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Safety Committee Minutes (23)
Safety Committee meeting— December 13, 2017 @ 1:30 PM Attendance Roster NAME DEPARTMENT SIGNATURE JUSTIN BAKER CITY SHOP BRANDON COMEY WWTP i % ��������� KAREN COURTNEY PUBLIC WORKS 0 �/ NATHAN HERMAN WTP Vacant CHIEF ADMINSTRATIVE OFFICER KURT MARKEGARD PUBLIC WORKS RICK MUSSON POLICE CHIEF a H.P. NUERNBERGER WTP BRENT PETERS FIRE/EMS TIM REITER WTP L NANCY SCHMIDT LIBRARIAN FRAN SCHWEIGERT CITY SHOP MATT WHEELER PUBLIC WORKS The quarterly safety meeting will be at 1:30 PM on Wednesday,December 13,2017 in the conference room on the first floor of City Hall. I If you are unable to attend personally kindly select someone to attend in your place. It would be appreciated if you would notify the shop stewards or safety representatives of the meeting also. The proposed Safety Meeting Agenda is; © Review of the City of Laurel Safety Policy- Updated November 30,2017 ® Review of one injury report and one near miss report o Other business or concerns Safety Committee Meeting—December 13 2017_1:30_PM In Attendance:Justin Baker, Brandon Comey, Karen Courtney, Nathan Herman, Rick Musson,Tim Reiter, Fran Schweigert, Matt Wheeler Absent: HP Nuernberger, Kurt Markegard, Brent Peters, Nancy Schmidt I Meeting called to order at 1:30 PM. i Karen introduced the Draft of the updated Safety Policy.She stated that the current one is outdated and hard to read.She used the template from MMIA and changed a few items for City of Laurel.The one that is for the City is a general Safety Policy and once they are introduced to their department,the department specific safety policy and training will be covered by the department and the sheet for Safety Orientation will be completed,signed and returned to her for filing. Question was asked about annual forklift training—this will have to be reviewed on what is required for the operation of the forklift. Matt Wheeler asked if the one that was in the packets was the new City Safety Plan—it is and is much shorter than the old one as they had tried to include all departments into one policy. Having general Safety Policy and then separate department policies will allow the departments to update as equipment updates. Karen wanted to make sure everyone had a copy and since this was done in such a short time prior to meeting wanted to allow for everyone to have a chance to look at it and then discuss changes, questions or concerns at the January Meeting(currently scheduled for January 10—invite will be sent out). Karen stated she is also trying to schedule the meetings at the beginning of the quarter instead of the end of the quarter so that it isn't as difficult to find a time that works. Karen stated that she would like to get this part taken care of and then she would like to go around to the departments and finding out what types of training are needed for each department and specialize the monthly training to items that are relevant to specific needs of the departments. Matt asked if this policy would be handed out at the time of hiring and if it was being done by Karen now. It is going to be handled through Karen,once they have completed their paperwork with Kelly in payroll,they will be brought up for Safety Orientation and ID cards. City ID cards have been designed,we are waiting on the hologram to be delivered and then we can start to get these issued. Matt stated it is used a lot for when a city employee goes to someone's home and they ask for identification. Karen stated it is also helpful when you go to training as some places require proof of employment from a municipality.The question was asked if a lanyard could be given out—this is not an issue. Matt stated that along the lines of the IDs—for those people who have cell phones, now that Heidi is gone and she had administered the Verizon phones and tablets,that task has been turned over to Karen as well.It was brought up that there is a phone that has been at the Water Treatment Plant that sits in a desk and has never been used, it was decided that Tim could bring it in and the phone could be deactivated from the account.All of the people who work out there have their own phones if needed.The phone for the container site, Matt would like to be kept active even though not currently being used, but may need in future. There were 2 incident reports—Karen turned the floor over to Matt Wheeler to discuss these reports. The first report concerning the garbage truck has been an ongoing problem—items get stuck in the hopper and it has to get out of the hopper.He stated he believed it was discuss previously that when this happens it needs to be brought back to the City Shop and by using other equipment,such as a back hoe,to get it cleared. It is inherently a dangerous job. He asked is anyone had ideas that are different than what they currently do. He referred question j to Justin Baker.Justin stated that nothing that he can think of, having 2 people there it tends to be an easy fix— i climbing in and out of it is what the problem is.Stated that when it is wet the hopper is flat,slick metal.Fran I Schweigert stated that the hopper is defined as a confined space and that there should be 2 people. Matt stated that we should make a recommendation that if this happens the truck is brought back to the shop and that there are 2 people there. If the Mechanic is not at the shop,they will need to call somebody else. Recommended that it be done inside as it would be safer with the weather conditions.Justin stated that it may not be a bad idea to have them tied off either,so if something happens to the person going in,they can be pulled out. If someone falls and is stuck inside the hopper—nobody would know you were in there. It was decided that a Memo would be written and covered with the department involved. Matt will help Karen get the memo written and then will take it to the shop and post it. Matt stated there can be one other item that could be added to the memo that he was just made aware of from Fran that will be brought up as well. The second report, Matt had Justin Baker cover.Justin stated that City workers were carrying a piece of pipe taking it off the rack,2 of them moving pipe and when it gets to a point where off balance it will slide down.The worker thought he could hang on to it and it was too heavy,there was a back hoe bucket below and it pinched his hand between the pipe and bucket.Stated they could have gotten the forks with the skid steer or just tried not to stop it and let it fall. It was just an accident,there was no medical,just did incident report in case the worker had to seek medical attention. It was decided that nothing need to be written up about this incident as it was a mistake in judgement. Matt stated that Fran had brought an issue to his attention this morning.The City Shop picks up a lot of junk in the alleys—mattresses,couches, etc.,whenever they have received work orders to do that he has always told the employees sent out to use a piece of equipment to pick up these items. Due to needles or bed bugs,shop has a backhoe that has an attachment that can be used to pick up stuff and put in back of the truck.What happened was that a supervisor(Maintenance III)of a crew told a Maintenance II to grab an end of a mattress and throw it into the back of the truck and they could move on. It is a procedure thing but will have added to memo that if you are assigned to go pick up these items in alleys to use the equipment to do it.We have apartments above downtown apartments that move out, put their stuff in the alley and we have to clean up.There is a known problem with bed bugs in that area. Safety concern is for the spread of bed bugs to employees' homes and the possibility of syringes in these items.This will be added to the memo. Fran stated that we might want to refer to the section 6.1(8)of proposed Safety Policy(not sure what would be in current Policy). Chief Musson had no concerns at this time. Brandon Comey stated that the air exchanger for the headworks is fixed. If not running you get H2S and LEL (methane)gas built up in the building. It does get filled with snow and drifting during the winter.They were getting a quote to resolve it drifting in and plugging up causing the buildup of these gases making it unsafe.Gas monitors are in place but when the exchanger is not working the alarms are constantly going off.Also got a few packs of the thicker latex gloves that are supposed to be stick resistant so that if they are cleaning out and they run up against a sharp,they are not getting exposed to anything. Justin Baker stated that the Utility Department now has the H2S monitors for each man for use when they are doing anything at the lift stations.They got them through Greg Lapp(sp?)and not DXP. He supplies the City with First Aid items. Brandon stated they got theirs from DXP and the only complaint they have is when you are out working in the cold and come into the warm they will act up. Matt stated that they may want to check with Greg when he comes around with Safety Supplies. Fran stated we had gone through the Safety Inspection from DLI and we addressed everything and all issues were resolved. Nathan Herman stated that the Water Plant is still working on the compressor system. Electrical is all put in, waiting to hear back from DXP about the masks,they are going to pipe the manifold to the outside of the building so that they can plug in at the door prior to entering. Everyone passed their fitness check,just need masks and fit tests on the masks.Tim stated that he may have to call everyone in all at once,which would mean some overtime but it needs to get done,whenever they can schedule it with DXP. Nathan tried to contact them again today and is waiting a response. If they can schedule it at 7,shift change,it would only be a couple of people with OT but this i will depend on DXP availability. Brandon asked why the change as he thought they were using the SCBA's, Nathan stated that they do not have enough room to have the SCBAs on and maneuver within the room. Matt asked how often the medical fit test needs to be done—this will have to be checked into. Karen stated she would look through the information that she had to see if it stated.SCBAs at Wastewater Plant will be removed and disposed of.Tim could not recall if the tanks on those had been updated.He will bring them down to the Water Plant and compare to what they have for the newest pieces. Brandon will have Corey get with Nate to coordinate removing the whole unit off of the wall at WWTP and taking them to WTP. Chief Musson stated that one thing that gets overlooked is seatbelts. Make sure to encourage people to wear their seatbelts. They are required to wear them at all times when operating a City vehicle but they don't always do so. Fran had a question pertaining to the incident report,they have been using the Work Comp First Report and not these forms.After discussion it was decided that if they were using the First Report from Work Comp they could make a copy and give me the copy of the WC First Report.These will have to be used for any damage to City property. Karen found forms for people to fill out if they see something that is unsafe to report it.They are triplicate forms, is anyone using these?No one is using these the safety concerns are brought up to supervisors and then brought to the meetings. It was decided to get rid of them since they are not used and haven't for years. The one fire extinguisher that was on recall for the city has been replaced and recalled extinguisher has been returned to KIDDE.The company that services ours usually comes around this time of year to do the yearly inspection on all of the extinguishers. Next meeting will be January 10,2018 @ 11:00.Chili will be served. Karen will send another invite to everyone. Meeting Adjourned at 2:15 PM. Follow up: Memo written by Karen Courtney on 12/13/2017 and posted at the shop by Matt Wheeler on 12/14/2017.Copy on file with Safety Notes. It was found that the section that Fran had referred to could not be found in the current Safety Policy,therefore it was not noted in the Memo. City of.laurel E]UpIoyee Initial Incident Report Department Bate of Incident: �L �� crD Z7 Time of Incident: am P Type of incident: (I) Near Miss (5) Fatality (2) First Aid Case (6) VehicIe Accident (3) Medical Attention Required (7) Injures Yes No (4) Hospital Care Required Describe the incident (be spe/ciific) J ��` G�) U G ne ( / c� /�/ ' �7r� /21- S^ �l 1 > /aila-s A, Le T i (Continue on back if needed) What was the cause of the incident: /��Qe U JGc 5 %C)O ljj�, l cC (Continue on back if needed) What could have been done to prevent the incident Z-�, 1_ qi/, /O �7 e �T /D�_ (Continue on back if needed) Signature: Date Submitted: Immed'a Supervisor: Date Received: City Safety Official: Date Received: Date scheduled for-rreview by Safety Committee: 109-l3 '1-1 City of Laurel Employee kitial Incident Report. Department 6,003&C Date of Incident: /j/z! 7 Time of Incident: !,'cv .� am pm Type of incident: (1) Near Miss ?< (5) Fatality (2) First Aid Case (6) Vehicle Accident (3) Medical Attention Required (7) Injures Yes (4) Hospital Care Required Describe the incident (be specific): 6/) Z:MG-r J�2 1� t# �// 2 x`� T S'7Zrz44- S,'LAC J7Zi.CIL - f�s�c�2 �/l�.�J,c�2. ��_J`'i •��.yiC > !%'S �`•��::)� �S•T �Zi ISu?• (Continue on back if needed) WA at was the cause of the incident: lM fI%Ls f)iyZ �Tlt�l s' <1 J �5 w- ! (Continue on back if needed) What could have been done to prevent the incident: I� � tir�rT A777,J, (Continue on back if needed) Signature: 4" Date Submitted: Immediate Supervisor: Date Received: City Safety Official: Date Received: Date scheduled for re " w by Safety Committee: /o:7•/3 • /7 J J /iN[CITY of INTEROFFICE MEMORANDUM lo; ,4 t) 1_ TO. City Shop FROM: Safety Committee J J J J DATE: December 14, 2017 RE: Review of Safety Procedure During the Safety Committee Meeting, held December 13, 2017, a review of a near miss incident was discussed as well as a safety concern. As a result please review the following review of Safety Procedure. Entry into Hopper for clean out Whenever there is to be entry into the hopper for any reason, the hopper must be brought back to the City Shop and it is required to have two people present before an individual enters into the hopper. The hopper is considered to be a confined space and therefore the procedure of confined space entry 8s control must be followed. Pick up and disposal of large discarded items Whenever there is a call for a large item pick up, such as mattresses, couches, chairs, etc. for the health and safety of the employees due to unknown hazards, bedbugs, needles, etc. it is required to utilize the City's equipment to pick up and dump the items. All employees should not pick up these large items with their hands and risk the possibility of exposure to health and safety hazards that may be present. If you have any questions or concerns, please notify your supervisor and they will be happy to answer you. 1� Z �V1 ® � r EST 1908 2 Laurel,MT Safety Policy TABLE OF CONTENTS Pg Section1. INTRODUCTION.............................................................................................3 Section 2. MANAGEMENT STATEMENT OF COMMITMENT...............................3 Section 3. RESPONSIBILITIES 3.1 Management........................................................................................................4 3.2 Supervisors..........................................................................................................4 3.3 Employees...........................................................................................................4 3.4 Safety Coordinator/Officer..................................................................................5 Section 4. SAFETY TRAINING 4.1 All Employees.....................................................................................................6 4.2 New Employee Safety Orientation......................................................................6 4.3 Annual Safety Training.......................................................................................6 4.4 Job-Specific Safety Training...............................................................................6 Section 5. SAFETY COMMITTEE 5.1 Organization........................................................................................................7 5.2 Duties...................................................................................................................7 5.3 Meetings..............................................................................................................8 Section 6. SAFETY RULES AND REGULATIONS 6.1 General Safety Rules...........................................................................................9 6.2 Lock out/Tag Out................................................................................................9 6.3 Lifting Procedures............................................................................................... 10 6.4 Office Safety........................................................................................................ 10 6.5 Office Ergonomics .............................................................................................. 11 6.6 Working in Extreme Weather Conditions........................................................... 12 6.7 Confined Space Entry.......................................................................................... 12 6.8 Personal Protective Clothing & Equipment........................................................ 13 6.9 Hearing Conservation/Protection........................................................................ 14 6.10 Respiratory Protection......................................................................................... 14 6.11 Blood borne Pathogens........................................................................................ 14 6.12 Forklift Operations.............................................................................................. 15 6.13 Fall Protection..................................................................................................... 16 Section 7. DISCIPLINARY POLICY............................................................................... 17 Section 8. ACCIDENTANCIDENT REPORTING ......................................................... 17 Section 9. TRAINING REQUIREMENTS FOR SAFETY& HEALTH 9.1 Required Training................................................................................................ 19 9.2 Available Training Programs .............................................................................. 19 Section 10. EMERGENCY EVACUATION & RESPONSE PLANS.............................. 19 Section 11. SAFETY& HEALTH COMMUNICATION................................................. 19 Section 12. FORMS Hepatitis B Vaccine Declination.................................................................................20 SafetyOrientation.......................................................................................................21 Incident Reports and First Report of Injury/Occupational Disease............................22 SupervisorsAccident Report......................................................................................23 Report of Workplace Hazard......................................................................................25 i I 3 Laurel,MT Safety Policy SECTION 1 INTRODUCTION It is the policy of the City of Laurel to provide and maintain safe and healthful working conditions,routine safety training and education,and to follow practices that will safeguard all employees and result in safe working conditions and efficient operation. When a person enters the employ of the City,they have a right to expect that they will be provided with a proper place in which to work,and proper equipment with which to do their job,so that they will be able to devote their energies to doing their work without danger to their life and health.Only under such circumstances can the association between employee and employer be mutually profitable and harmonious.It is the City's desire to provide a safe place to work and safe equipment to use as well as to establish and insist upon safe methods and practices at all times. Safe practices,on the part of City employees,must be part of all operations.This responsibility is required of each official and employee who conducts the affairs of the City,no matter in what capacity they may serve.The idea of job production and safety must be inseparable. Employee cooperation regarding safety matters will be considered a condition of employment.The supervisor is responsible for the safety and well being of their staff in the workplace.This responsibility can be met only by working continuously to promote safe working practices among all employees and to maintain property and equipment in safe operating condition. SECTION 2 MANAGEMENT COMMITMENT The purpose of the Safety Policies and Procedures is to provide a management system for the prevention of occupational injuries and illnesses and compliance with regulations concerning occupational safety and health. Safety Policies and Procedures assign safety responsibilities,promulgate City wide procedures,and set minimum safety program requirements for issues involving City departments. Additional department and/or division specific policies and procedures will be issued to implement safety programs. This Safety Plan provides general direction for the administration of occupational safety and health management for the City.It is intended to meet the letter and spirit of the Montana Safety Culture Act and achieve full compliance with federal Occupational Safety and Health Administration(OSHA)regulations,as adopted by the State of Montana,governing workplace accident prevention programs. Separate Safety Policies and Procedures will be issued as needed to address specific safety and health issues or to meet the regulatory requirements for written compliance programs. The City is committed to providing dependable,economical services to the public. The City recognizes its employees as the most important resource in meeting that commitment and is dedicated to providing a safe and healthful work environment. The City recognizes that some accidents are caused by unsafe conditions or unsafe behavior and strives to systematically eliminate unsafe acts and conditions.In meeting that goal it is the policy of the City to: • Provide a safe workplace including facilities,equipment,tools and vehicles that meet safety and health standards and practices. • Define and implement safe work practices to address hazards unique to specific job assignments. • Train employees in the safe performance of assigned jobs. • Monitor workplace conditions and employee behavior to ensure compliance with the MMIA Safety Plan,as well as individual department and division safety and health requirements. • Involve all employees in a systematic effort to recognize,report and correct hazardous conditions and practices. • Investigate and analyze accidents to identify and eliminate the unsafe conditions and behaviors that caused the accidents. The management staff will not tolerate actions that jeopardize the safety and health of employees or the general public or actions that risk non-compliance with established safety and health regulations. Employees who violate City,departmental,and/or divisional rules are subject to the disciplinary policies. Fulfillment of safety-related responsibilities will be considered a factor in performance reviews and promotions. 4 Laurel,MT Safety Policy SECTION 3 RESPONSIBILITIES All City employees share in the responsibility to establish and maintain a safe working environment. The following responsibilities are guidelines to establish accountability for the Safety Program. These responsibilities are not in any way intended to limit innovation or initiative on the part of any employee who is working toward the goal of achieving a safe workplace. 3.1 Department Heads, Superintendents, Upper level management a. Ensure the design, maintenance of facilities,tools,equipment and vehicles meet or exceed established safety standards. b. Approve and ensure usage of policies,procedures and safe work practices for department occupations, tasks and locations. c. Approve and ensure usage of safety-training requirements for department employees based on their occupations,work locations and tasks. (See 3.2.b.) d. Review department Accident Investigation Reports, Incident Reports and department injury and illness trends. Resolve corrective action issues that are beyond the scope of the supervisor to accomplish. e. Review workplace inspections with Supervisors and direct appropriate corrective action to achieve a safe work environment. 3.2 Supervisors a. Establish polices,procedures and safe work practices for department/division occupations,tasks and locations. b. Establish safety-training requirements for department/division employees based on their occupations, work locations and tasks. c. Monitor workplace conditions and employee work behaviors through regular,scheduled inspections and frequent observation of the work environment. d. Enforce City and departmental tool,equipment and vehicle standards and rules governing the workplace behavior of employees. e. Ensure employee participation in City and department required safety training. Recommend additions, deletions and modifications of safety training requirements or training programs based on observed workplace conditions and employee work behavior. f. Investigate accidents involving employee injury or illness and/or damage to vehicles or other City property. Determine the facts and causes of the accident. Implement or recommend corrective actions for the purpose of preventing future,similar occurrences. g. Encourage employee involvement in safety hazard recognition and act on hazard elimination and hazard control suggestions from the safety committee and individuals. h. Identify unsafe work conditions and unsafe practices. Correct immediate hazards within ability or report them to immediate supervisor upper management and/or and report recurring conditions to upper management and/or safety committee. 3.3. All Employees a. Abide by the City and department/division work practices established for specific job assignments and occupations. b. Report occupational injuries, illnesses and near misses immediately to their supervisor.Follow supervisor instructions for obtaining first aid and/or medical attention.Participate in accident investigations as requested by the supervisor. C. Participate fully in safety training. Suggest improvements in safety training requirements or programs to the supervisor or the safety committee. d. Identify unsafe work conditions and unsafe practices.Correct hazards or report them to the supervisor or safety committee as appropriate. 5 Laurel,MT Safety Policy e. All employees are required to acknowledge that they have received and read and that the employee understands the policies contained therein. That manual includes,but is not limited to,several sections on the safety of City employees such as vehicle use,reporting accidents or injury,safety data sheets,workers compensation,early return to work,smoking,alcohol and drug use,housekeeping and cell phones. By this reference those policies are considered a part of this Safety Policy. 3.4. Safety Coordinator/Officer a. Assist and advise all levels of management in establishing an effective safety program. b. Provide accident trend analysis to safety committee. c. Provide new employee general safety and health training/orientation. d. Coordinate with clerical staff that accident and incident records for workers' compensation purposes are maintained and filed appropriately. e. Plan and coordinate inspections,committee meetings,and assist management in all areas of safety and health. f. Act as permanent Chairperson and provide support for the Safety Committee. g. Report committee members' unexcused absences to supervisors and/or City Administrator as appropriate. 6 Laurel,MT Safety Policy SECTION 4 SAFETY TRAINING 4.1. All Employees It is the policy of the City to provide all safety training prescribed by regulatory requirements and to ensure that all employees understand the hazards to which they may be exposed and how to prevent harm to themselves and others. No employee is expected to undertake a job until he or she has received instructions on how to do it properly and has been authorized by their supervisor to perform that job.Employees are expected to participate and cooperate fully in training programs and to accept and follow established safety and health precautions. Each worksite presents a unique training challenge. Therefore, each department/division is expected to specify and provide safety training that is tailored to each employee's occupation,task and job location. To the extent possible, safety training should be integrated into general job training,rather than treated as a separate issue. All safety-related training must be documented;the records are to be maintained by the Safety Coordinator. Documentation shall include a list of employees in attendance,date,and the name of the trainer and an outline of the topics discussed or category of safety training delivered. 4.2. New Employee Safety Orientation The purpose of new employee safety orientation is to provide the employee with information about: • The general hazards and safety rules of the worksite, • Specific hazards, safety rules and practices related to the employee's work assignments,and the employee's role in emergency situations This training shall take place as soon as practical,preferably within 2 months of the employee beginning assigned duties. 4.3. Annual Safety Training Annual safety training shall be conducted and be of sufficient duration and content to assure continued safe operations. See Section 9.1 4.4. Job-Specific Safety Training Job-specific safety training includes personal on-the-job instruction,safety meetings or formal classroom instruction intended to enhance the safety of specific tasks or occupations. Some job-specific training is prescribed in City of Laurel/departmental Policies and Procedures or in regulatory requirements.Departments and divisions will provide additional training as necessary to improve employee knowledge of safety rules,procedures and safe practices. The intent of this policy is that safety training will enhance the employee's understanding of workplace hazards and the prevention of occupational injuries and illnesses,rather than to prescribe the specific format of the safety training. 7 Laurel,MT Safety Policy I SECTION 5 SAFETY COMMITTEE 5.1 Organization The City encourages and expects employee participation in the Safety Program.The City Safety Committee shall consist of a person or persons from each of the following groups: Fire/Ambulance Police Office Workers* Library Public Works Planning Waste Water Treatment Plant Water Treatment Plant Utility Maintenance Streets Solid Waste Union Representatives *This group will include all positions whose jobs are performed predominantly at a desk,such as Administrative Assistant,secretary or other office workers. 5.2 Duties The Safety Committee is an advisory body organized to bring employees and management together in a cooperative effort to foster a safety culture and reduce on the job injuries and illnesses in the workplace.The Committee may make recommendations about the following education and communications matters: • Assessing and communicating hazards • Communicating with employees regarding safety committee activities • Educating employees on safety related topics • Motivating employees to create a safety culture in the workplace The Committee may also recommend specific actions concerning: • Development of safety rules,policies and procedures • Control of hazards • Periodic evaluation of the safety program • Inspection of the workplace • Development of safety training and awareness topics • Keeping job specific training current The City Safety Committee is encouraged to be innovative in its approach to achieving those goals within the following guidelines: 1. A safety committee meeting must have a quorum present to take any action. Items may be discussed and information exchanged though no action may be taken until a quorum is present.A quorum is eight members. 2. The safety committee must document its meetings in minutes to include: a. Date,time and location of meeting b. A list of members present c. The topics or issues discussed d. The recommendations or suggestions made 3. Distribution of the minutes will include: a. All safety committee members b. All Department Heads c. City Manager d. Posted for each Department 4. The safety committee will be provided appropriate support staff,meeting space and resources(such as photocopies). 5. Department committees are not required. Supervisors will be required to provide staff with necessary safety training, and ensure they attend any City wide training offered. 6. Other than Public Safety departments,attendance rosters for all training will be forwarded to the Human Resources office for placement in personnel files and copies retained by Safety Officer for review by City Administrator,Mayor and Council members. 8 Laurel,MT Safety Policy 7. Safety duties will be covered in job descriptions. Department heads or supervisors will be responsible for doing this. 5.3 Meetings 1. Members must attend all meetings unless excused. The department head or supervisor will notify the Safety Coordinator via email when there is an excused absence and identify any designated substitution. 2. The committee will meet at least quarterly. 3. If a current member does not desire to remain on the committee,the Department Head shall appoint a replacement. That replacement shall come from the same employee pool as those whom that position represents. 9 Laurel,MT Safety Policy SECTION 6 SAFETY RULES & REGULATIONS As a basis for employee responsibilities and participating in the City's Safety Policy Program,the general safety rules listed below will apply to all employees.Your cooperation in voluntarily complying with these rules and all other safety responsibilities will be appreciated and expected. 6.1 General Safety Rules 1. Seek medical attention,if necessary,for any accidents resulting in an injury.All accidents must be reported to the supervisor within 24 hours. 2. Report unsafe conditions,procedures and practices to your supervisor immediately. 3. Possession of firearms on City property or in City vehicles is prohibited unless part of the employee's job description. 4. The use or possession of alcohol, illegal drugs or other controlled substances on the job is prohibited. 5. Smoking is permitted in designated areas only. 6. Each employee is responsible for good housekeeping.Keep your work area in a clean,uncluttered state.Do not walk by a situation of poor housekeeping if it can be easily corrected or needs immediate attention such as spills on floors, ice on steps and so on. 7. Obey all warning tags and signs.They are there because hazards exist. 8. No employee should take chances on the job which could endanger their personal safety and health or the safety and health of co-workers or others. 9. Do not operate machinery or use tools you are not qualified to use. 10. Do not enter hazardous areas you are not authorized to enter. 11. Use all personal protective equipment and devices required and provided. 12. If an established job procedure must be deviated from,supervisory approval must be obtained and an alternative,temporary job procedure must be agreed upon. This alternative job procedure must not create any new or additional hazards or unnecessarily expose employees to hazards. 13. Become familiar with and conduct your work activities in accordance with these general safety rules and other specific safe operating procedures which are applicable. 14. Refrain from fighting,horseplay,or distracting fellow workers. 15. Follow proper lifting procedures at all times 16. Wearing of safety restraints when riding/driving a City Vehicle is mandatory if so equipped. 17. Know the location of fire/safety exits and evacuation procedures. 18. Participate in Safety Training. 19. When operating City vehicles or equipment,drivers must operate/drive safely and prudently. 20. When using cell phones in a City vehicle,pull over and stop on the side of the road or utilize hands free device. 21. Above all be ALERT and be RESPONSIBLE! Your safety and health depends on it. 6.2 Lock Out/Tag Out OSHA Standard 29 CFR 1910.147 requires that hazardous energy must be controlled during service or maintenance of machines and equipment.Lockout and tagout(LO/TO)procedures are necessary to protect workers from electric shock,accidental start-ups,or other release of energy. Every department that has employees performing maintenance where there is exposure to hazardous energy must have: • locks and/or tags and lockout devices that are not used for anything else • procedures for performing such maintenance specific to their area • training for all employees involved in maintenance activities Basic Rules for Using Lockout/Tagout 1. All equipment shall be locked out or tagged out to protect against accidental or inadvertent operation when such operation could cause injury to personnel. 2. Do not attempt to operate any switch,valve,or other energy isolating device when it is locked out or tagged out. 10 Laurel,MT Safety Policy 3. Lockout/tagout devices shall be removed only by the employee who applied the device. [EXCEPTION: In cases where the authorized employee who applied the lock or tag is not available, the lock or tag may be removed by the direct supervisor in charge of either the department involved or the maintenance crew that placed the LO/TO or under his/her direct authority. The employee whose lock was removed must be notified by the supervisor prior to returning to the work site]. 4. The division supervisor will inform outside contractors of the elements of the City's lockout/tagout program and ensure that work efforts are fully coordinated and that compliance is achieved. 5. Where shift or personnel changes occur before the lockout/tagout is terminated,a changeover period will be established by the supervisor. Departing employees will remove their locks and/or tags and arriving employees will apply their locks and/or tags.The supervisor will fully inform arriving employees on the scope and stage of the work. All accidents involving lockout/tagout must be reported immediately to the supervisor in charge. 6.3 Lifting Procedures Proper manual lifting techniques will protect your back by keeping it in its strongest position during stress.These techniques are not natural movements and must be learned and practiced. Keep the basic principles in mind every time you lift,no matter how small the load. 1. Assess the load before you lift. Know your limitations. Get help for heavy or bulky objects. 2. Spread feet shoulder width apart to give yourself a solid base of support. 3. Place your feet as close as possible to the base of the object you are lifting with one foot slightly in front of the other. 4. Bend with the knees and maintain the natural curve in the back during the entire lifting operation (weightlifter position). 5. Get a good grip on the object and primarily use the leg muscles,not the back,to lift the load. 6. Move your feet to change directions--avoid twisting. 7. Don't overdo.Take frequent breaks for repetitive lifts.Your back is more susceptible to injury when tired. 6.4 Office Safety Office work is more dangerous than is commonly supposed and serious injury accidents can occur during normal office routine. Good housekeeping and proper storage are important factors in office safety and fire prevention. Proper lifting techniques will prevent most back injuries.Offices are typically inspected for safety compliance less often than other areas. It is important that you correct or report unsafe conditions to your supervisor. 1. Every employee is responsible for keeping his or her work area clean and orderly. Even a pencil or paper clip can cause a slip or fall. 2. Open doors slowly. Be extra cautious when you come to a door that can be opened in your direction. Slow down when you come to a"blind"corner. 3. Do not read while walking. 4. Proceed with caution.Haste when walking between desks can result in bruises and falls. 5. Keep electrical cords and other tripping hazards out of aisle ways,and do not run cords through doorways. 6. Keep file,desk and table drawers closed when not in use. Close them before you leave them. 7. Never open more than one file drawer at a time.The entire cabinet may tip over. 8. Be careful when opening drawers to full extension in case there is no locking device. 9. Load file cabinets and bookcases with the heaviest items in the bottom to prevent tipping. 10. Maintain office tables,desks and chairs in good condition and free from sharp corners,projecting edges,wobbly legs,etc. 11. Use chairs sensibly. Do not tilt chair or slump back,which may cause the chair to slip or break. 11 Laurel,MT Safety Policy 12. Never use a chair,desk or other office furniture for a step stool or ladder. 13. Recognize the potential for puncture injuries with message spindles.Consider not using spindles, bending the point horizontal or covering the point. 14. Keep the blades of paper cutters closed when not in use. 15. Keep razor and"exacto"blades covered. Report even minor injuries and take precautions to avoid infection. 16. Be sure that cords and plugs on all electrical equipment are in good shape.If a machine causes a shock or starts smoking,unplug it immediately and report it to the supervisor. Do not overload outlets. 17. Do not attempt any electrical repairs. 18. Use handrails when ascending or descending stairs. Don't carry a load that restricts vision. 19. Walk,do not run.When walking in hallways,keep to the right,especially at corners. 20. Be careful in front of doors that open outward and open doors slowly. 21. Avoid spilling or splashing liquids on the floor. If you spill it,clean it up. Provide barricades or other warnings as necessary. 6.5 Office Ergonomics Ergonomic injuries include tendonitis,carpal tunnel syndrome, lower back pain and other disorders that involve pain and damage to muscles,tendons and nerves in the back,neck,shoulders,elbows,wrists and hands.These musculoskeletal problems are referred to as cumulative trauma disorders(CTD)or repetitive motion injuries and are generally caused by: • making the same motion over and over • staying in the same position too long • working in a position that puts stress on muscles and joints • working with tools and equipment that doesn't fit your body • using excessive physical force • exposure to vibration over a long period of time You can help prevent CTD's by avoiding awkward body positions: • adjust your workstation before you begin working • maintain the natural curve in your back while sitting,standing and lifting • keep your wrist straight as much as possible while typing or doing other repetitive tasks • take breaks from repetitive motion tasks by switching periodically to other tasks • use the right tools for the job,especially when they are used often or for long periods of time If you spend a lot of time at a computer workstation: • Position the keyboard so that the wrists are kept straight—use a wrist rest if necessary. Your elbows should be at about the same height as the keyboard. • Sit with your back in a neutral posture,maintaining the natural curve,with feet on the floor and thighs parallel to the floor. [Adjust the chair height and use a foot rest if necessary] • Position the screen just below eye level and about 18-24"away to prevent neck and shoulder strain [the screen should be lower if you use bifocals] • Change positions,stretch and take"mini-breaks"periodically Pay attention to early signs of cumulative trauma disorders and make adjustments in your workstation or the way you do your work. Report the symptoms to your supervisor and work together to correct the causes of the injuries. Early indicators of CTD,which usually occur in the hands,arms,shoulders,neck and back,include: • stiffness or soreness • aches and pains • numbness or tingling • swelling • burning sensation • reduced strength 12 Laurel,MT Safety Policy 6.6 Working in Extreme Weather Conditions Montana's climate may be severe and conditions may change rapidly. Hot weather and exposure to the sun present the potential for heat stress and sunburn. Cold conditions can lead to hypothermia or frostbite,either of which can be fatal in the worst cases. Employees are expected to monitor weather and be prepared to protect themselves against its effects. In general, employees will provide clothing as protection from severe weather conditions,if it is the type of clothing that may be used both on and off the job. Examples include coats,hats or caps,boots and gloves. Departments may provide some or all of such clothing. Check with your supervisor. Hot Weather Guidelines 1. Dress for conditions--lightweight, light-colored loose clothing is best. Wear a hat with a wide brim if you're out in the sun. 2. Use sunscreen. 3. Reflected sun is even more potent than direct exposure. Be particularly careful of sun exposure on cloudy days and near water,concrete or sand. 4. Eat a well-balanced diet,but try to stay away from hot or heavy foods. Do not take salt tablets or other salt supplements without a doctor's recommendation. 5. Drink plenty of fluids. Don't wait until you're thirsty. The best fluid replacement is water. Avoid alcohol and caffeine. Cold Weather Guidelines 1. Dress for the conditions in layers of loose,dry clothing.Cotton or wool clothing with a waterproof layer over it is very effective. 2. Change clothing right away if you get wet. 3. Cover your head and face. 4. Wear shoes and gloves designed for cold weather. 5. Keep moving when you're in the cold. 6. Return to a warm vehicle or take regular breaks in warm areas frequently. For hypothermia,get medical help quickly and keep the person covered with blankets. Don't use hot baths,electric blankets or hot water bottles. For frostbite,get medical help and warm the body part with blankets or warm(not hot!)water. Don't rub,use heat lamps or hot water bottle or go near a hot stove. Don't break any blisters that form. 6.7 Confined Space Entry DO NOT ENTER HAZARDOUS AREAS YOU ARE NOT AUTHORIZED TO ENTER OR FAIL TO HAVE A PERMIT TO DO SO. Very few work situations have as much potential for serious safety hazards as confined spaces. The atmosphere in a confined space may have insufficient oxygen to support life,or may be toxic, flammable or explosive. The lack of ventilation in confined spaces causes welding,painting,use of hazardous materials, or other activities that change the atmosphere to be especially dangerous. The limited opening for entry and exit makes rescue difficult and dangerous. Most of the severe injuries and fatalities in confined spaces occur because an employee either went into a confined space without first testing its atmosphere or did not continuously monitor the space.These are general guidelines for all employees. Each Department that encounters confined spaces in their assigned duties will develop,train,operate and monitor a specific confined space program for their area. Some City employees may,during the course of their jobs, encounter confined spaces that have not been specifically evaluated. Examples include firefighters and police officers during emergency response and inspectors,meter readers or others during the normal course of their duties. More than half of the fatalities in confined spaces are would-be rescuers.All employees who enter confined spaces must receive sufficient training to evaluate any confined space and make responsible decisions. Prior to entry,assume that every confined space has an unknown hazardous atmosphere. A confined space is a space that has all of the following characteristics: (1) is large enough for an employee to bodily enter and configured so that the employee can perform assigned work, and (2) has limited or restricted means for entry or exit,and (3) Is not designed for continuous employee occupancy. 13 Laurel,MT Safety Policy Examples of confined spaces include: tanks,vessels,manholes,storm drains,headwalls, silos,storage bins, hoppers,meter vaults,digesters,lift and transfer stations,shafts and pits.Unfavorable natural ventilation is common in confined spaces. The City of Laurel realizes that confined spaces present unique safety considerations and institute that; • no one enters a hazardous confined space • No city personnel shall enter into a manhole. If entry is necessary a qualified contractor will be employed to do such work • work performed at any lift station will be with no less than 2 employees • trenching performed at the cemetery will be with no less than 2 employees and shoring may be necessary • any entry into concealed spaces on vehicles such as garbage trucks or tank trucks will be with no less than 2 employees • at all confined space entry one employee will serve as the standby/rescue watch person • no person shall remain in a confined space without a standby/rescue watch person in attendance • access to confined spaces including crawl spaces under homes or manufactured homes will be performed by no less than 2 employees • all personal protective equipment will be worn during any confined space operation • air monitoring devices will be calibrated by a certified entity once per month • ladders shall be used in all trenches for access and egress • lockout/Tag out procedures will be instituted before entering a confined space • In case of an emergency 911 will be called before any rescue attempt is made 6.8 Personal Protective Clothing and Equipment Personal protective clothing and equipment(PPE)plays an important role in protecting workers from hazards on the job.PPE is required in particular locations and for certain tasks,based on safety regulations and good safety practice. Examples of PPE include,but are not limited to: • safety shoes • fall protection harnesses • protective headgear • safety glasses • goggles • face shields • welding glasses • protective clothing • high-visibility clothing • hearing protection • air purifying respirators • self-contained breathing apparatus(SCBA) • welding clothing • gloves • rubber boots The City provides Personal Protective Equipment if PPE is required for certain tasks or in certain locations. Check with your supervisor to learn what equipment is required and/or provided in your area.Departments will specify and issue all required safety equipment to employees except in some cases where the PPE must be fitted to the employee,such as safety shoes or prescription safety glasses.You must obtain department approval prior to purchase of safety shoes or glasses,and demonstrate that all safety specifications are met,in order to be reimbursed for the cost. 14 Laurel,MT Safety Policy All PPE must meet the appropriate American National Standards Institute(ANSI)specifications as directed by OSHA. Any employee who provides his or her own PPE must present the PPE to their supervisor for approval prior to use on the job. Even where specific PPE is not required,certain types of clothing may not be appropriate for some jobs or work locations. For example, sandals,high-heeled shoes and athletic-type shoes may not be suitable for some types of jobs. Some non-PPE clothing and equipment may be provided by the department,but generally it is the employee's responsibility to be dressed properly for work. Employee responsibilities: 1. Always use PPE when and where it is required. 2. Inspect PPE prior to each use. 3. Never use defective or damaged PPE. 4. Keep PPE in a clean and sanitary condition. 5. Follow the correct methods of putting on,taking off and adjusting PPE. 6. Properly care for,maintain and dispose of PPE. 6.9 Hearing Conservation/Protection High noise levels damage your hearing and may also cause stress and fatigue. Hearing protection such as safety earmuffs and earplugs are designed to reduce your exposure to harmful noise,while they enable you to hear conversations and machine warnings.Never substitute audio headphones for hearing protection devices. Always wear hearing protection in areas posted"HEARING PROTECTION REQUIRED"and follow department rules for use of hearing protection for designated operations or near particular equipment. In addition,follow the three-foot rule—use hearing protection in situations where you must raise your voice to be heard by another person at a distance of three feet. Insert foam earplugs properly—roll the plug between your thumb and forefinger until it is completely compressed. With the opposite hand pull the outer ear up and out and insert the plug into the ear, leaving a small portion of the plug exposed. If you are using earmuffs,be sure you have a good seal between the muff and the skin around your ear. Be sure that your hair,jewelry,and glasses do not interfere with the seal. Earmuffs and earplugs may be worn together for added protection. 6.10 Respiratory Protection Respiratory protection is required for some employees as protection from exposure to high dust or particulate levels, exposure to toxic materials or oxygen deficiency. If you are required to wear a respirator,you will be given a medical examination, fit tested with the respirator and trained on the proper use and care of the respirator. In addition,you will be required to be clean-shaven where the respirator face piece contacts the skin. In some situations, such as dusty outdoor conditions, dust masks will be available as a convenience.There is no obligation that the masks be worn,and the requirements in the above paragraph do not apply. 6.11 Bloodborne Pathogens Hepatitis B Virus(HBV)and Human Immunodeficiency Virus(HIV),which causes AIDS,are the two most prominent bloodborne pathogens.Although these diseases are most commonly transmitted by sexual contact or sharing infected hypodermic needles,occupational exposure usually occurs by: • Accidental puncture with an infected needle • Getting infected blood or other potentially infectious materials on your skin,especially if your skin has open sores,nicks or cuts • Getting infected blood or other potentially infectious materials in the mucous membranes of your eyes, nose or mouth In addition to blood,potentially infectious materials include semen,vaginal secretions and certain other body fluids (cerebrospinal,etc.). Many City employees, including law enforcement personnel, firefighters,solid waste workers,wastewater treatment and individuals who perform janitorial functions,have the potential for bloodborne pathogen exposure. These 15 Laurel,MT Safety Policy employees,shall be given initial training and offered HBV vaccinations at City expense(See HEPATITIS B VACCINE DECLINATION Form Below). Emergency services employees(Fire and Police)have the greatest potential exposure and have extensive departmental procedures to cover potential exposure situations. The following precautions are useful in avoiding exposure to bloodbome pathogens: 1. Do not eat,drink or use tobacco products around blood or other potentially infectious materials. 2. Do not perform janitorial, emergency rescue or other jobs where there is risk of exposure to bloodborne pathogens unless you have been trained to do so. 3. Follow department requirements concerning exposure to BBP,including use of personal protective equipment such as nitrite or other impervious gloves, 4. Minimize the risk of puncture by a discarded hypodermic needle: • don't reach into trash containers or attempt to compact trash by pressing with hands or feet • watch for needles in parks,rest rooms,storm sewers,sanitary water system,police vehicles and other places where they may be discarded • don't pick up a needle with your bare hands—wear gloves or use tongs 5. Avoid direct contact with blood or other potentially infectious materials: • use tongs or wear gloves to pick up condoms,sanitary napkins and other items which may be contaminated with body fluids • use an approved disinfectant to destroy BBP virus before cleaning a potentially infected area 6. Clean up your own blood if possible after a minor injury;dispose of small quantities of cleanup materials in a toilet. 7. Cover all wounds with waterproof bandages;replace the bandage as necessary. 8. Minimize contact with injured persons if you are not trained in emergency medical response. 9. Wash with soap and water immediately: • after removing gloves and other personal protective equipment • after exposure to potentially infectious materials • after cleaning or decontamination of BBP • after using the bathroom • before eating 10. Report all exposure incidents to your supervisor and report to St. Peter's Hospital for evaluation and treatment. 11. Follow department procedures for dealing with potentially infectious materials. 6.12 Forklift Operations Forklift operations require that the operator receive training from a qualified forklift mentor on the operation and hazards associated with that machine. Examples of forklift safety practices include,but are not limited to: • Only qualified and annually trained operators are to operate the forklift,no riders. • do a daily pre-operation checklist and submit such documentation to the supervisor • report all defects or accidents properly to a supervisor • wear seat belts and appropriate personal protective equipment while operating the forklift • make sure the pathway is wide enough to traverse and free of obstructions • look all around before moving and in the direction of travel while moving • Apply the parking brake before leaving the forklift. A forklift is considered unattended if the operator is more than 25 feet from the forklift or not in direct visual contact with the forklift • Sound the horn when approaching blind corners,exits,entrances or intersections. 6.13 Fall Protection Fall protection is important in reducing the injuries and dangers associated with working from surfaces that are elevated or sloped. Generally the hazards associated with falls and the prevention techniques include but are not limited to: • Employees on an unguarded walking/working surface that is six(6)feet or more above a lower level shall be protected from falling by use of a fall protection system. 16 Laurel,MT Safety Policy • Fall protection shall be used when hazards such a moving equipment and electrical hazard are less than six(6)feet below the walking/working level. • Handrail/guardrail systems shall be 39-45 inches above the walking/working surface with mid-rails at 21 inches above the walking/working surface. • Safety belts shall not be used as fall protection. • Anchor points must be capable of supporting 5,000 pounds for each worker. • Fall protection systems shall be rigged so that the maximum free fall is no greater than six(6)feet nor contact any lower level or hazard. • Tie off shall be at above the Dee-ring on the back of the worker's full body harness to avoid striking lower levels. • All personal fall protection/arrest systems shall be inspected prior to each use and if defective taken out of service immediately. 17 Laurel,MT Safety Policy SECTION 7 DISCIPLINARY POLICY Disciplinary policy will be enforced as outlined in the City Personnel Policy Manual and Collective Bargaining Agreements. SECTION 8 ACCIDENTANCIDENT REPORTING WORKERS' COMPENSATION: Employee occupational injuries and illnesses are covered by Workers' Compensation Insurance provided by the Montana Municipal Insurance Authority. Workers' Compensation covers medical and rehabilitation expenses, partial income replacement if the employee is out of work more than 4 days or 32 working hours,and benefits to the surviving family in case of death. It is a no-fault system,providing exclusive remedy for on-the-job injuries or illnesses regardless blame,except in certain situations, such as employees: ■ Willfully hurting themselves; ■ Acting in a premeditated way to cause injury; ■ Starting a fight with a co-worker ■ Intentionally violating safety rules; and ■ Becoming intoxicated or impaired by drug use. If you are injured on the job or have a work-related illness,report it to your supervisor right away and get proper medical treatment. You may be denied benefits if you wait too long to report an injury,because it may be difficult to establish the cause of the injury. Cooperate with the City,medical professional and insurance claims personnel in order to ensure that you receive your full Workers' Compensation benefits. Recovery from an occupational injury or illness is sometimes slow,but light duty or alternative duty is sometimes possible during your transition back to normal employment. These transitional employment situations,and sometimes rehabilitation programs recommended by medical professionals,can speed your recovery and provide you with better compensation than Workers Compensation along. Workers' Compensation income replacement does not begin until the occupational illness or injury has caused the employee to miss work for 4 days(or 32 working hours),and provides only a portion of your normal wage. Employees may elect to use vacation or sick leave credits in lieu of Workers' Compensation Payment. REPORTING REQUIREMENTS Report on-the-job injuries to your supervisor/employer as soon as possible. You must report the accident within 30 days. We recommend that you report minor injuries to your employer whether or not you receive medical treatment. You must submit a written and signed first report of injury(FROI)within 12 months from the date of the accident. You can get this report from your supervisor. You will fill out the form and submit it to your supervisor who will then forward the report to the appropriate clerical staff so that it may be completed and filed with the insurance company. The City's Workers' Compensation carrier and claims processor is: Montana Municipal Insurance Authority(MMIA) PO Box 6669 Helena,MT 59604 406-443-0907 This is where physicians need to address their claims questions. Claim numbers will not be available for several days following an injury. When the claim is received,by the insurance carrier,a number will be assigned to the claim. A claim number is not required for a physician to file paperwork with MMIA.All they need to include is the patient's name and date of injury. Other Accident/Incident Report all other vehicle accidents,City property damage and incidents of citizen injury and/or property damage to your supervisor. You will need to fill out the MMIA's Incident Report. You may attach pictures, statements, sketches and other support data as appropriate. Report only factual information—do not speculate. 18 Laurel,MT Safety Policy City employees and officials have a duty to protect the City from unjust accusations and lawsuits. Do not admit liability in any way. This is a matter for the police,the City Attorney,our insurance carrier and others to determine. Do be careful what you say. If you say something like"We'll take care of it,"you may mean that you'll turn in a report,but the statement may be misconstrued to mean that the City is admitting fault. Do not admit guilt or speculate about the cause of the accident;refer questions from citizens to the supervisor. Refer any questions about the City's responsibilities or liabilities to your supervisor and/or the City Attorney. 19 Laurel,MT Safety Policy SECTION 9 TRAINING REQUIREMENTS FOR SAFETY& HEALTH 9.1 Required Training The following training will be required for all employees: 1. Fire Prevention and Use of Fire Extinguishers 2. Emergency Action Plan(Evacuation) 3. Workplace Hazard Identification and Reporting 4. Accident and Incident Reporting 9.2 Available Training Programs The Safety Coordinator,Department heads and/or supervisors will be responsible for providing additional opportunities for safety training for all employees. Any Department requiring specific or general safety training should initially contact the Safety Coordinator as a resource for obtaining such training. Additional safety training may be necessary when a new safety program is established,employee job assignments change,new substances,processes,procedures or equipment are introduced,or when a new hazard is identified. SECTION 10 EMERGENCY EVACUATION & RESPONSE PLANS Each Department within the City shall have posted in their work area a current Emergency Evacuation and Response Plan,a copy of which shall be maintained in the Safety Coordinator's office. This plan shall include maps and/or drawings indicating the safe egress from work places and buildings and a procedure to be followed by employees in the event of specific emergency situations,such as fire or earthquake. As part of each plan there should be a designated safe gathering area for employees following such an evacuation, which will allow for a proper accounting of employees. Any revisions in the current plan must be submitted to the Safety Committee for review. SECTION 11 SAFETY & HEALTH COMMUNICATION Communication is the heart of an effective and successful Safety and Health Program. The Safety Coordinator shall be considered the initial resource to aid Departments in offering continuing,regular,and current safety training. This training may be accomplished through periodic safety meetings or various other formats. The Safety Coordinator shall assist the Safety Committee in providing a system for employees to develop an awareness and appreciation of safety through tools such as newsletters,periodic safety meetings,posters and programs.Additionally the Safety Coordinator shall periodically review the effectiveness of these different formats and make recommendations to the Safety Committee for improvements. 20 Laurel,MT Safety Policy SECTION 12 FORMS HEPATITIS B VACCINE DECLINATION(MANDATORY) I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring hepatitis B virus(HBV)infection. I have been given the opportunity to be vaccinated with hepatitis B vaccine at no charge to myself. However,I decline hepatitis B vaccination at this time. I understand that by declining this vaccine I continue to be at risk of acquiring hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with hepatitis B vaccine,I can receive the vaccination series at no charge to me. Name Department Signature Date 21 Laurel,MT Safety Policy SAFETY ORIENTATION Date: Employee Name: Position: ❑ New Hire ❑Transfer :]Rehire ::)Season ❑On-Call Department: Safety Policy and Responsibilities Human Resources/Safety Coordinator ❑ Overview of Safety Policy ❑ Job Description—Safety Duties ❑ Evaluation—Attendance of Safety Meeting and Training ❑ Accident Reporting Procedures ❑ On-the job-accidents - First Report of Injury - Incident Report ❑ Unsafe conditions or actions ❑ Near miss accidents ❑ Acknowledgment Receipt of Safety Policy in writing Individual Department ❑ Introduction to supervisor ❑ Chain of command ❑ Tour facilities and equipment ❑ Location of first aid kits and equipment ❑ Emergency response to: Natural disasters (flood/earthquake/etc.) Fire response (types/techniques/exits/extinguisher/hoses Bomb threats Active Shooter Location of Safety Equipment ❑ Personal Work Habits ❑ Acceptable Clothing & Footwear ❑ Housekeeping ❑ No Smoking Area ❑ General Operation and Maintenance of Equipment ❑ Potential on-the-job hazards ❑ Inform employee of notices of posting (i.e. wage and hour, unemployment ins., workers' compensation, FMLA, and EEOC). ❑ Procedures for reporting, investigating, and taking corrective action on all work-related incidents, accidents, injuries, illnesses, and known unsafe work conditions or practices as well as Liability for the City ❑ Job or Task-Specific Safety Training ❑ Review of SOP's for the Department ❑ Citizen Complaints ❑ Dealing with the Media ❑ Refresher Training Signature of Employee: Date: Signature of Supervisor: Date: 22 Laurel,MT Safety Policy Incident Report and First Report of Injury and Occupational Disease Forms Incident Reports and Worker's Compensation forms are available at City Hall from the City Treasurer or Clerk's office for submittal. 23 Laurel,MT Safety Policy Employer Supervisors Incident Report To be completed by Supervisor and returned to appropriate City staff member designated to handle claims within 5 days following the incident. Supervisor's Name: Date: Department/Division: Incident ❑ Injury ❑ Illness ❑ Property Damage ❑ Close Call Date: Time: ❑AM ❑ PM Exact Location: Injury/Illness Part of body affected: Describe injury/illness: Company Is'aid: ❑NO ❑ YES, describe: Emergency Room: ❑NO ❑ YES, how transported? Doctor: Treatment: Lost time: ❑NO ❑ YES, estimated# of days to be lost Restricted Duty: ❑NO ❑ YES, estimated# of days restricted *Send medical documentation as soon as possible Any additional information: 24 Laurel,MT Safety Policy Property Damage Give details of damage: Estimated cost of repairs: $ Other damage: Estimated value/repair cost: $ Close Call Describe potential for injury/illness: All Describe initial opinions of contributing factors: Supervisor Signature Date Received in HR: Date: By: Reviewed by Department Head: Date Referred for investigation: ❑ Yes ❑ No Supervisor and/or Department Head comments: 25 Laurel,MT Safety Policy Report of Workplace Hazard Today's Date: Your Name: Briefly describe the workplace hazard: Where is the hazard located? Has the hazard been reported to supervisor? ❑ yes ❑ no If so, who was it reported to and when? PLEASE RETURN FORM TO THE SAFETY COORDINATOR OR IMMEDIATE SUPERVISOR SAFETY COMMITTEE USE: What has been done to correct the hazard? Who took action to correct the hazard? 26 Laurel,MT Safety Policy