NATASHA HOOTEN · Web viewPurpose. CM Manufacturing Inc. values the health and safety of its employees, customers, and community. Safety is our number one value. CM Manufacturing

CM MANUFACTURING INC.

CMX-Environmental Health and Safety (EHS) Manual

EHS-3300 Safety & Health Administration and Programs: Fall 2018: Instructor: Dr. McGlothlin

Natasha Hooten

12/13/2018

CMX-Environmental Health and Safety (EHS) Manual 2018

Table of Contents

Section..............................................................................................................................Page

Section 1.................................................................................................................................1Introduction.........................................................................................................................................................................5

Health and Safety Policy Statement....................................................................................................7Safety Culture .....................................................................................................................................7

Administration & Organization.....................................................................................................................................8Roles and Responsibilities................................................................................................................8

Saftey Committee.............................................................................................................................................................10Safety Committee Meetings.............................................................................................................10 Reports and Records.........................................................................................................................11

Section 2...............................................................................................................................12Employee Orientation and Training..........................................................................................................................13

Legally Required Training..................................................................................................................14Documentation and Recordkeeping.................................................................................................14Employee Participation.....................................................................................................................16Disciplinary Actions..........................................................................................................................17

Section 3...............................................................................................................................18Emergency Prepardness................................................................................................................................................18

Emergency Contact Numbers...........................................................................................................19Emergency Management Plan..........................................................................................................19

Section 4...............................................................................................................................21Hazard Identification and Prevention......................................................................................................................22

Prevention and Controls.................................................................................................................22Hierachy of Controls........................................................................................................................23

Section 5...............................................................................................................................24Incident Reporting and Investigation.......................................................................................................................25

Reporting and Investigation Process.................................................................................................25

Section 6...............................................................................................................................27Safety Inspection Plan....................................................................................................................................................28

Responsibilities ..........................................................................................................................28Safey Inspection Guidelines.............................................................................................................13

Section 7...............................................................................................................................30Lockout/Tagout Program.............................................................................................................................................31

Lockout/Tagout Procedures..............................................................................................................31General Requirements.....................................................................................................................31 Tagout Program................................................................................................................................32

Section 8...............................................................................................................................33Job Safety Analysis (JSA) Program.............................................................................................................................34

JSA Guidelines...................................................................................................................................34Forklift Training Program..................................................................................................................35

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Section 9...............................................................................................................................36Ergonomics Program......................................................................................................................................................37

Procedures and Preventions.............................................................................................................37Preventing Overexertion...................................................................................................................38

Section 10.............................................................................................................................39Workers' Compensation Cost Containment Plan..................................................................................................40

Responsibility....................................................................................................................................40Return to Work Program...................................................................................................................41

Section 11.............................................................................................................................42Substance Abuse Control Program............................................................................................................................43

Procedures........................................................................................................................................43Alcoholic Beverages..........................................................................................................................43Prescription Drug use........................................................................................................................43Illicit Drug Use...................................................................................................................................44Applicant Drug Testing......................................................................................................................44Applicant Drug Testing......................................................................................................................44Employee Drug Testing.....................................................................................................................44Disicplinary Actions...........................................................................................................................44

Section 12.............................................................................................................................45Employee Assistance Program....................................................................................................................................46

Policy ................................................................................................................................................46Procedures........................................................................................................................................46Guidelines fo Referring Employees to EAP........................................................................................47

Section 13.............................................................................................................................48Workplace Violence Prevention Program..............................................................................................................49

Policy.................................................................................................................................................49Procedure.........................................................................................................................................49ALICE Training...................................................................................................................................50Disciplinary Actions...........................................................................................................................50

Appendices...........................................................................................................................52Appendix A: Orientation Safety Checklist...............................................................................................................52Appendix B: Safey Inspection Checklist Form.......................................................................................................54Appendix C: Lockout/Tagout Checklist....................................................................................................................56Appendix D: JSA for Forklift Operator......................................................................................................................57

References...........................................................................................................................59

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SECTION 1- INTRODUCTION TO THE MANUAL

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INTRODUCTION

A. Purpose This procedure manual is established to provide CM Manufacturing Inc. with a handbook on Environmental Health and Safety (EHS) in accordance with the CM Manufacturing Inc. Policy Manual Section 14.24.00 Environmental Health.

14.24.00 Environmental Health

CM Manufacturing Inc. shall provide a safe working environment in compliance with appropriate health and safety standards and legal requirements. CMX employees, volunteers, and visitors are entitled to:

1. Work in a safe workplace environment that is free of recognized hazards 2. Wear and use personal protective clothing and equipment 3. Receive essential safety and health training

CM Manufacturing Inc. shall develop, implement and manage an inclusive safety and risk management program to address potential injury and illness.

To ensure such an environment is provided, specific procedures, and policies will be published in the EHS Manual.

B. General Information The manual contains programs and requirements for environmental health, and safety within CMX and outside of CMX to the extent the program involves communication and/or interaction with CMX employees, outside contractors, government agencies, and the public.

The programs and requirements are in accordance Michigan Occupational Safety and Health Administration, which adopts the US Occupational Safety and Health Administration (OSHA) Act of 1970, Michigan National Safety Council, ANSI Z10 guidelines, and all local regulations.

Certain program areas will require personalized programs that pertain to the hazards in a particular area or department. These personalized programs shall be incorporated into this EHS Manual as part of a department’s specific program.

The core elements of this safety and health program manual include management leadership, worker participation, hazard identification and assessment, hazard prevention and control, education/training, program evaluation and improvement, and coordination/communication on multiemployer worksites. These guidelines provide employers, employees, and employee representatives with a sound, flexible framework for addressing safety and health issues in various work environments.

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PRINCIPLES AND GOALS

An effectual environmental, health and safety program will be upheld. CMX in keeping with these principles and goals will provide satisfactory facilities, equipment, and training for employees. The subsequent principles are essential to a successful production:

1. Fundamental Principles The correct programs shall be implemented to protect employee, volunteer,

and visitor safety and health. Work-related injuries and illnesses are preventable. Management will identify, create, and maintain programs and procedures to

prevent injuries and illnesses. Continuous reassessment of programs and employee (re)training and

education in safety and hazard recognition are core program elements.

2. Goals Minimize the risk of injury and illness by providing safe work environments,

implementing best practices, and controlling exposures to hazards in the workplace.

Ensure the appropriate safety programs are provided and implemented to address each recognized hazard.

Control hazards in the workplace and ensure employees are educated of the hazards and how to recognize and protect themselves from the hazards.

Ensure all employees have received orientation and training in regards to safety .

Ensure that all EHS protection and loss control practices, standards, laws and regulations be observed relating to people, facilities, materials, processes, wastes and the environment.

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A. Health and Safety Policy Statement

PurposeCM Manufacturing Inc. values the health and safety of its employees, customers, and community. Safety is our number one value. CM Manufacturing Inc., is committed to supplying a safe work environment free of hazards. Management will provide the necessary equipment, safeguards, and programs needed to reduce the possibility for incidents and injuries.

This program is designed to prevent workplace incidents, injuries, and illnesses. To achieve this goal, we have developed and implemented a comprehensive environmental health and safety manual (EHS). CM Manufacturing Inc., will incessantly seek to further improve our processes, provide leadership, and encourage comprehensive safety practices. Additionally, we shall keep our employees knowledgeable about the general safety and health of our work by keeping them updated on current safety issues, rules, and regulations.

At CM Manufacturing Inc., we expect all of our employees to support the company safety plan, as well as participate in improving and implementing our current health and safety practices. Safety is the responsibility of all employees and we at CM Manufacturing Inc. hold each employee accountable in upholding our safety program.

Our objective is a health and safety program that will reduce the total number of injuries and illnesses to an absolute minimum. Our ultimate goal is zero incidents.

Safety Culture

At CM Manufacturing Inc., safety is our number one focus. Our safety culture has been developed around the goal of zero incidents and injuries. CM Manufacturing Inc., holds each team member responsible for their part in safety processes. Our saying at CM Manufacturing is “Not only does it take a village to raise a child, it takes a village to promote, support, and implement safety.” Therefore, safety is the responsibility of all employees. CMX employees are encouraged and expected to adapt safety into all of their work practices. CMX employees should further work together to mitigate any unsafe acts or conditions in order to further enhance safety performance.

CM Manufacturing Inc. Safety Culture Values:1. Have a positive attitude toward safety.2. Incorporated safe operating procedures with each job task.3. Incorporate safety values and practices at all levels of employment including

management.4. Promote continuous learning and improvement for safety. 5. Regularly evaluate safety programs and procedures.

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Administration & Organization

A. PurposeThe purpose of this administration and organization policy is to clearly identify and define the roles, expectations and responsibilities of each individual at CM Manufacturing. This policy will further detail and outline job site requirements throughout the entirety of this enterprise. The development of a comprehensive environmental health and safety program and health and safety management system that incorporates guidelines established by the National Safety Council, OSHA, ANSI, and other peer-reviewed sources to improve the safety and operating performance of CMX.

B. ScopeApplies to all employees, supervisors, and managers.

C. Assignment of Responsibility

Plant Manager

Oversee the plant's daily operations. Commit to plant safety procedures Enforce corrective actions Influence others to follow safety procedures Increase production, assets capacity and flexibility while minimizing unnecessary costs

and maintaining current quality standards Distribute resources efficiently and make optimal use of resources in order to produce the

best results Address employees’ issues or complaints and negotiate agreements or solutions

Safety Manager

Develop and implement a safety program Perform onsite inspections Provide corrective actions Maintain proper documentation and records such as: OSHA forms, equipment

maintenance logs, accident logs, inspection checklists and etc. Review safety plans and implement changes when needed Ensure proper tools and equipment are provided for each task Promote and enforce safety compliance among all team members Provide the proper safety training Attend to all safety concerns Identify and correct unsafe acts and conditions Train supervisors in hazard recognition and safe operating procedures Analyze, investigate and follow-up with all incidents including serious accidents, minor

accidents, and near misses Ensure that the proper personal protective equipment is provided for each task Work directly with the plant manager, supervisors, and upper management in order to

establish safety goals and measure if safety goals are being met

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Supervisors

Provide leadership and guidance to workers Monitor all employees safety compliance Conduct daily safety checks of work environment Ensure corrective and preventative actions are being enforced following an incident Ensure work area is properly maintained, and prepared with proper equipment, materials,

personal protective equipment and etc. Ensure all production deadlines are met Enforce disciplinary actions as needed when safety requirements are not being followed Engage and coordinate all required inspections, audits, documentation and etc. with local

jurisdictions Ensure work environment has good housekeeping.

Employees

Follow all safety guidelines Report all accidents near misses immediately and to the correct personnel Participate in promoting safety Begins production and assembly immediately at the start of the shift Clean equipment and work area Keeps work area free of hazards Reports production issues to immediate supervisor Observes and remove defective product parts from the assembly line Use power tools, machines, and equipment in accordance with safe operating procedures Monitor equipment to ensure it is working properly Follow the given schedule Inspect the finished product to ensure it is up to quality standard Receive training in identifying, recognizing, and mitigating hazards Receive refresher training as needed Demonstrate good ethical behavior

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Safety Committee

A. PurposeTo monitor the physical work environment of the facility which affects the safety, appearance, and function of the facility.

B. Objectives To identify the areas in which affect the safety, appearance, and function of the plant. To communicate concerns and corrective measures to the plant manager. To recommend and aid in ongoing development of procedures and policies for

emergencies and environmental health and safety.

C. Membership Ten (12) Committee Members One (1) Environmental Health and Safety Manager (By Position) One (1) Facilities Manager (By Position) Five (5) Supervisors Two (2) Rochester Hills Police Representatives Three (3) assembly line workers

Term of Service: Two (2) years

Officers: Chairperson, President, and Secretary shall be elected by the committee in January every other year.

D. Safety Committee MeetingsThe safety committee will be headed by the Safety Coordinator. Meeting shall take place each month or by the request of committee members. The committee is made of employees that actively promote safety, supervisors that provide a great safety culture, upper management and others.

Safety committee duties include but are not limited to: The review and discussion of safety concerns, accidents, and incidents. Facilitate cooperation of workers at all levels, including management to ensure the health

and safety on the job site. Develop and enhance current health and safety policies. Provide recommendations and

improvements for current work practices and procedures. Coordinate safety activities. Evaluate and create safety strategies and programs. Provide additional safety training for all team members. Review and analyze various safety and accident investigation reports. Maintain safety compliance. Advise workers as needed in safety areas.

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E. Reports and RecordsCommittee Action Reports (CAR) will be done quarterly and yearly annual reports shall be completed. Annual Reports shall be submitted no later than October 5th. The committee's history and minutes shall be preserved and passed on to each new chairperson.

F. Decision MakingRecommendations requiring Presidential approval shall be forwarded by the Chairperson on the proposal and recommendation form

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SECTION 2- EMPLOYEE INVOLVEMENT

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Employee Orientation and Training

A. PurposeThe purpose of orientation and training is to clearly specify, communicate and outline various policies, procedures, and responsibilities of each individual working in the facility. These policies and procedures further aid in ensuring the health and safety of workers. Each member of CM Manufacturing Inc., is required to complete this portion of the safety program. Upon the completion of this stage, workers will have established the knowledge, skills, and tools necessary to properly complete their job tasks, safely and effectively.

B. Criteria for Orientation and Training

Legally Required Safety TrainingEach individual involved in this project will be required to complete the orientation training program. Proper safety training will ensure that the facility is free from serious or recognized hazards and in compliance with various safety standards provided by OSHA and ANSI Z10. In addition to providing compliance, safety training will further enhance and establish operating procedures and communicate them in such a way that employees may better understand and follow all safety and health requirements.

The following topics will be discussed and emphasized during the CMX orientation and training:

General Safety Rules Forklift operating Materials Handling, Storage, Use and Disposal Hand and Power Tools Equipment Operations

Employee Orientation Safety ChecklistSee Appendix A for the Employee Orientation Safety Checklist Form.

General Safety Rules

Always use the proper tools or equipment for a designated task. Personal Protective Equipment should be worn on the job site at all times. Be aware and conscious of your surroundings. Always inspect tools or equipment before use. No horseplay on the job. Watch where you are walking. Running is not permitted. The use of illegal drugs or alcohol is prohibited. The use of such substances on the job is

cause for termination. Maintain good housekeeping to keep work areas, safe and free of hazards. Execute proper lifting techniques for heavy materials or get assistance if a load is too

heavy.

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Only the operator shall be allowed to ride on equipment unless additional or proper seating is provided.

Do not move an injured worker unless absolutely necessary.

C. Documentation and RecordkeepingAll documentation shall be kept in each employees' file for the duration of employment. Any accidents and recordable injures will be kept on record in accordance with OSHA standard 1904.7 and for the duration of time required (usually 1 year). CM Manufacturing Inc. will subsequently keep all records for an additional 20 years in the archives for legal purposes.

DocumentationOrientation and training will be documented and kept for the duration of each employee's employment. Documentation should be filled out entirely, filed properly, and updated every time the employee receives new or additional training.

The following information should be documented for each employee: Date Location Employee's printed name and signature upon completion of the training Instructor's printed name and signature upon employee's successful completion of the

training The time it started and ended A listing of all topics reviewed The instructor- name, title, certification, etc. The name of each person attending, as well as those required to receive the training

involved who were not present shall be documented A list of all matters that were found to require some type of follow-up or further action

(This includes the training of those who were unable to attend.) The source document or audio-visual presentation, if one should be identified

*This serves as legal documentation that the orientation and trainings (including legally required trainings) documented were provided and completed by the employee.

Training Material and Information

• CM Manufacturing Inc. EHS Procedure Manual • Occupational Safety and Health Administration (OSHA) • National Institute of Occupational Safety and Health (NIOSH) • Insurance Carrier • National Safety Council • National Fire Protection Association • American Society of Safety Engineers • American National Standards Institute

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Personal Protective Equipment (PPE)

The use of personal protective equipment is essential in order to protect workers against various safety or health risks at work. A variety of jobs maintain different personal protective equipment requirements and should be adhered to in order to further ensure safe working conditions.

General Personal Protective Equipment Rules

Each worker shall be trained and instructed on how to properly use and care for PPE. PPE must be well maintained and taken care of. PPE shall be inspected before each use to ensure it is in good condition. Damaged PPE shall be returned to the company and replaced with new PPE. Manufacturer recommendations and guidelines shall be followed to ensure proper PPE

usage.

Required Personal Protective Equipment

Hard hats must be worn on the job site at all times. Safety glasses must be worn on the job site at all times. High visibility safety vests with reflective striping must be worn when workers are

exposed to traffic. Ear protection is to be worn in areas which have high noise levels. Proper clothing shall consist of: Full length pants. Shirts with sleeves and high visibility. Boots which are sturdy and go over the ankle. Protective gloves. Fall protection equipment shall be provided to those working above six feet. Face shields shall be worn when cutting, grinding, or shipping is present.

*Additional PPE may be required under other circumstances and will be determined by the supervisor.

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Employee Participation

A. ObjectiveTo encourage all employees to get involved and promote safety. Participation from all employees is the goal.

B. ScopeApplies to all employees.

C. Responsibilities• Provide feedback to surveys and questioners given by CMX.• Offer suggestions on how to further improve safety within the facility.• Take accountability for their safety and the safety of others around them. • Correct an unsafe act if you see it.• Notify the appropriate personnel of unsafe acts and conditions.• Recognize hazards and stop work immediately.• Participate and attend safety meetings.• Approach management with any ideas, questions, or concerns involving safety.

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Disciplinary Procedures

A. ObjectiveTo provide guidelines for enforcement of safety rules, policies, procedures and directions come from appropriate management personnel while also minimizing lack of concern for safety rules, policies and procedures.


C. Responsibilities Employees will be subject to appropriate level of disciplinary action for safety rule

violations. • Employee shall be provided with proper training by an authorized personnel to guarantee

a clear understanding of the violation and the proper conduct under CMX's guidelines. • Supervisors should refer to the appropriate employment contract or Employee Procedure

Manual for disciplinary procedures. • However, nothing will prevent management from disciplinary action up to and including

termination of an employee for a safety violation.

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SECTION 3- EMERGENCY PREPARDNESS

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Emergency Procedures

A. ObjectiveTo minimize loss of life, and property damage in the event of an emergency.

B. ScopeAll personnel at the facility.

C. Emergency ResponseAll workers shall respond to accidents or emergencies quickly and efficiently. Swift and correct responses will ensure that potential risk levels are minimal.

D. Procedure Refer to the Emergency Procedures insert for general information on all the following emergency procedures:

• Life Threatening Injuries • Non-Life Threatening Injuries • Fire Emergencies • Bomb Threat • Tornado • Severe Weather • Workplace Violence• Response to Potentially Violent Criminal Behavior • Utilities Failure • Evacuation Plan • Each department shall have individual plans for evacuation with procedures and meeting

locations.

*For additional information on emergency procedures contact Rochester Hills Police Department.

E. Emergency Contact NumbersEach employee is required to know and correctly locate the following phone numbers:

Emergency Line 248-555-5555 Rochester Hills Fire Department 248-651-9621 Rochester Hills Police Department 313-943-2240

*In the event of a life threatening emergency dial 9-1-1

F. Emergency Management Plan

A. PurposeEmergency Management Plans (EMP) are designed to provide guidelines when an unexpected catastrophic event occurs. This plan will help employees respond to different types of

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emergencies while taking into account the location, structural features, and emergency systems. CM Manufacturing Inc., has designed an EMP to better aid in the facilitation and organization of employees during various emergencies.

B. ObjectiveTo provide guidelines on how to handle unexpected or disastrous events.

C. ScopeApplies to all employees.

Emergency Management Plan (EMP) Guidelines1. Employees shall review emergency action plan policy with supervisors.2. Implement and act out procedures for crisis response.3. Identify alarm sounds, warnings etc., which are to be used in emergent situation such as

fires or evacuation.4. Properly locate exit/evacuation routes and designated areas.5. Contact emergency contacts if necessary; 911, police department etc.6. Account for employees after emergency event.7. Obtain contact information for local hospital, and emergency medical services.

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SECTION 4-HAZARD IDENTIFICATION AND EVALUATION

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Hazard Identification and Prevention

A. ObjectiveTo be able to identify, recognize, prevent, and control hazards in order to minimize injuries and incidents in the workplace.

B. ScopeApplies to all employees along with the safety manager and plant manager implementing the controls.

C. Prevent and Control HazardsIn order to effectively prevent and control hazards the following shall be done:

Involve employees because the employees performing the tasks have great insight on what new hazards may arise and how to control the these hazards.

Identify and evaluate options for controlling hazards, using a hierarchy of controls. Use a hazard control plan to guide the selection and implementation of controls, and

implement controls according to the plan. Create plans that will incorporate measures to protect employees during emergencies and

non-routine activities. Continuously evaluate the effectiveness of existing controls in order to determine if new

controls need to be implemented. Consider advancements in technologies for their potential to be more protecting, reliable, and

less expensive.

The hierarchy of controls is engineering, administrative, work practice and PPE. Whenever possible, engineering, administrative or work practice controls should be implemented even if doing so does not eliminate the hazard or decrease exposure. The use of these controls along with PPE will help reduce the hazard or exposure to the lowest possible level.

Prevention and Control Guidelines1. Identify control options- collect, categorize, and evaluate information with employees n

order to determine which hazards may be present and which employees are exposed or potentially exposed to the hazards.

2. Select controls- management should choose the controls that are the most practical, effective, and permanent.

3. Develop and update a hazard control plan- development of a hazard control plan that address the most serious or life threatening hazards first and continues in descending order. Provisional controls may be used temporarily but ultimately a permanent hazard control option is the goal

4. Select controls to protect workers during non-routine operations and emergencies- provisions to protect workers during non-routine operations and foreseeable emergencies shall be included in the hazard control plan.

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5. Implement selected controls in the workplace- after hazard prevention and control measures have been identified, they shall be implemented in accordance with the hazard control plan.

6. Follow up to confirm that controls are effective- in order to ensure that the control measures are and continue to be effective their progress is checked periodically. Implement. Inspect. Evaluate. Follow routine preventive maintenance practices.

Hierarchy of Controls

1. Engineering Controls: examples include machine guarding, ventilation, noise reduction at the source, and provision of material handling equipment. These are the first and preferred methods of control.

2. Administrative Controls: The next most desirable method would include rotation of employees performing a certain task, limiting exposure time, and employee training.

3. Personal Protective Equipment: examples include hard hats, hearing protection, respirators, and safety glasses.

D.

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SECTION 5- INCIDENT INVESTIGATION

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Incident Reporting and Investigation

A. PurposeIn order to keep workers and job sites safe, all accidents shall be reported and investigated to better determine the direct cause of the incident. This process will further protect workers by preventing a similar incident from occurring in the future. Cyclone Construction Co., believes that workers should be trained on the proper procedure for reporting and investigating so that it may be completed swiftly, effectively, and accurately.

Ideally, the investigation should be conducted by supervisors, safety officers, members of a health and safety committee, and workers with investigation experience and so on. However, Cyclone values safety among all levels and would like to prepare each individual worker for accident investigations so that they may be knowledgeable about the work processes involved.

B. ObjectiveTo provide guidelines how to properly investigate an incident or near miss incident.

C. ScopeApplies to all employees.

E. Responsibility The safety manager, supervisor, manager, and other designated personnel should begin the investigation immediately.

Reporting and Investigation Process The incident shall be reported to the designated individual within the organization. Such

as the foreman, supervisor, project manager etc. First aid and medical care should be provided to the injured person/persons. Secure and assess the scene. Only authorized personnel should be allowed. Gather witnesses for interviews, statements, and support. Collect data to further investigate the incident. Photographs should be taken, evidence

should be collected, witnesses must be interviewed, and written reports should be developed.

Analyze the data to determine the root cause. Report all findings and recommendations. Develop a corrective action plan. Execute the plan. Evaluate the plan effectiveness and make changes for the continual improvement.

Investigation Tips Get the facts Avoid placing blame Recreate the incident Take a variety of pictures and label them properly

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Use open-ended questions when interviewing Begin the investigation as soon as possible Preserve the scene

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SECTION 6- SAFETY INSPECTION PLAN

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Safety Inspection Plan

A. PurposeThis plan establishes the requirements for the Safety Inspection Plan at CM Manufacturing Inc. and concerning conducting safety inspections/audits and reporting safety and health hazards.

B. ObjectiveTo provide the appropriate procedure on conducting safety inspections to ensure the facility is meeting and/or exceeding the required standards and because the only way to be certain of identifying hazards is to inspect the area periodically.

C. ScopeApplies to the safety manager, plant manager, supervisor, or the designated personnel conducting the safety inspection.

D. Responsibilities1. Supervisors and managers should continuously observe their employees and work areas

for unsafe work practices or conditions in their assigned work areas. Also, they must identify any observable safety hazard or unsafe work practice that may exist and correct or implement immediate corrective action as well as follow-up to ensure the corrective action has removed or lessened the hazard.

2. Employees should be aware to identify and correct whenever possibly any observable safety hazard or unsafe work practice within their individual work area. If the hazard or unsafe work practice cannot be instantly corrected, the employee must immediately report the situation to his/her immediate supervisor.

3. The Safety Committee will review all of the inspection reports and work to develop correction actions for hazards when needed. The Safety Committee will also ensure that management and designated personnel are following up with corrective action plans as needed.

4. EHS Safety and Risk Management Department (OSHA or MIOSHA) will conduct formal safety walk-through inspections annually or as needed.

E. Safety Inspection Guidelines Safety checklist is used to document periodic and random inspections. Safety inspections should involve everyone. Completed checklists should be sent to the safety department. If any potential hazards exist they must not be address, recognized, and corrected. Update the safety department after correction action(s) and follow-up actions have been

made. The safety department will conduct thorough annual or as needed inspections. Employees are required to report any and all safety hazards to their supervisor

immediately.

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F. Procedures1. Inspection Team- the inspection team consists of the safety manger, plant manager,

supervisor, or designated inspection personnel. All findings should be shared with the safety committee for review.

2. Inspection Schedule- inspections may be scheduled or random.3. Inspection Checklist

a. See Appendix B for the Safety Inspection Checklist Form4. Reports- develop a report of the safety inspection, documenting all identified

hazards, corrective actions, and follow-up reviews. Record and document the report with CM Manufacturing Inc. previous safety inspection records.

5. Imminent Danger-hazards causing imminent danger should be corrected immediately and all work should cease until the hazard has been corrected.

6. Hazard Correction- implement corrective actions for any and all hazards that were identified during the safety inspection.

G. Safety and Health Audits

Objective To determine if workplace conditions and/or work practices may lead to accidents or illnesses.

This plan is intended to use inspection time most resourcefully by providing a reliable method of recording observations, and to reduce the possibility of important items being overlooked. The purpose is to:

• Locate unsafe conditions and faulty equipment • Focus on unsafe work practices and correction methods• Determine the need for new safeguards Increase employee participations in the safety program

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SECTION 7- LOCKOUT/TAGOUT PROCEDURES

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Lockout/Tagout Program

A. PurposeTo establish a program consisting of energy control procedures, employee training and periodic inspections to ensure that before any employee performs any servicing or maintenance on a machine or equipment where the unexpected energizing, startup or release of stored energy could occur and cause injury, the machine or equipment shall be isolated from the energy source and rendered inoperative.

B. ObjectiveTo provide protection for maintenance employees working on equipment involving hazardous energy. Lockout/tagout disable machines or equipment to prevent unexpected energization, start up or release of stored energy in order to prevent injury to employees.

C. ScopeApplies to maintenance employees repairing conveyor belts or performing other work on equipment involving hazardous energy.

Lockout/Tagout Procedures1. Notify affected employees2. Identify the type and magnitude of the energy source(s)3. Shut down equipment properly using normal procedures4. Disconnect all primary energy sources using energy isolating device5. Address all secondary sources6. Lockout 7. Dissipate or restrain stored energy8. Verify the lockout and that energy is isolated9. Bring the equipment back online10. Keep procedures updated

General requirements Program- consists of energy control procedures, employee training, and periodic

inspections. Lockout/Tagout- if an energy isolating device is capable of being locked out then the

energy control program will utilize lockout. Full employee protection- the employee must be completed protected from hazardous

energy. Energy control procedure- procedure to be used to protect employees from potentially

hazardous energy when performing the maintenance task covered under lockout. Protective materials and hardware- hardware such as locks, tag, welds, etc. shall be

provided by the employer for isolating, securing or blocking of machines or equipment from energy sources.

Periodic inspection- must be conducted at least annually.

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Training and communication- employees must be properly trained in the use of lockout/tagout and understand safe applications, use, and removal of energy controls.

Energy isolation- shall be performed by authorized personnel only who will be performing the maintenance tasks.

Notification of employeesLockout/Tagout locks out pneumatic, electrical, hydraulic, and gravity/stored energy sources but lockout is not required if employee is performing minor tool changes or adjustments. Therefore, lockout not required if:

Lockout not required if:

If the machine is in manual mode The employee is within reach of actuating controls The employee can see the controls More than a few steps are required to restart motion The exposure is minimum

Tagout ProgramTagout program can be used when Tagout will provide a level of safety equal to that obtained by using a lockout program. Tagout uses a tag instead of a secure hardware equipment such as a log.

*See Appendix C for Lockout/Tagout checklist.

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SECTION 8-JOB SAFETY ANALYSIS (JSA) PROGRAM

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Job Safety Analysis (JSA) Program

A. ObjectiveTo ensure safe operating procedures address each task that is associated with each job at CM Manufacturing Inc.


C. JSA There are a variety of jobs that employees have at CM Manufacturing Inc. and all of the jobs require job safety analyses. A job safety analysis is a procedure that helps integrate approved safety and health principles and practices into a particular task or job operation Job safety analyses should be established for the following jobs:

Forklift operators Welder Assembly line operator Metal workers Painting/Coating employee Warehouse worker Material Handler Electrical engineer Maintenance worker Press operator

D. Procedures

JSA Guidelines Obtain employee feedback for the tasks they must perform when completing a

job. Observe the process for each individual job. Identify any hazards, developing hazards, or potential hazards. Rank the hazards by severity. Address the most important hazards first and repeat until all hazards have been

address and corrective actions developed. Implement the corrective actions. Follow-up to ensure that the appropriate corrective measures were taken. Make adjustments as needed. Provide training to all employees regarding safe operating procedures for each

task. Reevaluate JSA periodically to ensure it remains up-to-date.

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E. Forklift Training Program Training under direct supervision of competent person Use does not endanger trainee or other employees

a. Forklift Training Program Content1. Operation instructions, warnings, and precautions for the type of truck

the operator will be authorized to operate2. Engine or motor operation3. Steering and maneuvering4. Vehicle capacity5. Operating limitations6. Fork and attachment adaptation, operation, and use limitations7. Surface conditions where the vehicle will be operated8. Any other operating instructions, warnings, or precautions listed in the

operator's manual for the types of vehicle that the employee is being trained to operate

9. Closed environments and other areas where insufficient ventilation or poor vehicle maintenance could cause a buildup of carbon monoxide or diesel exhaust

10. Other unique or potentially hazardous environmental conditions in the workplace that could affect safe operation

b. Refresher Training and Evaluation

c. Certification

d. JSA Analysis Form

*See Appendix D for the JSA Analysis Form for a forklift operator.

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SECTION 9- ERGONOMCS PROGRAM

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Ergonomics Program

A. ObjectiveTo prevent the development of work-related musculoskeletal disorders (MSD) at CM Manufacturing Inc. Informing employees about MSD and the risk factors that can cause or intensify them. The Ergonomics program strives to encourage continuous improvement in the workplace including proactive action to minimize the likelihood of injury. The program will identify design principles that prevent exposure to risk factors while also focusing on the significant of individual's doing their part as well. The program is established to ensure continuous and consistent management leadership and employee involvement.

B. ScopeThis ergonomics program covers musculoskeletal disorders (MSD) in backs, upper and lower extremities. This includes back injuries, cumulative trauma disorders, repetitive strain disorders, etc. Other job tasks that require fixed or awkward position include: kneeling, twisted or bent back, overhead work, or use of vibrating or impact equipment or any job-requiring manual handling of 25 pounds or more will be evaluated on a case by case situation

C. Procedures and PreventionReporting of Injury: Identified or suspected musculoskeletal disorders (MSD) should be reported the same as any other non-life threatening injury.

Injury Prevention: This program outlines several ways to work on prevention of MSD:

Engineering Controls are the favored method of controlling ergonomic stresses. Engineering controls include a variety of ways to create the workstation to fit the operator and the task instead of the worker having to fit the task and workstation.. The following information can be used to assist in finding the best controls.

1. How will the workstation be used? Adjust the area to fit the employee's size and shape in order to make the workstation more comfortable.

3. Tools used for tasks shall be designed to prevent or reduce chronic muscle contractions, awkward finger, hand and arm positions, repetitive forceful motions, vibrations, and excessive griping, pinching or pressing with the hand and fingers.

5. Always keep regularly used items placed closest to the user so that they can be conveniently and comfortably reached.

6. Tasks performed by the employee shall be designed to prevent extreme postures, repetitive motion, excessive force and stationary work.

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Administrative Controls when applied will be beneficial in the reduction of exposure duration, frequency and severity of exposure. Administrative controls include the following:

1. Decreasing repetitive motions can lower the chances of developing MSDs.

2. Decreasing the physical exertion applied to any part of the body.

3. Rotate employees to different tasks. When rotating, the new task must use a different group of muscles, tendons and nerves.

Personal Protective Equipment (PPE) includes gloves, padding, clothing, hats, shoes, and other equipment shall be designed for the intended purpose and employees must be trained in the care and use of PPE. Note: Braces, splints and back belts are NOT considered PPE and shall only be used under the direct supervisor of the employee's treating physician.

D. Preventing OverexertionExercising regularly, strength training, and stretching in order to maintain a strong core can help prevent injury. The following can be done at work and at home to aid in preventing overexertion:

Prepare a lift before actually lifting. Keep your back straight and lift with your legs. Limit the time you spend doing repetitive motion over and over. Take frequent breaks from any non-moving position every 20-30 minutes. If you work at a desk, move frequently used items close to you, use a footrest and

adjust the height of your computer to uniquely fit you. Immediately report pain, swelling, numbness, tingling, tenderness, clicking, or loss of

strength to your doctor before it becomes a full-blown injury.

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http://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/office-ergonomics/art-20046169

https://www.nsc.org/work-safety/safety-topics/ergonomics-overextension


SECTION 10- WORKERS' COMPENSATION COST CONTAINMENT PROGRAM

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Workers' Compensation Cost Containment Program

A. ObjectiveTo provide a workers' compensation plan that will fully protect the employees of CM Manufacturing while reducing the overall cost for the company. This program is to provide wage replacement benefits, medical services, vocational rehabilitation, as well as other benefits to qualifying employees.

B. ScopeApplies to all employees who suffer from a workplace injury or incident.

C. Responsibility1. Employee's Responsibilities-- it is the responsibility of the worker to:

Immediately report any work-related injury to your supervisor. If the worker requires emergency medical treatment, obtain care first, and

then notify your supervisor as soon as possible after receiving treatment. Complete claims forms and return them during the given timeframe. Keep your supervisor informed of your condition. Return to work as soon as the treating physician has cleared you for work. Provide a copy from the physician of any restrictions. Work light duty assignments when applicable.

2. Supervisor's Responsibilities- it is the responsibility of the worker to: Ensure employee receives medical attention if needed. Interview the injured worker as well as any witnesses in order to conduct

an investigation. Use the incident to improve work place safety to prevent reoccurrence of

the accident. Complete and work with workers' compensation coordinator within 24

hours of the date of the incident. Notify the safety manager of the injury and assist in the investigation. Arrange light duty work for employee if possible. Keep all records confidential. Maintain contact with the injured employee and workers' compensation

coordinator.3. Claim Coordinator's Responsibilities

Liaison Claims processing Prompt reporting Return to work coordinator

D. Wage Compensation1. Lost Work Time Compensation

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a. Vacation/Holiday/Doctor Appointments/Wages- employees will be paid lost wages, vacation pay, holiday pay, and for doctor appointments scheduled during their regular shift.

Return to Work Program1. Review the physician's statement to determine whether normal duties can

performed or if restrictions apply.2. Modify the employee's normal job duties as required by the physician's request if

needed. If this step is not required, employee can return to work as normal.3. If the employee's normal job duties cannot be modified to meet the employee's

limitations, determine if alternative duties can be performed temporarily to meet the employee's physical restriction needs a well as the company's productivity needs.

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SECTION 11- SUBSTANCE ABUSE CONTROL PROGRAM

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Substance Abuse Control Program

A. ObjectiveTo ensure a drug and alcohol free work environment is established and maintained. This program will help CM Manufacturing Inc. identify employees that need assistance with breaking an unhealthy habit and/or addiction. This program will reduce the probability of having impaired workers who are more likely to suffer from a work related injury or illness. Overall, reducing employee substance abuse can help CM Manufacturing improve productivity, reduce workplace injuries, and decrease the cost of healthcare.


C. DefinitionsThe following definitions are applied when referred to in this policy.

Substance Abuse: is a pattern of harmful use of any substance for mood-altering purposes. Substances include alcohol and other drugs (illegal and prescription) as well as some substances that are not drugs at all.

Abuse can result because you are using a substance in a way that is not intended or recommended, or because you are using more than prescribed.

D. PolicyIt is important that management understands, acknowledges, and enforces the following:

Understand that prescription drugs are being misused. Expanding drug panel testing which now include opioid testing. Supervisor and employee training to recognize the early signs of drug misuse. Substance abuse must be treated the same as a disease. Encourage employee assistance programs in order to help employees return to work.

E. Procedures

Alcoholic BeveragesUse of alcoholic beverages by any employee on the premises of CM Manufacturing Inc. is not in compliance with operating in a safe and effective manner. No employee shall report to work under the influence of alcoholic beverages of any kind. Any employee in violation of this policy is subject to disciplinary action up to and including termination of employment.

Prescription Drug UseIf an employee is under the care of a physician and is taking prescribed medication that may impair his/her ability to perform normal job duties, the employee must notify management before beginning work. It is management's decision whether the employee can continue performing their normal job functions, temporarily moved to non-hazardous job duties, or temporarily on a

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leave of absence until the employee's physician releases him/her back to their normal job functions.

Illicit Drug UseUse of illicit drugs is not acceptable nor tolerated at CM Manufacturing. No employee shall report to work under the influence of illicit drugs nor are illicit drugs allowed on the premises of CM Manufacturing Inc. Any employee in violation of this policy is subject to disciplinary action up to and including termination of employment.

Drug and Alcohol TestingDrug test now includes testing for opioid misuse.

Applicant Drug Testing Each applicant for a position with CM Manufacturing Inc., is subject to the company's

substance abuse policy. Any offer of employment will be contingent upon the applicant passing a drug test in

accordance with CM Manufacturing Inc. policy. All applicants must sign a consent form allowing the clinic to perform the drug test and

submit the results to CM Manufacturing Inc. Any applicant that does not sign the consent form or fails the drug test will no longer be

considered for employment.

Employee Drug Testing- All employees are subject to random or a fit for cause drug test. All employees are required to sign a consent form authorizing the clinic to perform the

drug test and submit the results to CM Manufacturing Inc. Any employee that does not sign the consent form or fails the drug test may be subject to

disciplinary action up to and including termination of employment. Employees that are observed being unfit for work will be escorted by a supervisor or a

designated personnel to the testing site for a drug test.

Drug and Alcohol testing Fitness for duty- justifiable reason for requesting drug test. Fitness for duty- routine/random drug test. Post accident- drug test required after an incident or injury. Random testing- periodically drug test employees to ensure they are fit to work.

Disciplinary ActionsEmployees that fail a routine or a fit for cause drug test may be subject to:

Temporary suspension (with or without pay) at the discretion of management. Required to attend a substance abuse treatment program. Immediate termination. Termination after returning to work from suspension if worker is found to still be

not fit for work. Referral to an Employee Assistant Program (EAP)

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SECTION 12- EMPLOYEE ASSISTANCE PROGRAM (EAP)

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Employee Assistance Program (EAP)

A. ObjectiveTo provide assistance to employees in need. This program is designed to help employees facing a variety of life challenges that may negatively affect job performance, health, and personal well-being in order to improve an organization's success. This program helps restore valuable employees to full productivity.

B. ScopeApplies to all employees including management.

C. PolicyThe Employee Assistance Program (EAP) is a voluntary, work-based program. It provides free and confidential assessment, counseling, referral, and follow-up services to employees who have personal and/or work-related problems. These problems can and may eventually affect an employee's attendance, work performance, and/or conduct. Examples of issues that many employees and family members are faced with at some point in their lives include:

Death of a loved one Divorce Mental health disorders Financial Issues Alcohol Abuse Drug Abuse

D. Procedures1. Confidential Assessment-a professional counselor will assist the employee or family

member with creating a plan to address all of the concerns. This information remains confidential however, with written consent from the employee, the counselor may inform the employee's supervisor of the plan of action.

2. Short-term Counseling- a short intervention may be needed to help an employee or family member resolve personal or work-related issues.

3. Referral- when a short intervention is not enough, a referral is provided to assist the employee or family member in seeking a cost efficient, long-term provider that usually can be found without the employee's heath plan coverage.

4. Supervisor Concerns- supervisors may contact the EAP to discuss an employee if the employee's performance is being affected or if the supervisor is concerned for the employee's well-being.

5. Additionally EAP services available to employees- outside of the traditional EAS services, additional resources are available to assist employees in need. These additional resources include but are not limited to:

Childcare Services Elderly care Services

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Legal Services Financial Services Convenience Services

D. Guidelines for referring employees with performance problems to EAP1. Recognize- supervisors should know the expected job requirements, be aware of

the employee's skill level and previous performance(s), and lastly be able to identify and recognize poor performance.

2. Document- the observed poor performance(s) should be documented and kept on record.

3. Action- the supervisor should discuss the poor performance with the employee and contact the EAP for creating a plan of referral.

4. Referral- aid the employee with the EAP resource information along with the counselor's information.

*Participation in the EAP is strictly voluntary and is entirely the decision of the employee.

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SECION 13- WORKPLACE VIOLENCE PREVENTION PROGRAM

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Workplace Violence Prevention Program

A. ObjectiveTo provide guidelines on how to protect employees in the event of a workplace violence situation. CMX's workplace violence policy intends to familiarize employees with workplace violence and ask them to report early signs or threats. This program is help employees recognize early warning signs and encourage them to speak up when a threat is detected. This program will help CMX continuously provide a safe work environment where respect is both given and received by all employees.

B. ScopeApplies to all employees, visitors, volunteers, and all personnel employees come into contact with during work.

C. DefinitionsThe following definitions are applied when referred to in this policy.

Workplace bullying- is a persistent pattern of mistreatment from others in the workplace that causes either physical or emotional harm. It can include such tactics as verbal, nonverbal, psychological, physical abuse and humiliation

Workplace Violence- refers to violence, usually in the form of physical abuse or threat, that creates a risk to the health and safety of an employee or multiple employees.

Sexual Harassment- is bullying or coercion of a sexual nature and the unwelcome or inappropriate promise of rewards in exchange for sexual favors. Sexual harassment includes a range of actions from mild transgressions to sexual abuse or assault.

C. PolicyThis policy includes:

Employee training on recognizing workplace violence Implementing the Emergency Action Plan Conducting mock training exercises with local law enforcement A zero-tolerance policy toward workplace violence

D. Procedure Workplace violence can't always be predicted but we can educate and train managers, supervisors and employees to be always be alert. All CMX employees should report any concerns or violent acts, treats, or abuse to Human Resources (HR) or their immediate supervisor as soon as possible. Examples of violent behavior among co workers include but are not limited to:

Menacing or bullying others Abusive language

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Physical assault Threatening behavior Concealing or using a weapon Sexual or racial harassment

*Almost every place is somebody's workplace. So whether you are a patron or an employee, it's important to always be alert and aware of your surroundings.

ALICE TrainingALICE training can be used to help prevent violence in the workplace and keep employees safe during a violent situation if one arises. ALICE stands for alert, lockdown, inform, counter, and evacuate. According to ALICE effective prevention methods for workplace violence include:

Policy that prevents harassment-CM Manufacturing Inc. regularly enforces it's workplace violence prevention program.

Effective line of communication- At CM Manufacturing we established open communication between employees and management.

Training sessions and awareness- initial training is provided at orientation for new employees and mandatory refresher training is provided every three months for current employees.

Zero-tolerance code of conduct- at CM Manufacturing Inc. violence is not tolerated at any way and disciplinary actions will be enforced.

Encourage employees to accept individual differences- we promote diversity and encourage all to accept everyone's difference with respect.

Prevent conflicts from turning into harassment or violence- we offer onsite support for employees that are having conflicts. We promote team building and uniting at CM Manufacturing Inc.

Show that the quality of the relationships between each members of a team is important to you and everyone else on that team- we value each and every employee and do our best to recognize and express our gratitude to everyone. There is no favoritism at CM Manufacturing Inc. All employees are treated equally.

Communicate with each level of your facility the unacceptable behavior and the consequences of threatening any other employee or committing any violent acts- it is understood through all levels within the organization that violence will not be accepted by anyone. No one is exempt from disciplinary actions.

Encourage everyone to report any and all violent incidents- we encourage everyone to speak up if they observe any questionable behavior or workplace violence.

Reduce the risk involved in handling the assets of your company.

Disciplinary ActionsCM Manufacturing Inc., does not condone or tolerate violence in any way. Any such behavior will require the appropriate disciplinary action up to and including termination, as well as filing criminal charges at our and/or the victim's discretion. The disciplinary actions may goes as follows:

1. Written Warning

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https://resources.workable.com/separation-of-employment-company-policy

https://resources.workable.com/workplace-harassment-company-policy


2. Required Completion of a workplace bullying or sexual harassment seminar or class3. Temporary suspension from work4. Probation5. Transfer to a different position or department6. Demotion7. Termination8. Criminal charges

*It is the sole discretion of CM Manufacturing Inc. to decide which disciplinary actions to implement depending on the severity of the situation.

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Appendices

Appendix A: Orientation Safety Checklist

Employee Name: ____________________________ Date Hired: ___________________

Topic Content Date Completed

Supervisor Initials

Safety Rules Safety rules pertaining to CM Manufacturing.

Policies Explanation of health, safety, and wellness policies.

Training All safety, environmental, compliance, or policy/procedural training.

Emergency Procedures Review of Emergency Evacuation Plan and explanation of signals, procedures, exits etc.

Personal Protective Equipment (PPE)

Review PPE program, issue proper PPE which are required for specific job tasks.

Worker Rights & Responsibilities

Explanation of rights and responsibilities as stated according to OSHA law.

Controlled Substances and Alcohol; Employee Assistance Programs

Review substance abuse and alcohol policy and provide resources for treatment clinics and programs.

Accident Reporting and Investigation

Review procedures for reporting accidents and completing investigation.

Safety Handbook Supply and go over employee safety handbook.

Safety Meetings and Committees

Provide safety awareness and encourage active participation.

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_______________________ ______________________________ __________

Employee Name Employee Signature Date

_______________________ ______________________________ __________

Supervisor Name Supervisor Signature Date

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Appendix B- Safety Inspection Checklist

Completed by: _______________________________ Date: __________________________

Building: ________________________________ Room: __________________________

Supervisor: ________________________________ Phone: __________________________

Department: _________________________________________________________________________

Scheduled periodic inspections to identify unsafe conditions and work practices are supervisor requirements per Cal OSHA Title 8 CCR 3203(a)(4) and Stanford’s Injury and Illness Prevention Program (IIPP). Stanford recommends completing the checklist on an annual basis. Completed copies shall be kept on file for at least one year by the supervisor or department safety coordinator. Report any facility-related deficiencies below to the building manager.

General Safety Yes No N/A Comments/Date Corrected

1. Workplace is clean and orderly.

2. Floors are clear and aisles, hallways, and exits are unobstructed.3. Floor surfaces are kept dry and free of slip hazards.4. Stairways, sidewalks, and ramps are free of defects (e.g. damaged treads, frayed carpet).5. Illumination is adequate in all common areas and workstations.6. Emergency evacuation plans are posted at eye level in every stairway and elevator landing, and immediately inside all public entrances to the building.7. All containers, including non-hazardous chemicals and wastes, are labeled with the full chemical or trade name. (For storage of hazardous chemicals, see below*)8. Stored materials are secured & limited in height to prevent collapse.9. 36” clearance maintained for electrical panels.10. Electrical cords and plugs are in good condition with proper grounding.11. Extension cords and power strips are not daisy-chained and no

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permanent extension cords are in use.12. Portable electric heaters have at least 36” of clearance from combustible materials (e.g. paper).13. Equipment and machines are clean and working properly.14. Adequate ventilation is provided to machines for preventing buildup of heat or gas emissions.15. Emergency stop switches on machines are identified and in proper working order.16. Mechanical safeguards are in place and in proper working order (e.g. paper cutter guards).

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Appendix C- Lockout/Tagout Checklist

LOCKOUT/TAGOUT CHECKLIST

Is all machinery or equipment capable of movement required to be de-energized or disengaged and blocked or locked out during cleaning, servicing, adjusting, or setting up operations?

If the power disconnect for equipment does not also disconnect the electrical control circuit, are the appropriate electrical enclosures identified and is a means provided to ensure that the control circuit can also be disconnected and locked out?

Is the locking out of control circuits instead of locking out main power disconnects prohibited?

Are all equipment control valve handles provided with a means for locking out?

Does the lockout procedure require that stored energy (mechanical, hydraulic, air, etc.) be released or blocked before equipment is locked out for repairs?

Are appropriate employees provided with individually keyed personal safety locks?

Are employees required to keep personal control of their key(s) while they have safety locks in use?

Is it required that only the employee exposed to the hazard can place or remove the safety lock?

Is it required that employees check the safety of the lockout by attempting a startup after making sure no one is exposed?

Are employees instructed to always push the control circuit stop button prior to re-energizing the main power switch?

Is there a means provided to identify any or all employees who are working on locked-out equipment by their locks or accompanying tags?

Are a sufficient number of accident prevention signs or tags and safety padlocks provided for any reasonably foreseeable repair emergency?

When machine operations, configuration, or size require an operator to leave the control station and part of the machine could move if accidentally activated, is the part required to be separately locked out or blocked?

If equipment or lines cannot be shut down, locked out and tagged, is a safe job procedure

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established and rigidly followed?

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Appendix D- JSA for Forklift Operator

Page 1__of __1_ _ Job Safety Analysis Worksheet JSA No. _4462_______

Title of Job/ Forklift Operation

Supervisor: Date of Analysis: 12-13-2018

Title of Person Performing job: Forklift operator

Department: ___ New __x__ Revised

Company/ CMX Organization:

Plant: Location: Rochester Hills, MI

Analysis by: Natasha Hooten

Required/Recommended Personal Protective Equipment: safety vest, steel toe boots, and hard hat.

Reviewed by: Charles McGlothlin

Sequence of Basic Job Steps

Potential Hazards

Recommended Safe Job Procedure

Pre-operation check

Untrained operator

Training on forklift design, controls and instrumentation. No training means no access to the forklift.

Machine inspection Mechanical failure, Spills/oil & fuel on hands & clothingPinch points

Visual inspection; fluid and oil levels; cleanliness, anti slip surfaces, tire pressure Periodic maintenance Maintain proper tire pressureHave appropriate PPE

Vehicle startup: check gauges, oil & air pressure, hydraulics, and brakes

Slip, trip & fall climbing into vehicle

Maintain 3 point contactCheck for ice buildup if workingProceed slowing when entering or exiting the vehicle if weather conditions are wet or slippery

Cranking & Driving

Rolling the wheels off an edge, ramps and loading docks, driving too fast

Buckle your seat belt when you’re in the truck.Stay well back from any edge.Never turn around on the slope.Drive with your load on the uphill side. This means you drive up slopes with your load in front and drive down slopes in reverse.

Operating the forks Running into obstacles

Slow down and sound your horn at corners, intersections and places with limited view. Decrease speed for turns.Drive in reverse if your vision is obstructed.Always ensure that you have enough overhead clearance.

Loading Load falling off forklift.Damage to material by loading improperly.OverloadingPinching hands between the

Spread forks as wide as possible for transporting the load.Tilt the mast slightly forward and align the forks with the base of the load.Proceed slowly and insert the forks into the base of the load. Ensure that at least 2/3rd the length of the fork enter the base of the load.Lift forks approximately 8 inches for the load to clear the floor.Tilt mast back in preparation for traveling.

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truck and other objects.

Transporting the load

Struck against - Running into objects.Struck by - Collisions with other equipment.

Always be aware and pay attention.Wear PPE gloves to protect your hands and help keep them dry so your grip will be strong.Keep your arms and hands in the truck at all times.Don’t allow the controls to get wet.

Unloading Injury to other personnelDamage to other equipment

Position the truck at the preferred location.If stacking loads, adjust the height of the load as appropriate.Tilt the mast forward to place the forks parallel to the ground.Once the load is set, slowly back away from the load.When you are clear of the load, the forks are to be placed at the proper height for traveling.

Parking the Forklift Running over and crushing the operator.Slip, trip, and fall

Never leave the truck until you lower the lifting mechanism, put controls in neutral and set the brakes. Turn the truck off.Always administer the emergency brake.Leave the truck- Keeping your balance by maintaining a 3 point stance.Be aware of condition of walking surface and go slowly if needed.

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