SAFETY LODGE

Form:1. Lodge Safety Inspection Form2. Lodge Incident & Accident Report Form3. Loss Prevention Facility Questionnaire

Form4. Choosing a Facility Designated Safety

Coordinator Form

CAP (Continuous Accident Prevention) BookletI. Lodge and Family Center OperationsII. Kitchen and Food PreparationIII. LodgeIV. Life Safety: EmergenciesV. Equipment and AppliancesVI. Slips/Trips/FallsVII. EnvironmentalVIII. When an Accident Happens

Choosing a Designated Safety Coordinator

Helpful Hints:I. Member in good standingII. Does the individual Genuinely Care

for the Lodge and its Members

III. Who should you choose from:a. Safety and Loss Prevention

Professionalsb. Insurance Adjusterc. Fireman

d. Policemen e. Health Care Provider f. Plant or Shop Managers or Supervisors g. OSHA Inspector h. Any Person who may be a First Aid or CPR

Instructor

IV. After completion of this process submit to Moose

International, Loss Prevention Dept.

Insurances

I. Property (Building & Contents) Insurance Co.

II. Employee Theft (Fidelity Bond) Insurance Co.

III. Workers’ Compensation InsuranceIV. Risk Pool Insurance Moose

InternationalV. Special Event Insurance