Company Name

Goose Creek CISD

Baytown, Tx

Injury and Illness Prevention Program

1. Policy Statement and Implementation of Responsibility:

It is the policy of Goose Creek CISD that accident prevention shall be considered of importance in all phases of operation and administration, including driving. People are more important than schedules.

It is the intention of Goose Creek CISD Board of Trustees and Administration to provide safe and healthy working conditions and to establish and enforce safe practices by District employees.

The prevention of accidents is an objective affecting all levels of the organization and its activities. It is a basic requirement that each manager make the safety of employees an integral part of his or her regular management function. It is equally the duty of each employee to accept and follow established safety regulations and procedures.

Any injury that occurs on the job, even a slight cut or strain, must be reported to management as soon as possible. In no circumstance, except an emergency, should an employee leave his or her workplace without reporting an injury that occurred.

The injury and illness prevention program outlines the District's policies and procedures to maintain a safe and healthy work environment for all employees. Responsibility for implementing the injury prevention program is given to management, who will coordinate all efforts and oversee the enforcement of all company safety rules and policies.

Signed into effect by the Board of Trustees ______________________ Date________

Signed into effect by the Superintendent _________________________Date________

2. ENSURANCE OF COMPLIANCE

Employees will be trained in safe practices when hired and when new substances,

Processes, or equipment are introduced into the work place. If unsafe practices are observed, the employee will be retrained to ensure that they comply with safe work practices. Many of the safe practices are developed from various sources, some of which may be regulatory agencies for School Districts. Special emphasis programs i.e., HAZCOM (MSDS), EMERGENCY EGRESS, CONFINED SPACE ENTRY, LOCKOUT/TAGOUT, Bloodborne Pathogen, FALLS PROTECTION, FORKLIFT OPERATOR, ERGONOMICS/LIFTING PROTECTIVE PROGRAM, WORKPLACE VIOLENCE PREVENTION, ETC.

Employees are expected to follow safe work practices at all times. Violations of safe work practices will result in the following disciplinary procedures:

First Offense: Verbal Warning

Second Offense: Written Warning

Third Offense: Suspension or Termination

Fourth Offense: Termination

The employee and management will agree on an appropriate length of time to correct unsafe behavior.

Management reserves the right to terminate any employee for a serious and willful violation of a safety practice such as using drugs or alcohol on the job, rendering a machine guard or safety switch inoperable, fighting, etc.

3. COMMUNICATION:

During the initial safety orientation, employees will be informed of the importance of safety at their workstation. Employees will be encouraged to report any unsafe conditions to the manager without fear of reprisal.

A poster will be placed on the employee’s bulletin board, encouraging employees to report any unsafe conditions or occupational health concerns.

All safety and health suggestions will be reviewed by management, who will determine if an inspection, further training, or any other action is necessary. If action is needed, management will assign responsibility for completing the corrective action and establish a target date for completion. The safety director will follow-up to ensure the corrective action(s) have been completed by the target date.

4. IDENTIFICATION OF HAZARDS

Employees may use the “Employee Suggestion Box” to report unsafe conditions/practices anonymously or report directly to the safety officer or management without fear of reprisal.

Inspections, will be performed monthly by the safety officer or site manager to identify and evaluate work place hazards.

Inspections will also be performed whenever a new process or substance is introduced, when the company receives information that a company process or substance is hazardous, as part of an accident investigation, and when a safety hazard is reported. These inspections can be limited to the substance or process in question. All inspections will be documented using a checklist, which will be signed and dated by the person doing the inspection. The inspector will correct, or arrange to correct all hazards identified using an electronic work order system via the site manager email system.

5. ACCIDENT INVESTIGATION

All accidents, illnesses and exposures to hazardous substances resulting from employment with Goose Creek CISD will be investigated by the employee’s manager, department director, site manager, using the Supervisor’s Report of Accident Form. The investigation report will be reviewed by the Risk Manager/Safety Department to determine if a work area or process should be further inspected, and if additional corrections are needed. Particular attention will be given to prevent future occurrences of the accident, illness, or exposure to hazardous substances.

Each department manager/site manager will be responsible for ensuring corrections are completed and a copy of the correction be sent to risk and business management. The checklist will be kept as record of the District's ongoing safety effort, for interested parties to see.

6. CORRECTION OF HAZARDS

When safety hazards are corrected, (hopefully before any accident or injury occurs), the action taken will be indicated on the original inspection checklist, or the accident investigation/report, and the work order which will then be initialed and dated by the individual who made the corrections, A copy of the reports of hazards, etc., and action taken, will be given to the Safety Officer/Risk Manager for review and/or follow-up.

Priorities will be determined by the severity of the hazard(s) identified. Employees will be protected from imminent hazards until they are corrected.

7. OCCUPATIONAL HEALTH AND SAFETY TRAINING PROGRAM

Safety orientations have been conducted as a part of all existing employee’s training and the Safety Standards and Policy has been signed by all existing employees.

All new employees will be provided a safety orientation during their first day on the jobs. The orientation will be conducted by the department manager. It will cover all company safety rules and the safe practices required for their job assignment.

Employees given a new job assignment will be provided a safety orientation regarding any new hazards prior to beginning the new job.

Records will be kept of all training provided. Records will indicate the type of training given (with a brief summary of what was discussed), date and the name of the training provider and the employee’s signature.

GENERAL SAFETY RULES

Goose Creek CISD

No list of rules could possibly cover all conditions or situations in the workplace but this is a start. This is simply a brief outline of our safety program and what management expects at all levels. These are guidelines until top management deems them mandatory.

Report to work - Report in good physical and mental, unstressed condition, properly attired.

Never hurry - Preparation time must become a regular part of every company task. Plan ahead and do not cause a schedule tightness that creates stresses which affects the capacity to use good judgment. Think about the implications or potential hazards of every duty and take steps to eliminate, guard against or control.

Other rules - Obey specific department rules as directed

Guns or other weapons

No hand guns or other weapons, alcohol, or drugs are allowed to be on premises or in your vehicle (on premises), at any time.

Housekeeping - Good housekeeping is the foundation of a safe workplace. Make a worthwhile contribution by keeping your area, equipment, neat-safe stockpiles, neat and clean. Keep all aisles wide open so dollies, carts, and forklifts can be used.

Safety Signs - Safety signs and posters are for your information and protection. Do as they say, where applicable. Remind others tactfully if they forget.

Injuries - Report all on-the-job injuries to your supervisor immediately, no matter how slight.

Machine or equipment use - Do not operate any vehicle or machine unless you have been specifically trained and are authorized. Records of authorization or certification should be maintained in your personnel folder or with the safety records.

Unsafe Conditions - Report all unsafe conditions to your supervisors immediately, no matter how slight. Inspect all of your floors, tools, equipment, hoisting devices, carts, gondolas, & machinery daily and report any defects, preferably in writing to your supervisor for corrective action before you use them.

Professional Work Habits - Concentrate on your work, do not work on a tight, excessive schedule. Plan ahead. Do not look around or otherwise converse with others while operating a machine. Never distract the attention of another employee who is operating a machine, power tool, or who is driving a vehicle. Do not report to work if you are ill, or under the influence of alcohol, medication, drugs or other stress that can impair your mental or physical ability to use proper judgment/reaction at all times. This is especially important if you drive or operate any kind of vehicle or machinery.

Attend all safety meetings or safety training meetings, be attentive, and be sure to sign all attendance sheets that are passed around.

Conduct - Employees must conduct themselves in a self-disciplined worklike manner on the job. Horseplay, fighting, abusing, aggressive physical attacks on others in any form is prohibited. Work out conflict situations verbally, preferably ahead of time, and at a time mutually agreeable to both. If you can't control or defuse anger, get help from your supervisor or professional counseling available at your church, synagogue or psychiatrist. Take action on any unsafe acts observed by talking tactfully with that person, take it to the next higher level if necessary, especially for repeaters.

Clothing & Appearance- While working or visiting certain areas for classes or tours of shops, you will not be allowed to wear long loose hair, clothing, or footwear that constitutes a safety hazard. Around rotating blades or gears, for example, loose clothing, or jewelry will not be permitted, nor will open toed, high heels, or slick-soled shoes be allowed in shops or service areas. Use substantial, non-skid footwear.

Eating Food, Drinking, and Smoking - These activities are not allowed in the work area at any time. They are acceptable only in designated areas. Wash your hands before eating to avoid ingesting or absorption of potentially harmful solvents/oils/chemicals.

Chemical Safety. - You have a right-to-know about any chemical used handled or stored that affects you and your job. Be trained in Hazcom/MSDS and know where the MSDS book is kept in your department. Train new personnel and keep records of the training. Never mix or heat chemicals. Use appropriate, properly fitted, personal protective equipment as required when handling certain chemicals which couldn't be substituted with less hazardous chemicals, solvents, lubricants, paints, etc. Know the location of eyewash stations. Never sniff a chemical to identify it. All containers must be labeled as to the contents or disposed of. Use engineering controls, i.e. fans, exhaust hoods which are properly designed if the chemical vapor concentration exceeds that listed on the MSDS sheet.

First Aid - Familiarize yourself with the first aid kit or first aid station location and what to do in case of an emergency. Consider CPR training.

Fire, Exits and Aisles - Notify your supervisor immediately if you discover a fire. Do not ever block any exitways. Be familiar with locations of fire alarms, fire extinguishers, exits, and evacuation plan. Keep calm, don't panic. Alert others, assist any handicapped, sight impaired, or hearing impaired persons to egress safely and orderly if it is safe for you to help them.

Lifting - Avoid lifting manually if possible, i.e, use mechanical handling aids, carts, dollies, desk movers, chair stack movers, etc. Use carts or dollies to mechanize vs. handle manually. Plan ahead. If you still have to do it manually, safe lifting practices will reduce back strains. Always ask for help when the load is too heavy, i.e. when over 40# (but this is a guide and must be reduced if you have a small frame, are reaching, etc. Bend your knees, keeping your back straight and lift with your legs.

Machinery and Electrical - Machine adjustments, cleaning, oiling, greasing, repairs, and electrical work shall be made by authorized personnel only. Employees are not to operate any equipment/power tools without the appropriate training or safety guards in place. Do not defeat or bypass any safety interlocks or signs. This means do not use a tagged, or unsafe machine. If personal protective equipment is required, i.e. eye protection, wear it, and place the goggles where they will be kept clean and handy to use. Before and while repair or maintenance activities are being conducted, lockout/tagout/blockout procedures must be strictly followed. Please refer to written LOCKOUT program. Again, no one is to make repairs or adjustments on washers, driers, ironers, or other machinery unless authorized.

Trucks/Trailers - Applicable for certain departments Food Service Distribution, Maintenance, Supplies/Book Distribution. All trucks & trailers are to be chocked during loading and unloading when entering them with a forklift or pallet jack, to prevent serious injuries or fatalities. Make sure dock plates and floor boards are in place and adequate for the load. Use a forklift (authorized and trained operators only) for unloading pallets of goods. Preferable to handling manually to minimize the exposure to strains mentioned in a earlier rule.

Speed limit - Do not exceed five mph when entering or exiting the premises with vehicles. Test brakes before driving. Be sure the way is clear before backing and have a competent person to assist with backing, or any other maneuver, if your vision is obstructed or you are blinded by bright lights or the sun. Watch for pedestrians, especially small children who may wander away from their teacher or parental supervision. Back up only after looking over both shoulders and assuring yourself that the way is absolutely clear.

Safety goggles/glasses/shields - Must be properly worn when doing any type of work, i.e. handling fabrics containing dust, lint or foreign substances, while adding bleaches, detergents, chemical cleaning, working under items/vehicles, performing maintenance, using gas or electrode welding or cutting equipment. As an additional protective feature, use screens warning tape/barricading, when working around other personnel and your work causes splashes, arcs, or other flying pieces or particles.

Respirators - Wear proper type respirators during blowdowns, grinding, sanding, and spray painting or prior to exposure to any toxic vapors or gases that can't be prevented in the first place. Be sure that you wear the respirator properly and that it fits properly before you begin the task.

Gloves /cuffs - Wear gloves whenever the task requires. Be careful to not wear cotton gloves or loose cuffs/clothing around rotating saw blades, gears, or belts as you or your body parts could be pulled into the danger point. Wear gloves impervious to chemicals, bacteria, punctures.

Cords, air hoses and other trip hazards. - Tools, equipment, boxes (empty or not), power cords, extension cords, must not be allowed to remain on the floor or aisles when not actually in use. Reroute hoses/cords overhead, or tape down cords, highlight, or provide warning tape/fencing/barricading around the area. Put warning signs out if the floor is slick, oily, or wet. Wipe your feet on mats to prevent migration of oil, etc from shop areas or parking lots into the office or lobby area.

Fuel handling - Do not use gasoline as a cleaning agent. Never drain or empty fuel tanks, including LPG on vehicles being repaired without properly planning for all contingencies. Always assure proper ventilation. For flammable liquids use only a closeable, springloaded capped metal container approved by your supervisor. Vapors must be minimized and not be allowed to accumulate in any area where sources of ignition could conceivably occur. Warn other personnel and mechanics when you are working on fuel pumps or tanks, etc. Use shop cloths to clean any minor spills and dispose of them only in approved containers. Observe for and warn away any person or persons who may come into your area with a lighted cigarette or other source of ignition.

Exhaust gases - The exhaust ventilation system must be used whenever engines are being run in the service areas especially when the doors are closed, or wind is not sufficient to ventilate. No exceptions.

Tools - Do not use improper or defective tools or equipment. This means using no “cheater” bars, or using a short ladder, etc. All defective equipment or tools, including worn or dull, must be reported to your supervisor immediately for corrective action (write up a work order immediately). If the tools are yours, repair them immediately.

Working alone - Do not work alone in the kitchens, laundry, yard, on roofs, or remote areas of the premises. Be sure someone competent is also working nearby to be able to assist in the event of an emergency.

Climbing - Avoid climbing if at all possible. For example, hang posters in classrooms by using extension poles or hang them low, change light bulbs using an extension handle bulb changer(trained custodial only). Do not climb on anything but an approved stepladder or safety step stool of the proper length. No climbing on desks, chairs, vehicles, fenders, bumpers, wheels, milkcases, storage racks is allowed. If you do not have approved ladders in sufficient quantity, length, and size, submit a purchase order and process.

Confined Spaces or low lying areas - If your workplace has any tanks, pits, cupolas, or spaces where concentrations of any vapors can accumulate and/or trap you, do not enter without complying with the written District special emphasis program on confined spaces, i.e. prevention of asphyxiation or poisoning.

I HAVE READ THESE SAFETY RULES, UNDERSTAND THEM, AGREE WITH THEM, AND WILL ALWAYS RESPONSIBLY OBEY THEM. I FURTHER UNDERSTAND THAT MANAGEMENT WILL REINFORCE THESE POSITIVE RULES BY CONTACTING ME FROM TIME TO TIME AS I GO ABOUT MY WORK DUTIES TO SEE IF THERE ARE ANY PROBLEMS OR NEW RULES OR PROCEDURES WHICH I WOULD LIKE TO OFFER. RULES WITHOUT CONSEQUENCES FOR VIOLATIONS ARE NOT RULES. IF NECESSARY, MANAGEMENT WILL TAKE POSITIVE STEPS TO TRY TO CHANGE MY SAFETY BEHAVIOR AND ATTITUDE FOR THE BETTERMENT OF OUR TEAM, IF I CHOOSE TO BREAK THESE SAFETY RULES. THE STEPS CAN BE VERBAL OR WRITTEN AND EVEN LEAD TO TERMINATION, IF THAT'S THE PATH I CHOOSE.

__________________________ ______________________________

SIGN HERE PRINT NAME/TITLE

___________________

Date

Safety Training Record

Goose Creek CISD

Instructor: Date:

In order to further my knowledge in the area of safety and to support the Safety Program, I participated in the ________________________________ training/certification course.

Brief description of the course contents: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

EMPLOYEE NAME (print) EMPLOYEE DEPT. SIGNATURE

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Goose Creek CISD

SUPERVISOR'S ACCIDENT INVESTIGATION REPORT

of possible work related or on-the-job incident/injury

Fax or take to the Risk Manager within 24 hours.

If there was no verifiable injury check here. ____If the accident is not verified either, write "Questionable across the form" in big letters.

Employee Name_______________________________________________________

Date of birth: Sex Wage _______SSN______________________________

Employee Address________________________ Phone No. (work)__________Phone No (home)____________

Department/Shift: Occupation: How Long on Job? ___

Date of work injury_________Exact time of injury_______Where did this happen?, incl. street address or department/location the employee was in at the time.__________________________________________________

List witnesses, addresses and phone numbers, including any persons that may have knowledge of the injury or incident, if known.

Name__________________________Address_________________Ph.#_________

Did you take the employee to the nurse? Yes_____No_____

Did you take the employee to the authorized qualified doctor/clinic? Yes_____No_____

Did the employee go to a nurse/doctor on his/her own? Yes_____No_____

Did the employee lose any work time due to the alleged injury, i.e. unable to report to work for the next regular shift? Yes_____No_____

List attending physician and or Hospital

Doctor Name____________________Address_________________Ph.#_________

Hospital Name___________________Address_________________Ph.#_________

How long is the employee expected to be off work (Lost work days), if any?________

Has the employee already returned to work? Yes____No____If yes, Date________

A. What Happened? Describe what took place or what caused you to make this investigation. Do not just write what was dictated. Do not play doctor but if there are obvious bodily injuries, describe them briefly.

_________________________________________________________________

B. Why Did It Happen? Get all the facts by studying the job and the situation involved. Question by use of WHY, WHAT, WHERE, WHEN, WHO, and HOW. (Do not use words, like “careless,” “not alert” state why such acts or inattention were involved in the first place)

C. What Should Be Done to prevent repeat of similar incident?Number each action. Determine which items need additional attention (people, equipment, material). Do not use words like “cautioned” “told to be careful”

__________________________________________________________________

D. What Have You Done Thus Far? Use the same numbers as above. Take recommended action, depending on your authority. Follow-up: Was action effective? Insert work order Nos.

Date implemented

E. How Will This Improve Operations?

Name of the immediate supervisor of the employee injured on the job________________Ph#___________

Investigated By: Title______________Date:_____Ph.#___________

Employee signature________________________________________________________

Name of the nurse, if any_____________________________________Ph.#___________ Reviewing Dept./Area Manager: Date:_____________

Date this report was completed_____________________________

Date this report was forwarded to the Risk or Safety Manager or front office___________

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