job titles of persons injured
• Names of witnesses
• Description of the occurrence
• Statement of sequence of events which preceded
  the accident.incident
• Identification of unsafe or unhealthy conditions
  which contributed to the accident
• Root (Basic) cause of the accident/incident

G1
52
INVESTIGATION POLICY

• An investigation report is not complete until all
  parties involved in the
• accident/incident have signed off.
• Supervisors are responsible to share the outcome
  of the investigation with their
• workers at an area team meeting to ensure
  everyone understands what really occurred
• and what corrective action has been implemented.
• A general review of incident reports and
  investigations will be included on the agenda
• at the monthly safety meetings.
• Contractors / Sub-contractors
• All contractors/sub-contractors must follow these
  reporting and investigation
• procedures when working for XYZ Company.

G2
53
INVESTIGATION POLICY

• It is the policy of this company to have all
  incidents that result in injury, property damage,
  or that could have resulted in serious injury or
  property damage reported and investigated.
• The purpose of such investigations shall be to
  determine the root cause of the incident so
  appropriate action can be taken to prevent
  recurrence. It is important to remember the main
  focus of the investigation is not to lay or
  assess blame.
• It is the responsibility of all workers to report
  all incidents to their immediate supervisor
  promptly. Supervisors shall be responsible for
  conducting investigations and submitting reports
  and recommendations to the management team.
  Management will determine the appropriate
  corrective actions and together with the
  supervisors and workers implement the action in a
  timely manner.
• ___________________________________ _____________
  ________
• Signature Date

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54
PROGRAM ADMINISTRATION

• SAFETY MEETINGS
• It is important that health and safety issues and
  concerns effecting employees are communicated in
  an efficient manner. For this reason monthly
  health and safety meeting will be conducted.
  Area team meetings will also be conducted on an
  as need basis.
• HEALTH AND SAFETY COMMITTEE MEETINGS
• These meetings will be conducted once a month a
  week prior to the general health and safety
  meeting. The members of the safety committee
  will be given addition training to gain a full
  understanding of their responsibilities and
  appropriate procedures for the committee.
• AREA TEAM MEETINGS
• These meetings are the responsibility of the area
  Supervisors. It is recommended that each Monday
  morning prior to starting work a fifteen minute
  meeting be held. The purpose of this meeting is
  to get feedback from the workers, each worker
  should be encouraged to get involved in these
  meetings. This is also a time when questions can
  be answered, new hazards discussed, additional
  training requirements addressed or general safety
  motivation information shared. These meetings
  are to be recorded on the appropriate form and
  submitted at the monthly meetings to the Safety
  Coordinator.
• SAFETY COORDINATOR
• A monthly statistic report will be completed by
  the Safety Coordinator then at the end of the
  year an annual summary will be completed. The
  purpose of these reports is to track trends and
  needs and to ensure controls and procedures are
  adequate. This will also ensure the health and
  safety requirements of the program are in fact
  being followed. The reports will be completed as
  stated in the Monthly Safety Summary and Year End
  Safety Summary forms.

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AREA TEAM MEETINGS MINUTES

• SUPERVISOR _______________________
  AREA___________________________
• DATE ___________________ NUMBER IN ATTENDANCE
  __________________
• TOPIC ___________________________________________
  _____________________
• ALL ATTENDEES MUST SIGN THE BACK OF THIS RECORD.
• EMPLOYEE CONCERNS FOR THE AREA
• __________________________________________________
  ____________________
• __________________________________________________
  ____________________
• __________________________________________________
  ____________________
• __________________________________________________
  ____________________
• CORRECTIVE ACTION REQUIRED
• __________________________________________________
  ____________________
• __________________________________________________
  ____________________
• __________________________________________________
  ____________________
• __________________________________________________
  ____________________
• HEALTH AND SAFETY CONCERNS IN GENERAL

H2
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MONTHLY SAFETY SUMMARY

• Date ________________________________
• Number Workers Hired ______________
• Number Completed Orientations ______________
• 2. Number Area Team Meetings Scheduled _________
  _____
• Number Conducted ______________
• Percentage Attendance ______________
• 3. Number Formal Inspections Scheduled ________
  ______
• Number Completed ______________
• Total Unsafe Acts/Conditions Identified _______
  _______
• Number Corrected ______________
• Number Outstanding ______________
• 4. Number of Accidents/Incidents/Illness ______
  ________
• Damage Only ______________
• Injury Only ______________
• Injury and Damage ______________

H3
57
YEAR END SAFETY SUMMARY

• Date __________________________________
• 1. Total Number Workers Hired ________________
• Total Number of Completed Orientations _________
  _______
• 2. Total Number Area Team Meetings _____________
  ___
• Total Number of Safety Meetings ________________
  
• Total Number of Safety Committee
  Meetings ________________
• 3. Total Number Monthly Inspections
  Completed ________________
• Total Unsafe Acts/Conditions Identified _______
  _________
• Total Number Corrected ________________
• 4. Total Number of Accidents/Incidents/Illness _
  _______________
• Damage Only _________
• Injury Only _________
• Injury and Damage _________
• Lost Time Injury _________
• Days Lost _________

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WHAT IS A JOINT HEALTH AND SAFETY COMMITTEE?

• A joint health and safety committee is a group of
  workers and employer representatives working
  together to identify and solve health and safety
  problems at the work site.
• The committee is an important communication link
  between the workers and management. Getting
  employees actively involved can create and
  maintain interest in health and safety, as well
  as establish positive attitudes throughout the
  work force. An effective joint health and safety
  committee can assist in the reduction of losses
  resulting from injuries and occupational illness.
  
• To be successful, the committee has to operate in
  an atmosphere of co-operation, avoiding the
  adversarial system. Members should bear in mind
  that their committee is not a policy making body
  and the normal divisions of authority at the work
  site are not to be violated. Recommendations and
  suggestions are expected from the committee and
  management must give each concern careful
  consideration.
• Many health and safety concerns can be resolved
  immediately in the course of daily work. Those
  not resolved should be dealt with by the joint
  health and safety committee. Through the minutes
  of each meeting, posted at the work site, the
  committee can ensure every problem is brought
  into view and kept in view until a satisfactory
  solution has been found.
• In the daily exercise of their duties, committee
  members are frequently exposed to the problem of
  determining how things are best done. For
  example, how should a committee member who sees a
  worker taking a risk react, or how should the
  committee proceed if a recommendation receives no
  action?
• Training programs are available for health and
  safety committee members and should be reviewed
  each time a new member joins the committee.

H5