Risk Management

Safety: Model Program - Appendix A

• SAFETY POLICY STATEMENT
• NON-COMPLIANCE / DISCIPLINARY ACTION

SAFETY POLICY STATEMENT

What Is It - And Why Do We Need One?

In many ways, your safety policy is like the United States Constitution. Neither document provides detailed rules or procedures. Instead, they establish the principles, values, and norms on which organizations will be operated.

These principles are then applied when establishing, implementing, and maintaining the "nuts and bolts" rules on which an organization can thrive. In addition, it is recognized that when the principles, values, or norms of the organization change then the policy document can be amended to reflect the changes and better serve the organization.

Basic Areas Which Should Be Addressed

While there are numerous ways to approach the development or review of a policy, here are a few of the more commonly recommended components:

1. Management's responsibility for the safety and health of all employees.
2. A clear statement that unsafe acts and conditions will not be tolerated.
3. Establishment of on-going efforts to support the program.
4. Establishment of adequate budgets to support the program.
5. Employee's responsibility - It is a condition of employment to work safely.

As you develop or review the safety policy remember this comparison:

A safety program without a management-endorsed safety policy would be as vulnerable as our democratic rights would be without the Constitution.

Back to top 

NON-COMPLIANCE / DISCIPLINARY ACTION

NAME:__________________________ 

DATE OF VIOLATION:_______________

SUPERVISOR:_____________________________________

PROJECT/JOB:____________________________________

VIOLATION:__________________________________________________

____________________________________________________________

____________________________________________________________

EMPLOYEE COMMENTS:_______________________________________

____________________________________________________________

____________________________________________________________

PREVIOUS VIOLATIONS WITHIN THE LAST_______ MONTHS:

____________________________________________________________

ACTION TAKEN:_______________________________________________

____________________________________________________________

____________________________________________________________

CLOSING CONFERENCE ATTENDED BY:

ISSUED BY:________________________________ TITLE:______________________

EMPLOYEE SIGNATURE:_________________________________________

Back to top