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  • Your Accident Prevention Program (APP) Requirements for Compliance with APP Core Rule and Tools for Establishing an APP that Goes Beyond Compliance

    A S T E P B Y S T E P G U I D E

  • Table of Contents

    IV. Resources

    Injury/Illness Costs and Statistics......................................................................................12

    Where to Find Information on the Internet..........................................................................18

    Sample of an Accident Prevention Program that complies with the rule..........................19

    Sample of an Accident Prevention Program that goes beyond compliance.....................22

    Accident Prevention Program Self-Assessment Form................... ................................32

    Instructions for Incident Investigation Forms......................................................................35

    Minor Injury Log..................................................................................................................36

    Employee’s Injury/Illness Report Form......................................... ................................ ..37

    Incident Investigation Checklist................................................. .........................................38

    Incident Investigation Report – Sample 1...........................................................................39

    Incident Investigation Report – Sample 2...........................................................................41

    How to Create and Use an Effective Self-Inspection Checklist .........................................44

    Worksite Inspection Checklist............................................................................................45

    How to Do a Job Hazard Analysis................................................................................ ....51

    Sample Job Hazard Analysis (JHA) Form......................................................................52

    Sample Chemical Hazard Communication Program.......................................................53

    List of Written WISHA Program Requirements.................................................................56

    Safety Meeting Minutes Form – Sample 1.......... .............................................................59

    Safety Meeting Minutes Form – Sample 2..... ..................................................................60

    Report of a Workplace Hazard Form................................................................................62

    Sample Training Documentation Form.............................................................................63

    Sample Employee Training Record Form.......................................................................64

    Safety and Health Standards.............................................................................................65

    Accident Prevention Program Evaluation.........................................................................66

    Sample Employee Safety Orientation Form......................................................................70

    V. Industry-specific Accident Prevention Programs (APP)

    Agriculture.........................................................................................................................71

    Construction......................................................................................................................72

    Firefighters........................... .............................................................................................74

    Logging .............................................................................................................................75

    Sawmills............................................................................................................................76

    VI. WISHA Service Locations and other Services...........................................................................................77

    VII. Guides

    Guide for an Accident Prevention Program (APP) that complies with the rule................ 80

    Guide for an Accident Prevention Program (APP) that goes beyond compliance..........82

    I. Introduction.....................................................................................................................................................3

    Your Choices of Action.........................................................................................................6

    II. How to Use the Guide for an Accident Prevention Program (APP) that complies with the rule ...................9

    III. How to Use the Guide for an Accident Prevention Program (APP) that goes beyond compliance...........10

  • 3

    With few exceptions, all employers in Washington State are required to have an Accident Prevention Pro- gram (APP). Writing an APP is not difficult and with a little time and effort you will have a program that will save you money, prevent injuries and illnesses and put you in compliance with regulations.

    We have provided sample APP documents and tools so that you can easily write your own APP. Every workplace has its own special hazards and work environment therefore your APP needs to be tailored to your business.

    This guide was designed to make developing your own APP as simple as possible. It is divided into three sections. The first section explains what you must do to be in compliance with regulations. The second section shows you how to write a more comprehensive APP that will take you beyond compliance which will bring you the added benefits of increased safety awareness and probably fewer injuries and illnessess. This could lower your industrial insurance rates and save you money. The third section is filled with tools and templates that you can adapt to your needs.

    Introduction

    It’s No “Accident”... Most workplace illnesses and injuries are not due to “accidents”. The term accident implies that the incident could not have been prevented, that it was no one’s fault, that it was “just bad luck.”

    Unfortunately this attitude has led to the injury and death of thousands of work- ers. Through a systematic approach to recognizing and correcting workplace hazards, we can reduce workplace injuries and fatalities significantly.

    Working together we can make sure that every worker in our state comes home healthy and safe every day.

    Having an APP is your first step.

  • 4

    Having an Accident Prevention Program is Good for Your Business

    It Saves Lives It Saves Money It’s the Law

    On average, 110 workers in Washington State are killed each year in work-related incidents. In addition, over 220,000 injury and illness claims were reported.

    That’s 110 families that lost a loved one to preventable inci- dents.

    These deaths and injuries resulted in pain and suffering, permanent disability, loss of jobs, loss of homes, family distress and economic disaster for the workers and their families and, often, their employer as well.

    Injuries cost us all. In addition to the direct cost of an injury or illness, such as medical and time loss payments, there are hidden costs.

    The hidden costs to your business can be immense: lost time by workers and supervisors, dam- aged equipment and product, loss of production, reduced employee morale, and the cost to train replacement workers.

    The National Safety Council estimates that for every dollar of direct cost there are an additional $4-$10 in hidden costs.

    One serious work-related injury could put you out of business.

    Few or no injuries can lower your industrial insurance premium costs by lowering your Experience Factor (EF) Rating. See page 15 for details.

    All employers are required to have an Accident Prevention Program.

    The most frequently cited WISHA violation is for not having an Accident Prevention Program.

    This guide helps you avoid this common violation with little time and effort.

  • 5

    Using This Guide Can Save You Time

    WISHA recognizes that employers are busy running their businesses. This guide is designed to saveWISHA recognizes that employers are busy running their businesses. This guide is designed to saveWISHA recognizes that employers are busy running their businesses. This guide is designed to saveWISHA recognizes that employers are busy running their businesses. This guide is designed to saveWISHA recognizes that employers are busy running their businesses. This guide is designed to save

    you time and effort in developing an Accident Prevention Program.you time and effort in developing an Accident Prevention Program.you time and effort in developing an Accident Prevention Program.you time and effort in developing an Accident Prevention Program.you time and effort in developing an Accident Prevention Program.

    We have provided you with: • information you need quickly for compliance or to develop an Accident Prevention Program that goes beyond compliance.

    • ready-to-use samples of an Accident Prevention Program in outline or comprehensive formats.

    • ready-to-modify industry-specific Accident Prevention Programs.

    • ready-to-use forms you may need for your program.

    • information about injury costs to help you decide what issues need attention first.

    • various tools and templates you may need for your program.

    • links to other useful information in electronic form.

    All in

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