AGENDA
KINGSBURG CITY COUNCIL
REGULAR MEETING Council Chamber, 1401 Draper Street, Kingsburg, CA 93631 (559) 897-5821 www.cityofkingsburg-ca.gov
Wednesday, August 16, 2023 at 6pm
Invocation to be given by Pastor Alex Brumley, The Refinery Church, followed by the Pledge of Allegiance led by Mayor Vince Palomar.
6 P.M. REGULAR SESSION MEETING:
1. Call to Order and Roll Call
2. Approve Agenda: Action by the Council to approve the agenda or to make modifications. Items that can be added to the agenda is constrained by State law.
3. Presentations:
None.
4. Public Comments: This is the time for any citizen to come forward and address the City Council on any issue within its jurisdiction that is not listed on the Agenda. A maximum of five (5) minutes is allowed for each speaker.
5. Consent Calendar: Items considered routine in nature are to be placed on the Consent Calendar.
They will be considered as one item and voted upon in one vote unless individual consideration is requested. Each vote in favor of the Consent Calendar is considered and recorded as a separate affirmative vote in favor of each action listed. Approval of the Consent Calendar items include recitals reading ordinance(s) by titles(s) only and adoption of recommended action(s) contained in Staff Reports.
5.1 Approval of City Council Minutes: Approve the minutes from the August 2, 2023 Regular Council Meeting as prepared by City Clerk Abigail Palsgaard.
Sponsor: City Clerk’s Office
5.2 Check Register: Ratify/approve payment of bills listed on the check register for the period July 26, 2023 through August 8, 2023 as prepared by Accounts Payable Clerk Marsha Alves.
Sponsor: Finance Department
City of Kingsburg
1401 Draper Street, Kingsburg, CA 93631-1908
Phone (559)897-5821 Fax (559)897-5568
Mayor Vince Palomar
Mayor Pro Tem Brandon Pursell, Jr.
Council Member Laura North
Council Member Staci Smith
Council Member David M. Silva
City Manager Alexander J. Henderson
Kingsburg City Council Agenda
August 16, 2023
5.3 Waive the second reading and adopt Ordinance No. 2023-001. - Staff Report by City Manager Alexander Henderson
Sponsor: City Manager’s Officer
Waive the second reading and adopt Ordinance No. 2023-001, An Ordinance Of The City Of Kingsburg Amending Chapter 16.09 Of Title 6 Of The Kingsburg Municipal Code Regarding The Growth Management System and adopt with the following recital constituting reading the title of the Ordinance:
“An Ordinance Of The City Of Kingsburg Amending Chapter 16.09 Of Title 6 Of The Kingsburg Municipal Code Regarding The Growth Management System.”
5.4 Approve the City of Kingsburg Injury & Illness Prevention Program.- Staff Report prepared Assistant City Manager/Administrative Services Director Christina Windover Sponsor: Administrative Services Department
5.5 Approve the Fire Department Health Management Agency (HMA) Amendment and Continuation Contract with the 5% increase for each year over next 2 years. – Staff Report By Fire Chief Daniel Perkins.
Sponsor: Fire Department
5.6 July 2023 Crime Stats.- Accept and file the Police Department’s July 2023 Crime Stats.
Sponsor: Police Department
5.7 August 2023 Townsend Public Affairs Update Report.- Accept and file the August 2023 Townsend Public Affairs Update Report.
Sponsor: City Manager’s Office
5.8 Award the Athwal Park Improvements Project to Power Design Electric in the amount of $55,595.00. - Staff Report prepared by City Engineer Dave Peters Sponsor: City Engineer’s Office
6. Regular Calendar
6.1 California State Senator Melissa Hurtado Update
Sponsor: State Senator Hurtado
Possible Action(s):
a. Presentation by Joshua Golden, Field Representative, Senator Melissa Hurtado b. Public Comment
c. Council Discussion
d. Action as Deemed Necessary
6.2 Measure C Golden State Blvd Project Update- Report by City Engineer Dave Peters
Sponsor: City Engineer’s Office
Possible Action(s):
a. Presentation by City Engineer Dave Peters
b. Public Comment
c. Council Discussion
d. Informational- No Action Necessary
Kingsburg City Council Agenda
August 16, 2023
6.3 City Engineer Project Progress Report- Report by City Engineer Dave Peters Sponsor: City Engineer’s Office
Possible Action(s):
a. Presentation by City Engineer Dave Peters
b. Public Comment
c. Council Discussion
d. Informational- No Action Necessary
6.4 Surface Transportation Block Grant Program/Congestion Mitigation and Air Quality- Report by City Engineer Dave Peters
Sponsor: City Engineer’s Office
Possible Action(s):
a. Presentation by City Engineer Dave Peters
b. Public Comment
c. Council Discussion
d. Informational- No Action Necessary
6.5 Water Consumption and Conservation Report - Staff Report by Public Works Director Daniel Galvez
Sponsor: Public Works Department
Possible Action(s):
a. Presentation by Public Works Director Daniel Galvez
b. Public Comment
c. Council Discussion
d. Informational- No Action Needed
6.6 Kingsburg Tri-County Health Care District 2023 Grant Awards- Staff Report by Community Services Director Adam Castaneda
Sponsor: Community Services Department
Possible Action(s):
a. Presentation by Community Services Director Adam Castaneda b. Public Comment
c. Council Discussion
d. Action as Deemed Necessary
7. Council Reports and Staff Communications
7.1 Community Services Commission
7.2 Public Safety Committee
7.3 Chamber of Commerce
7.4 Economic Development
7.5 Finance Committee
7.6 Planning Commission
7.7 South Kings Groundwater Sustainability Agency Joint Powers Authority (SKGSA)
7.8 Downtown Business Improvement District
7.9 Council of Governments
7.10 Council Member Reports
7.11 City Manager’s Report
8. Future Agenda Items: None.
These items will be added to a future agenda with a motion from Council and majority voice vote.
Kingsburg City Council Agenda
August 16, 2023
9. Adjourn Regular Kingsburg City Council Meeting.
Any writings or documents provided to a majority of the Governing Body regarding any item on this agenda will be made available for public inspection at City Hall, in the City Clerk’s office, during normal business hours. In addition, such writings and documents may be posted on the City’s website at www.cityofkingsburg-ca.gov.
In compliance with the Americans with Disabilities Act, if you need special assistance to participate in this meeting, please contact the office of the City Clerk (559) 897-6520. Notification 48 hours prior to a meeting will enable the City to make reasonable arrangements to ensure accessibility to that meeting [28 CFR 35 .102.35.104 ADA Title II].
Title VI of the Civil Rights Act of 1964 provides that no person in the United States shall, on the grounds of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving federal financial assistance.
I hereby certify, under penalty of perjury under the laws of the State of California that the foregoing Agenda was posted at the front entrance of City Hall not less than 72 hours prior to the meeting. Dated this 11th day of August 2023.
____________________________________
Abigail Palsgaard, City Clerk
KINGSBURG CITY COUNCIL
REGULAR MEETING MINUTES
August 2, 2023
Council Chamber, 1401 Draper Street, Kingsburg, CA 93631 Invocation was given by Pastor Alex Brumley, The Refinery Church, followed by the Pledge of Allegiance led by Mayor Vince Palomar.
6 P.M. REGULAR SESSION MEETING:
Call to Order and Roll Call: Mayor Palomar called the regular meeting of the Kingsburg City Council to order at 6:01pm.
Council Members Present: David M. Silva, Staci Smith, Brandon Pursell, Jr., Mayor Vince Palomar.
Council Member Absent: Laura North.
Approve Agenda: A motion was made by Council Member Pursell, Jr., seconded by Council Member Smith to approve the items appearing on the Consent Calendar. The motion carried by an unanimous voice vote of those members present.
Presentations: None.
Public Comments: None.
Consent Calendar: A motion was made by Council Member Silva, seconded by Council Member Smith, to approve the items appearing on the Consent Calendar. The motion carried by an unanimous voice vote of those members present.
5.1 Approval of City Council Minutes: Approve the minutes from the July 19, 2023, Regular Council Meeting as prepared by City Clerk Abigail Palsgaard.
Sponsor: City Clerk’s Office
5.2 Check Register: Ratify/approve payment of bills listed on the check register for the period July 11, 2023, through July 25, 2023, as prepared by Accounts Payable Clerk Marsha Alves.
Sponsor: Finance Department
Regular Calendar
Program Year 2024-25 Community Development Block Grant Project Update– Staff Report by City Engineer Dave Peters
Sponsor: Engineering Department
Continuing the discussion from the previous City Council meeting, City Engineer Dave Peters discussed using the bathrooms at Memorial Park for the Community Development Block Grant (“CDBG”).
Acknowledging Council was concerned about the timeframe, Engineer Peters explained using the CDBG grant would only speed up the project by 6 months. Engineer Peters notified Fresno County that we will be deferring our funds for future years. Accelerated timelines with alternative fundings were presented to Kingsburg City Council Minutes
August 2, 2023
the Council and will be discussed later with the Finance committee. Future options will be brought to the Council at a later date.
Informational- No Action Needed.
Growth Management System Ordinance Update- Staff Report by City Manager Alexander Henderson Sponsor: City Manager’s Officer
City Manager Alexander Henderson presented the proposed changes in ordinance 2023-001 that came from a joint meeting in January 2023 between the Planning Commission and the Council along with staff direction.
The proposed changes address the following issues:
1. After allocations are given, applicant has 2 years to get all entitlements (final map) or allocations will expire. Language identifies the final entitlement as the final map, which starts a 2-year process for constructing improvements.
2. Language that clarifies that applications will only be considered during the designated times (not rolling), regardless of the number of allocations available. Specify that if allocations remain unissued after the required allocation meeting in December, the City Council may but is not required to conduct an additional allocation meeting before the next required allocation meeting in May.
3. No changes to rolling 3-year option.
4. New language that indicates that if an applicant requires a modification of the original allocation amount (higher only) that they must receive approval from the City Council.
5. The application process itself requires the submittal of a tentative tract map (need not be an approved map).
Council member Silva asked for clarity over the 3 year rollover. Specifying that if there were no allocations given in the first year, will it roll over into the second year. City Manager Alex Henderson explained that our ordinance, Council will have the discretion to roll over allocations.
Mayor Palomar asked for any public comment.
Dave Crinklaw, West Star Construction, acknowledged that this ordinance serves its purpose. Mr.
Crinklaw asked for clarification if allocations stay with the lot, or if they stay with the applicant. Council Member Pursell Jr. asked to get back to Crinklaw to further research for the best possible answer.
Council Member Pursell, Jr. asked to have more discussions about the 3-year rolling options. Concerning that the conversation surrounding the 3-year rolling options is distinct from the ordinance changes, he would like to discuss the 3-year option in mid-October 2023.
Council Member Smith motioned, seconded by Council Member Silva, to waive the first reading and introduce Ordinance No. 2023-001, An Ordinance of The City of Kingsburg Amending Chapter 16.09 Of Title 6 Of the Kingsburg Municipal Code Regarding the Growth Management System and pass the Ordinance to a second reading and adoption at the City Council meeting on August 16, 2023 with the following recital constituting reading the title of the Ordinance:
“An Ordinance Of The City Of Kingsburg Amending Chapter 16.09 Of Title 6 Of The Kingsburg Municipal Code Regarding The Growth Management System.” The motion carried by an unanimous voice vote of those members present.
Kingsburg City Council Minutes
August 2, 2023
Laurel Street Dog Park Update- Staff Report by Community Services Director Adam Castaneda Sponsor: Community Services Department
Community Services Director Adam Castaneda discussed the project and the current timeline.
Project is under review with the community services commission and staff. He will bring the final design to council in November and hopes to start construction in the spring of 2024.
Council Member Silva asked various questions pertaining to the dog park’s design, the number of trees and what kind they would be (native species or drought tolerant), and the safety measures that will be installed for the drainage pipe.
Both Director Casteneda and City Engineer Dave Peters answered each of Council Member Silva’s questions. Any designs to the park were not final as we have not submitted the grant yet. However, some items like the walking paths, bathrooms, and landscaping are mandatory. For the trees, Mr.
Peters explained there is a list of native and non-invasive trees that they are working with to ensure the correct trees are planted. Regarding the drainage pipes, they will have bars to ensure the safety of humans and pets.
Mayor Palomar inquired about the bathroom designs, and they will more than likely be the same as the Athwal Park restrooms.
The public will be able to comment on the dog park later this month during the Community Services meeting, August 23, 2023, at 5:30pm at the Council Chambers. Where the public can give their input.
Informational- No Action Needed
Council Reports and Staff Communications
Community Services Commission- Nothing to report.
Public Safety Committee- Met July 24th, 2023, where they discussed the funds that were received in early July 2023. Will be continuing the discussion in later meetings.
Chamber of Commerce – Have not met.
Economic Development – Two items in plan check that are progressing. New designs for Sinclair and a 76 gas station that is going in by the Dollar Store.
Finance Committee- Will meet August 14th, 2023.
Planning Commission- Nothing to report.
South Kings Groundwater Sustainability Agency Joint Powers Authority (SKGSA) - Nothing to report.
Downtown Business Improvement District- Discussed new Christmas trees with lighting and beautifying downtown year-round.
Council of Governments- Nothing to report.
Kingsburg City Council Minutes
August 2, 2023
Council Member Reports – Council Member Silva attended the Kingsburg Heath Care District meeting.
Reported on verbal reports they have given to grant recipients. Changed the agreement wording to be reimbursement grants. Mayor Palomar attended South San Joaquin Valley with Council Member Silva where they discussed elected officials’ safety, it was a good reminder to be aware of your surroundings.
City Manager’s Report – Strategic planning update. Reminded Council of the two community meetings set Thursday, August 10th, 2023.
Future Agenda Items: None.
Adjourn Regular Kingsburg City Council Meeting: At 6:35 P. M. Mayor Palomar adjourned the meeting.
Submitted by:
____________________________________
Abigail Palsgaard, City Clerk
Accounts Payable
User:
Printed:
marshaa
8/9/2023 10:54 AM
Checks by Date - Detail by Check Date
Check No Vendor No Vendor Name Check Date Check Amount
Invoice No Description Reference
ACH 3231 ICMA RETIREMENT CORP - WIRE 457 07/28/2023
PR Batch 00002.07.2023 457 Mission Square PR Batch 00002.07.2023 457 Mission Square 2,228.06 Total for this ACH Check for Vendor 3231: 2,228.06
ACH 3470 Internal Revenue Service - ACH 07/28/2023
PR Batch 00002.07.2023 Medicare Employee Portion PR Batch 00002.07.2023 Medicare Employee Portion 4,164.52 PR Batch 00002.07.2023 Medicare Employer Portion PR Batch 00002.07.2023 Medicare Employer Portion 4,164.52 PR Batch 00002.07.2023 FICA Employer Portion PR Batch 00002.07.2023 FICA Employer Portion 17,806.86 PR Batch 00002.07.2023 Federal Income Tax PR Batch 00002.07.2023 Federal Income Tax 24,550.83 PR Batch 00002.07.2023 FICA Employee Portion PR Batch 00002.07.2023 FICA Employee Portion 17,806.86 Total for this ACH Check for Vendor 3470: 68,493.59
ACH 3471 Employment Development Department - ACH07/28/2023 PR Batch 00002.07.2023 CA SDI PR Batch 00002.07.2023 CA SDI 2,312.26 PR Batch 00002.07.2023 State Income Tax PR Batch 00002.07.2023 State Income Tax 9,514.96 Total for this ACH Check for Vendor 3471: 11,827.22
ACH 3472 CalPERS - ACH 07/28/2023
PR Batch 00002.07.2023 PERS Safety Police PEPRAPR Batch 00002.07.2023 PERS Safety Police PEPRA 7,760.54 PR Batch 00002.07.2023 PERS Misc. Classic ER PR Batch 00002.07.2023 PERS Misc. Classic ER 4,268.40 PR Batch 00002.07.2023 PERS Safety Police PEPRPR Batch 00002.07.2023 PERS Safety Police PEPR A ER A ER 7,642.03 PR Batch 00002.07.2023 PERS Safety Fire PEPRAPR Batch 00002.07.2023 PERS Safety Fire PEPRA 5,758.56 PR Batch 00002.07.2023 PERS Reported FLSA PR Batch 00002.07.2023 PERS Reported FLSA 147.06 PR Batch 00002.07.2023 PERS Safety Fire PEPRA ER PR Batch 00002.07.2023 PERS Safety Fire PEPRA ER 5,670.61 PR Batch 00002.07.2023 PERS Safety Police PR Batch 00002.07.2023 PERS Safety Police 1,715.57 PR Batch 00002.07.2023 PERS Misc. PEPRA PR Batch 00002.07.2023 PERS Misc. PEPRA 4,329.34 PR Batch 00002.07.2023 PERS Safety Police ER PR Batch 00002.07.2023 PERS Safety Police ER 4,422.07 PR Batch 00002.07.2023 PERS Safety Fire ER PR Batch 00002.07.2023 PERS Safety Fire ER 2,905.76 PR Batch 00002.07.2023 PERS Safety Fire -ClassicPR Batch 00002.07.2023 PERS Safety Fire -Classic 1,123.35 PR Batch 00002.07.2023 PERS Misc. Classic PR Batch 00002.07.2023 PERS Misc. Classic 2,476.14 PR Batch 00002.07.2023 PERS Misc. PEPRA ER PR Batch 00002.07.2023 PERS Misc. PEPRA ER 4,290.23 Total for this ACH Check for Vendor 3472: 52,509.66
ACH 3475 Empower 07/28/2023
PR Batch 00002.07.2023 457 Plan-Empower PR Batch 00002.07.2023 457 Plan-Empower 3,543.85 PR Batch 00002.07.2023 457 Percent-Empower PR Batch 00002.07.2023 457 Percent-Empower 58.98 Total for this ACH Check for Vendor 3475: 3,602.83
ACH 3476 CHILD SUPPORT STATE DISBURSEMENT UNIT - ACH 07/28/2023 PR Batch 00002.07.2023 Child Support PR Batch 00002.07.2023 Child Support 240.46 Total for this ACH Check for Vendor 3476: 240.46
ACH 3526 Public Employees Retirement System 457 Plan-Deferred Comp - ACH 07/28/2023 PR Batch 00002.07.2023 CalPERS 457 Plan PR Batch 00002.07.2023 CalPERS 457 Plan 50.00 PR Batch 00002.07.2023 CalPERS 457 Percent PR Batch 00002.07.2023 CalPERS 457 Percent 304.37 AP Checks by Date - Detail by Check Date (8/9/2023 10:54 AM) Page 1 Check No Vendor No Vendor Name Check Date Check Amount
Invoice No Description Reference
Total for this ACH Check for Vendor 3526: 354.37
ACH 4707 ICMA-WIRE 401(A) 07/28/2023
PR Batch 00002.07.2023 Def Comp 401(a) ICMAPR Batch 00002.07.2023 Def Comp 401(a) ICMA 250.00 Total for this ACH Check for Vendor 4707: 250.00
83965 3660 KPFA 07/28/2023
PR Batch 00002.07.2023 Professional Firefighters Asc. PR Batch 00002.07.2023 Professional Firefighters Asc. 680.00 Total for Check Number 83965: 680.00
83966 3525 Kingsburg Police KPOA 07/28/2023
PR Batch 00002.07.2023 KPOA Union Dues PR Batch 00002.07.2023 KPOA Union Dues 1,060.00 Total for Check Number 83966: 1,060.00
83967 3716 FRANCHISE TAX BOARD STATE OF CALIFORNIA 07/28/2023 PR Batch 00002.07.2023 Franchise Tax Board PR Batch 00002.07.2023 Franchise Tax Board 257.74 Total for Check Number 83967: 257.74
Total for 7/28/2023: 141,503.93
ACH 4789 US BANKCORP SERVICE CENTER 08/04/2023
Colado 7/21/23 Staples: 2024 Calendars 6.48
Colado 7/21/23 VDARA hotel overcharge Refund: Franco, Hernandez -286.97 Colado 7/21/23 Staples: 2024 Calendars 12.59
Colado 7/21/23 Staples: Thermal Cash Receipt Rolls 125.48 Colado 7/21/23 Staples: 2024 Calendars 6.48
Colado 7/21/23 Staples: Thermal Cash Receipt Rolls 75.01 Colado 7/21/23 Staples: 2024 Calendars 38.13
Colado 7/21/23 Staples: 2024 Calendars 38.13
Colado 7/21/23 Staples: 2024 Calendars 12.59
Colado 7/21/23 Staples: 2024 Calendars 161.49
Colado 7/21/23 VDARA hotel overcharge Refund: Franco, Hernandez -286.97 Colado 7/21/23 Staples: 2024 Calendars 161.50
Cstneda 7/21/23 Friday night pizza, pool sales Corsaros 229.00 Cstneda 7/21/23 Pool Supplies Amazon 28.08
Cstneda 7/21/23 Pool Concession Supplies 460.56
Cstneda 7/21/23 Ceramic Supplies Senior Center 313.87
Cstneda 7/21/23 Pool Backboard Replacement Straps 28.39 Cstneda 7/21/23 Pool Office Supplies Deposit Bags 71.90 Cstneda 7/21/23 Senior Center Supplies Amazon 422.31
Cstneda 7/21/23 Pool Concession Supplies 638.56
Cstneda 7/21/23 Pool Supplies Amazon 83.98
Cstneda 7/21/23 Community Service Vehicle Fuel 50.94
Cstneda 7/21/23 Pool Aqua Aerobics Noodle Replacement 126.68 Cstneda 7/21/23 Senior Center Nutrition Supplies 46.89
Cstneda 7/21/23 Pool Concession Supplies 520.61
Galvz 7/21/23 Lunch Transition 7/20 -8/1/2023 40.91
Galvz 7/21/23 Save Mart: Drinks PW Heat 96.42
Hrnandz 7/21/23 Bento 2 Go/lunch for Proctors 152.57
Hrnandz 7/21/23 Worldpoint BLS/Heartsaver CPR course 176.64 Hrnandz 7/21/23 National registry D.Smith 160.00
Hrnandz 7/21/23 UPS shipment to Cascade 18.51
Hrnandz 7/21/23 Tom's Donuts - for Proctors 34.75
Hrnandz 7/21/23 Walgreens Dept picture 98.07
Hrnandz 7/21/23 National registry S Gonzales 160.00
AP Checks by Date - Detail by Check Date (8/9/2023 10:54 AM) Page 2 Check No Vendor No Vendor Name Check Date Check Amount
Invoice No Description Reference
Hrnandz 7/21/23 Nelson's hardware 27.24
Owen 7/21/23 Planning at the Crossroads Full Conference 625.00 Owen 7/21/23 CALBO Membership 215.00
Owen 7/21/23 Amazon: Sharpie 10.89
Owen 7/21/23 Amazon: Display Easel 94.04
Owen 7/21/23 ICC Digital Codes Subscription 792.00
Owen 7/21/23 CALBO Ed Week 725.00
Owens 7/21/23 Tire mount inside/outside 5604 OES Rig 674.32 Perkins 7/21/23 Bookeo subscription for amb 39.95
Perkins 7/21/23 EMT Prep subscription- Dom 39.00
Perkins 7/21/23 Amazon Inv 74692163195100807894073 Admin amb training -22.85 Perkins 7/21/23 Adobe Monthly Chief7/22-8/22 19.99
Ploszaj 7/21/23 Evidence Storage Cabinet 196.14
Ploszaj 7/21/23 Pistol Mounted Optics Training (Forlines) 1,000.00 Ploszaj 7/21/23 Shipping fee to return Radar Trailer repair 61.53 Ploszaj 7/21/23 Tuition/Building search/Forl/Pada/Fuen/Gonz/Rui/Ramir 1,794.00 Ploszaj 7/21/23 SimpliSafe Fast Protect (Stephens) 83.97 Ploszaj 7/21/23 Pistol Mounted Optics Training (Guzman) 1,000.00 Ploszaj 7/21/23 Tuition/Breacher course/under/Robl/Jime/Gon/Lope 1,495.00 Plsgrd 7/21/23 Walgreens-Water and Mayor Photo Poster 37.72 Plsgrd 7/21/23 Admin car Wash 7.00
Plsgrd 7/21/23 Adobe-S Bennette 97.80
Wndover 7/21/23 ID Creator 13.99
Wndover 7/21/23 ID Creator 43.99
Wndover 7/21/23 Save Mart- Worker's Comp/EAP Training 29.67 Total for this ACH Check for Vendor 4789: 13,123.97
83968 4267 ACTIVE 911 - ATTN FINANCE DEPARTMENT 08/04/2023 495910 Alerting subscription for Fire Dept-Hydrant locations 705.00 Total for Check Number 83968: 705.00
83969 3006 AIRGAS NCN 08/04/2023
914032937 Oxygen 292.53
914032937 Oxygen 184.04
Total for Check Number 83969: 476.57
83970 3565 AMAZON CAPITAL SERVICES 08/04/2023
13R1-LXMD-GPDW MUGS 4 RESCUE/LEADERSHIP 188.25
149T-44PH-D7LJ RETURN SHARK VAC -214.59
19HW-V34R-GMNT SHARK VAC/RPL OLD DISHES 780.90
1FQT-TLGC-WJQL PORTFOLIOS,CERT COVERS 503.38
1JCD-DN3G-TDWG dept supplies stn 2 103.19
1LPP-RP4T-YKMM CLEANING SUPPLIES 623.85
1PNX-6DTR-1LDX PAN/REPLACE OLD OLD STN 1 17.98
1QXD-GQ9X-J6VM OFFICE SUPPLIES/LEADERSHIP 94.59
1TQ1-FDLT-9JH7 RETURN SHARK VAC -214.59
1YDJWVWX-VAH3 OFFICE SUPPLIES 29.24
1YRP-C446-KPDC CLEANING SUPPLIES 282.09
Total for Check Number 83970: 2,194.29
83971 4545 AMAZON.COM SALES, INC. 08/04/2023
13P9-3FNP-XQJK Janitorial Supplies (rubbing alcohol,vinegar,spray bottle) 102.66 1KXV-TRQQ-PYYY Janitorial Supplies (spay nine) 24.46
Total for Check Number 83971: 127.12
83972 3300 AVENU INSIGHTS & ANALYTICS 08/04/2023
AP Checks by Date - Detail by Check Date (8/9/2023 10:54 AM) Page 3 Check No Vendor No Vendor Name Check Date Check Amount
Invoice No Description Reference
INV06-016973 SUTA CA Q-1, 2023 Tax quarter ending March 31,2023 53.12 Total for Check Number 83972: 53.12
83973 4225 BILL'S AUTO OF KINGSBURG, INC. 08/04/2023
59271 repair back pads,rotor,brake shoes-Tahoe 675.56
59385 svc oil change/AC Tahoe 246.30
Total for Check Number 83973: 921.86
83974 4875 BOUND TREE MEDICAL LLC 08/04/2023
85020004 Medical supplies 166.74
85026258 Medical supplies 62.09
85031121 Medical supplies 82.81
85031121 Medical supplies 82.81
85036898 Medical supplies 82.81
Total for Check Number 83974: 477.26
83975 4821 BRADY INDUSTRIES 08/04/2023
6666705 Janitorial Supplies 109.75
Total for Check Number 83975: 109.75
83976 3052 BROCK COMPANY 08/04/2023
8/1/2023 Athwal Park Restroom Pad Improvements Project 16,359.00 Total for Check Number 83976: 16,359.00
83977 3056 CAL STATE TERMITE AND PEST 08/04/2023
04444956 Fire Pest Control 6/24/2023 35.00
04444956 Pool Pest Control 6/24/2023 56.50
04444956 Amb Pest Control 6/24/2023 35.00
04444956 Senior Center Pest Control 6/24/2023 35.00
04444956 Memorial/Downtown Pest Control 6/24/2023 95.00 04444956 City Buildings Pest Control 6/24/2023 168.50
04444956 Police Pest Control 6/24/2023 35.00
Total for Check Number 83977: 460.00
83978 4429 CANON FINANCIAL SERVICES, INC 08/04/2023
30912248 Monthy overage June 165.42
30912248 Canon copier July service 252.08
30953535 PW copier usage 4/1-6/30/23 157.87
Total for Check Number 83978: 575.37
83979 3831 ADAM CASTANEDA 08/04/2023
Aug 2023 Cell Phone Monthly Allowance July 2023 75.00
Total for Check Number 83979: 75.00
83980 4892 CENTRAL VALLEY ASPHALT 08/04/2023
Payment #1 Streets Project Dates of Work: 6/19/23-8/2/23 218,235.00 Payment #1 Retention Streets Project Dates of Work: 6/19/23-8/2/23 -23,036.20 Payment #1 Streets Project Dates of Work: 6/19/23-8/2/23 242,489.00 Payment #1 Streets Project Dates of Work: 6/19/23-8/2/23 47,371.94 Payment #1 Streets Project Dates of Work: 6/19/23-8/2/23 385,864.00 Payment #1 Streets Project Dates of Work: 6/19/23-8/2/23 -21,661.80 Total for Check Number 83980: 849,261.94
AP Checks by Date - Detail by Check Date (8/9/2023 10:54 AM) Page 4 Check No Vendor No Vendor Name Check Date Check Amount
Invoice No Description Reference
83981 3607 CIVICPLUS 08/04/2023
266575 Website Annual Fee 9/1/23-8/31/23 4,299.79
Total for Check Number 83981: 4,299.79
83982 3822 ALMA COLADO 08/04/2023
Aug 2023 Cell Phone Monthly Allowance Aug 2023 75.00
Total for Check Number 83982: 75.00
83983 3685 COMMUNITY MEDICAL CENTER 08/04/2023
1977 June 2023 Legal Blood Draw 175.00
Total for Check Number 83983: 175.00
83984 3558 COUNTY OF FRESNO, Oscar J. Garcia, CPA08/04/2023 7/19/2023 LAFCO Dues FY 2023-2024 4,752.04
7272023 Tuition for F. Cortez (Police Academy) POST 1,529.28 Total for Check Number 83984: 6,281.32
83985 4385 CPSI 08/04/2023
89376 18th Ave Sidewalks Task Order 6/1/23-6/30/23 1,530.75 Total for Check Number 83985: 1,530.75
83986 4759 CXT, INC 08/04/2023
90065249 Athwal Park Bathroom Prop 68- Sourcewell 106,204.72 Total for Check Number 83986: 106,204.72
83987 3152 E C N POLYGRAPH & INVEST 08/04/2023
KINGPD-July-23 Pre employment Polygragh P/Officer (Inostros) 250.00 KINGPD-July-23 Pre employment Polygragh P/Officer (Cortez) 250.00 Total for Check Number 83987: 500.00
83988 4615 EMERALD TEXTILES SERVICES 08/04/2023
EFRE-84224 Svs for Linen 7/16/23-7/22/2023 194.85
Total for Check Number 83988: 194.85
83989 3158 ENER POWER 08/04/2023
72911 Electric Energy charges for 5/26/23-5/31/23 4,606.00 72912 Electric Energy charges for 5/26/23-5/31/23 1,016.00 72913 Electric Energy charges for 5/26/23-5/31/23 78.00 72914 Electric Energy charges for 5/26/23-5/31/23 519.00 Total for Check Number 83989: 6,219.00
83990 3162 ESO SOLUTIONS 08/04/2023
ESO-113562 ESO Hydrants Module 7/16/23-7/15/2024 540.90 Total for Check Number 83990: 540.90
83991 3765 EWING IRRIGATION 08/04/2023
20071722 Irrigation Repair Supplies 898.11
Total for Check Number 83991: 898.11
83992 3693 FERGUSON ENTERPRISES, INC. 08/04/2023
1800490 Water Repair Couplers 220.35
AP Checks by Date - Detail by Check Date (8/9/2023 10:54 AM) Page 5 Check No Vendor No Vendor Name Check Date Check Amount
Invoice No Description Reference
Total for Check Number 83992: 220.35
83993 4536 FlowMSP, INC. 08/04/2023
1907 Annual Fire App License fee- Hydrant Program 23-24 4,200.00 Total for Check Number 83993: 4,200.00
83994 3199 FMAAA 08/04/2023
2609 March Non Qualified Meals 49.05
2613 April Site Supplies 364.01
2613 April Non Qualified Meals 130.80
2617 May Non Qualified Meals 43.60
2617 May Site Supplies 406.16
2622 June Site Supplies 329.33
Total for Check Number 83994: 1,322.95
83995 3185 FRESNO COUNCIL OF GOVERNMENTS 08/04/2023
Dues 2023-2024 Member Dues 2023-2024 509.00
Total for Check Number 83995: 509.00
83996 3633 FRESNO COUNTY FIRE PROTECTION DISTRICT 08/04/2023 2371 Dispatch contract w/CAl Fire svs 14,132.55
Total for Check Number 83996: 14,132.55
83997 3188 FRESNO COUNTY SHERIFF 08/04/2023
SO20793 POST plan IV training Padavick/Ruiz 100.00
Total for Check Number 83997: 100.00
83998 3198 FRESNO TRUCK CENTER 08/04/2023
FA001779293 Vent dashout board M501 57.26
Total for Check Number 83998: 57.26
83999 4866 FRONTLINE PUBLIC SAFETY SOLUTIONS08/04/2023
FL24259 Community Policing Connect 500.00
Total for Check Number 83999: 500.00
84000 3206 GLACIER REFRIGERATION AND AIR 08/04/2023
53673 Ice Machine Repair/cleaning 1,219.75
53795 Ice Machine Repair May 2023 1,568.02
53977 Ice Machine Repair June 2023 1,006.48
Total for Check Number 84000: 3,794.25
84001 3219 HEALTHWISE SERVICES 08/04/2023
158673 Kiosk Lease Fee Pharm Manifest 1418248 Marion St 173.75 Total for Check Number 84001: 173.75
84002 3222 HENRY SCHEIN, INC. 08/04/2023
34501919 Medical Supplies 53.14
45744597 Medical Supplies 154.48
45745320 Medical Supplies 355.01
46652444 Medical Supplies 284.83
47413860 Medical Supplies 642.98
AP Checks by Date - Detail by Check Date (8/9/2023 10:54 AM) Page 6 Check No Vendor No Vendor Name Check Date Check Amount
Invoice No Description Reference
Total for Check Number 84002: 1,490.44
84003 3225 HOME DEPOT CREDIT SERVICES 08/04/2023
1021936 Post/Concrete 90.82
5900964 Deposit for Roller 25.00
5900982 Deposit for Roller -2.77
8974606 Flooring Knife 258.68
Total for Check Number 84003: 371.73
84004 3999 IRON MOUNTAIN 08/04/2023
HSJY345 Shred Services 6/28-7/25/23 74.86
Total for Check Number 84004: 74.86
84005 3534 JACK'S REFRIGERATION, INC. 08/04/2023
67245 New Ac's for station 1 fire dept model 48FCGA04A2A50A00 x2 SN's 28,398.00 67249 INV#67249 PD HVAC replacemetn 34,748.00
Total for Check Number 84005: 63,146.00
84006 3249 KAISER FOUNDATION HEALTH PLAN INC08/04/2023
Sept 2023 Med Ins Premium Sept 2023 4,206.34
Sept 2023 Med Ins Premium Sept 2023 592.89
Sept 2023 Med Ins Premium Sept 2023 1,163.63
Sept 2023 Med Ins Premium Sept 2023 1,524.57
Total for Check Number 84006: 7,487.43
84007 3250 KELLER FORD LINCOLN 08/04/2023
50223598 Seat Belt for PW 744 63.38
Total for Check Number 84007: 63.38
84008 3253 KINGSBURG CHAMBER OF COMMERCE08/04/2023
Aug 2023 Monthly Budget Allowance Aug 2023 2,500.00
Total for Check Number 84008: 2,500.00
84009 4648 KINGSBURG EXPRESS LUBE INC. 08/04/2023
55360 Service on FD 502 167.68
55360 Oil Change M502 167.68
55412 Service on PD 2201 81.62
55454 Service on PW 611 106.14
55483 Service on PD 2042 81.62
Total for Check Number 84009: 604.74
84010 3625 KINGSBURG MEDIA FOUNDATION 08/04/2023
7632,7631,6935 Phone & Internet Svc's Aug 2023 45.05
7632,7631,6935 Phone & Internet Svc's Aug 2023 150.00
7632,7631,6935 Phone & Internet Svc's Aug 2023 45.05
7632,7631,6935 Phone & Internet Svc's Aug 2023 200.00
7632,7631,6935 Phone & Internet Svc's Aug 2023 45.05
7632,7631,6935 Phone & Internet Svc's Aug 2023 45.05
7632,7631,6935 Phone & Internet Svc's Aug 2023 75.00
7632,7631,6935 Phone & Internet Svc's Aug 2023 90.10
7632,7631,6935 Phone & Internet Svc's Aug 2023 45.05
7632,7631,6935 Phone & Internet Svc's Aug 2023 350.00
7632,7631,6935 Phone & Internet Svc's Aug 2023 525.00
7632,7631,6935 Phone & Internet Svc's Aug 2023 492.32
AP Checks by Date - Detail by Check Date (8/9/2023 10:54 AM) Page 7 Check No Vendor No Vendor Name Check Date Check Amount
Invoice No Description Reference
7632,7631,6935 Phone & Internet Svc's Aug 2023 200.00
7632,7631,6935 Phone & Internet Svc's Aug 2023 242.33
CWM6926 Samsung Performance Booster Speakers, Resendes 49.04 CWM6926 Samsung Performance Booster Speakers, Resendes 49.04 CWM6930 Dell 27" Monitor S. Bennette 261.53
CWM7348 E-mail services Aug 2023 182.50
CWM7348 E-mail services Aug 2023 89.00
CWM7348 E-mail services Aug 2023 498.25
CWM7348 E-mail services Aug 2023 69.00
CWM7348 E-mail services Aug 2023 161.00
CWM7348 E-mail services Aug 2023 182.50
CWM7348 E-mail services Aug 2023 10.00
CWM7348 E-mail services Aug 2023 92.00
Total for Check Number 84010: 4,193.86
84011 3266 BRENT KROEGER 08/04/2023
882023 SLI Session 8 Post/Plan IV (Hotel/Per Diem) 558.68 Total for Check Number 84011: 558.68
84012 3267 KULOW BROS. 08/04/2023
8714 Invoice Envelopes and Billing Paper 4,664.47
8714 Invoice Envelopes and Billing Paper 4,664.47
Total for Check Number 84012: 9,328.94
84013 4889 LEFTA SYSTEMS 08/04/2023
INV-002139 Annual Subscription/License fee 6,585.00
Total for Check Number 84013: 6,585.00
84014 3784 LEXIPOL, LLC 08/04/2023
INVCOR1078 Cordico Law Enforcemrnt Wellness App Sub 5,373.13 Total for Check Number 84014: 5,373.13
84015 3277 LINCOLN AQUATICS 08/04/2023
Q2023259 Pool 5/30/2023 845.07
Q2023649 Pool chlorine 6/7/2023 979.29
Q2023651 Pool chlorine 6/14/2023 1,286.58
Q2023758 Pool chlorine 6/15/2023 1,339.55
Q2023897 Well #16 7/19/23 583.56
Q2023898 Well #10 7/19/23 502.92
Q2023923 Pool 7/13/23 1,014.60
Q2023927 Pool Acid 7/10/23 1,091.12
Q2023928 Pool 7/11/23 1,268.92
Total for Check Number 84015: 8,911.61
84016 3288 MCCLASKEY, INC. 08/04/2023
0375 Sidewalk repair 20th St 300.00
0376 Sidewalk repair Lake St 600.00
Total for Check Number 84016: 900.00
84017 4329 MCI COMM SERVICES 08/04/2023
July 2023 Acct #7DL61514 Fax Long Distance July 2023 33.94 Total for Check Number 84017: 33.94
84018 3997 MID VALLEY DISPOSAL RECYCLING & TRANSFER STATION 08/04/2023 AP Checks by Date - Detail by Check Date (8/9/2023 10:54 AM) Page 8 Check No Vendor No Vendor Name Check Date Check Amount
Invoice No Description Reference
2712888 Street Sweeping Refuse 1,526.95
Total for Check Number 84018: 1,526.95
84019 3466 NAPA AUTO PARTS 08/04/2023
640893 PW Interior Detail 17.75
Total for Check Number 84019: 17.75
84020 4849 NAPA AUTO PARTS 08/04/2023
1185-843885 Napa cabin air filter & air filter OES 5604 57.82 Total for Check Number 84020: 57.82
84021 3307 NELSON'S ACE HARDWARE-SELMA 08/04/2023
06/30/2023 PW Hardware Supplies 35.29
06/30/2023 PW Hardware Supplies 242.55
06/30/2023 PW Hardware Supplies 58.55
07/25/2023 Supplies July 2023 134.99
07/25/2023 Supplies July 2023 263.28
07/25/2023 Supplies July 2023 130.58
07/25/2023 Supplies July 2023 37.09
07/25/2023 Supplies July 2023 20.27
07/25/2023 Supplies July 2023 15.05
07/25/2023 Supplies July 2023 25.14
137999 canopy 98.07
138373 plants/dept 57.42
138406 supplies for hydrants 44.18
138537 batteries 9.40
138549 stainless steel cleaner 12.07
Total for Check Number 84021: 1,183.93
84022 4876 OAT & OAK LLC 08/04/2023
072213 BID Social Media Manager July 2023 999.00
Total for Check Number 84022: 999.00
84023 3611 HOLLY OWEN 08/04/2023
Aug 2023 Cell Phone Monthly Allowance Aug 2023 75.00
Total for Check Number 84023: 75.00
84024 3315 P G & E 08/04/2023
07/17/2023 Electricity 6/15/2023-7/17/2023 Acct #2493668675-7 48.44 7/17/2023 #2 Electricity 6/15/2023-7/17/2023 Acct #7502184272-1 5,250.89 7/17/2023 #2 Electricity 6/15/2023-7/17/2023 Acct #7502184272-1 5,250.89 Total for Check Number 84024: 10,550.22
84025 4829 BRAYDAN PADAVICK 08/04/2023
8162023 Per Diem (POST) FCSO Civil Procudures for Law Enforcment 17.00 Total for Check Number 84025: 17.00
84026 3450 ABIGAIL PALSGAARD 08/04/2023
Aug 2023 Cell Phone Monthly Allowance Aug 2023 75.00
Total for Check Number 84026: 75.00
84027 3321 PETERS ENGINEERING GROUP 08/04/2023
11016 Mehlert/Warkentin Alley Paving 5,200.00
AP Checks by Date - Detail by Check Date (8/9/2023 10:54 AM) Page 9 Check No Vendor No Vendor Name Check Date Check Amount
Invoice No Description Reference
11017 20th/21st Alley Sierra to Mariposa 5,200.00
11021 18th Ave Sidewalks Stroud/Klepper 3,300.00
11022 12th Ave Sidewalks Stroud/Ashlan 2,250.00
Total for Check Number 84027: 15,950.00
84028 3329 POLYACK MARKETING 08/04/2023
3255 Econ. Dev July 2023 3,300.00
Total for Check Number 84028: 3,300.00
84029 4030 PRINT THEORY 08/04/2023
5840 Laser Etching KFD logo-executive/leadership mugs 651.70 5926 flat emblem sticker/patch qty 100 1,602.01
Total for Check Number 84029: 2,253.71
84030 3334 PROFESSIONAL PRINT & MAIL, INC 08/04/2023
117477 Statements- Delinquent Notices July 2023 109.22
117477 Statements- Delinquent Notices July 2023 109.22
Total for Check Number 84030: 218.44
84031 3335 PROFORCE LAW ENFORCEMENT 08/04/2023
524184 REM shotguns7 5,663.28
Total for Check Number 84031: 5,663.28
84032 3341 QUINN COMPANY 08/04/2023
WON50027208 Generator Repair Stn 2 347.14
WON50027209 Generator Repair Stn 1 347.14
Total for Check Number 84032: 694.28
84033 4828 YVONNE RUIZ 08/04/2023
08162023 Per Diem - FCSO Civil Procedures for Law Enforcement POST 17.00 Total for Check Number 84033: 17.00
84034 4867 JOSE LUIS SALINAS 08/04/2023
7272023 July Time see Invoice 2,760.96
Total for Check Number 84034: 2,760.96
84035 3537 SECOND CHANCE ANIMAL SHELTER 08/04/2023
2665 June 2023 Animal Care Services-6 @ $250.00 1,500.00 Total for Check Number 84035: 1,500.00
84036 4533 SHADOW LOCKSMITH 08/04/2023
003131 New Pool Locks/Keys 500.00
Total for Check Number 84036: 500.00
84037 3543 SIERRA PACKAGING SOLUTIONS 08/04/2023
78566 Senior Center Supplies 129.98
80407 Senior Center Supplies 416.99
80659 Pool Supplies Bathroom 109.80
Total for Check Number 84037: 656.77
84038 3369 SILVAS OIL COMPANY, INC. 08/04/2023
185870CT GF Fuels 1,820.80
AP Checks by Date - Detail by Check Date (8/9/2023 10:54 AM) Page 10 Check No Vendor No Vendor Name Check Date Check Amount
Invoice No Description Reference
185870CT SRO Fuels 184.43
185870CT ME Fuels 1,415.21
185870CT ACT Fuels 276.76
186173CT PW & CH Gas Card Chrgs 7/16-7/31/2023 861.32
186173CT PW & CH Gas Card Chrgs 7/16-7/31/2023 155.25
186173CT PW & CH Gas Card Chrgs 7/16-7/31/2023 46.76
186173CT PW & CH Gas Card Chrgs 7/16-7/31/2023 207.42
186173CT PW & CH Gas Card Chrgs 7/16-7/31/2023 46.76
186173CT PW & CH Gas Card Chrgs 7/16-7/31/2023 316.31
186173CT PW & CH Gas Card Chrgs 7/16-7/31/2023 50.40
186173CT PW & CH Gas Card Chrgs 7/16-7/31/2023 185.65
186174CT ACT Fuels 250.39
186174CT ME Fuels 1,408.30
186174CT GF Fuels 2,154.70
186174CT SRO Fuels 255.78
18617CT ME Fuels 819.76
18617CT Fire Fuel 819.77
18617CT Ambulance Fuels 819.76
Total for Check Number 84038: 12,095.53
84039 4887 SOCIAL VOCATIONAL SERVICES INC. 08/04/2023
46F233-IN Landscape Services HASH 830.00
46F233-IN Landscape Services 830.05
Total for Check Number 84039: 1,660.05
84040 3378 STAPLES ADVANTAGE 08/04/2023
3541990166 PW Park Supplies Credit -351.06
3543776209 Staples Copy Paper 96.97
3543776213 8.5x11 copy paper 82.98
3543776213 STPLS 5 Topbnd membk 7.34
3543776213 scissors titanium 10.03
3543776213 Postscript pen 6.18
3543776213 BP LTX pombry foam soap 49.08
3543776213 CWP multifold wht 30.16
3543776213 BP LTX plum antbc soap 56.18
3543776213 Sonix ret gel chip box 13.64
3543776213 Manila FLdr 17.56
3543776213 Staples med bindrclps 12ct 6.64
3543776213 sales Tax 40.06
3543776213 LAX lighting w/tax 12.61
3543776213 32 GB usb 39.99
3543776213 Staples lge bindrclps 12ct 4.06
3543776213 Clorox Wipes 15.50
3543776213 Book steno 6x9 14.59
3543776213 Pen Ballpt 15.62
3543776213 Janitorial Supplies Bath tissue 24.81
3543776213 Odor elimin 19.72
3543776213 Dust off 6pk 32.27
Total for Check Number 84040: 244.93
84041 3380 STATE OF CALIFORNIA-D O J 08/04/2023
665031 Blood Alcohol Analysis 105.00
Total for Check Number 84041: 105.00
84042 3381 STATE OF CALIFORNIA-D O T 08/04/2023
SL231023 Signal & Lighting Billing April 2023-June 2023 2,440.59 AP Checks by Date - Detail by Check Date (8/9/2023 10:54 AM) Page 11 Check No Vendor No Vendor Name Check Date Check Amount
Invoice No Description Reference
Total for Check Number 84042: 2,440.59
84043 4028 SUPERIOR POOL CARE 08/04/2023
4824 Owner-Eddie C. Reed June Service 2023 2,600.00
4835 Owner-Eddie C. Reed july service 2023 #4835 2,600.00 Total for Check Number 84043: 5,200.00
84044 3484 SWANK MOTION PICTURE, INC. 08/04/2023
3400524 Pool Movie Nights June 2023 Cars 335.00
3403958 Pool Movie Nights June 2023 Bee Movie 335.00
3408044 Pool Movie Nights June 2023 Shark Tale 335.00
3410678 Pool Movie Nights June 2023 Lightyear 335.00
Total for Check Number 84044: 1,340.00
84045 4827 SWEEPING CORP OF AMERICA LLC 08/04/2023
2023-12163 Subdivision 16th & Kern July 2023 650.00
2023-12163 Air Sweep for the month of July 2023 14,450.00 2023-12163 Kings Crossing July 2023 215.00
2023-12163 Streets, Medians, and Sub-divisions July 2023 2,750.00 Total for Check Number 84045: 18,065.00
84046 3612 TARGETSOLUTIONS LEARNING 08/04/2023
73002 Annual Training Member Contract Fire 7/1/23-6/30/24 1,112.50 73002 Annual Training Member Contract Amb 7/1/23-6/30/24 1,112.50 Total for Check Number 84046: 2,225.00
84047 3395 TERRYBERRY 08/04/2023
M96401 Longevity Award 15.51
M96401 Longevity Award 15.52
M96401 Longevity Award 31.03
M96401 Longevity Award 186.14
Total for Check Number 84047: 248.20
84048 3410 UNDERGROUND SERVICE ALERT 08/04/2023
2023118094 573 Tickets/ Membership Fees 991.89
23USB118094 CAFEE Reg Cost 354.13
Total for Check Number 84048: 1,346.02
84049 3759 VALLEY POWER SYSTEMS NORTH, INC.08/04/2023
F87067 Inv F87067 ECM Interal fail on E142. Replaced. 3,845.45 Total for Check Number 84049: 3,845.45
84050 3416 VERIZONWIRELESS 08/04/2023
993908698 Cellular Svc. 6/16/7/15/2023 104.37
993908698 Cellular Svc. 6/16/7/15/2023 33.05
993908698 Cellular Svc. 6/16/7/15/2023 298.09
993908698 Cellular Svc. 6/16/7/15/2023 52.01
993908698 Cellular Svc. 6/16/7/15/2023 22.20
993908698 Cellular Svc. 6/16/7/15/2023 20.36
993908698 Cellular Svc. 6/16/7/15/2023 24.90
993908698 Cellular Svc. 6/16/7/15/2023 94.85
993908698 Cellular Svc. 6/16/7/15/2023 102.18
9939708699 Wireless bill for Fire/amb 1,056.47
AP Checks by Date - Detail by Check Date (8/9/2023 10:54 AM) Page 12 Check No Vendor No Vendor Name Check Date Check Amount
Invoice No Description Reference
Total for Check Number 84050: 1,808.48
84051 3419 VIKING CLEANING SERVICE 08/04/2023
71523 Cleaning Stn 2/annual cleaning 600.00
71523 Cleaning Stn 2 600.00
Aug 2023 Janitorial Services Aug 2023 3,641.40
Total for Check Number 84051: 4,841.40
84052 4888 VILLAGE APARTMENTS/JANIS CONKLIN08/04/2023
7/28/2023 Final Credit Refund 401.50
7/28/2023 Final Credit Refund 401.50
Total for Check Number 84052: 803.00
84053 3469 WECO SUPPLY CO., INC. 08/04/2023
969554 PW Cy Rental 7/31/23 33.48
Total for Check Number 84053: 33.48
84054 4463 WHITE CAP 08/04/2023
50022941692 strip board lumber,harwood,demo saw-training site 286.76 50022941692 84-24pks of water+ beverage fee 503.16
Total for Check Number 84054: 789.92
84055 3429 WILLDAN FINANCIAL SERVICES 08/04/2023
010-55395 Annual Dist Admin FY 2023-2024 205.84
010-55395 Annual Dist Admin FY 2023-2024 30.27
010-55395 Annual Dist Admin FY 2023-2024 351.14
010-55395 Annual Dist Admin FY 2023-2024 345.09
010-55395 Annual Dist Admin FY 2023-2024 532.76
010-55395 Annual Dist Admin FY 2023-2024 387.47
010-55395 Annual Dist Admin FY 2023-2024 302.71
010-55395 Annual Dist Admin FY 2023-2024 478.28
010-55395 Annual Dist Admin FY 2023-2024 187.68
010-55395 Annual Dist Admin FY 2023-2024 320.87
010-55395 Annual Dist Admin FY 2023-2024 181.62
010-55395 Annual Dist Admin FY 2023-2024 278.49
010-55395 Annual Dist Admin FY 2023-2024 369.30
010-55395 Annual Dist Admin FY 2023-2024 254.27
Total for Check Number 84055: 4,225.79
84056 3448 CHRISTINA WINDOVER 08/04/2023
Aug 2023 Cell Phone Monthly Allowance Aug 2023 75.00
Total for Check Number 84056: 75.00
84057 3430 WONG, ANDY & BETTY 08/04/2023
Aug 2023 Wong Bldg Leases Aug 2023 2,600.00
Total for Check Number 84057: 2,600.00
Total for 8/4/2023: 1,260,483.49
AP Checks by Date - Detail by Check Date (8/9/2023 10:54 AM) Page 13 Check No Vendor No Vendor Name Check Date Check Amount
Invoice No Description Reference
Report Total (102 checks): 1,401,987.42
AP Checks by Date - Detail by Check Date (8/9/2023 10:54 AM) Page 14
CITY COUNCIL MEETING STAFF REPORT
REPORT TO: Mayor Palomar & City Council
REPORT FROM: Alexander J. Henderson, City Manager, ICMA-CM REVIEWED BY: MN AGENDA ITEM: Growth Management System Ordinance Update
ACTION REQUESTED: Ordinance ____Resolution ____Motion ____Receive/File
EXECUTIVE SUMMARY
On 8/2/2023 City Council passed a motion to introduce and waive the first reading of Ordinance 2023-001 and pass Ordinance 2023-001 to a second reading and adoption at the 8/16/2023 City Council Meeting.
Ordinance 2023-001 revises certain sections Chapter 16.09 of Title 16 of the Kingsburg Municipal Code that implements the Growth Management Amendment to the City Charter passed by the voters of the City of Kingsburg in the election of November 2, 2004. Chapter 16.09 establishes a Growth Management System to limit the rate of residential growth in the City to a level compatible with the size, financial limitations, resource constraints and service capabilities of the City and the service providers within the City.
RECOMMENDED ACTION BY CITY COUNCIL
1. Waive the second reading and adopt Ordinance No. 2023-001, An Ordinance Of The City Of Kingsburg Amending Chapter 16.09 Of Title 6 Of The Kingsburg Municipal Code Regarding The Growth Management System and adopt with the following recital constituting reading the title of the Ordinance:
“An Ordinance Of The City Of Kingsburg Amending Chapter 16.09 Of Title 6 Of The Kingsburg Municipal Code Regarding The Growth Management System.”
ALTERNATIVE ACTION BY CITY COUNCIL
1. Elect not to adopt the Ordinance and direct Staff to make additional amendments to the Ordinance.
FINANCIAL INFORMATION
FINANCIAL SUMMARY
None related to the City budget.
ATTACHED INFORMATION
1. Ordinance 2023-001 amending Section 16.09 of the Kingsburg Municipal Code Meeting Date: 08/16/2023
Agenda Item: 5.3
FISCAL IMPACT:
1. Is There A Fiscal Impact? N/A
2. Is it Currently Budgeted? N/A
3. If Budgeted, Which Line? N/A
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28 ORDINANCE NO. 2023 - 001
AN ORDINANCE OF THE CITY OF KINGSBURG
AMENDING CHAPTER 16.09 OF
TITLE 6 OF THE KINGSBURG MUNICIPAL CODE
REGARDING THE GROWTH MANAGEMENT SYSTEM
The City Council of the City of Kingsburg does hereby ordain as follows:
Section 1. Chapter 16.09 of Title 16 of the Kingsburg Municipal Code is amended as follows:
16.09.010 Purpose.
A. This chapter implements a growth management system that will manage regulating residential development so that it is compatible with the character and service capabilities of the city and other service providers within the city. This chapter implements the growth management amendment to the city charter passed by the voters of the city in the election of November 2, 2004.
B. This chapter establishes a growth management system to limit the rate of residential growth in the city to a level compatible with the size, financial limitations, resource constraints, and services capabilities of the city and service providers within the city. This chapter also seeks to maintain aesthetic goals of the city. This chapter implements fundamental policies of the general plan including particular provisions of the land use and housing elements of the general plan. The growth management system will assist the city in addressing its responsibility to share in the provision of housing for households of various income levels as determined by the regional housing needs allocation plan prepared by the council of Fresno County governments and approved by the State Department of Housing and Community Development.
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28 16.09.020 Allocations for housing units.
A. One hundred fifteen (115) new allocations of housing units will become available at the beginning of each calendar year. Allocation is defined as the right to apply for a building permit to construct one single-family residence or one multi-family residential housing unit. The allocations are divided between two categories of housing: multiple-family housing units with thirty-five (35) allocations (less any allocations issued to multi-family small projects as defined in Section 16.09.050 of this chapter) per year (thirty percent (30%)) and single-family housing units, with eighty (80) allocations per year (seventy-percent (70%)). Of the eighty (80) allocations per year of single-family housing units, twenty (20) allocations shall be reserved for large lot development on parcels of at least ten thousand (10,000) square feet.
B. Allocations which are issued pursuant to the provisions of this chapter are issued to the specific residential development project identified and described in the application for allocations. Allocations are not issued to any person or entity. Allocations cannot be assigned, transferred or conveyed to another residential development project C. Except as otherwise set forth in this subsection, if after allocations are awarded, a residential housing project receiving allocations is modified or changed in any way, the allocations awarded to that residential housing project shall automatically terminate and become unused allocations subject to reallocation as provided in Section 16.09.060. The modified or changed residential housing project may apply again for allocations as a new residential housing project. Except that, a residential housing project may file a request with the city, using the applicable city request form, requesting that the issued allocations not terminate but remain with the changed or modified residential housing project. The city council may grant such request only if the city council makes all of the following findings:
1. Any modification or change in the type (i.e., single-family, multi-family, senior, etc.) of residential housing; or the modification or change in any other aspect of the residential housing project satisfies a specific housing need in the city which was not a housing need in the city at the time the 3 1
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28 original application for allocations for the residential housing project was initially filed with the city;
2. Any modification or change in the number of residential housing units; or any modification or other change in any aspect of the residential housing project does not result in a need to increase the allocations initially issued to the residential housing project identified in the original application;
3. City staff's reevaluation of the modified or changed residential housing project pursuant to the rating and ranking criteria set forth in Section
16.09.070 of this chapter, does not result in a competitive points ranking different from the competitive points ranking received by the residential housing project for its original application for allocations and does not affect the competitive points ranking of any other residential housing project that originally competed for allocations with the residential housing project seeking to retain its awarded allocations;
4. No land use entitlements identified in this Section 16.09.020 have been approved or issued for the residential housing project prior to its application seeking to retain the awarded allocations.
The provisions of this Section 16.09.020 C. shall not apply to a modification or change to a residential housing project which results in a reduction of the awarded allocations needed to construct the residential housing project.
D. An application for competitive allocations identified in Section 16.09.060, shall specifically identify the type of residential development (e.g. single family, multi-family, mixed density, etc.) that will be developed should allocations be awarded to the applicant. Based upon the type of residential development identified in the application, the city’s community development department shall determine the final land use entitlement approval (e.g. final subdivision map, site plan review approval, planned use development (“PUD”) approval, etc.) 4 1
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28 (“Final Entitlement”) needed by the applicant in order to develop the residential development identified in the application (grading permits, building permits and similar or related permits are not included in the definition of Final Entitlement). The award of allocations by the city council as provided in Section 16.09.060 shall: (i) specifically identify the Final Entitlement for the residential development receiving the award of allocations; (ii) state the allocations awarded will automatically expire and be of no further force or effect if the Final Entitlement for the residential development receiving the award of allocations is not approved by city or other applicable agency by a specified date which date shall be 12 months (or if annexation is required 24 months) after the date of award of the allocations by the city council (“Entitlement Deadline”); and (iii) state the allocations awarded will automatically expire and be of no further force or effect if construction of all off-site improvements (collectively “Offsite Improvements”) for the residential development receiving the award of allocations including, without limitation, installation of utilities and construction and installation of streets is not completed by a specified date which date shall be forty-eight (48) months after the date of award of allocations by the city council (“Construction Deadline”). No fees paid by an applicant to the city prior to the Entitlement Deadline or the Construction Deadline will be reimbursed by the city should the applicant fail to satisfy the requirements of this chapter.
E. An applicant may request an extension of the Entitlement Deadline or Construction Deadline by submitting a written application for such extension on the form required by the city. In order to grant an extension request, the city council must find that the failure of the applicant to obtain approval of the Final Entitlement on or before the last day of the Entitlement Deadline or complete construction of all Off-site Improvements on or before the last day of the Construction Deadline, was beyond the reasonable control of the applicant. An application for extension of the Entitlement Deadline or the Construction Deadline must be filed with the city at least ninety (90) days prior to the expiration of the Entitlement Deadline or Construction Deadline, as applicable. An applicant that obtains an extension of the Entitlement Deadline may not request and extension of the Construction Deadline. 5 1
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28 F. The city council, may, in its discretion, allow unused allocations (collectively “Unused Allocations”) to be carried over for a period not to exceed three years (“Unused Allocation Period”) and allocated as part of a first allocation and/or a second allocation or both (as those terms are defined in Section 16.09.060 of this chapter). Unused Allocations are allocations: (i) which were never issued; or (ii) previously issued and expired as provided in this Section 16.09.020. An Unused Allocation Period selected by the city council shall commence on the date the Unused Allocations were first available for award by the city council pursuant to Section 16.09.060. Unused Allocations shall only be issued on the dates identified in Section
16.09.060 D and E.
G. In order to meet the housing needs of persons who will reside in mobilehome parks or multi-family housing developments, an applicant seeking to develop a mobilehome park with more than fifteen (15) spaces and/or multi-family housing development with more than fifteen (15) units may request issuance of allocations which would otherwise be issued over a three-year period. The purpose of this three-year allocation is to satisfy the housing needs of persons who wish to reside in mobilehomes or multi-family developments, through the development of a project which is larger than would otherwise be allowed with only one year of allocations. An applicant may request a three-year allocation by submitting a written application to the city on the form required by the city. After the award of a three-year allocation as provided in this Section 16.09.020 G., the mobile home park development or the multi-family housing development shall not be modified or changed in any way. Any attempt to modify or change the mobile home park development or the multi-family housing development shall result in the automatic termination of the allocations awarded to the mobile home park development or multifamily housing development and the allocations shall become Unused Allocations.
16.09.030 Senior housing allocations.
Demand for senior housing in the city exceeds the supply of senior housing within the city. As a result, and in order to address this need for more senior housing, allocations for a senior housing project shall be issued on the basis of one-half of one allocation for each senior 6 1
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28 housing unit to be constructed. Senior housing is defined as residential housing which requires that at least one person in residence in each dwelling unit be fifty-five (55) years of age or older.
The residential dwelling units must include each of the following elements:
A. Entryways, walkways, and hallways in the interior common areas of the development, and doorways and paths of access to and within the housing units, shall be as wide as required by current laws applicable to new multi-family housing construction for provision of access to persons using a standard-width wheelchair.
B. Walkways and hallways in the common areas of the development shall be equipped with standard height railings or grab bars to assist persons who have difficulty with walking.
C. Walkways and hallways in the common areas shall have lighting conditions which are of sufficient brightness to assist persons who have difficulty seeing.
D. Access to all common areas and housing units within the development shall be provided without use of stairs, either by means of an elevator or sloped walking ramps.
E. The development shall be designed to encourage social contact by providing at least some common open space.
F. Refuse collection shall be provided in a manner that requires a minimum of physical exertion by residents.
G. The development shall comply with all other applicable requirements for access and design imposed by law, including, but not limited to, the Fair Housing Act (42 U.S.C.
Section 3601 et seq.), the Americans with Disabilities Act (42 U.S.C. Section 12101 et seq.), and the regulations promulgated at Title 24 of the California Code of Regulations that relate to access for persons with disabilities or handicaps. If a senior housing project includes the seven elements listed previously in this section and one of the three enhancements listed in subsection (G)(1) through (3) which follow in this section, allocations for that senior housing project shall be issued on the basis of one-third of one allocation for each senior housing unit to be constructed. 7 1
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28 If a senior housing project includes the seven elements listed previously in this section and two of the three enhancements listed in subsections (G)(1) through (3) which follow in this section, allocations for that senior housing project shall be issued on the basis of one-fourth of one allocation for each senior housing unit to be constructed. If a senior housing project includes the seven elements listed previously in this section and all three of the enhancements listed in subsections (G)(1) through (3) which follow in this section, allocations for that senior housing project shall be issued on the basis of one-fifth of one allocation for each senior housing unit to be constructed. Enhancements are:
1. Development of congregate housing at a density that would meet the medium or high density residential standard in the general plan, at least seven dwelling units per net acre.
2. Provision of support services that would enable senior citizens who are otherwise able to live independently to remain in their homes for a longer time. Examples of such services are provision of community meals, transportation, laundry services and cleaning services.
3. Meeting the housing element inclusionary housing goal by making at least fifteen percent (15%) of the housing units affordable to households of low or very low income (less than eighty percent (80%) of the local median income for households of the same size).
16.09.040 Exemption to allocation requirements.
The following types of residential housing may be constructed without the issuance of allocations:
A. Residential housing units constructed upon parcels that were previously fully developed and which have adequate infrastructure to service the new residential development as determined by the city.
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28 B. Second housing units added to lots with single-family homes in conformance with the city zoning ordinance and applicable California law.
C. Residential housing projects which received all required development entitlements prior to enactment of this chapter.
16.09.050 Small projects.
New multi-family or single-family residential developments of four or fewer dwelling units ("small projects") will automatically receive allocations and will not be required to participate in the competitive allocation process identified in Section 16.09.060 of this chapter.
16.09.060 Competitive allocations.
A. Allocations for residential projects consisting of five or more dwelling units will compete for allocations in accordance with the process identified in this section. Each calendar year, the maximum number of allocations that can be issued through the competitive process for any one application for development entitlements to construct residential housing units is twentyfive (25) allocations for single-family housing or multiple-family housing, or thirty-five (35) allocations for mixed-density projects which include at least ten (10) single-family homes and at least ten (10) multiple-family dwelling units.
B. Applications for competitive allocations must be filed with the planning and development department on or before four o'clock p.m. on September 30th of each calendar year.
If September 30th falls on a Saturday, Sunday or holiday when the city offices are closed, the time for filing applications for competitive allocations shall be extended to four o'clock p.m. on the next business day. All applications for allocations for single family residential projects must include a tentative subdivision tract map in a form ready to submit to the city for approval. The development proposals identified in the applications shall be rated and ranked in accordance with the rating and ranking criteria identified in this chapter by planning staff during the month of October and the planning staff shall make its recommendations for competitive allocations to the planning commission.
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28 C. An application may not identify more than five model homes to be constructed for each group of twenty-five (25) allocations issued. At the election of the applicant, the model homes will or will not be counted as part of the allocations issued to the applicant. If the applicant elects not to include model homes as part of the allocations issued to the applicant, no certificate of occupancy will be issued for the model homes until allocations are issued for the model homes in accordance with the provisions of this chapter.
D. At its first meeting each November, the planning commission will conduct a public hearing to review staff's rating and ranking recommendations for the competitive allocations and make recommendations to the city council regarding the competitive allocations.
At its first regular meeting in December, the city council will consider the recommendations of the planning commission and will issue allocations for the next calendar year ("first allocations").
E. If all available allocations are not issued by the city council at its December meeting, then at its first meeting in February of the next year, the city council may, in its discretion, authorize staff to conduct a second competitive allocation process ("second allocation"). If a second allocation is authorized by the city council, the application process shall be the same as for the first allocations, except that all applications must be received by the planning and development department by four o'clock p.m. on March 31st. If March 31st falls on a Saturday, Sunday or holiday when the city offices are closed, the time for filing applications for second allocations shall be extended to four o'clock p.m. on the next business day. City staff will perform its ranking and rating process during the month of April and a public hearing will be held by the planning commission at its first regular meeting in May to review staff's rating and ranking recommendations for the second allocation and make recommendations to the city council regarding the second allocation. At its first regular meeting in June, the city council will consider the recommendations of the planning commission and determine the number of second allocations to be issued, if any.
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28 F. If there is only one application for second allocations, the city council may authorize the issuance of all allocations available in the second allocation to the sole applicant, even though the allocations available in the second allocation exceed the maximum annual number of allocations available for issuance under this section of this chapter and even though the sole applicant for the second allocations received first allocations.
16.09.070 Rating and ranking criteria.
Projects seeking allocations will be rated using a one hundred (100) point scoring system and then ranked. Rating and ranking will be based on information submitted by the applicants in their application materials, backup documentation provided by applicants and other documents and information the city deems relevant to each respective project. Lists of supporting materials likely to be included in a typical application are found at the end of the description of each scoring category. Applicants are encouraged to submit any other materials that are relevant in supporting their applications. The scoring system will be based on the following criteria:
A. Suitability of Location (Twenty-five (25) Points). The city promotes compact and efficient development. Concentric patterns of growth are preferred. Infill development within the urban limit boundary is encouraged. Leapfrog development and irregular boundaries are discouraged. Islands or corridors of unincorporated territory are to be avoided. Projects will not be considered if the property identified in the application is not sufficiently contiguous to the city limits to allow for a logical and reasonable extension of the city limits as determined by the city.
Scoring for this category is as follows:
25 points The property proposed for development is
already within the city limits.
20 points An infill project sufficiently surrounded by
urban development as determined by the city.
15 points The property is bordered by the city on more
than one side.
10 points The property is adjacent to the city limits and within the urban limit boundary, allowing for
a logical and reasonable extension of the city
limits, as determined by the city.
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28 5 points The property is adjacent to the city limits, allowing for a logical and reasonable
extension of the city limits as determined by
the city, but the property is outside of the
urban limit boundary.
0 points The property is outside of the sphere of
influence and annexation to the sphere is
required.
Documentation may include a map and verbal description.
B. Inclusionary Housing (Fifteen (15) Points). The adopted housing element of the Kingsburg general plan has an inclusionary housing policy calling for at least fifteen percent (15%) of the housing units provided by each project to be affordable to low-income or very lowincome households. If the affordable units are not incorporated into the project, the developer may be able to comply with the policy by assisting the city in providing an equal number of affordable housing units elsewhere in the city by dedicating appropriate land or paying an in-lieu fee. For each percentage point of affordable housing included in or provided for by a project, one scoring system point will be awarded up to a maximum of fifteen (15) points. Documentation must include a detailed written commitment to provide the affordable housing described in the application. It must include calculation of the probable rental or mortgage costs of the housing units in the project proposed; calculation of the housing costs a low-income household can afford (which can be based on eighty percent (80%) of the median household incomes for Fresno County for the current year as provided by the California Department of Housing and Community Development); and an explanation of how any "gap" between the two calculations will be eliminated. The "gap" is the basis for determining an appropriate in-lieu fee, or an appropriate value for land to be dedicated for affordable housing purposes. If third-party subsidies are proposed through use of governmental grant funds or partnership with non-profit affordable housing organizations, the commitment on the part of any third-party entity must be documented in writing.
C. Meeting Special Needs, Demonstrated Market Demands and Community Objectives (Twenty (20) Points). City's adopted housing element emphasizes the accommodation 12 1
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28 of special-needs populations. Points will be awarded for projects that provide housing for populations that are underserved or have special needs that are not generally met in other projects. Examples include, without limitation, handicapped-accessible units or housing for senior citizens or large families. Points will be awarded to projects that:
1. Provide housing for populations that are underserved or have special needs that are not generally met in other projects, such as handicappedaccessible units or housing for senior citizens or large families;
2. Expand the range of housing choices available in the community by offering configurations, densities and/or price ranges that are not otherwise readily available;
3. Satisfy demonstrated market demands (e.g., large lots, senior housing); and
4. Utilize properties that have been bypassed because they are challenging to develop.
Documentation may include descriptions of existing housing inventory and market conditions, demographics, explanations of challenges confronted by the developers, description or drawings of proposed housing features, etc.
D. Infrastructure and Services (Twenty-five (25) Points). Preference will be given to projects that have the most positive impacts and/or the least negative impacts on infrastructure and services provided by the city and other service entities that operate within or provide services to the city. Scoring shall be based on the following criteria:
1. Proximity to existing infrastructure systems;
2. The extent of extension or expansion needed to increase the capacity of existing infrastructure to serve the proposed development and, if appropriate, future development;
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28 3. The willingness of the developer to enter into a reimbursement agreement if the project involves construction of master-planned facilities and such an agreement is appropriate;
4. Agreement to construct and install new oversized infrastructure and/or construct and install new infrastructure that extends beyond the developer's project in order to service future growth, with reimbursement to developer pursuant to a reimbursement agreement providing for reimbursement by future development connecting to the oversized and/or extended infrastructure;
5. Dedication of real property to the city to improve systems and services, including, without limitation, rights-of-way for streets, alleys or green belts, or sites for water wells, lift stations, drainage basins, parks, and schools sites, etc;
6. Incorporation of resource conservation features, including, without limitation, active or passive solar systems, water conservation features, drought-tolerant landscaping and energy-efficient appliances.
Documentation of infrastructure considerations and property dedications can take the form of written descriptions and commitments, maps and diagrams. Conservation features can also be documented with industry or manufacturer data and literature.
E. Architectural Design and Aesthetic Considerations (Fifteen (15) Points).
Kingsburg continues to project an image as "the Swedish Village" which gives the city a unique identity. Residential housing should include distinctive design, quality construction and accompanying amenities. Features that will receive points through the scoring system include:
1. Custom homes or customized features on tract homes that prevent houses in the same development from appearing repetitious;
2. Fostering of neighborhood character;
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28 3. Compatibility with neighboring developments (e.g., lot sizes and square footage of homes);
4. Utilization of alleys for garage access from the rear;
5. Variable front yard setbacks;
6. Landscaping of street medians and parkways;
7. Green belts with pathways for pedestrians, skaters and bicyclists;
8. Pedestrian-friendly design;
9. Bicycle lanes in appropriate locations;
10. Preservation of existing trees;
11. Open space and recreation facilities.
In addition to written descriptions, diagrams and maps, such documentation as elevations, renderings, floor plans and photographs of similar developments may help to illustrate the proposed project.
In the case of walled and gated communities, aesthetics and amenities that are generally viewed by and available to residents and selected guests exclusively will not be considered in scoring in this architectural design and aesthetic considerations category. Only those features that are visible to the general citizenry outside of the walled and gated community will be evaluated.
16.09.080 Phased projects.
Projects having more residential units than the maximum allocation allowable or available in a single allocation period may be phased. Allocations awarded for phased projects may include allocations awarded for the calendar year and Unused Allocations for up to two years. Approval of allocations for a phased project shall identify the number of allocations that will be awarded by the city and used by the applicant during each phase of the project. A separate final map is not required for each phase of a residential subdivision project. Phasing requirements, including, without limitation, number of allocations available for use in each phase, numbers of units that can be constructed and timing of construction, will be enforced as conditions of approval of the tentative tract map and final tract map and as provisions of the 15 1
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28 subdivision agreement. If a multiple-family residential project includes phasing, phasing requirements including those identified in this section will be enforced through conditions of approval of the site plan or planned unit development and as provisions of the development agreement if one is required by the city. After the award of allocations for a phased project, if phased project is modified or changed in any way the provisions of Section 16.09.020c. shall apply to such modification or change.
16.09.090 Exceptions and changes.
A. The provisions of Chapter 16.40 of this title shall not apply to this chapter.
B. The city council shall have the power to increase, decrease, change or reallocate allocations by resolution of the city council.
Section 2. This ordinance shall take effect thirty (30) days after its passage and shall be published in the Kingsburg Recorder within fifteen (15) days after its passage. ///
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28 PASSED AND ADOPTED at a regular meeting of the City Council of the City of Kingsburg duly called and held on the 16th day of August, 2023, by the following vote:
AYES: Council Member ___________________________
___________________________
___________________________
___________________________
___________________________
NOES: Council Member ___________________________
ABSTAIN: Council Member ___________________________
ABSENT: Council Member ___________________________
APPROVED ___________________________
Mayor
ATTEST: _________________________
City Clerk
STATE OF CALIFORNIA )
COUNTY OF FRESNO )ss
CITY OF KINGSBURG )
I, ABIGAIL PALSGAARD, City Clerk of the City of Kingsburg, do hereby certify the foregoing ordinance was duly introduced at a regular meeting of the City Council of the City of Kingsburg on the August 2, 2023, and duly passed and adopted at a regular meeting of said City Council held on August 16, 2023.
DATED: February ____, 1998 _______________________________
CITY CLERK
11140 – 292/Ordinance – Notice of Adoption of Growth Ordinance (Clean) 2023-07-27
CITY COUNCIL MEETING STAFF REPORT
REPORT TO: Mayor Palomar and City Council
REPORT FROM: Christina Windover, Assistant City Manager/Admin. Services Director REVIEWED BY: AH
AGENDA ITEM: Injury & Illness Prevention Program
ACTION REQUESTED: ___Ordinance ___Resolution _ Motion ___Receive/File
EXECUTIVE SUMMARY
The City Council approves all policies that are subject to negotiation with the employee bargaining groups. To protect our employees from the hazards in our working environments, staff is updating the Injury & Illness Prevention Program (“IIPP”). Department Heads and employee associations were given the opportunity to review and provide feedback on the proposed policy. No changes were suggested, and staff and management approved the policy.
The proposed Heat IIPP will be used for training new employees and for annual refresher training of existing employees. All employees are subject to this plan. Departments may have department standard operating procedures that are more restrictive and/or specific to the hazards department staff are exposed to. The proposed policy outlines the procedures for the following:
• Identifies the City Manager as the Safety Officer.
• Outlines the system for ensuring employees comply with safe and healthy working practices.
Substantial compliance with this provision includes recognition of employees, training and retraining programs, disciplinary actions, and reporting.
• Outlines procedures for identifying and evaluating workplace hazards including periodic inspections. • Procedures for occupational injury and illness investigations. • Procedures for correcting unsafe or unhealthy conditions, work practices and work procedures. • Procedures for record-keeping and documentation.
The intent is to keep this document a living document and to update it as needed. Annual review will take place every spring. Each department is responsible for training their staff and ensuring all procedures in the policy are being followed. Upon implementation, department heads and human resources will determine if we need to purchase anything to be compliant with the plan.
RECOMMENDED ACTION BY City Council
1. Approve the City of Kingsburg Injury & Illness Prevention Program as written.
POLICY ALTERNATIVE(S)
1. Provide alternative direction to staff.
Meeting Date: 08/16/2023
Agenda Item: 5.4
FINANCIAL INFORMATION
PRIOR ACTION/REVIEW
N/A.
BACKGROUND INFORMATION
The city’s risk management association offers training, materials and support for injury and illness prevention. We’ve utilized their training materials to conduct employee training in the past (annually).
Management may still use the training materials provided by the RMA. The intention of this policy is to supplement training and improve the procedures for managing/preventing work-related injuries and illnesses.
ATTACHMENTS
1. Proposed Injury and Illness Prevention Program.
FISCAL IMPACT:
1. Is There A Fiscal Impact? Yes
2. Is it Currently Budgeted? Varies
3. If Budgeted, Which Line? Varies
Injury and Illness Prevention Program Requirements
§3203. Injury and Illness Prevention Progra
(a) Effective July 1, 1991, every employer shall establish, implement and maintain an effective Injury and Illness Prevention Program (Program). The Program shall be in writing and, shall, at a minimum:
(1) Identify the person or persons with authority and responsibility for implementing the Program. This can be found in Section One around Page 6.
(2) Include a system for ensuring that employees comply with safe and healthy work practices. Substantial compliance with this provision includes recognition of employees who follow safe and healthful work practices, training and retraining programs, disciplinary actions, or any other such means that ensures employee compliance with safe and healthful work practices. This is explained throughout Section One.
The disciplinary actions can be found in Section Four in the “Safety Violations” Tab. (3) Include a system for communicating with employees in a form readily understandable by all affected employees on matters relating to occupational safety and health, including provisions designed to encourage employees to inform the employer of hazards at the worksite without fear of reprisal.
Substantial compliance with this provision includes meetings, training programs, posting, written communications, a system of anonymous notification by employees about hazards, labor/management safety and health committees, or any other means that ensures communication with employees. The section above is accomplished in two ways. One, we use the time we spend doing Safety Training Topics to also talk about any potential hazards. We also use Section four under the Tab called “Employee Report”, this section encourages employees to write up any unsafe work condition that they may encounter.
(4) Include procedures for identifying and evaluating work place hazards including scheduled periodic inspections to identify unsafe conditions and work practices. Inspections shall be made to identify and evaluate hazards. This Requirement is met in Section Four under the “Random Inspection “Tab. We also us the Annual Inspection tab which in Section Four.
(A) When the Program is first established;
(B) Whenever new substances, processes, procedures, or equipment are introduced to the workplace that represent a new occupational safety and health hazard; and City of Kingsburg
Injury and Illness Prevention
Program
2024
(C) Whenever the employer is made aware of a new or previously unrecognized hazard. (5) Include a procedure to investigate occupational injury or occupational illness. This is found in Section Four under the “Accident Tab.”
(6) Include methods and/or procedures for correcting unsafe or unhealthy conditions, work practices and work procedures in a timely manner based on the severity of the hazard: This can be found also in Section Four and it is a part of the inspections both random, and annual. (A) When observed or discovered; and,
(B) When an imminent hazard exists which cannot be immediately abated without endangering employee(s) and/or property, remove all exposed personnel from the area except those necessary to correct the existing condition. Employees necessary to correct the hazardous condition shall be provided the necessary safeguards.
(7) Provide training and instruction: We do periodic Safety Training as needed, and we also train all employees when Hazards have been identified as well as when new equipment is purchased. (8) Procedures to allow employee access to the program. This can be found on Page 5 (9) Recordkeeping and Documentation. We use Section 4 to create the Documentation and Recordkeeping but the records may be filed in a separate location.
Phone/Fax: (888)358-2221
Address: 8839 N. Cedar Ave
#143 Fresno, CA 93720
E-mail: [email protected]
& [email protected]
Website: www.cestoday.com
Obligatory Disclaimer
Your membership, Employee Manual, Injury and Illness Prevention Program, Heat Illness Prevention Program, Respiratory Protection Program and/or Hazardous Materials Communication Plan are designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold and distributed with the understanding that California Employer’s Services is not engaged in rendering legal services. If legal advice is required, the services of a competent professional should be sought. These materials are distributed with no warranties, expressed or implied, and the user of these materials maintains complete responsibility for the appropriate application for their intended purposes.
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INSTRUCTIONS FOR USE OF SB198 INJURY AND ILLNESS PREVENTION PROGRAM Your SB198 Injury and Illness Prevention Program is designed for easy use and will help you fulfill the safety requirements required by law.
Section 1 - This section fulfills your legal requirements. It identifies who your Responsible Safety Officer is and what their duties are. This section covers how accidents will be investigated and your overall commitment to safety.
Section 2 – This section is your “Codes of Safe Practice”. The entire Section #2 should be copied and handed out to every employee and every employee should be encouraged to read the “Codes of Safe Practice”. We have provided a duplicate copy of this section just inside the front cover of your manual. A copy of the “Codes of Safe Practices” should also be hung up with your State and Federal Postings where each employee can review it regularly.
Upon receipt of their copy each employee will need to sign a “Receipt for Company Codes of Safe Practice”.
We have provided 5 (five) copies of this Receipt in Section 4 under the New Employee tab. The signed “Receipt for Company Codes of Safe Practice” should be kept in the clear plastic pouch in the back of the binder.
Section 3 – This section is your “Self Inspecting Check List”. At least once a year, you or your Responsible Safety Officer should walk the premises and review applicable items on the Check List.
Section 4 – This section is called your “What to Do and When to Do It” section. Under each situation, we provide instructions on what to do, when to do it and 5 (five) copies of forms needed to complete each situation. For example, when hiring a new employee, you should be conducting an initial safety training session and recording it on an “Initial Safety Training Log”. The instructions and 5 (five) copies of the Training Log are included in your manual. If there is lost time from an accident or illness there are instructions on what your responsibilities are and copies of the forms to fill out and keep in your manual. In addition, there are instructions on what to do Monthly, Quarterly and Annually to keep your business safe and prevent unnecessary and unwanted accidents.
We at California Employer’s Services take pride in producing a manual that is easy to work with and will help you protect your business. If you have any questions on the use of this manual or its contents, please do not hesitate to give us a call. Thank you.
City of Kingsburg
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 1……….INJURY AND ILLNESS PREVENTION PROGRAM Table of Contents
Section One ___________________________________________________________ 5 Injury and Illness Prevention Program ____________________________________ 5 Overview of our Written Plan ____________________________________________ 5 Official 9 Standards needed to comply with §3203. IIPP______________________ 5 These 9 standards are a minimum requirement, our program has more. ________ 5 Introduction to Our Program ____________________________________________ 6 Safety Program Goals___________________________________________________ 6 Safety Policy Statement _________________________________________________ 7 General Statement on Safety _____________________________________________ 7 Safety First Priority ____________________________________________________ 7 Responsible Safety Officer _______________________________________________ 7 Duties of Safety Officer _________________________________________________ 7 Individual Cooperation Necessary ________________________________________ 8 Employee Responsibility for Training _____________________________________ 8 Communication________________________________________________________ 8 Safety Rules for All Employees ___________________________________________ 8 Employee Safety Report Form __________________________________________ 10 Safety & Health Training_______________________________________________ 10 Periodic Safety Training Meetings _______________________________________ 10 Accident Prevention Policy Posting_______________________________________ 11 Hazard Identification & Abatement ______________________________________ 11 Safety Audits _________________________________________________________ 11 Workplace Inspections _________________________________________________ 12 Records______________________________________________________________ 12 Cal-OSHA Records Required ___________________________________________ 12 Safety Equipment _____________________________________________________ 12 Protective Clothing ____________________________________________________ 13 Smoking & Fire Safety _________________________________________________ 13 Reporting ____________________________________________________________ 13
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 2……….INJURY AND ILLNESS PREVENTION PROGRAM Section Two __________________________________________________________ 14 General Code of Safe Work Practices_____________________________________ 14 Occupational Injury or Illness___________________________________________ 14 Agreement to Participate _______________________________________________ 14 Individual Cooperation Necessary _______________________________________ 14 Employee Responsibility for Training ____________________________________ 14 Accident Prevention Policy Posting_______________________________________ 15 Safety Rules for All Employees __________________________________________ 15 General Fire Safety____________________________________________________ 16 Abrasive Wheel Equipment (Grinders) ___________________________________ 17 Auto/Truck Tire Inflation ______________________________________________ 17 Specific Safety Rules: Tire Balancing, Changing, and Mounting ______________ 17 Chemical Storage _____________________________________________________ 19 Circular Saws ________________________________________________________ 19 Cleanliness ___________________________________________________________ 20 Combustible Materials _________________________________________________ 20 Company Provided Tools_______________________________________________ 21 Compressed Gas & Cylinders ___________________________________________ 21 Compressors & Compressed Air_________________________________________ 22 Confined Space Entry__________________________________________________ 22 Driving ______________________________________________________________ 22 Safety Belts __________________________________________________________ 22 Accidents ____________________________________________________________ 22 Excavation and Trenching ______________________________________________ 23 Eye Protection ________________________________________________________ 25 Fall Protection ________________________________________________________ 25 Fall Protection Training________________________________________________ 26 First Aid Kits_________________________________________________________ 27 Seat Belts on Forklifts__________________________________________________ 27 Industrial Trucks/Forklifts _____________________________________________ 27 Cal-OSHA Standards for Forklifts _______________________________________ 27 Forklift Extension _____________________________________________________ 28
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 3……….INJURY AND ILLNESS PREVENTION PROGRAM Forklift Maintenance __________________________________________________ 28 Fueling ______________________________________________________________ 28 General Work Environment ____________________________________________ 28 Grounding and Electricity ______________________________________________ 29 Hazardous Chemical Exposures _________________________________________ 29 Hazardous Substances Communication ___________________________________ 30 Heavy Equipment _____________________________________________________ 30 Hoists _______________________________________________________________ 31 Jacks________________________________________________________________ 31 Ladders and Fixed ladders______________________________________________ 32 Lockout/Tagout Procedure _____________________________________________ 33 Manual Lifting Rules __________________________________________________ 34 Materials Handling ____________________________________________________ 34 Miscellaneous Woodworking Tools and Saws ______________________________ 35 Noise ________________________________________________________________ 35 Danger of Noise _______________________________________________________ 35 Reducing Noise Exposure_______________________________________________ 36 Office and Administrative Worksite ______________________________________ 36 Office Equipment _____________________________________________________ 36 Protection from Pesticides ______________________________________________ 37 Pesticide Container Rinse & Drain Procedure _____________________________ 37 Pesticide Usage _______________________________________________________ 37 Piping Systems________________________________________________________ 38 Portable Power Tools __________________________________________________ 38 Protection Issued______________________________________________________ 38 Protective Equipment __________________________________________________ 39 Protective Shoes ______________________________________________________ 39 Protective Gloves______________________________________________________ 39 Head Protection_______________________________________________________ 39 Personal Protective Equipment Clothing __________________________________ 39 Pumps & Pump Operations _____________________________________________ 39 Respirators___________________________________________________________ 40
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 4……….INJURY AND ILLNESS PREVENTION PROGRAM Guide to Respiratory Protection at Work _________________________________ 40 Scaffolds_____________________________________________________________ 41 Shop Rules ___________________________________________________________ 41 Spraying Operations___________________________________________________ 41 Tool Maintenance _____________________________________________________ 42 Transporting Employees & Materials ____________________________________ 42 Truck Loading________________________________________________________ 43 Vehicle Maintenance___________________________________________________ 43 Walkways____________________________________________________________ 43 Welding/Cutting/Brazing _______________________________________________ 43 EMERGENCY ACTION PLAN _________________________________________ 45 Section 3________________________________________________Self Inspecting Checklist Section 4_____________________________________________Record Keeping and Forms New Employee----When a New Employee is Hired
• Form - Initial Safety Training Log
• Form - Receipt for Company Codes of Safe Practice
Accident----When a Lost Time Accident or Illness Occurs • Form - Analysis of Injury or Illness Form
Safety Violation----When a Violation of Safety Policy Occurs • Form - Warning Notice - Safety Policy Violation
Employee Report---- Employee Report of Unsafe Hazards in the Workplace • Form - Employee Report of Unsafe Hazards in the Workplace New Operations----
• When New Equipment, Operations, or Job Functions Are Added Monthly---- To Do Monthly
• Form - Safety Meeting Report
Random Inspections----To Do Random Inspections
• Form - Hazard Inspection /Deficiency Report
Fire Evacuation Plan----Procedures In case of Fire
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 5……….INJURY AND ILLNESS PREVENTION PROGRAM Section One
Injury and Illness Prevention Program
Overview of our Written Plan
Every employer should have a written Injury & Illness Prevention plan. This is our plan. Please read it carefully. While no plan can guarantee an accident-free workplace, following the safety procedures set forth in this manual will significantly reduce the risk of danger to you and your coworkers.
Our program includes the following to make sure that employees comply with our Safe and Healthy Work Practices.
Official 9 Standards needed to comply with §3203. IIPP
These 9 standards are a minimum requirement, our program has more.
1. The company’s Responsible safety Officer for this program is the City Manager this person is also identified later in the program.
2. To ensure that employees are complying with our Injury Illness Prevention Program. Employees will be disciplined for unsafe practices, or they will be rewarded with a Written Commendation should there be no write-ups for unsafe practices in the workplace.
3. Every employee is encouraged to report any Hazardous condition found in the workplace or jobsite. This is accomplished through the Employee Report Form found in Section 4.
4. Our procedures for identifying and evaluating workplace hazards is accomplished through our Random Inspections and the Employee Report of Hazards in the workplace. These inspections processes is spelled out in Section 4 under Employee Report of hazards in the workplace and Random Inspections.
5. Our procedure to investigate occupational Injury or Illnesses can be found on page 10.
6. Our methods and procedures for correcting unsafe and/or unhealthy work conditions in a timely manner based on the severity of the hazard is accomplished through our Random Inspections and the Employee report of Unsafe Hazards in the Workplace found in section 4 under Employee Report of Hazards in the Workplace and Random Inspections.
7. Training for General Industries will take place at the very least quarterly. Construction companies must do training every 10 business days.
→ When a new employee is hired.
→ When new equipment is introduced.
→ When new equipment, new operations, or job functions are added that represent a new hazard.
→ When hazards have been identified and corrected if needed. → Post-accident.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 6……….INJURY AND ILLNESS PREVENTION PROGRAM → All employees will be given training when they are given a new job assignment for which training has not been previously received.
→ Supervisors will spend time to familiarize themselves with the safety and health hazards to which employees under their immediate direction and control may be exposed. → When a new employee is hired the company will conduct an Initial Safety Training and record it on an “Initial Safety Training Log” which is located in Section 4. We will provide the new employee with a copy of the Company’s Codes of Safe Practice and Section 1 of the safety program provide him or her with a “Receipt and Acknowledgement Form to sign and date saying that they received them.
8. Procedures to allow employee access to the program. City of Kingsburg shall provide access to the Program by doing the following:
• Provide access in a reasonable time, place, and manner, but in no event later than five (5) business days after the request for access is received from an employee or designated representative.
• Whenever an employee or designated representative requests a copy of the Program, the employer shall provide the requester a printed copy of the Program, unless the employee or designated representative agrees to receive an electronic copy of the Program. This can be found on Page 5
9. Recordkeeping and Documentation. We use Section 4 to create the Documentation and Recordkeeping but the records may be filed in a separate location.
Introduction to Our Program
State and federal law, as well as company policy, make the safety and health of our employees the first consideration in operating our business. Safety and health in our business must be a part of every operation, and every employee’s responsibility at all levels. It is the intent of City of Kingsburg to comply with all laws concerning the operation of the business and the health and safety of our employees and the public.
To do this, we must constantly be aware of conditions in all work areas that can produce or lead to injuries.
No employee is required to work at a job known to be unsafe or dangerous to their health.
Your cooperation in detecting hazards, reporting dangerous conditions and controlling workplace hazards is a condition of employment. Inform your supervisor immediately of any situation beyond your ability or authority to correct. Employees will not be disciplined or suffer any retaliation for reporting a safety violation in good faith. It is the responsibility of every employee including management to comply with all Safety Policies and Procedures established by the company. Failing to do so will lead to disciplinary action.
Safety Program Goals
The objective of City of Kingsburg is a safety and health program that will reduce the number of injuries and illnesses to an absolute minimum, not merely in keeping with, but surpassing the best experience of similar operations by others. Our goal is zero accidents and injuries.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 7……….INJURY AND ILLNESS PREVENTION PROGRAM Safety Policy Statement
It is the policy of City of Kingsburg that accident prevention shall be considered of primary importance in all phases of operation and administration. It is the intention of City of Kingsburg management to provide safe and healthy working conditions and to establish and insist upon safe practices at all times by all employees. The prevention of accidents is an objective affecting all levels of our company and its operations. It is, therefore, a basic requirement that management make the safety of all employees an integral part of their regular management function.
It is equally the duty of each employee to accept and follow established safety regulations and procedures.
Every effort will be made to provide adequate training to employees. However, if an employee is ever in doubt about how to do a job or task safely, it is his or her duty to ask a qualified person for assistance.
Employees are expected to assist management in accident prevention activities. Unsafe conditions must be reported immediately. Fellow employees that need help should be assisted.
Everyone is responsible for the housekeeping duties that pertain to their jobs. Every injury that occurs on the job, even a slight cut or strain, must be reported to management and/or the Responsible Safety Officer as soon as possible.
Under no circumstances, except emergency trips to the hospital, should an employee leave the work site without reporting an injury. When you have an accident, everyone is hurt. Please work safely. Safety is everyone’s business.
General Statement on Safety
City of Kingsburg strives to maintain a safe place to work and to employ safe workers. It is your responsibility to conduct your work in a safe, responsible manner. Immediately report all accidents occurring on Company premises to your supervisor. Each employee has an individual responsibility to prevent accidents. It is to the benefit of all employees and City of Kingsburg that you report any situation or condition you believe may present a safety hazard, including any known or concealed dangers in your work area. City of Kingsburg encourages you to report your concern either to your immediate supervisor or to a member of the management team. The RSO will take immediate action to investigate the matter.
Safety First Priority
The personal safety and health of each employee is of primary importance. Prevention of occupationallyinduced injuries and illnesses is of such consequence that it will be given precedence over operating productivity. To the greatest degree possible, management will provide all mechanical and physical protection required for personal safety and health, but our employees must bear primary responsibility for working safely. A little common sense and caution can prevent most accidents from occurring.
Responsible Safety Officer
The identity of the person who is responsible for the City of Kingsburg safety program is the City Manager.
Duties of Safety Officer
In accordance with City of Kingsburg safety and injury prevention program, the City Manager has been designated as the Responsible Safety Officer, and has responsibility and authority to do the following in the name of City of Kingsburg:
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 8……….INJURY AND ILLNESS PREVENTION PROGRAM • Develop and implement rules of safe practices for each function within the company. • Develop and implement safe operating rules for use of electrical and mechanical equipment consistent with manufacturer’s recommendations and specifications. • Develop and implement a system to encourage employees to report unsafe conditions immediately.
• Conduct a thorough investigation of each accident, whether or not it results in an injury, to determine the cause of the accident and to prevent recurrence. • Develop and implement a program of employee safety education. • Conduct scheduled and unscheduled inspections to identify and correct unsafe working conditions.
Special attention shall be given to notice of serious concealed dangers. • Maintain records of training, periodic inspections, corrective actions and investigations as required by law.
Individual Cooperation Necessary
City of Kingsburg maintains a safety and health program conforming to the best practices of our field. To be successful, such a program must embody proper attitudes towards injury and illness prevention on the part of supervisors and employees. It requires the cooperation in all safety and health matters, not only of the employer and employee, but between the employee and all co-workers. Only through such a cooperative effort can a safety program in the best interest of all be established and preserved. Safety is no accident; think safety and the job will be safer.
Employee Responsibility for Training
Teaching safety is a two-way street. City of Kingsburg can preach safety, but only employees can practice safety. Safety education requires employee participation. On a Regular basis, a meeting of all employees will be conducted for the purpose of safety instruction. The employees will discuss the application of the Company’s injury and illness prevention program to actual job assignments.
Communication
Employers will communicate to employees their commitment to safety. City of Kingsburg communicates with its employees orally, in the form of directions and statements from your supervisor, written, in the form of directives and this manual, and by example. If you see a supervisor or management do something unsafe, please tell that person. We sometimes forget actions speak louder than words.
Safety Rules for All Employees
It is the policy of City of Kingsburg that everything possible will be done to protect you from accidents, injuries and/or occupational disease while on the job. Safety is a cooperative undertaking requiring an everpresent safety consciousness on the part of every employee. If an employee is injured, positive action must be taken promptly to see that the employee receives adequate treatment. No one likes to see a fellow employee injured by an accident.
Therefore, all operations must be planned to prevent accidents. To carry out this policy, the following rules will apply:
• All employees shall follow the safe practices and rules contained in this manual and such other rules and practices communicated on the job.
• All employees shall report all unsafe conditions or practices to the promptly to management.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 9……….INJURY AND ILLNESS PREVENTION PROGRAM • The RSO shall be responsible for implementing these policies by insisting that employees observe and obey all rules and regulations necessary to maintain a safe work place and safe work habits and practices.
• Good housekeeping must be practiced at all times in the work area. Clean up all waste and eliminate any dangers in the work area.
• Suitable clothing and footwear must be worn at all times. Personal protection equipment will be worn whenever needed.
• All employees will participate in a safety meeting conducted by their supervisor when they are scheduled.
• Anyone under the influence of intoxicating liquor or drugs, including prescription drugs which might impair motor skills and judgment, shall not be allowed on the job. • Horseplay, scuffling, and other acts which tend to have an adverse influence on safety or wellbeing of other employees are prohibited.
• No one shall be permitted to work while the employee’s ability or alertness is so impaired by fatigue, illness, or other causes that it might expose the employee or others to injury. • There will be no consumption of liquor or beer on the job. • Employees should be alert to see that all guards and other protective devices are in proper places and adjusted and shall report deficiencies promptly to the RSO. • Employees shall not handle or tamper with any electrical equipment, machinery, or air or water lines in a manner not within the scope of their duties, unless they have received specific instructions.
• All injuries should be reported to the RSO so that arrangements can be made for medical or first aid treatment.
• When lifting heavy objects, use the large muscles of the leg instead of the smaller muscles of the back.
• Do not throw things, especially material and equipment. Dispose of all waste properly and carefully. Bend all exposed nails so they do not hurt anyone removing the waste.
Accident Investigation Procedures
Step 1. Preserve and Document the Scene
Do not touch or alter anything that would identify how the accident happened, what equipment was involved, any evidence that would elaborate on any details of said accident.
Step 2. Data Collection
Collect any or all materials and isolate them that was involved in the accident. Lockout-Tagout any equipment that was involved until the accident inspection has been completed.
Step 3. Root Cause Analysis
Make sure you do a non-biased, thorough investigation of the hazard that caused the accident.
Step 4. Take Corrective Actions
Make sure to follow up the investigation by taking all of the corrective actions necessary. This would include a retraining of all employees using the equipment or machinery that was involved in the accident.
Make sure that you analyze all of the companies processes and procedures that had been in use when the accident happened. Correct or change procedures or processes as necessary to ensure that this accident is not repeated.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 10……….INJURY AND ILLNESS PREVENTION PROGRAM A satisfactory accident report will answer the following questions:
• What happened? The investigation report should begin by describing the accident, the injury sustained, the eyewitnesses, the date, time and location of the incident and the date and time of the report. Remember: who, what, when, where and how are the questions that the report must answer. • Why did the accident occur? The ultimate cause of the accident may not be known for several days after all the data are analyzed. However, if an obvious cause suggests itself, include your conclusions as a hypothesis at the time you give your information to the person in charge of the investigation.
• What should be done? Once a report determines the cause of the accident, it should suggest a method for avoiding future accidents of a similar character. This is a decision by the Responsible Safety Officer and the supervisor on the project, as well as top management. Once a solution has been adopted, it is everyone’s responsibility to implement it. • What has been done? A follow up report will be issued after a reasonable amount of time to determine if the suggested solution was implemented, and if so, whether the likelihood of accident has been reduced.
Employee Safety Report Form
City of Kingsburg provides you the employee with the form Unsafe Work Condition or Practice please come to the office and take a minute or two and help us to identify hazards by filling out this form.
Safety & Health Training
Training is one of the most important elements of any injury and illness prevention program. Such training is designed to enable employees to learn their jobs properly, bring new ideas to the workplace, reinforce existing safety policies and put the injury and illness prevention program into action. Training is required for all employees alike. The content of each training session will vary, but each session will attempt to teach the following the success of City of Kingsburg injury and illness prevention program depends on the actions of individual employees as well as a commitment by the Company.
Management are the key figures in the establishment and success of City of Kingsburg injury and illness prevention program. They have primary responsibility for implementing the injury and illness prevention program, especially as it relates directly to the workplace.
Supervisors are responsible for being familiar with safety and health hazards to which employees are exposed, how to recognize them, the potential effects of these hazards, and rules and procedures for maintaining a safe workplace. Supervisors shall convey this information to the employees at the workplace and shall investigate accidents according to the accident investigation policies contained in this manual.
Periodic Safety Training Meetings
City of Kingsburg has safety meetings regularly Construction Companies every 10 days / NonConstruction minimum quarterly . The purpose of the meeting is to convey safety information and answer employee questions. The format of most meetings will be to review, in language understandable to every employee, special work site hazards, serious concealed dangers, and safety data sheets. Whenever a new practice or procedure is introduced into the workplace, it will be thoroughly reviewed for safety.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 11……….INJURY AND ILLNESS PREVENTION PROGRAM Remember, the following general rules apply in all situations:
• No employee should undertake a job that appears to be unsafe. • No employee is expected to undertake a job until he/she has received adequate safety instructions and is authorized to perform the task.
• No employee should use chemicals without fully understanding their toxic properties and without the knowledge required to work with these chemicals safely. • Mechanical safeguards must be kept in place.
• Employees must report any unsafe conditions to the job site supervisor and the Responsible Safety Officer.
• Any work-related injury or illness must be reported to management at once. • Personal protective equipment must be used when and where required. All such equipment must be properly maintained.
Accident Prevention Policy Posting
Each employee has a personal responsibility to prevent accidents. You have a responsibility to your family, to your fellow workers and to the Company. You will be expected to observe safe practice rules and instructions relating to the efficient handling of your work. Your responsibilities include the following:
• Incorporate safety into every job procedure. No job is done efficiently unless it has been done safely.
• Know and obey safe practice rules.
• Know that disciplinary action may result from a violation of the safety rules. • Report all injuries immediately, no matter how slight the injury may be. • Caution fellow workers when they perform unsafe acts. • Don’t take chances.
• Ask questions when there is any doubt concerning safety. • Don’t tamper with anything you do not understand.
• Report all unsafe conditions or equipment to your supervisor immediately.
Hazard Identification & Abatement
This written safety and health plan sets out a system for identifying workplace hazards and correcting them in a timely fashion. Please review it carefully with your supervisor. Remember, safety is everyone’s responsibility.
Safety Audits
The best method to establish a safer workplace is to study past accidents and worker compensation complaints. By focusing on past injuries, City of Kingsburg hopes to avoid similar problems in the future.
Therefore, whenever there is an accident, and in many cases upon review of past accidents, you may be requested to participate in a safety audit interview.
During the interview, there will be questions about the nature of the investigation and the workplace safety related to the incident. Please answer these questions honestly and completely. Also, please volunteer any personal observations and/or suggestions for improved workplace safety.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 12……….INJURY AND ILLNESS PREVENTION PROGRAM Work rules will be reviewed and modified based upon the study of these accidents. Each day, before you begin work, inspect the area for any dangerous conditions. Inform your supervisor of anything significant, so other employees and guests are advised.
You may also be given written communications regarding unsafe conditions or serious concealed dangers.
Review this communication carefully and adjust your workplace behavior to avoid any danger or hazards.
If you are unclear or unsure of the significance of this written communication, contact your supervisor and review your planned actions before starting to work.
It is better to wait and check, then to go ahead and possibly cause an injury to yourself and others.
Managers must provide notice to employees of any serious concealed dangers of which they have actual knowledge. Merely identifying the problem is not sufficient. The danger must be reported to the appropriate supervisor and the Responsible Safety Officer, who then will correct the problem. If the danger cannot be corrected, then all employees will be warned to take protective action so that the danger will not result in any injuries.
Workplace Inspections
In addition to the examination of records, workplace safety inspections will occur at least twice a year or, when conditions change, or when a new process or procedure is implemented. During these inspections, there will be a review of the injury and illness prevention policy and safety training topics.
Records
The City of Kingsburg maintains records of employee training, hazard identification and abatement, and accident investigation.
Cal-OSHA Records Required
Copies of required accident investigations and certification of employee safety training shall be maintained by the Responsible Safety Officer. A written report will be maintained on each accident, injury or on-thejob illness requiring medical treatment.
A record of each such injury or illness is recorded on Cal-OSHA Log and Summary of Occupational Injuries Form 300 according to its instructions. Supplemental records of each injury are maintained on Form 301, or Employers Report of Injury or Illness Accident Report.
Every year, a summary of all reported injuries or illnesses is posted no later than February 1, thru April 30, on Cal-OSHA Form 300.
These records are maintained for six years from the date of preparation.
Safety Equipment
Proper safety equipment is necessary for your protection. Wear your gear properly. Safety goggles, glasses and face shields shall correspond to the degree of hazard, i.e., chemical splashes, welding flashes, impact hazard, dust, etc. Do not alter or replace an approved appliance without permission from your supervisor.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 13……….INJURY AND ILLNESS PREVENTION PROGRAM Protective Clothing
Proper safety equipment is necessary for your protection.
Smoking & Fire Safety
Fire is one of the worst enemies of any facility. Learn the location of the fire extinguishers. Learn how to use them. You can help prevent fires by observing the smoking rules:
• Smoking is not allowed on the site, except in designated areas. • Smoking is not permitted in rest rooms.
• If you are not sure about where you may smoke, ask the supervisor.
Reporting
All serious accidents must be reported to Cal-OSHA. In cases of hospitalization or death, a full investigation with copies to governmental authorities will be required. In less serious cases, the investigation report must be presented to the company for disclosure to its insurance carrier and for remedial action at the work site.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 14……….INJURY AND ILLNESS PREVENTION PROGRAM Section Two
General Code of Safe Work Practices
Occupational Injury or Illness
Treatment is coordinated with outside specialists in accordance with the provisions and requirements of Workers' Compensation laws. Every injury sustained while performing City of Kingsburg assigned tasks, no matter how minor, must be reported to the employee's supervisor and to the Responsible Safety Officer, City Manager. If an employee goes to a private off-site doctor about a job-incurred injury or illness, the physician consulted should be informed that the injury or illness is industrial. It is the employee's responsibility to notify the RSO and his/her supervisor of the injury or illness immediately.
An occupational injury or illness is one which results from a work accident or from an exposure involving an incident in the work environment. In most cases, the employee will be referred to his/her private physician, a selected specialist, or a hospital emergency room. Standard procedures for ingestion of poisons, eye injuries, burns, cardiac arrest, coma, etc., are followed. In the event that a patient cannot be moved from the site of the injury, primary aid will be rendered by emergency personnel.
The RSO should be notified of any major accident that occurs at any time at the workplace. No injured or ill persons, regardless of employment status, will be denied first aid or referral to medical resources.
Agreement to Participate
A safe and healthful workplace is one of the highest priorities of City of Kingsburg. The information in this manual constitutes a written Injury and Illness Prevention Program. While City of Kingsburg cannot anticipate every workplace hazard, the following general principals should guide your conduct. To be safe, you must never stop being safety conscious. Study the guidelines contained in this manual. Discuss the workplace situation with the RSO. Attend all company sponsored training and safety meetings. Read all posters and warnings. Listen to instructions carefully. Follow the Code of Safe Work Place Practices contained herein. Participate in accident investigations as requested. Accept responsibility for the safety of others. By signing the acknowledgement of this handbook, each employee promises to read and implement this Injury and Illness Prevention Program. If you do not understand any policy, please ask your supervisor or RSO.
Individual Cooperation Necessary
City of Kingsburg maintains a safety and health program conforming to the best practices of our field. To be successful, such a program must embody proper attitudes towards injury and illness prevention on the part of supervisors and employees. This requires the cooperation in all safety and health matters, not only of the employer and employee, but between the employee and all co-workers. Only through such a cooperative effort can a safety program in the best interest of all be established and preserved. Safety is no accident; think safety and the job will be safer.
Employee Responsibility for Training
Teaching safety is a two-way street. City of Kingsburg can preach safety, but only employees can practice safety. Safety education requires employee participation. Every month, a meeting of all employees will be conducted for the purpose of safety instruction.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 15……….INJURY AND ILLNESS PREVENTION PROGRAM The employees will discuss the application of the Company's Injury and Illness Prevention Program to actual job assignments. Remember, the following general rules apply in all situations:
a) No employee should undertake a job that appears to be unsafe. b) No employee is expected to undertake a job until he/she has received adequate safety instructions, and is authorized to perform the task.
c) No employee should use chemicals without fully understanding their toxic properties and without the knowledge required to work with these chemicals safely. d) Mechanical safeguards must be kept in place.
e) Employees must report any unsafe conditions to the job site supervisor and the Responsible Safety Officer.
f) Any work-related injury or illness must be reported to management at once. g) Personal protective equipment must be used when and where required. All such equipment must be properly maintained.
Accident Prevention Policy Posting
Each employee has a personal responsibility to prevent accidents. You have a responsibility to your family, to your fellow workers and to the Company. You will be expected to observe safe practice rules and instructions relating to the efficient handling of your work. Your responsibilities include the following:
Incorporate safety into every job procedure. No job is done efficiently unless it has been done safely.
Know and obey safe practice rules.
Know that disciplinary action may result from a violation of the safety rules. Report all injuries immediately, no matter how slight the injury may be. Caution fellow workers when they perform unsafe acts. Do not take chances.
Ask questions when there is any doubt concerning safety. Do not tamper with anything you do not understand.
Report all unsafe conditions or equipment to your supervisor immediately.
It is the policy of City of Kingsburg to provide a safe and clean workplace and to maintain sound operating practices. Concentrated efforts shall produce safe working conditions and result in efficient, productive operations. Safeguarding the health and welfare of our employees cannot be stressed too strongly.
Accident prevention is the responsibility of all of us. Employees are responsible for performing their jobs in a safe manner.
The observance of safe and clean work practices, coupled with ongoing compliance of all established safety standards and codes, will reduce accidents and make our Company a better place to work.
Safety Rules for All Employees
It is the policy of City of Kingsburg that everything possible will be done to protect you from accidents, injuries, and/or occupational disease while on the job. Safety is a cooperative undertaking requiring an ever-present safety consciousness on the part of every employee. If an employee is injured, positive action must be taken promptly to see that the employee receives adequate treatment. No one likes to see a fellow employee injured by an accident. Therefore, all operations must be planned to prevent accidents. To carry out this policy, the following rules will apply:
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CITY OF KINGSBURG ………………………..……..Page 16……….INJURY AND ILLNESS PREVENTION PROGRAM
1. All employees shall follow the safe practices and rules contained in this manual and such other rules and practices communicated on the job. All employees shall report all unsafe conditions or practices to the proper authority, including the supervisor on the project, and, if corrective action is not taken promptly, a governmental authority with proper jurisdiction over such practices should be notified.
2. Good housekeeping must be practiced at all times in the work area. Clean up all waste and eliminate any dangers in the work area.
3. Suitable clothing and footwear must be worn at all times. Personal protection equipment (hardhats, respirators, and eye protection) will be worn whenever needed.
4. All employees will participate in a safety meeting conducted by their supervisor once every month.
5. Anyone under the influence of intoxicating liquor or drugs, including prescription drugs, which might impair motor skills and judgment, shall not be allowed on the job.
6. Horseplay, scuffling, and other acts which tend to have an adverse influence on safety or wellbeing of other employees are prohibited.
7. Work shall be well planned and supervised to avoid injuries in the handling of heavy materials and while using equipment.
8. No one shall be permitted to work while the employee's ability or alertness is so impaired by fatigue, illness, or other causes that it might expose the employee or others to injury.
9. There will be no consumption of liquor or beer on the job.
10. Employees should be alerting to see that all guards and other protective devices are properly placed and adjusted and shall report deficiencies promptly to the RSO.
11. Employees shall not handle or tamper with any electrical equipment, machinery, or air or water lines in a manner not within the scope of their duties, unless they have received specific instructions.
12. All injuries should be reported to the RSO so that arrangements can be made for medical or first aid treatment.
13. When lifting heavy objects, use the large muscles of the leg instead of the smaller muscles of the back.
14. Do not throw things, especially material and equipment. Dispose of all waste properly and carefully.
Bend all exposed nails so they do not hurt anyone removing the waste.
15. Do not wear shoes with thin or torn soles.
General Fire Safety
All fire doors and shutters must be maintained in good operating condition. Fire doors and shutters should be unobstructed and protected against obstructions, including their counterweights. Fire door and shutter fusible links must be in place. All automatic sprinkler water control valves if any air and water pressures should be checked routinely. The maintenance of automatic sprinkler systems is assigned to the Responsible Safety Officer.
Sprinkler heads should be protected by metal guards if they could possibly be exposed to damage. Proper clearance must be maintained below sprinkler heads.
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CITY OF KINGSBURG ………………………..……..Page 17……….INJURY AND ILLNESS PREVENTION PROGRAM Portable fire extinguishers are provided in adequate number and type and are located throughout the facility. Fire extinguishers are mounted in readily accessible locations. Fire extinguishers are recharged regularly, and the date of last inspection noted on their tags. All employees are periodically instructed in the use of extinguishers and fire protection procedures. Notify the Responsible Safety Officer of any damage to fire protection equipment.
Abrasive Wheel Equipment (Grinders)
The work rest used should be kept adjusted to within 1/8 inch of the wheel. The adjustable tongue on the topside of the grinder should be kept adjusted to within ¼ inch of the wheel. The side guards should cover the spindle, nut, flange, and 75 percent of the wheel diameter. Bench and pedestal grinders should be permanently mounted. Goggles or face shields should always be worn when grinding.
The maximum RPM rating of each abrasive wheel should be compatible with the RPM rating of the grinder motor. Fixed or permanently mounted grinders must be connected to their electrical supply system with metallic conduit or by other permanent wiring method. Each grinder should have an individual on and off control switch. The switch should be easily accessible anytime you operate the machine. Each electrically operated grinder is effectively grounded. Do not defeat the grounding mechanism, especially by using nonthree prong plug adapters. Note the method by which new abrasive wheels are mounted.
Visually inspect and ring test new abrasive wheels. The dust collectors and powered exhausts provided on grinders must be used in operations that produce large amounts of dust. The splashguards mounted on grinders that use a coolant should be mounted so that no one is ever splashed with the coolant. The work area around a grinder must be kept clean always. It is your responsibility as operator of any machine to ensure the necessary safety precautions are taken before using the machine.
Auto/Truck Tire Inflation
Make sure that each tire inflation hose has a clip-on check with at least 24 inches of hose between the chuck and the in-line hand valve and gauge. Ensure that the tire inflation control valve automatically shuts off the airflow when the valve is released. Use the tire-restraining device such as a cage, rack, or other effective restraint method while inflating tires mounted on split rims, or rims using retainer rings. You are strictly forbidden from taking a position directly over or in front of a tire while it is being inflated.
Specific Safety Rules: Tire Balancing, Changing, and Mounting • Inspect your machines:
Inspect your mounting and balancing machines on a regular basis and make sure you’re performing all the maintenance that’s required. Look for any obvious air leaks and that all the operating parts are working correctly, from the bead loosening system to the tool arms. Make sure all the decals, labels and notices are clean and visible especially around potential pinch points. Operators should never attempt to over-ride a machine’s built-in safety features.
• Use protective equipment:
Employees must wear safety glasses, durable clothing, wearing steel-toed shoes is encouraged and other safety gear. Anything hanging or loose-fitting should be avoided. You don’t want to get caught up in the moving parts of the equipment. Wearing mechanics’ gloves is recommended especially if you’re handling worn tires or wheels. Ear protection is important, as well.
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CITY OF KINGSBURG ………………………..……..Page 18……….INJURY AND ILLNESS PREVENTION PROGRAM • Match tires to rims correctly:
Make it part of your standard operating procedure on every tire you service to look at the size of the new tire before mounting it. Make sure it’s the proper size for the wheel. Mismatching tires and wheels can lead to injury during inflation.
• Examine the wheel closely:
Inspect it for cracks, rust or any other damage from curbing or a pothole, which can deform the rim because seating can become difficult when working with a structurally compromised rim, operators may be tempted to use more air than is recommended, which can result in injury, most manufacturers recommend 40 psi. • Body positioning:
When mounting, techs should keep their fingers away from the bead seat area to avoid injury. Furthermore, operators should avoid positioning any part of their bodies over the tire and rim assembly during the inflation process.
• Don’t loosen beads before the tire has been fully deflated:
This causes a lot of movement against the bumper and excessive wear on the machine. You can have a blast of air that the tech isn’t expecting and that can certainly cause the wheel to jump. Tires can contain flammable substances.
• Don’t force the issue when mounting:
If you can’t seat a bead, something’s wrong. Deflate the tire completely, inspect the tire and the wheel, and re-lubricate both beads. If you take it apart and don’t find any problems and still can’t get it to seat, you need to think about contacting the manufacturers.
• Never remove the hood on a wheel balancer:
The hood is there to retain the tire should it come loose and keep things from flying off as the assembly is spinning.
• Use the right weights and apply them correctly:
It may seem like a minor point, but an inattentive operator can run the risk of injuring himself by pounding on incorrectly sized wheel weights. Make sure you use the appropriate weights. • Slow down:
Operators are not to skip steps in an effort to speed up the mounting and balancing process. No matter how busy your shop is, make sure they take the time to do the job correctly. “ • Maintain a safe working environment:
Keep the work area well lit. Make sure there is adequate surrounding workspace. Always keep the work area free of obstructions, grease, oil, trash, and other debris. Do not use this product in areas near flammable chemicals, dusts, and vapors.
• Store idle equipment:
When not in use, tools and equipment should be stored in a dry location to inhibit rust.
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CITY OF KINGSBURG ………………………..……..Page 19……….INJURY AND ILLNESS PREVENTION PROGRAM • Do not use this product if under the influence of alcohol or drugs:
Read warning labels on prescriptions to determine if your judgment or reflexes are impaired while taking drugs. If there is any doubt, do not attempt to use this product. • Dress properly:
Do not wear loose clothing or jewelry as they can be caught in moving parts. Wear restrictive hair covering to contain long hair. Wear heavy duty gloves when handling tires, but be careful to keep gloves away from all moving parts of the Tire Changer.
• Do not overreach:
Keep proper footing and balance at all times. Do not reach over or across running machines. • Maintain this product with care:
Keep this product clean for better and safer performance. • Maintenance:
For your safety, service and maintenance should be performed regularly by a qualified technician. • Check for damaged parts:
Before using this product, carefully check that it will operate properly and perform its intended function.
Check for damaged parts and any other conditions that may affect the operation of this product. Replace or repair damaged or worn parts immediately.
• Use the right tool or attachment for the job.
Do not attempt to force a small tool or attachment to do the work of a larger industrial tool or attachment. • Maintain labels and nameplates on the Tire Changer
Chemical Storage
The separation of chemicals (solids or liquids) during storage is necessary to reduce the possibility of unwanted chemical reactions caused by accidental mixing. Explosives such as picric acid should be stored separately outdoors. Use either distance or barriers (e.g., trays) to isolate chemicals into the following groups: Flammable liquids (e.g., acetone, benzene, ethers, and alcohols). Place in approved fire lockers.
Other liquids (e.g., chloroform, trichloroethane). Acids (e.g., nitric, sulfuric, hydrochloric, perchloric). * Treat acetic acid as a flammable liquid. Bases (e.g., sodium hydroxide, ammonium hydroxide). Lips, strips, or bars should be installed across the width of reagent shelves to restrain the chemicals in case of earthquake. Chemicals must not be stored in the same refrigerator used for food storage. Refrigerators used for storing chemicals must be appropriately identified by placing a label on the door (labels may be obtained from Responsible Safety Officer).
Circular Saws
Circular head saws shall not be operated at speeds in excess of those specified by the manufacturer.
Maximum speed shall be etched on the saw. On all circular saw mills the horizontal distance from the side of the saw to the nearest post of the husk or frame shall be at least one inch greater than the clear vertical distance between the collars of the top and bottom saws.
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CITY OF KINGSBURG ………………………..……..Page 20……….INJURY AND ILLNESS PREVENTION PROGRAM Circular head saws shall be equipped with safety guides that can be readily adjusted without use of wrench or other hand tools. Brackets or edging supports shall be installed between the saw and the side of the husk. The upper saw of a double circular mill shall be provided with a hood or guard. A screen or other suitable device shall be placed so as to protect the sawyer from flying particles. All circular sawmills where live rolls are not used behind the head saw shall be equipped with an effective spreader or splitter. In any mill where the head saw is used for edging lumber, the splitter shall be solid and stationary and shall extend above the head blocks.
Drag saws or circular cut-off saws shall be so arranged that they will not project into any passageway.
When existing installations do not leave clear passage, saws shall be fenced off in order to make it impossible for anyone to walk into them. Means to securely hold material being sawed shall be provided wherever such material creates a hazard. All employees shall be in the clear before starting operation of drag or swing cut-off saws. Twin circular head saws. Twin circular head saw rigs such as scrag saws, shall meet the specifications for single circular head saws in subsection of this section, where applicable.
Cleanliness
All work sites must be clean and orderly. All work surfaces must be kept dry or appropriate means taken to assure that surfaces are slip-resistant. All spill materials or liquids should be cleaned up immediately and combustible scrap, debris, and waste stored safely and removed from the work site promptly. Any accumulations of combustible dust must be routinely removed from elevated surfaces including the overhead structure of buildings. Combustible dust should be cleaned up with a vacuum system to prevent the dust going into suspension. Metallic or conductive dust must be prevented from entering or accumulating on or around electrical enclosures or equipment.
Covered metal waste cans are provided for oily and paint-soaked waste. Use them. All oil and gas fired devices must be equipped with flame failure controls that will prevent flow of fuel if pilots or main burners are not working. Paint spray booths, dip tanks, etc., must be cleaned regularly. Washing facilities are provided so wash your hands after handling materials.
Combustible Materials
All combustible scrap, debris and waste materials (oily rags, etc.) must be stored in covered metal receptacles and removed from the work site promptly. Proper storage to minimize the risk of fire, including spontaneous combustion must be practiced. Only approved containers and tanks are to be used for the storage and handling of flammable and combustible liquids. All connections on drums and combustible liquid piping, vapor and liquid must be kept tight. All flammable liquids should be kept in closed containers when not in use (e.g., parts-cleaning tanks, pans, etc.).
Bulk drums of flammable liquids must be grounded and bonded to containers during dispensing. Storage rooms for flammable and combustible liquids must have explosion-proof lights. Storage rooms for flammable and combustible liquids should have mechanical or gravity ventilation.
Liquefied petroleum gas must be stored, handled, and used in accordance with safe practices and standards.
No smoking signs must be posted on liquefied petroleum gas tanks. Liquefied petroleum storage tanks should be guarded to prevent damage from vehicles.
All solvent wastes and flammable liquids should be kept in fire-resistant, covered containers until they are removed from the work site. Vacuuming should be used whenever possible rather than blowing or sweeping combustible dust. Fire separators should be placed between containers of combustibles or flammables when stacked one upon another to assure their support and stability.
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CITY OF KINGSBURG ………………………..……..Page 21……….INJURY AND ILLNESS PREVENTION PROGRAM Fuel gas cylinders and oxygen cylinders must be separated by distance, fire resistant barriers, etc., while in storage. Fire extinguishers are selected for the types of materials and placed in areas where they are to be used. These fire extinguishers are classified as follows: Class A - Ordinary combustible materials fires.
Class B - Flammable liquid, gases or grease fires. Class C - Energized-electrical equipment fires.
Appropriate fire extinguishers must be mounted within 75 ft. of outside areas containing flammable liquids, and within 10 ft. of any inside storage area for such materials. All extinguishers must be serviced, maintained, and tagged at intervals not to exceed one year. Extinguishers should be placed free from obstructions or blockage. All extinguishers must be fully charged and in their designated places unless in use.
Where sprinkler systems are permanently installed, are the nozzle heads arranged so that water will not be sprayed into operating electrical switchboards and equipment? Check to see that heads have not been bent or twisted from their original position.
"NO SMOKING" rules will be enforced in areas involving storage and use of hazardous materials. "NO SMOKING" signs have been posted where appropriate in areas where flammable or combustible materials are used and/or stored.
Safety cans must be used for dispensing flammable or combustible liquids at point of use. All spills of flammable or combustible liquids must be cleaned up promptly. Storage tanks should be adequately vented to prevent the development of excessive vacuum or pressure as a result of filling, emptying, or atmosphere temperature changes. Storage tanks are equipped with emergency venting that will relieve excessive internal pressure caused by fire exposure.
Company Provided Tools
City of Kingsburg provides hand and powered portable tools that meet accepted safety standards. A damaged or malfunctioning tool must not be used; it must be turned in for servicing and a tool in good condition obtained to complete the job. Employees must use the correct tool for the work to be performed; if they are unfamiliar with the operation of the tool, they must request instruction from their supervisor before starting the job. Supervisors are responsible for ensuring that their subordinates are properly trained in the operation of any tool that they are expected to operate. An employee is not permitted to use a powder-actuated tool unless instructed and licensed by the manufacturer.
Compressed Gas & Cylinders
Cylinders with a water weight capacity over 30 pounds must be equipped with means for connecting a valve protector device, or with a collar or recess to protect the valve. Cylinders must be legibly marked to identify clearly the gas contained. Compressed gas cylinders should be stored only in areas that are protected from external heat sources such as flame impingement, intense radiant heat, electric arcs or high temperature lines. Cylinders must not be located or stored in areas where they will be damaged by passing or falling objects, or subject to tampering by unauthorized persons. Cylinders must be stored or transported in a manner to prevent them from creating a hazard by tipping, falling or rolling. All cylinders containing liquefied fuel gas must be stored or transported in a position so that the safety relief device is always in direct contact with the vapor space in the cylinder.
Valve protectors must always be placed on cylinders when the cylinders are not in use or connected for use.
All valves must be closed off before a cylinder is moved, when the cylinder is empty, and at the completion of each job. Low-pressure fuel-gas cylinders must be checked periodically for corrosion, general distortion, cracks, or any other defect that might indicate a weakness or render them unfit for service. The periodic check of low-pressure fuel-gas cylinders includes a close inspection of the cylinder's bottom.
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CITY OF KINGSBURG ………………………..……..Page 22……….INJURY AND ILLNESS PREVENTION PROGRAM Compressors & Compressed Air
All compressors must be equipped with pressure relief valves and pressure gauges. All compressor air intakes must be installed and equipped to ensure that only clean, uncontaminated air enters the compressor.
Every air receiver must be provided with a drain pipe and valve at the lowest point for the removal of accumulated oil and water. Compressed air receivers must be periodically drained of moisture and oil. All safety valves shall be tested frequently and at regular intervals to determine whether they are in good operating condition. A current operating permit issued by the Division of Occupational Safety and Health shall be maintained. The inlet of air receivers and piping systems must be kept free of accumulated oil and carbonaceous materials.
Confined Space Entry
The primary objective is to prevent oxygen deficiency or other hazardous condition. This must be accomplished by accepted engineering control measures, such as general and local ventilation and substitution of materials. Only when such controls are not possible should respiratory protection be used.
The confined space must be isolated from supply lines capable of creating hazardous conditions. Protective equipment must be worn, including air supply respirator plus harness and lifeline.
Driving
Comply with all traffic rules and regulations. Failure to follow established operator rules may result in discipline. Employees are required to have a valid driver’s license. Uninsurable drivers may be immediately discharged.
Drive safely. Seat belts and shoulder harnesses are to be worn at all times. Vehicles must be locked when unattended to avoid criminal misconduct. Do not exceed the speed limit. Vehicles must be parked in legal spaces and must not obstruct traffic. All employees must practice defensive driving. Employees should park their vehicles in well-lighted areas at/or near entrances to avoid criminal misconduct.
Safety Belts
Employees operating or riding in company-furnished vehicles, or personal vehicles on official company business, are required to wear safety belts at all times. The driver should instruct the passengers to fasten their safety belts before operating the vehicle.
Accidents
Any accident involving Company vehicles (included private, rented, or leased vehicles used on official Company business) must be reported to the driver's supervisor. If the driver is unable to make a report, another employee who knows the details of the accident must make the report. It is City of Kingsburg policy that employees should not admit to responsibility for vehicle accidents occurring while on official business. It is important that such admissions, when appropriate, be reserved for the company and its insurance carrier.
The law requires that each driver involved in a vehicle accident must show his/her license on request by the other party. Be sure to obtain adequate information on the drivers involved as well as on the owner of the vehicles. Names, addresses, driver's license numbers, vehicle descriptions, and registration information are essential. In addition, a description of damages is needed for completion of accident reports. If the accident is investigated by off-site police agencies, request that a copy of the police report be sent to City of Kingsburg or obtain the name and department of the investigating officer.
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CITY OF KINGSBURG ………………………..……..Page 23……….INJURY AND ILLNESS PREVENTION PROGRAM A printed card titled "In Case of Accident" is kept in each official vehicle to assist in collecting required information. In case of collision with an unattended vehicle (or other property), the driver of the moving vehicle is required by law to notify the other party and to exchange information pertaining to the collision.
If unable to locate the other party, leave a note in, or attached to, the vehicle (or other property) giving the driver's name, address, and vehicle license number. The driver of any City of Kingsburg vehicle involved in an accident must also complete a Company Motor Vehicle Accident Report and submit it to his/her supervisor within one workday of the accident. The supervisor should interview the driver and complete the supervisor's portion of the report.
Within two workdays of the accident, the completed form and vehicle must be taken to the Administration Office so that damages may be estimated, and repairs scheduled. Forms for obtaining appropriate information about an accident are carried in the vehicle or may be obtained from Administration. The Responsible Safety Officer will receive copies of all accident reports and will prepare any required CalOSHA reports.
Excavation and Trenching
When working around excavations or trenches do not allow work in or near the excavation until a qualified person has determined that no hazard to workers exists from possible moving ground. All excavations that could possibly contain dangerous gasses or a bad atmosphere must be cleared through the supervisor before entering. Any such hole will then be tested for explosive limit and oxygen content prior to approval by the supervisor. If needed the hole will then be ventilated until the unsafe condition is corrected. No spark or flame source shall be permitted near any such excavations or gas sources.
All excavations shall be visually inspected before back-filling to ensure it is safe to backfill. No excavating equipment shall be operated near tops of cuts, banks, or cliffs if employees are working below. Tractors, bulldozers, scrapers and carryalls shall not be operated where there is a possibility of overturning in dangerous areas like edges of deep fills, cut banks, and steep slopes.
Do not begin work on or enter any excavation deeper than five (5) feet unless a permit has been issued by Cal-OSHA. Protect workers who enter excavations five (5) feet deep or more with a system of shoring, sloping, benching, or equivalent alternative methods. When necessary, provide similar protection for workers in excavations less than five (5) feet deep.
Use diversion ditches, dikes and other effective methods to prevent water from entering the excavation and to drain surrounding areas.
Inspect excavations after rainstorms, thaws, or other events which may affect the stability of the soil and increase hazards before workers are allowed to enter the excavation. Spoils piles must be no closer than two (2) feet from the edge of any excavation. For trenches four (4) or more in depth, a safe means of egress must be constructed within 25 feet of any work area.
Excavations shall not be dug near building foundations, walls, and sidewalks. Physical barriers shall be erected around excavations. Determine whether any underground installations such as sewer, water, or fuel lines are likely to be encountered. You can get this information by calling the Underground Service Alert (USA). Excavations shall proceed slowly for the first six (6) feet while a spotter checks for possible utilities. Barricade or securely cover all wells, pits, shafts, and caissons.
Excavations
Each employee at the edge of an excavation 6 feet (1.8 meters) or deeper shall be protected from falling by guardrail Systems, fences, barricades, or covers. where walkways are provided to permit employees to cross over excavations, guardrails are required on the walkway if it is 6 feet (1.8 meters) or more above the excavation.
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CITY OF KINGSBURG ………………………..……..Page 24……….INJURY AND ILLNESS PREVENTION PROGRAM Formwork and Reinforcing Steel
For employees, while moving vertically and/or horizontally on the vertical face of rebar assemblies built in place, fall protection is not required when employees are moving. Cal-OSHA considers the multiple hand holds and foot holds on rebar assemblies as providing similar protection as that provided by a fixed ladder.
Consequently, no fall protection is necessary while moving point to point for heights below 24 feet (7.3 meters). An employee must be provided with fall protection when climbing or otherwise moving at height more than 24 feet (7.3 meters), the same as for fixed ladders.
Hoist Areas
Each employee in a hoist area shall be protected from falling 6 feet (1.8 meters) or more by guardrail systems or personal fail arrest systems. If guardrail systems (or chain gate or guardrail) or portions thereof must be removed to facilitate hoisting operations, as during the landing of materials, and a worker must lean through the access opening or out over the edge of the access opening to receive or guide equipment and materials, that employee must be protected by a personal fall arrest system.
Holes
Personal fall arrest systems, covers, or guardrail systems shall be erected around holes (including skylights) that are more than 6 feet (1.8 meters) above lower levels.
Leading Edges
Each employee who is constructing leading edge 6 feet (1.8 meters) or more above lower levels shall be protected by guardrail systems, safety net systems, or personal fall arrest systems. If the employer can demonstrate that it is infeasible or creates a greater hazard to implement these systems, he or she must develop and implement a fall protection plan that meets the requirements of 29 CER 1926.502(k).
Overhand Bricklaying and Related Work
Each employee performing overhand bricklaying and related work 6 feet (1.8 meters) or more above lower levels shall be protected by guardrail systems, safety net systems, or personal fall arrest systems, or shall work in a controlled access zone.
All employees reaching more than 10 inches (25 cm) below the level of a walking/working surface on which they are working shall be protected by a guardrail system, safety net system, or personal fall arrest system.
Precast Concrete Erection and Residential Construction
Each employee who is 6 feet (1.8 meters) or more above lower levels while erecting precast concrete members and related operations such as grouting of precast concrete members and each employee engaged in residential construction, shall be protected by guardrail systems, safety net systems, or personal fall arrest systems. Where the employer can demonstrate, however, that it is infeasible or creates a greater hazard to use those systems, the employer must develop and implement a fall protection plan that meets the requirements of 29 CFR 1926.502(k).
Ramps, Runways, and Other Walkways
Each employee using ramps, runways, and other walkways shall be protected from falling 6 feet (1.8 meters) or more by guardrail systems.
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CITY OF KINGSBURG ………………………..……..Page 25……….INJURY AND ILLNESS PREVENTION PROGRAM Eye Protection
City of Kingsburg provides appropriate eye protection devices for employees assigned to tasks in which an eye-injury hazard exists. The supervisor of the operation is responsible for determining the need for suitable eye-protection devices and for ensuring that the employees use them. The Responsible Safety Officer and appropriate Medical Services agency will assist the supervisor in defining eye-hazard operations and in selecting appropriate eye protection. The standard sign: CAUTION, EYE HAZARD AREA, DO NOT ENTER WITHOUT EYE PROTECTION, must be posted in every area where eye protection is mandatory. All employees who work in such an area must wear the eye protection issued to them. Every visitor to the area must also be provided with suitable eye protection.
Fall Protection
City of Kingsburg is dedicated to the protection of its employees from on-the-job injuries. All employees of City of Kingsburg have the responsibility to work safely on the job. Every employee who works for City of Kingsburg should recognizes workplace fall hazards and take the appropriate measures to eliminate those hazards.
Fall Protection generally can be provided through the use of guardrail systems, safety net systems, personal fall arrest systems, positioning device systems, and warning line systems, among others.
In some cases, conventional fall protection systems may not be the safest choice for your job. It is the employers as well as the employees responsibility to recognize the fall hazards associated with a job and to establish the safest procedures that are to be followed in order to prevent falls to lower levels or through holes and openings in walking/working surfaces.
City of Kingsburg Fall Protection Plan identifies areas or activities where fall protection is needed. These include, but are not limited to, ramps, runways, and other walkways; excavations; hoist areas; holes; formwork and reinforcing steel; leading edge work; unprotected sides and edges; overhand bricklaying and related work; roofing work; precast concrete erection; wall openings; residential construction; and other walking/working surfaces.
The plan sets a uniform threshold height of 6 feet (1.8 meters, thereby providing consistent protection. This means that employees should be protected from fall hazards and falling objects whenever an affected employee is 6 feet (1.8 meters) or more above a lower level. Protection must also be provided for construction workers who are exposed to the hazard of falling into dangerous equipment.
City of Kingsburg will select frill protection measures compatible with the type of work being performed.
Fall protection generally can be provided through the use of guardrail systems, safety net systems, personal fall arrest systems, positioning device systems, and warning line systems, among others. City of Kingsburg will identify and evaluate fall hazards and provide specific training to its employees.
Each employee will be trained in these procedures and will strictly adhere to them except when doing so would expose the employee to a greater hazard. If, in the employee's opinion, this is the case, the employee is to notify the RSO of their concern and have the concern addressed before proceeding.
City of Kingsburg will assess the workplace to determine if the walking/working surfaces on which employees are to work have the strength and structural integrity to safely support workers. Employees are not permitted to work on those surfaces until it has been determined that the surfaces have the requisite strength and structural integrity to support the workers. Continual observational safety checks of work operations and the enforcement of the safety policy and procedures shall be regularly enforced.
Employees should bring to management's attention any unsafe or hazardous conditions or practices that may cause injury to either themselves or any other employees.
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CITY OF KINGSBURG ………………………..……..Page 26……….INJURY AND ILLNESS PREVENTION PROGRAM Fall Protection Training
A Fall Protection system should be developed to prevent employees from falling off, onto, or through working levels and to protect employees from being struck by falling objects and must comply with CalOSHA's construction industry safety standards (CCR1509 and 29 CFR, Subpart M. Fall Protection, 1926.500, 1926.501, 1926.502 and 1926.503).
The rule identifies areas or activities where fall protection is needed. These include, but are not limited to, ramps, runways and other walkways; excavations; hoist areas; holes; formwork and reinforcing steel; leading edge work; unprotected sides and edges; overhand bricklaying and related work; roofing work; precast concrete erection; wall openings; residential construction; and other walking/working surfaces.
The rule sets a uniform threshold height of 6 feet (1.8 meters, thereby providing consistent protection. This means that construction employers must protect their employees from fall hazards and falling objects whenever an affected employee is 6 feet (1.8 meters) or more above a lower level. Protection must also be provided for construction workers who are exposed to the hazard of falling into dangerous equipment.
Employers may select fall protection measures compatible with the type of work being performed. Fall protection generally can be provided through the use of guardrail systems, safety net systems, personal fall arrest systems, positioning device systems, and warning line systems, among others.
Each employee who might be exposed to any fall hazards shall be trained to recognize the hazards of falling and in the procedures to be followed in order to minimize these hazards.
Each employee will be trained in the following areas:
The company’s all protection policy and safe work practices with general instructions and precautions.
The nature of fall hazards in the work area including hazard identification and correction. The correct procedures for selecting, erecting, maintaining, disassembling, and inspecting the fall protection systems to be used.
The use and operation of guardrail systems, personal fall arrest systems, safety net systems, warning line systems, safety monitoring systems, controlled access zones, and other protection to be used.
The role of each employee in the safety monitoring system when this system is used. The limitations on the use of mechanical equipment during the performance of roofing work on low-sloped roofs.
The correct procedures for the handling and storage of equipment and materials and the erection of overhead protection.
The role of employees in fall protection plans.
A. Certification of Fall Protection Training
The employer shall verify compliance with Fall Protection Training by preparing a written certification record. The written certification record shall contain the name or other identity of the employee trained, the dates of the training, and the signature of the person who conducted the training or the signature of the employer.
If the employer relies on training conducted by another employer or completed prior to the effective date of this section, the certification record shall indicate the date the employer determined the prior training was adequate rather than the date of actual training. The latest training certification shall be maintained.
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CITY OF KINGSBURG ………………………..……..Page 27……….INJURY AND ILLNESS PREVENTION PROGRAM B. Retraining
When the employer has reason to believe that any affected employee who has already been trained does not have the understanding and skill required after the initial training, the employer shall retrain each such employee. Circumstances where retraining is required include, but are not limited to, situations where:
• Changes in the workplace render previous training obsolete; or • Changes in the types of fall protection systems or equipment to be used render previous training obsolete; or
• Inadequacies in an affected employee's knowledge or use of fall protection systems or equipment indicate that the employee has not retained the requisite understanding or skill.
First Aid Kits
First-aid kits and required contents are maintained in a serviceable condition. Unit-type kits have all items in the first-aid kit individually wrapped, sealed, and packaged in comparable sized packages. The commercial or cabinet-type kits do not require all items to be individually wrapped and sealed, but only those which must be kept sterile. First-aid stations shall be well-marked and available to personnel during all working hours. A roster, denoting the telephone numbers and addresses of doctors, hospitals and ambulance services available to the work site, shall be posted at each first-aid station. In the event of a sudden death or critical injury, the RSO must be notified immediately. If he/she cannot be reached, the injury or death must be reported by telephone within 8 hours to Cal-OSHA and to our firm’s Workers’ Compensation Carrier. In case of emergency, call 911.
Seat Belts on Forklifts
Cal-OSHA requirements about seat belts is one of the most common questions pertaining to forklifts. CalOSHA has several basic obligations that explain its regulations and interpretations about seat belts on forklifts. All forklift operators must use a seat belt if one is on the forklift. This basically includes ALL sitdown style forklifts. Stand-up style forklift will not have them.
All forklift which were originally equipped (from the factory) with seat belts, must still have them in good operating condition. If a sit-down style forklift did not come with a seat belt from the factory then employers are required to take advantage of "retrofit" programs to obtain and install a seat belt. Since all major manufacturers have a "retrofit" program, all sit-down forklifts are required to have an operational seat belt.
Industrial Trucks/Forklifts
Only authorized trained/certified employees are allowed to operator any powered industrial truck or forklift. Before using a forklift, check that the brakes on each industrial truck are capable of bringing the vehicle to a complete and safe stop when fully loaded. The parking brake must effectively prevent the vehicle from moving when unattended. When motorized hand and hand/rider truck are operated, and when the operator releases the steering mechanism, make sure that both the brakes are applied and power to the motor shut off. Industrial trucks with internal combustion engines, operated in buildings or enclosed areas, should be carefully checked to ensure that the operation of the vehicle does not cause harmful concentration of dangerous gases or fumes.
Cal-OSHA Standards for Forklifts
Modifications and additions must not be performed by the customer or user without manufacturer's prior authorization or qualified engineering analysis. Where such authorization is granted, capacity, operation, and maintenance instruction plates, tags, or decals must be changed accordingly.
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CITY OF KINGSBURG ………………………..……..Page 28……….INJURY AND ILLNESS PREVENTION PROGRAM If the forklift truck is equipped with front end attachments other than factory installed attachments, the user must ensure that the truck is marked with a card or plate that identifies the current attachments, shows the approximate weight of the truck with current attachments and shows the lifting capacity of the truck with current attachments at maximum lift elevation with load laterally centered. The user must see that all nameplates and caution and instruction markings are in place and legible. The user must consider that changes in load dimension may affect truck capacities.
Forklift Extension
Maximum efficiency, reliability, and safety require that the use of fork extensions be guided by principles of proper application, design, fabrication, use, inspection, and maintenance. The user must notify the Responsible Safety Officer before purchasing extensions or having them fabricated. Fork extensions are only appropriate for occasional use.
When longer forks are needed on a regular basis, the truck should be equipped with standard forks of a longer length. Routine on-the-job inspections of the fork extension must be made by the fork lift operator before each use unless, in the judgment of the supervisor, less frequent inspections are reasonable because of his or her knowledge of its use since the last inspection. Extensions must be inspected for evidence of bending, overload, excess corrosion, cracks, and any other deterioration likely to affect their safe use. All fork extensions must be proof load tested to establish or verify their rated capacities, whether they were supplied commercially, or fabricated at City of Kingsburg.
A load equal to the rated capacity of the pair at a particular load center multiplied by 1.15 must be placed on each fork extension pair and fork assembly and supported for a period of five minutes without any significant deformation. Rated capacity must be determined at significant load centers, including the midpoint of the extension and at the tip. Once determined, the rated capacity and load center information must be shown by stamping or tagging the extensions in a protected location of low stress. A mechanical engineer or designer must witness the proof load test. Whenever evidence of deterioration is detected or whenever the extensions have been overloaded, magnetic particle inspection must be performed.
Forklift Maintenance
Because forklift trucks may become hazardous if maintenance is neglected or incomplete, procedures for maintenance must comply with ANSI B56.1 Section 7 and Cal-OSHA Standard 29 CFR 1919.178 g.
Fueling
Where flammable liquids are used, employees will be trained to deal with spillage during fueling operations, how it is to be cleaned, the types and designs of fueling hoses and the specific types of fuel it can handle, whether fueling is being done with a nozzle that is a gravity flow system or self- closing, how to avoid spills and recognition that if a spill does occur, the safety of restarting an engine. Employees must be aware that an open flame or light near any fuel is prohibited when fueling or the transfer of fuel is occurring. “NO SMOKING’ SIGNS will be posted conspicuously.
General Work Environment
Work sites must be clean and orderly. Work surfaces must be kept dry or appropriate means taken to assure the surfaces are slip-resistant. Spills must be cleaned up immediately. All combustible scrap, debris, and waste must be stored safely and removed promptly. Fire extinguishers must remain accessible at all times. Means of egress should be kept unblocked, well lighted, and unlocked during work hours.
Excessive combustibles (paper) may not be stored in work areas. Aisles and hallways must be kept clear at all times. Designated employees have been trained to respond to a fire or other emergency.
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CITY OF KINGSBURG ………………………..……..Page 29……….INJURY AND ILLNESS PREVENTION PROGRAM Workplaces are to be kept free of debris, floor storage, and electrical cords. Adequate aisle space is to be maintained. File cabinet drawers should be opened one at a time and closed when work is finished. Proper lifting techniques are to be used by employees to avoid over exertion and strain when carrying loads. No alcohol or any intoxicating substance may be consumed prior to or during work.
Grounding and Electricity
Tools that are not double insulated must be effectively grounded and tested. Testing must be accomplished before initial issue, after repairs, and after any incident, that could cause damage, such as dropping or exposure to a wet environment. Grounded tools must always be used with an effectively grounded circuit.
Any extension cord used with a grounded tool must be a three-wire, grounded type.
Electric-powered hand tools used on construction sites, on temporary wired circuits, or in wet environments will be used in conjunction with an approved ground fault circuit interrupter (GFCI). The responsibility for implementing and maintaining this program rests with the individual supervisors involved. The Responsible Safety Officer will maintain tool-testing equipment. The group owning powered hand tools will maintain documentation of tool testing. Tools maintained in a tool crib and tested prior to issue are exempted from this requirement. Qualified electrical personnel will only make repairs of defective tools.
The workplace will be aware of the Cal-OSHA Electrical Safety Orders and will comply with the same.
Employees will be required to report any hazard to life or property that is observed in connection with a job, electrical equipment, or lines.
Hazardous Chemical Exposures
In any company which utilizes chemical substances, a training program on the handling, hazards, storage, exposure risks, symptoms of chemical exposure, and first aid needs to be part of any new employees training. There must also be follow-up training sessions for any new chemical or processes that may be initiated by the company.
Follow-up training sessions act as a reinforcement of safety standards that need to be followed on a daily basis. In a training program, employees will learn acceptable levels of chemical exposure, proper storage and labeling of chemicals, and usage of protective clothing and equipment for handling chemicals.
They will also learn about potential fire and toxicity hazards, when not to have a chemical in a confined area, or to store in closed containers, usage of eye wash fountains and safety showers, and the necessary posting of open, and dangerous areas. It is important that an employee recognize the Threshold Limit Values or Permissible Exposure Limits of airborne contaminants and physical agents in the workplace.
A procedural manual or set of instructions must be part of the program, with periodic inspections that clearly indicate whether an employee may be mishandling a chemical or endangering himself or others.
Part of the manual or procedures must establish a standard of when and how to deal with chemical spills, neutralizing, and disposing of spills or overflows.
These procedures must also be posted in an area that is easily accessible for reference usage. First Aid training and equipment will be routine in any facility where chemicals are used. Employees must know how to handle equipment in emergency situations, what equipment needs to be used, and whether the equipment is adequate for the situation.
Respirators may be used either as protective safety equipment or for emergency usage. Therefore, the employee should recognize that respirators need to be stored in a clean, sanitary and convenient location and inspected on a regular basis. Also, what respirators are approved by NIOSH for their particular applications.
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CITY OF KINGSBURG ………………………..……..Page 30……….INJURY AND ILLNESS PREVENTION PROGRAM With a first aid program, an employee will recognize when a problem may be occurring by exposure to a chemical ranging from headaches, nausea, and/or dermatitis problems to other factors of discomfort when they use solvents or chemicals. In the design of a facility that transports chemicals from storage to vats, the content of pipes and storage containers must be clearly marked. Within that facility design there must be an emergency shut off system in case of accident. Each employee will be trained as to these emergency shut-off systems.
Ventilation is another major factor in the design of any facility. Whether by natural means or mechanical, the system must be designed to control dust, fumes, solvents, gases, smoke or vapors which may be generated in the workplace. It is also important that a medical or biological monitoring system be in operation as part of the safety standards. If internal combustion engines are used in the facility, or if there is a chance of leakage or mixture with a chemical that could create a toxic gas, atmospheric gas levels must be monitored. If toxic chemicals are used and stored in the facility, they should be located in an isolated area to guarantee safety.
Hazardous Substances Communication
When hazardous substances are used in the workplace, a hazard communication program dealing with Safety Data Sheets (SDS), labeling and employee training will be in operation. SDS materials will be readily available for each hazardous substance used. A training program plus regular question and answer sessions on dealing with hazardous materials will be given to keep employees informed.
The program will include an explanation of what an SDS is and how to use and obtain one; SDS contents for each hazardous substance or class of substances; explanation of the "Right to Know"; identification of where employees can see the employer's written hazard communication program and where hazardous substances are present in their work area; the health hazards of substances in the work area, how to detect their presence, and specific protective measures to be used; as well as informing them of hazards of nonroutine tasks and unlabeled pipes.
Heavy Equipment
Only authorized and trained personnel may operate heavy equipment or tractors. Loose or frayed clothing, long hair, dangling ties, finger rings, etc. shall not be worn around moving machinery or other sources of entanglement. Inspect and check brakes, steering, tires, and lights daily. Correct any systems needing attention before you start operation.
If not safe and you cannot repair, report the matter immediately to your RSO. DO NOT operate the equipment until it is made safe. Never mount or dismount equipment while it is in motion. Operate the equipment smoothly – no jerking or turning, starts or stops. Hitch loads and equipment only to the drawbar and hitch points recommended by the manufacturer.
Do not attempt repairs on our firm’s heavy equipment unless you are qualified, have the proper tools and have made sure everything possible has been done to reduce the probability of injury due to a sudden movement or engagement or operation of such equipment or it’s parts. Where machinery must be lifted on jacks or supports, or chain hoists, employees shall not work under these supported vehicles unless protective blocking is used in the event that the jacks, supports, or chain hoists shall fall. Where possible, lock-out procedures shall be used.
No machinery shall be serviced, repaired or adjusted while in operation nor shall oiling of moving parts be attempted except on equipment that is designed or fitted with safeguards to protect the person performing the work. Shut down engine and set brakes when making any adjustments or when hitching tools. Also, shut down, brake, and remove keys when leaving unattended.
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CITY OF KINGSBURG ………………………..……..Page 31……….INJURY AND ILLNESS PREVENTION PROGRAM Hoists
Only those employees considered by the employer to be competent due to training or experience shall be permitted to operate the hoist. The hoist operator should obtain the assistance of another qualified person to direct the lifting operation when the vehicle presents a loading problem. One person should supervise the operations although either person should stop operations whenever any potentially dangerous situation is noticed. The worker directing the vehicle onto the lift should stand to one side as the vehicle moves over the lift.
Chassis and axle supports must be properly placed beneath the vehicle before lifting; making sure the load is balanced. Hoist controls should never be blocked in the open or shut position. They should be manually operated at all times. Loads should be squarely engaged, and neither the lift nor adaptor are to be overloaded. Make sure to close all doors, hood and trunk lid before raising vehicle. If a lift is equipped with a mechanical locking device, it must be made certain that the device is in place when the lift is up.
Never lift another person with the hoist. The hoist or lift should be properly serviced and in proper mechanical working condition before it should be used. The hoist or lift needs immediate attention if it:
Jerks or jumps when raised.
Slowly settles down after being raised.
Slowly rises when not in use.
Rises slowly when in use.
Comes down very slowly.
Blows oil out of the exhaust line.
Leaks oil at the packing gland.
If the lift is equipped with a mechanical locking device, it must be made certain that the device is in place when the lift is up.
Every overhead electrical hoist shall be equipped with a limit device to stop the hook travel at its highest and lowest points of safe travel. Check these limits without a load to ensure the device is working correctly.
Each hoist should automatically stop and hold any load up to 125 percent of its rated load if its actuating force is removed. Check this periodically under controlled conditions. Make sure that the rated load of each hoist is legibly marked and visible to the operator. Stops should be provided at the safe limits of travel for trolley hoists.
The controls of hoists should be plainly marked to indicate direction of travel or motion. Every cagecontrolled hoist must be equipped with an effective warning device. Close-fitting guards or other suitable devices should be installed on hoists to assure hoist ropes will be maintained in the sheave grooves.
All hoist chains or ropes must be of sufficient length to handle the full range of movement for the application, while maintaining two full wraps on the drum at all times. All nip points or contact points between hoist ropes and sheaves which are permanently located within 7 feet of the floor, ground or working platform must be guarded. It is prohibited to use chains or rope slings that are kinked or twisted.
The operator should avoid carrying loads over people. Only employees who have been trained in the proper use of hoists are allowed to operate them.
Jacks
Jacks are often carelessly used. Jacks should be positioned on solid, dry, smooth and clean surfaces, absolutely perpendicular to the load to help reduce the danger of the vehicle falling. The rated load must be legibly and permanently marked on the jack.
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CITY OF KINGSBURG ………………………..……..Page 32……….INJURY AND ILLNESS PREVENTION PROGRAM Each jack should be regularly inspected. If it is in constant or intermittent use at one location, it should be inspected once every 3 months. If the jack is subjected to an abnormal load or shock, it should be inspected immediately before and after using. Jacks that are defective or out of order should be tagged and not used until repaired.
Vehicles on jacks should have the wheels that remain on the ground, blocked so they cannot move. Jack stands should be used as a further precaution, when needed, to help reduce the danger of the vehicle falling from the jack. Never work in, under or around the vehicle unless it is adequately and properly supported.
When a vehicle is elevated with an air/hydraulic bumper jack, do not work in, under or around it until the lock is secured to keep it from descending.
Ladders and Fixed ladders
Check ladders each and every time before you climb. Ladders should be maintained in good condition:
joints between steps and side rails should be tight; hardware and fittings securely attached; and movable parts operating freely without binding or undue play. Non-slip safety feet are provided on each ladder.
Ladder rungs and steps should be free of grease and oil.
Employees are prohibited from using ladders that are broken, missing steps, rungs, or cleats, or that have broken side rails or other faulty equipment. It is prohibited to place a ladder in front of doors opening toward the ladder except when the door is blocked open, locked or guarded. It is prohibited to place ladders on boxes, barrels, or other unstable bases to obtain additional height.
Face the ladder when ascending or descending. Be careful when you climb a ladder. Do not use the top step of ordinary stepladders as a step. When portable rung ladders are used to gain access to elevated platforms, roofs, etc., the ladder must always extend at least 3 feet above the elevated surface. It is required that when portable rung or cleat type ladders are used, the base must be so placed that slipping will not occur, unless it is lashed, or otherwise held in place.
All portable metal ladders must be legibly marked with signs reading "CAUTION" - "Do Not Use Around Electrical Equipment." Employees are prohibited from using ladders as guys, braces, skids, gin poles, or for other than their intended purposes.
Only adjust extension ladders while standing at a base (not while standing on the ladder or from a position above the ladder). Metal ladders should be inspected for tears and signs of corrosion. Rungs of ladders should be uniformly spaced at 12 inches, center to center.
General Requirements for Fixed Ladders
OSHA’s ladder standards are divided into four main components: general requirements for all ladders, portable ladders, mobile ladders, and fixed ladders. In this article, we’ll focus on the important general requirements every fixed ladder should have to ensure your safety. Note that this is for reference only, and to consult with OSHA for the latest requirements.
1. Fixed ladders above 24 feet must have a fall protection system Previously, the OSHA required fixed ladders taller than 20 feet to have cages as a form of fall protection.
But, as of January 2017, OSHA changed the ladder height requirement. Fixed ladders that extend beyond 24 feet need to have fall protection systems in place. Additionally, in 2018, the organization stated under 1910.28(b)(9) that cages were no longer considered a form of fall protection. Fixed ladders erected before November 19, 2018, will still use their existing cages. However, you must use a ladder safety system or personal fall arrest system for new or replaced ladders.
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2. Applications that exceed 50 feet or above must have landing platforms Under 1910.28(b)(9)(iii)(B), if fixed ladders with cages extend to have an unbroken length of more than 50 feet, OSHA requires that they have landing platforms in every 50-foot intervals.
3. Ladders must be made with non-corrosive material
OSHA states under 1910.23(b)(6) that metal ladders should be protected against corrosion and made with corrosion-resistant materials like aluminum. Using ladders such as high-strength and low maintenance aluminum access ladders can prevent accidents caused by residual damage or corrosion.
4. Ladder rungs should have a minimum clear width of 16 inches Fixed ladders should have a climbing width requirement of at least 16 inches. As per OSHA 1910.23(b)(4), ladder rungs, steps, and cleats must be measured before installing ladder safety systems to ensure that they meet the given requirements. The wider the ladder system is, the easier and safer it is for you to climb it.
5. Ladders with no cages must have a clear width of at least 15 inches If your fixed ladder doesn’t have a cage, it should be installed at least 15 inches between it and any permanent objects surrounding it. Additionally, following OSHA 1910.23(d)(13)(i), you should measure from the ladder’s centerline.
6. For fixed through ladders, side rails must provide 24 to 30 inches of clearance The access level above the fixed ladder should at least be 24 inches wide but not more than 30 inches of clearance. As such, the ladder will be able to accommodate the width of your body, and you’ll be able to reach both side rails. In addition, according to OSHA 1910.23(d)(5), when your fixed ladder has a ladder safety system, the maximum clearance between extension handrails is 36 inches.
7. Grab bars should stick out 42 inches above the access level or landing platforms To protect you from exiting the ladder in an access level or landing platform, grab bars should extend 42 inches above the ladder’s surface, as stated in OSHA 1910.23(d)(7). Moreover, the size of the grab bars should at least be the same as the ladder’s rungs.
8. Ladders and their nearest permanent object should have at least a 7-inch clear distance Under OSHA 1910.23(d)(2), the minimum perpendicular distance from the centerline of the rungs to the nearest permanent object in the back of the ladder should be 7 inches. With this clearance, you’ll be able to climb the ladder without any potential trip hazards from the building.
Lockout/Tagout Procedure
All machinery or equipment capable of movement must be de-energized or disengaged and blocked or locked out during cleaning, servicing, adjusting or setting up operations, whenever required. The locking out of the control circuits in lieu of locking out main power disconnects is prohibited. All equipment control valve handles must be provided with a means for locking out.
The lock-out procedure requires that stored energy (i.e. mechanical, hydraulic, air) be released or blocked before equipment is locked out for repairs. Appropriate employees are provided with individually keyed personal safety locks. Employees are required to keep personal control of their key(s) while they have safety locks in use.
Employees must check the safety of the lockout by attempting a start up after making sure no one is exposed. Where the power disconnector does not also disconnect the electrical control circuit, the appropriate electrical enclosures must be identified. The control circuit can also be disconnected and locked out.
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CITY OF KINGSBURG ………………………..……..Page 34……….INJURY AND ILLNESS PREVENTION PROGRAM All employees/contractors are required to comply with the restrictions and limitations imposed upon them during the use of Lockout/Tagout. Lockout/Tagout shall be performed only by the authorized employee(s).
Employees and/or contractors involved with the Lockout/Tagout work to be done are referred to as the "Authorized Employees" and are required to perform the Lockout/Tagout in accordance with the proper procedure. All employees who are not involved with the inspection and maintenance of a piece of equipment which is in the condition of Lockout/Tagout shall not attempt to start, energize or use that machine or equipment.
Manual Lifting Rules
Manual lifting and handling of material must be done by methods that ensure the safety of both the employee and the material. It is City of Kingsburg policy that employees whose work assignments require heavy lifting be properly trained and physically qualified, by medical examination if deemed necessary.
The following are rules for manual lifting: Inspect the load to be lifted for sharp edges, slivers, and wet or greasy spots. Wear gloves when lifting or handling objects with sharp or splintered edges. These gloves must be free of oil, grease, or other agents that may cause a poor grip. Inspect the route over which the load is to be carried. It should be in plain view and free of obstructions or spillage that could cause tripping or slipping. Consider the distance the load is to be carried. Recognize the fact your gripping power may weaken over long distances. Size up the load and make a preliminary "heft" to be sure the load is easily within your lifting capacity. If it is not, get help.
If team lifting is required, personnel should be similar in size and physique. One person should act as leader and give the commands to lift, lower, etc. Two persons carrying a long piece of pipe or lumber should carry it on the same shoulder and walk in step. Shoulder pads should be used to prevent cutting shoulders and help reduce fatigue.
To lift an object off the ground, the following are manual lifting steps: Make sure of good footing and set your feet about 10 to 15 inches apart. It may help to set one foot forward of the other. Assume a knee-bend or squatting position, keeping your back straight and upright. Get a firm grip and lift the object by straightening your knees - not your back. Carry the load close to your body (not on extended arms). To turn or change your position, shift your feet - do not twist your back. The steps for setting an object on the ground are the same as above, but in reverse.
Materials Handling
Every operation or work assignment begins and ends with handling of materials. Whether the material is a sheet of paper (paper cuts are painful) or a cylinder of toxic gas, accident risks can be reduced with thorough planning. Identifying obvious and hidden hazards should be the first step in planning work methods and job practices.
Thorough planning should include all the steps associated with good management from job conception through crew and equipment decommissioning. Most of the material presented in this chapter is related to the commonplace and obvious.
Nevertheless, a majority of the incidents leading to injury, occupational illness and property damage stem from failure to observe the principles associated with safe materials handling and storage. A less obvious hazard is potential failure of used or excessive motorized handling or lifting equipment. The Responsible Safety Officer must be notified whenever it is desired to acquire a crane, forklift truck, or other motorized handling or lifting equipment from excessed sources.
There must be safe clearance for equipment through aisles and doorways. Aisle ways must be designated, permanently marked, and kept clear to allow unhindered passage.
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CITY OF KINGSBURG ………………………..……..Page 35……….INJURY AND ILLNESS PREVENTION PROGRAM Motorized vehicles and mechanized equipment will be inspected daily or prior to use. Vehicles must be shut off and brakes must be set prior to loading or unloading. Containers of combustibles or flammables, when stacked while being moved, must be separated by dunnage sufficient to provide stability. If dock boards (bridge plates) are used when loading or unloading operations are taking place between vehicles and docks, precautions must be observed. Trucks and trailers will be secured from movement during loading and unloading operations. Dock plates and loading ramps will be constructed and maintained with sufficient strength to support imposed loading. Hand trucks must be maintained in safe operating condition.
Chutes must be equipped with sideboards of sufficient height to prevent the handled materials from falling off. At the delivery end of rollers or chutes, provisions must be made to brake the movement of the handled materials. Pallets must be inspected before being loaded or moved.
Hooks with safety latches or other arrangements will be used when hoisting materials, so that slings or load attachments will not accidentally slip off the hoist hooks. Securing chains, ropes, chokers or slings must be adequate for the job to be performed. When hoisting material or equipment, provisions must be made to assure no one will be passing under the suspended loads. Safety Data Sheets will be available to employees handling hazardous substances.
Miscellaneous Woodworking Tools and Saws
Each planing, molding, sticking and matching machine shall have all cutting heads, and saws if used, covered by a solid metal guard. Planers, stickers, molding, sticking, and matching machines shall be provided with exhaust fans, hoods and dust conveyors to remove the harmful dusts, etc., from the vicinity of the operator. Such hoods may be arranged to serve as guards for cutting heads. Planers and other machinery or equipment shall not be oiled while in motion, unless provided with guards or other devices to permit oiling without any possibility of contact with moving parts of machinery. Feed rolls shall be guarded by means of roll covers, bars or strips, attached to the roll frame in such manner as to remain in adjustment for any thickness of lumber. Levers or controls shall be so arranged or guarded as to prevent accidental operation of machines.
Foot treadle operated machines shall have a treadle guard fastened over the treadle. Locks, blocks, or other device shall be provided for positive immobilization of machine controls while repairs or adjustments are being made. Side head hoods shall be of sufficient height to safeguard the head set screw. Side heads shall not be adjusted while machine is in operation, except when extension-adjusting devices are provided. Side belt and pulley guards shall be kept in place at all times the machine is in motion. All universal joints shall be enclosed.
Noise
This section contains information on the effects, evaluation, and control of noise. For assistance in evaluating a noise problem, contact the Responsible Safety Officer. An ongoing preventive health program will be utilized to educate employees in safe levels of noise, exposure, effects of noise on their health, and use of personal protection. Approved hearing protective equipment (noise attenuating devices) will be available to every employee working in areas where continuous noise levels exceed 85 dB. To be effective, ear protectors must be properly fitted, and employees will be instructed in their use and care.
Danger of Noise
Exposing the ear to high levels of noise may cause hearing loss. This loss can be temporary or permanent.
Temporary hearing loss or auditory fatigue occurs after a few minutes exposure to an intense noise but is recoverable following a period of time away from the noise. If the noise exposure is repeated, there may be only a partial hearing recovery and the loss becomes permanent. Typically, significant hearing losses occur first in the frequency range of 3,000 to 6,000 hertz (Hz). Losses in this frequency range are not critical to speech perception, and the individual usually is completely unaware of this initial symptom. With longer exposures, the hearing loss spreads to lower frequencies, which will affect speech perception.
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CITY OF KINGSBURG ………………………..……..Page 36……….INJURY AND ILLNESS PREVENTION PROGRAM Workers' Compensation laws regard hearing losses in the speech frequency range of 500 to 3,000 Hz as being compensable.
The evaluation of hearing loss due to noise is complicated by the fact that hearing acuity normally decreases with increasing age. Further, the losses associated with age are quite similar to those caused by excessive noise since the hearing for high frequency sounds is most affected in both instances. Hearing impairment may also result from infections, tumors, and degenerative diseases.
Reducing Noise Exposure
Wearing suitable protective hearing devices can in most cases, provides protection. The appropriate Medical Services provider and/or the supervisor of the Department will supply earplugs for employees upon request or before going into a high noise area. Only approved plugs should be used. Earplugs should be cleaned daily to prevent ear infections. Protection greater than that provided by a single device can be obtained by wearing earplugs under an earmuff. While the reduction provided by wearing both devices simultaneously is considerably less than the sum of the individual attenuation’s, it is still greater than when either device is worn separately.
Office and Administrative Worksite
With the introduction of computers into the workplace, new areas of physical debilitation have been recognized. These new potential hazards have required a redesigning of both the workplace and how employees work. Furniture should be adjustable, positioned and arranged to minimize strain on all parts of the body. A glare screen to prevent eyestrain will minimize the glare of a computer screen. Repetitive motions can harm, back, shoulders, neck, wrists and other parts of the body, so employees will not proceed with a task when they are physically feeling an impairment. Each employee will be entitled to a rest break.
Your workstation and Video Display Terminal (VDT) should be adjusted so that your arms are not raised during tasks. Your VDT monitor should be placed approximately 12 to 18 inches from your face, just below eye level. Sit with back straight and head level. Feet should be on the floor or a footrest and backs of knees at a 90-degree angle and slightly higher than the chair seat. The lower back should be supported to allow for a natural inward curve. A cushioned shoulder pad should be used when necessary on the telephone handset to ease neck strain. Take breaks away from the VDT to rest eyes.
Keep electrical and VDT cords and cables restrained and out of aisles. Cover electrical cords with floor guards to prevent tripping. Uneven floor coverings should be secured or reported for repair. Workplace should be kept free of debris, floor storage, and electrical cords at all times.
Office Equipment
Filling Cabinet doors should be closed when not in use. You should not open more than one drawer at a time. Cabinets should be positioned in such a way that the drawers do not open into aisles. When loading cabinets, you should start from the bottom for more stability. When closing doors use handles to protect your fingers. Do not overfill cabinets. Do not keep heavy objects on top of tall filing cabinets.
Do not attempt to operate the photocopier without first reading the operating instructions and warning placards. Keep all loose clothing away from operation parts of photocopy machine. Keep hands clear of heated fuser rollers. Be careful not to use inflammable aerosol products such as spray adhesives near the photocopier. Also, be sure photocopier is turned off before you clean the interior to avoid damage to the printer and personal injury to yourself. Do not attempt to clear a paper jam from machine without first shutting off or unplugging the photocopier.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 37……….INJURY AND ILLNESS PREVENTION PROGRAM Do not attempt to operate the paper shredder without first reading the operating instructions and warning placards. Keep all loose clothing away from shredding machine. Make sure to keep hands clear of shredding rollers. Do not force feed the machine as it could cause a jam. Do not allow any liquid to be poured into shredder of shredder waste bags. Also, be sure to empty waste bags when full. Make sure shredder is off before you try to fix a paper jam.
Blade on paper cutter should always be kept down & locked when not in use. Keep all loose cloths away from the stapler or paper cutter. Make sure that protective covers are in place before operating paper shear or paper cutter. Do not put fingers in danger when cutting small items in paper shear or paper cutter Protection from Pesticides
An applicator prior to and while applying a pesticide shall evaluate the equipment to be used, meteorological conditions, the property to be treated, and surrounding properties to determine the likelihood of harm or damage. No pesticide application shall be made or continued when there is a reasonable possibility of either: Contamination of the bodies or clothing of persons not involved in the application process; Damage to non-target crops, animals, or other public or private property; or, Contamination of non-target public or private property, including the creation of a health hazard, preventing normal use of such property.
Pesticide Container Rinse & Drain Procedure
Each emptied container which has held less than 28 gallons of a liquid pesticide that is diluted for use shall be rinsed and drained by the user at time of use by either of the following methods: METHOD A: (1) Use the following amount of water or other designated spray carried for each rinse.
If the size of container is less than 5 gallons, then the amount of rinse medium should be 5 gallons. If the size of container is over 5 gallons, then the amount of rinse medium is 1/5 the container volume. (2) Place required minimum amount of rinse medium in the container, replace closure securely, and agitate. (3) Drain rinse solution from container into tank mix. Allow container to drain 30 seconds after normal emptying. (4) Repeat (2) and (3) above a minimum of two times so as to provide a total of three rinses; or METHOD B:
(1) Invert the emptied container over a nozzle located in the opening of the mix tank which is capable of rinsing all inner surfaces of the container. (2) Activate the rinse nozzle allowing the rinse solution to drain into the tank.
The rinse shall continue until the rinse solution appears clear and a minimum of one-half of the container volume of rinse medium has been used. A minimum of 15 pounds pressure per square inch shall be used for rinsing.
Pesticide Usage
Each person performing pest control shall: Use only pest control equipment which is in good repair and safe to operate. Perform all pest control in a careful and effective manner. Use only methods and equipment suitable to insure proper application of pesticides. Perform all pest control under climatic conditions suitable to insure proper application of pesticides.
Exercise reasonable precautions to avoid contamination of the environment. A copy of the registered labeling that allows the manner in which the pesticide is being used shall be available at each use site.
Concentrate pesticides shall be weighed or measured accurately using devices which are calibrated to the smallest unit in which the pesticide is being weighed or measured.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 38……….INJURY AND ILLNESS PREVENTION PROGRAM A uniform mixture shall be maintained in both application and service rigs. Pest control equipment shall be thoroughly cleaned when necessary to prevent illness or damage to persons, plants, or animals from residues of pesticides previously used in the equipment. Each service rig and piece of application equipment that handles pesticides and draws water from an outside source shall be equipped with an air-gas separations, reduced pressure principle back flow prevention device or double check valve assembly. Back flow protection must be acceptable to both the water purveyor and the local health department.
Piping Systems
Substances that are transported through piping need to be identified by color or labeling. Signs must be posted identifying the substance being transported through the pipes as to whether it is hazardous and where turn-off valves, connections and outlets are located.
All tags used for labeling will be of a durable material with distinguishable and clearly written print. When non-potable water is piped through a facility, outlets or taps, notices will be posted to alert employees that it is unsafe and not to be used for drinking, washing or personal use. When pipelines are heated by electricity, steam or other external sources, warning signs or tags placed at unions, valves, or other serviceable parts will be part of the system.
Portable Power Tools
Portable power tools pose a special danger to employees because they are deceptively small and light, yet they can do great bodily harm if used improperly or poorly maintained. These rules apply to all power tools, but are especially important when handling portable saws, drills, and power screw drivers.
Check your equipment before you use it. All grinders, saws, and similar equipment should be equipped with appropriate safety guards. Power tools should not be used without the correct shield, guard, or attachment, recommended by the manufacturer. Portable circular saws must be equipped with guards above and below the base shoe.
Circular saw guards should be checked periodically and before each use to assure they are not wedged up, thus leaving the lower portion of the blade unguarded. All rotating or moving parts of equipment should be guarded to prevent physical contact. All cord-connected, electrically operated tools and equipment should be effectively grounded or of the approved double insulated type.
Do not attempt to lift heavy objects without proper equipment. If battery operated, do not under-estimate their power. A small electric drill or power screw driver can cause a severe injury if it lands in the wrong place. While not usually a shock hazard, the battery pack contains toxic chemicals and does emit a low voltage electric current. Do not drop or incinerate the battery pack, or a tool with a self-contained power source. Hard-wired equipment can be portable or fixed.
Typically used with extension cords, the more powerful hard-wired equipment presents a double safety problem: the actual equipment plus its electrical power source. Ground-fault circuit interrupters must be provided on all temporary electrical 15 and 20 ampere circuits used during periods of construction.
Pneumatic and hydraulic hoses on power-operated tools should be checked regularly for deterioration or damage.
Protection Issued
Protective clothing will be issued to employees who work with hazardous material for the purpose of protecting their health and safety. The Responsible Safety Officer is available for consultation as needed.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 39……….INJURY AND ILLNESS PREVENTION PROGRAM Protective Equipment
City of Kingsburg will provide suitable equipment to protect employees from hazards in the workplace.
The Responsible Safety Officer will advise on what protective equipment is required for the task, but the supervisor of the operation must obtain this equipment and see that it is used. Protective clothing is not a substitute for adequate engineering controls.
Protective Shoes
City of Kingsburg encourages the wearing of safety shoes. For certain types of work the wearing of safety shoes is required by Company policy or by federal regulations. Examples include when employees are exposed to foot injuries from hot, corrosive, or poisonous substances; in shops, in equipment handling, or in construction jobs where there is a danger of falling objects; or in abnormally wet locations.
Protective Gloves
City of Kingsburg provides proper hand protection to employees exposed to known hand hazards. The supervisor must obtain the suitable hand protection and ensure that it is used. The individual department must maintain a supply of special or infrequently used hand protection. Assistance in selecting the proper hand protection may be obtained by consulting the Responsible Safety Officer.
Head Protection
City of Kingsburg provides appropriate head protection devices for employees to protect them from head or other injuries that could result from their working environment. Some head protection devices are available from stock. The supervisor must also maintain sufficient supply of head protection devices for visitors in the area.
Personal Protective Equipment Clothing
1. Where there is a danger of flying particles or corrosive materials, employees must wear protective goggles and/or face shields provided [or approved] by City of Kingsburg
2. Employees are required to wear safety glasses at all times in areas where there is a risk of eye injuries such as punctures, contusions, or burns.
3. Employees who need corrective lenses are required to wear only approved safety glasses, protective goggles, or other medically approved precautionary procedures when working in areas with harmful exposures, or risk of eye injury.
4. Employees are required to wear protective gloves, aprons, shields, and other means provided in areas where they may be subject to cuts, corrosive liquids, and/or harmful chemicals.
5. When necessary employees must use the appropriate respirator masks that are provided for regular use.
Pumps & Pump Operations
Do not perform any maintenance on motor pumps before disconnecting the power source. Motors with automatic thermal protectors will automatically restart when the protector temperature drops sufficiently.
All repairs should be performed by trained and qualified personnel only. Before starting any pump, turn the shaft by hand to see that it rotates freely. Be sure the valve in the suction line is open and the discharge valve is closed. Check the pump for evidence of rubbing or binding which may be caused by piping strains. Primp pump before starting motor or damage can occur to internal pump parts.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 40……….INJURY AND ILLNESS PREVENTION PROGRAM After starting the pump, slowly open discharge valve. See that all pipe connections are tight. On packed pumps, make certain that a slight amount of fluid seeps from the pump at the gland; this fluid is required to lubricate the packing. A centrifugal pump must be primed before it can be operated. If run dry, internal damage will occur destroying rotating parts along with the packing and mechanical seal faces. A centrifugal pump may be primed in one of the following ways:
• If the system has suction pressure, bleed all air from the pump casing and suction pipe by opening the pipe plug at the top of the casing. Rotate the shaft a few times if possible to allow any air to escape from inside the impeller passages.
• If the system has a suction lift and there is a foot valve in the suction pipe, fill the pump casing and suction pipe with fluid and allow the trapped air escape through the pipe plug at the top of the casing. • If the system has a suction lift but no foot valve, use a vacuum pump to evacuate the air from the pump case and suction pipe by connecting the ejector to the priming connection on the top of the casing.
Any mechanical or operating malfunctions should be reported immediately to the RSO.
Respirators
Respirators shall be used strictly according to company rules and the procedures outlined by your RSO.
Respirators should be inspected by the employee before each use. Dust Mask respirators shall be stored inside a clean plastic bag when not in use. Rubber faced respirators and air supplied respirators should be cleaned, disinfected, rinsed, and dried at least every two (2) weeks or sooner if needed. Removable cartridges should be changed after eight (8) hours of use (or sooner if odors are detected inside the mask).
Guide to Respiratory Protection at Work
Respirators are an effective method of protection against designated hazards when properly selected and worn. Respirator use is encouraged even when exposures are below the exposure limit, to provide an additional level of comfort and protection for workers. However, if a respirator is used improperly or not kept clean, the respirator itself can become a hazard to the worker. Sometimes, workers may wear respirators to avoid exposures to hazards even if the amount of hazardous substance does not exceed the limits set by Cal-OSHA standards. If your employer provides respirators for your voluntary use, or if you provide your of own respirator, you need to take certain precautions to be sure that the respirator itself does not present a hazard.
You should do the following:
1. Read and heed all instructions provided by the manufacturer on use, maintenance, cleaning and care, and warnings regarding the respirators limitations.
2. Choose respirators certified for use to protect against the contaminant of concern, NIOSH, the National Institute for Occupational Safety and Health of the U.S. Department of Health and Human Services, certifies respirators. A label or statement of certification should appear on the respirator or respirator packaging it will tell you what the respirator is designed for and how much it will protect you.
3. Do not wear your respirator into atmospheres containing contaminants for which your respirator is not designated to protect against.
4. Keep track of your respirator so that you do not mistakenly use someone else’s respirator.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 41……….INJURY AND ILLNESS PREVENTION PROGRAM Scaffolds
All scaffolds, whether fabricated on site, purchased, or rented must conform to the specifications found in ANSI A10.8, Safety Requirements for Scaffolding. Rolling scaffolds must maintain a 3:1 height to base ratio (use smaller dimension of base). The footing or anchorage for a scaffold must be sound, rigid, and capable of carrying the maximum intended load without settling or displacement. Unstable objects such as barrels, boxes, loose brick, or concrete blocks must not be used to support scaffolds or planks. No scaffold may be erected, moved, dismantled, or altered unless supervised by competent persons.
Scaffolds and their components must be capable of supporting at least four times the maximum intended load without failure. Guard rails and toe boards must be installed on all open sides and ends of scaffolds and platforms more than 10 ft above the ground or floor. Scaffolds 4 feet to 10 feet in height having a minimum horizontal dimension in either direction of less than 45 inches must have standard installed on all open sides and ends of the platform. Wire, synthetic, or fiber rope used for suspended scaffolds must be capable of supporting at least 6 times the rated load. No riveting, welding, burning, or open flame work may be performed on any staging suspended by means of fiber or synthetic rope. Treated fiber or approved synthetic ropes must be used for or near any work involving the use of corrosive substances. All scaffolds, boson’s chairs, and other work access platforms must conform with the requirements set forth in the Federal Occupational Safety and Health Regulations for Construction, 29 CFR 1926.451, except where the specifications in ANSI A10.8 are more rigorous.
Shop Rules
Any City of Kingsburg facility housing shop tools is defined by Cal-OSHA as a shop. It is the responsibility of the person in charge of each shop to ensure compliance with the following practices: Shop machines and tools are to be used only by qualified personnel. It is the responsibility of the person in charge of the shop to render a judgment as to who is qualified. The person in charge will take whatever action is deemed necessary to prevent a personal injury or damage to equipment.
Equipment guards and protective devices must be used and must not be compromised. Approved eye protection (visitor's glasses) must be worn by anyone entering and/or passing through shop areas. Approved industrial safety eye protection must be worn by anyone working in a posted shop area. Shoes or boots covering the whole foot must be worn in shop areas. Persons using machine tools must not wear clothing, jewelry, or long hair in such a way as to represent a safety hazard.
Spraying Operations
In any spraying operation, there should be adequate ventilation before starting any spraying job. As to the conditions of the area where the spray job is to be done, consideration should be taken before beginning work. If the area is enclosed, does it require mechanical ventilation? Before working, make sure that the area is free of combustible materials, and that there are "No Smoking" signs adequately posted and easily seen.
If mechanical ventilation is provided when spraying in enclosed areas, air should not be recirculated so as to avoid contamination. There should be adequate space and ventilation for all drying areas. In addition, in an enclosed area, spray operations must be at least 20 feet from flames, sparks, operating electrical motors, and other ignition sources. The spray area should be free of any hot surfaces.
Any solvent used in the cleaning process should not have a flash point of 100 degrees or less. If portable lamps are used to illuminate the spray areas they must be approved for the location and must be suitable for use in a hazardous area. Approved respiratory equipment will be provided and must be used when appropriate during spraying operations.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 42……….INJURY AND ILLNESS PREVENTION PROGRAM If a sprinkler system is within the confines of the spraying area operation, it should be in working order and will be inspected semi-annually to make sure that it is in operating condition. If a spraying booth is used for the spraying operation, it must be made of metal, masonry, or other noncombustible material. Make sure that "NO SMOKING" signs are posted in spray areas, paint rooms, paint booths, and paint storage areas.
The spray booth must be completely ventilated. Booth floors and baffles must be easily cleaned and noncombustible. Ducts and access doors must be easily cleaned. Lighting fixtures for both outside and inside the spray booth must be enclosed in clear see-through sealed panels. Electric motors for exhaust fans must be placed outside the booth. Belts and pulleys must be completely enclosed. Drying apparatus should be located in a well-ventilated area in the booth and properly grounded. Infrared drying apparatus must be kept out of the spray area during a spraying operation.
Packages containing paint, lacquers, varnishes, thinners or other volatile painting materials shall be kept tightly closed when not in actual use. These containers should be kept in a well-ventilated location, free from excessive heat, smoke, sparks, flame, or direct rays of sun. No smoking or open flame, exposed heating elements, or other sources of ignition of any kind shall be permitted in areas where spray painting is done. Approved respiratory equipment must be used when appropriate during spraying operations.
Be alert to possible hazards. Contact your RSO if there are any signs of skin rashes, blisters, swelling, scaling, eye irritation, shortness of breath, etc. caused by possible use of paints, lacquers, or other painting materials. Avoid dangerous reactions to mixed/exposed to reactive substances, including water. Always check the label and SDS for hazard and protective information before using any product. Report any missing, incomplete, or illegible label to your RSO. Do not use any material from an unlabeled container.
Clean spray booths with non-sparking tools. Remove debris from the booths immediately and dispose the debris properly after every project. Dispose of empty paint containers promptly and properly. Dispose any combustible rags in proper, closed containers that are emptied daily.
Tool Maintenance
Faulty or improperly used hand tools are a safety hazard. All employees shall be responsible for ensuring that tools and equipment (both company and employee-owned) used by them or other employees at their workplace are in good condition. Hand tools such as chisels, punches, etc., which develop mushroom heads during use, must be reconditioned, or replaced as necessary. Broken or fractured handles on hammers, axes, and similar equipment must be replaced promptly. Worn or bent wrenches should be replaced regularly. Appropriate handles must be used on files and similar tools.
Appropriate safety glasses, face shields, etc., must be worn while using hand tools or equipment which might produce flying materials or be subject to breakage. Eye and face protection must be worn when driving in tempered spuds or nails. Check your tools often for wear or defect. Jacks must be checked periodically to assure they are in good operating condition. Tool handles must be wedged tightly into the heads of tools. Tool cutting edges should be kept sharp enough so the tool will move smoothly without binding or skipping. When not in use, tools should be stored in a dry, secure location.
Transporting Employees & Materials
When employees are transporting either employees or materials, they must have an operator's license for that classification of vehicle and be certified or trained in the operation of that vehicle. For a safety program to be effective, they must also have knowledge of First Aid courses and safety equipment, as well as the vehicle and how it operates. As employees are transported by truck, provisions must be provided to prevent their falling from the vehicle. Vehicles should be in good working condition, inspected on a regular basis and must be equipped with lamps, brakes, horns, mirrors, windshields, and turn signals in good working order.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 43……….INJURY AND ILLNESS PREVENTION PROGRAM If the vehicle transports numerous individuals it must be equipped with handrails, steps, stirrups or similar devices, placed and arranged so those employees can safely mount or dismount. Safety measures to ensure passenger safety should be observed. When cutting tools with sharp edges are carried in the passenger compartment, they must be placed in closed boxes or secured containers. Carrying flares and two reflective type flares and a fire extinguisher must be part of the standard emergency equipment carried in the vehicle at all times.
Truck Loading
All objects loaded on trucks must be secured to the truck to prevent any shifting of the load in transit. The wheels of trucks being loaded or unloaded at a loading dock must be blocked to prevent movement.
Vehicle Maintenance
Work safely when repairing vehicles. Where tires are mounted and/or inflated on drop center wheels, a safe practice procedure must be posted and enforced. Where tires are mounted and/or inflated on wheels with split rims and/or retainer rings, a safe practice procedure must be posted and enforced. Each tire inflation hose must have a clip-on chuck with at least 24 inches of hose between the chuck and an in-line hand valve and gauge.
The tire inflation control valve should automatically shut off the airflow when the valve is released. A tire restraining device such as a cage, rack or other effective means must be used while inflating tires mounted on split rims, or rims using retainer rings. Employees are strictly forbidden from taking a position directly over or in front of a tire while it is being inflated. Employees to avoid over-exertion when lifting packages must use proper lifting techniques.
Walkways
All aisles and passageways must be kept clear. In addition, aisles and passageways should be clearly marked. Wet surfaces must be covered with non-slip material and all holes properly covered or marked with warning guards. All spills must be cleaned up immediately, and a caution sign placed on all wet or drying surfaces. In cases of passageways used by forklifts, trucks, or other machinery, use a separate aisle for walking, if available. If no separately marked aisle is available, use extreme caution.
Remember, walking in a passageway used by machinery is like walking in the middle of a street used by cars: You may have the right of way, but the heavier vehicle can't always see you and can't always stop in time. The key to moving around in such circumstances is to stop, look, and listen and then to move when there is no danger. Make eye contact with the drivers of moving vehicles so that you know that they know you are there. Equipment must be properly stored so that sharp edges do not protrude into walkways.
Changes in elevations must be clearly marked, as must passageways near dangerous operations like welding, machinery operation, or painting. If there is a low ceiling, a warning sign must be posted. If the walkway or stairway is more than thirty inches above the floor or ground, it must have a guardrail. If an employee is aware of any breach of these standards, please inform the workplace supervisor.
Welding/Cutting/Brazing
Only authorized and trained personnel are permitted to use welding, cutting or brazing equipment. All operators must have a copy of the appropriate operating instructions and are directed to follow them.
Compressed gas cylinders should be regularly examined for obvious signs of defects, deep rusting, or leakage. Use care in handling and storing cylinders, safety valves, relief valves, and the like, to prevent damage.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 44……….INJURY AND ILLNESS PREVENTION PROGRAM Precaution must be taken to prevent mixture of air or oxygen with flammable gases, except at a burner or in a standard torch. Only approved apparatus (torches, regulators, pressure-reducing valves, acetylene generators, manifolds) may be used. Cylinders must be kept away from sources of heat. It is prohibited to use cylinders as rollers or supports.
Empty cylinders must be appropriately marked, their valves closed and valve-protection caps on. Signs reading: DANGER-NO SMOKING, MATCHES, OR OPEN LIGHTS, or equivalent must be posted.
Cylinders, cylinder valves, couplings, regulators, hoses and apparatus must be kept free of oily or greasy substances. Care must be taken not to drop or strike cylinders. Unless secured on special trucks, all regulators must be removed, and valve-protection caps put in place before moving cylinders. All cylinders without fixed hand wheels must have keys, handles, or non-adjustable wrenches on stem valves when in service.
Liquefied gases must be stored and shipped valve-end up with valve covers in place. Before a regulator is removed, the valve must be closed, and gas released from the regulator. All employees are instructed never to crack a fuel-gas cylinder valve near sources of ignition. Red is used to identify the acetylene (and other fuel-gas) hose, green for oxygen hose, and black for inert gas and air hose.
All pressure-reducing regulators must be used only for the gas and pressures for which they are intended.
The open circuit (No Load) voltage of arc welding and cutting machines must be as low as possible and not more than the recommended limits. Under wet conditions, automatic controls for reducing no-load voltage must be used.
Grounding of the machine frame and safety ground connections of portable machines must be checked periodically. Electrodes must be removed from the holders when not in use. All electric power to the welder must be shut off when no one is in attendance. Suitable fire extinguishing equipment must be available for immediate use before starting to ignite the welding torch.
The welder is strictly forbidden to coil or loop welding electrode cable around his/her body. All wetwelding machines must be thoroughly dried and tested before being used. All work and electrode lead cables must be frequently inspected for wear and damage and replaced when needed. All connecting cable lengths must have adequate insulation.
When the object to be welded cannot be moved and fire hazards cannot be removed, shields must be used to confine heat, sparks, and slag. Firewatchers will be assigned when welding or cutting is performed in locations where a serious fire might develop. All combustible floors must be kept wet, covered by damp sand, or protected by fire-resistant shields. When floors are wet down, personnel should be protected from possible electrical shock.
When welding is done on metal walls, precautions must be taken to protect combustibles on the other side.
Before hot work is begun, used drums, barrels, tanks and other containers must be so thoroughly cleaned that no substances remain that could explode, ignite or produce toxic vapors.
It is required that eye protection helmets, hand shields and goggles meet appropriate standards. Employees exposed to the hazards created by welding, cutting or brazing operations must be protected with personal protective equipment and clothing.
Check for adequate ventilation where welding or cutting is performed. When working in confined spaces, environmental monitoring tests should be taken and means provided for quick removal of welders in case of emergency.
CITY OF KINGSBURG
CITY OF KINGSBURG ………………………..……..Page 45……….INJURY AND ILLNESS PREVENTION PROGRAM
EMERGENCY ACTION PLAN
Our firm has established the following procedures in the event an emergency occurs such as a fire, earthquake, toxic spill or other situations which causes a threat to employees.
1. Evacuation: Employees who work in or who frequently visit company buildings, where the exits are not always clearly visible from inside the building, will be trained in our firm's evacuation procedures.
Each department will have a map showing the escape routes. The map will be posted just inside the entrance of the department together with the Company’s evacuation procedure. Employees should periodically review the evacuation procedures and escape routes for their work area.
2. Critical Operations: If we determine that employees must remain to operate critical operations, when an emergency occurs, we will give them written procedure to follow. Copies of these procedures will then be made available at the office.
3. Rescue and Medical Duties: Selected personnel will be trained in our firm's rescue and medical procedures. A written copy of these procedures is available at the office.
4. Verifying Employee Safety: Each evacuation plan will specify a meeting area where employees will congregate following an evacuation. The highest-ranking employee present at an evacuation or an emergency site will take an attendance check of all employees at the affected facility.
5. Alarms: Each building or facility where employees work and where an evacuation may occur will have installed heat and smoke sensing alarms. Where alarms are not present, employees will use voice communications in case of an emergency.
6. Emergency Personnel: The Safety Officer and management personnel are responsible for the following types of emergencies: Fires, Earthquakes, Pesticides and Toxic Spills.
Self-Inspecting Checklist
Table of Contents
EMPLOYER POSTINGS........................................................................................................3 RECORDKEEPING...............................................................................................................3 SAFETY AND HEALTH PROGRAM .....................................................................................3 SAFETY TRAINING GUIDELINES .......................................................................................3 GENERAL WORK ENVIRONMENT .....................................................................................4 PERSONAL PROTECTIVE EQUIPMENT & CLOTHING........................................................4 WALKWAYS, AISLES & CRAWLWAYS ..............................................................................5 FLOOR & WALL OPENINGS................................................................................................5 STAIRS & STAIRWAYS .......................................................................................................6 ELEVATED SURFACES .......................................................................................................6 EXITING OR EGRESS ..........................................................................................................6 EXIT DOORS .......................................................................................................................7 PORTABLE LADDERS.........................................................................................................7 HAND TOOLS & EQUIPMENT.............................................................................................8 PORTABLE (POWER OPERATED) TOOLS & EQUIPMENT ..................................................8 ABRASIVE WHEEL EQUIPMENT GRINDERS......................................................................9 POWDER ACTUATED TOOLS .............................................................................................9 MACHINE GUARDING ........................................................................................................9 LOCKOUT BLOCKOUT PROCEDURES..............................................................................10 WELDING, CUTTING & BRAZING ....................................................................................11 COMPRESSORS & COMPRESSED AIR ..............................................................................12 COMPRESSED AIR RECEIVERS ........................................................................................13 COMPRESSED GAS & CYLINDERS...................................................................................13 VEHICLE HOIST & AUXILIARY EQUIPMENT...................................................................13 INDUSTRIAL TRUCKS - FORKLIFTS.................................................................................14 SPRAYING OPERATIONS..................................................................................................14 ENTERING CONFINED SPACES ........................................................................................15 ENVIRONMENTAL CONTROLS ........................................................................................16 FLAMMABLE & COMBUSTIBLE MATERIALS..................................................................17 FIRE PROTECTION............................................................................................................18 HAZARDOUS CHEMICAL EXPOSURES ............................................................................18 HAZARDOUS SUBSTANCES COMMUNICATION..............................................................20 ELECTRICAL.....................................................................................................................20 NOISE................................................................................................................................21 Self-Inspecting Checklist
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FUELING ...........................................................................................................................22 IDENTIFICATION OF PIPING SYSTEMS............................................................................22 MATERIAL HANDLING.....................................................................................................23 TRANSPORTING EMPLOYEES & MATERIALS .................................................................23 CONTROL OF HARMFUL SUBSTANCES BY VENTILATION ............................................24 SANITIZING EQUIPMENT & CLOTHING...........................................................................24 TIRE INFLATION...............................................................................................................24 EMERGENCY ACTION PLAN ............................................................................................25 INFECTION CONTROL ......................................................................................................25 ERGONOMICS ...................................................................................................................25 VENTILATION FOR INDOOR AIR QUALITY.....................................................................26 CRANE CHECKLIST ..........................................................................................................26 MEDICAL SERVICES AND FIRST AID...............................................................................26 DO EMPLOYEES KNOW THEIR RESPONSIBILITES..........................................................27 DRINKING WATER ...........................................................................................................27 TOILET FACILITIES ..........................................................................................................27 OFFICE: GENERAL WORK AREA......................................................................................27 CLERICAL & ADMINISTRATIVE EMPLOYEES.................................................................27 DRIVERS AND DELIVERY WORKERS ..............................................................................28 EQUIPMENT AND VEHICLE SAFETY ...............................................................................28 CASHIERS & SALES CLERKS............................................................................................29 STOCK CLERKS & MATERIAL HANDLERS......................................................................29 BULK STORAGE OF LOOSE MATERIAL...........................................................................30 Self-Inspecting Checklist
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EMPLOYER POSTINGS
Is the OSHA Poster “Safety and Health protection on the Job” displayed in a prominent location where all employees are likely to see it?
Are emergency telephone numbers posted where they can be readily found in case of emergency? Where employees may be exposed to any toxic substances or harmful physical agents, has appropriate information concerning employee access to medical and exposure records, and “Safety Data Sheets,” etc., been posted or otherwise made readily available to affected employees?
Are signs concerning “Exiting from buildings,” room capacities, floor loading, exposures to x-ray, microwave, or other harmful radiation or substances posted where appropriate? Are other state and federal posters properly displayed, such as orders regulating wage, hours, and working conditions, harassment and discrimination? Discrimination in employment prohibited by law?
Notice to employees of unemployment and disability insurance? Payday Notice?
Summary of occupational injuries and illnesses posted in the month of February 1ST thru April 30th.
RECORDKEEPING
Are all occupational injury or illnesses, except minor injuries requiring only first aid, being recorded as required on the OSHA Form 300?
Is employee medical records and records of employee exposure to hazardous substances or harmful physical agents up to date?
Have arrangements been made to maintain the required records for the legal period of time for each specific type record? (Some records must be maintained for at least 40 years.) Are operating permits and records up to date for such items as elevators, air pressure tanks, and liquefied petroleum gas tank, etc.?
SAFETY AND HEALTH PROGRAM
Do you have an active safety and health program in operation? Is one person clearly responsible for the overall activities of the safety and health program? Do you have a safety committee or group made up of management and labor representatives that meet regularly and report in writing on its activities? Do you have a working procedure for handling in-house employee complaints regarding safety and health?
Are you keeping your employees advised of the successful effort and accomplishments you and/or your safety committee have made in assuring they will have a workplace that is safe and healthful?
SAFETY TRAINING GUIDELINES
The following are safety-training guidelines when instructing employees of good safety habits. Prepare the employee to accept your instruction.
Put the employee at ease. People can’t learn when they are scared or concerned about their job. For new employees, do not assume the person knows anything even though the person tells you otherwise. Explain all aspects of the job from start to finish. Get the person interested by telling the new employee how important the job is to the final product or service.
Make sure the employee understands the job position in relation to the rest of our firm’s operations.
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Present the operation.
Tell, show, illustrate, ask.
Give the information in small doses. People are no different than you are and can grasp but six or eight ideas at one time and really learn them.
Make sure of key points -- because these are important. Go slowly at first to obtain accuracy first and speed at a later date. Repeat as often as necessary because retention of new ideas varies.
Try out the employee’s performance.
Have the employee do the job but watch to make sure it is being done properly and safely. Have the employee repeat the operation a second time but explain what is being done and why. Have the employee explain the key points of the job to you. Correct errors in a calm manner, do not shout or get mad. Repeat all of the above until you are sure the employee can do the job as instructed.
Follow-up.
Put people on their own as soon as possible to give them self-confidence. Tell the employee whom to contact if help is needed.
Check the employee frequently at first and then less frequently as you see that the employee is able to do the job. Coach frequently; if coaching is effective don’t take over the job. Make sure the person understands the key points of the job. Make sure all required safety equipment is being worn properly.
GENERAL WORK ENVIRONMENT
Are all worksites clean and orderly?
Are work surfaces kept dry or appropriate means taken to assure the surfaces are slip-resistant? Are all spilled materials or liquids cleaned up immediately? Is combustible scrap, debris and waste stored safely and removed from the worksite promptly? Is accumulated combustible dust routinely removed from elevated surfaces, including the overhead structure of buildings?
Is combustible dust cleaned up with a vacuum system to prevent the dust going into suspension? Is metallic or conductive dust prevented from entering or accumulation on or around electrical enclosures or equipment?
Are covered metal waste cans used for oily and paint- soaked waste? Are all oil and gas fired devices equipped with flame failure controls that will prevent flow of fuel if pilots or main burners are not working?
Are paint spray booths, dip tanks and the like cleaned regularly? Are the minimum number of toilets and washing facilities provided? Are all toilets and washing facilities clean and sanitary? Are all work areas adequately illuminated?
Are pits and floor openings covered or otherwise guarded?
PERSONAL PROTECTIVE EQUIPMENT & CLOTHING
Are protective goggles or face shields provided and worn where there is any danger of flying particles or corrosive materials?
Are approved safety glasses required to be worn at all times in areas where there is a risk of eye injuries such as punctures, abrasions, contusions, or burns? Self-Inspecting Checklist
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Are employees who need corrective lenses (glasses or contacts lenses) in working environments with harmful exposures, required to wear only approved safety glasses, protective goggles, or use other medically approved precautionary procedures?
Are protective gloves, aprons, shields, or other means provided against cuts, corrosive liquids, and chemicals?
Are hard hats provided and worn where danger of falling objects exists? Are hard hats inspected periodically for damage to the shell and suspension system? Is appropriate foot protection required where there is the risk of foot injuries from hot, corrosive, poisonous substances, falling objects, crushing, or penetrating actions? Are approved respirators provided for regular or emergency use where needed? Is all protective equipment maintained in a sanitary condition and ready for use? Do you have eye wash facilities and a quick drench shower within the work area where employees are exposed to injurious corrosive materials?
Where special equipment is needed for electrical workers, is it available? When lunches are eaten on the premises, are they eaten in areas where there is no exposure to toxic materials or other health hazards?
Is protection against the effects of occupational noise exposure provided when sound levels exceed those of the Cal/OSHA noise standard?
WALKWAYS, AISLES & CRAWLWAYS
Are aisles and passageways kept clear?
Are aisles and walkways marked as appropriate?
Are wet surfaces covered with non-slip materials?
Are holes in the floor, sidewalk or other walking surface repaired properly, covered, or otherwise made safe?
Is there safe clearance for walking in aisles where motorized or mechanical handling equipment is operating?
Are spilled materials cleaned up immediately?
Are materials or equipment stored in such a way that sharp projectiles will not interfere with the walkway?
Are changes of direction or elevations readily identifiable? Are aisles or walkways that pass near moving or operating machinery, welding operations or similar operations arranged so employees will not be subjected to potential hazards? Is adequate headroom provided for the entire length of any aisle or walkway? Are standard guardrails provided wherever aisle or walkway surfaces are elevated more than 30 inches above any adjacent floor or the ground?
Are bridges provided over conveyors and similar hazards?
FLOOR & WALL OPENINGS
Are floor openings guarded by a cover, guardrail, or equivalent on all sides (except at entrance to stairways or ladders)?
Are toeboards installed around the edges of a permanent floor opening (where persons may pass below the opening)?
Are skylight screens of such construction and mounting that they will withstand a load of at least 200 pounds?
Is the glass in windows, doors, glass walls that are subject to human impact, of sufficient thickness and type for the condition of use?
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Are grates or similar type covers over floor openings such as floor drains, of such design that foot traffic or rolling equipment will not be affected by the grate spacing? Are unused portions of service pits and pits not actually in use either covered or protected by guardrails or equivalent?
Are manhole covers, trench covers and similar covers, plus their supports, designed to carry a truck rear axle load of at least 20,000 pounds when located in roadways and subject to vehicle traffic?
Are floor or wall openings in fire resistive construction provided with doors or covers compatible with the fire rating of the structure and provided with self-closing feature when appropriate?
STAIRS & STAIRWAYS
Are standard stair rails or handrails on all stairways having four or more risers? Are all stairways at least 22 inches wide?
Do stairs have at least a 6'6" overhead clearance?
Do stairs angle no more than 50 and no less than 30 degrees? Are stairs of hollow-pan type treads and landings filled to noising level with solid material? Are step risers on stairs uniform from top to bottom, with no riser spacing greater than 7-1/2 inches?
Are steps on stairs and stairways designed or provided with a surface that renders them slip resistant?
Are stairway handrails located between 30 and 34 inches above the leading edge of stair treads? Do stairway handrails have a least 1-1/2 inches of clearance between the handrails and the wall or surface they are mounted on?
Are stairway handrails capable of withstanding a load of 200 pounds, applied in any direction? Where stairs or stairways exit directly into any area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees stepping into the path of traffic? Do stairway landings have a dimension measured in the direction of travel, at least equal to width of the stairway?
Is the vertical distance between stairway landings limited to 12 feet or less?
ELEVATED SURFACES
Are signs posted, when appropriate, showing the elevated surface load capacity? Are surfaces elevated more than 30 inches above the floor or ground provided with standard guardrails?
Are all elevated surfaces (beneath which people or machinery could be exposed to falling objects) provided with standard 4-inch toeboards?
Is a permanent means of access and egress provided to elevated storage and work surfaces? Is required headroom provided where necessary?
Is material on elevated surfaces piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading?
Are dock boards or bridge plates used when transferring materials between docks and trucks or rail cars?
EXITING OR EGRESS
Are all exits marked with an exit sign and illuminated by a reliable light source? Are the directions to exits, when not immediately apparent, marked with visible signs? Self-Inspecting Checklist
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Are doors, passageways, or stairways, that are neither exits nor access to exits and which could be mistaken for exits, appropriately marked "NOT AN EXIT", "TO BASEMENT", "STOREROOM", and the like?
Are exit signs provided with the word "EXIT" in lettering at least 5 inches high and the stroke of the lettering at least 1/2 inch wide?
Are exit doors side-hinged?
Are all exits kept free of obstructions?
Are at least two means of egress provided from elevated platforms, pits, or rooms where the absence of a second exit would increase the risk of injury from hot, poisonous, corrosive, suffocating, flammable, or explosive substances?
Are there sufficient exits to permit prompt escape in case of emergency? Are special precautions taken to protect employees during construction and repair operations? Is the number of exits from each floor of a building, and the number of exits from the building itself, appropriate for the building occupancy load?
Are exit stairways which are required to be separated from other parts of a building enclosed by at least two-hour fire- resistive construction in buildings more than four stories in height, and not less than one-hour fire resistive construction elsewhere?
When ramps are used as part of required exiting from a building, is the ramp slope limited to 1- foot vertical and 12 feet horizontal?
Where exiting will be through frameless glass doors, glass exit doors, storm doors, and such are the doors fully tempered and meet the safety requirements for human impact?
EXIT DOORS
Are doors that are required to serve as exits designed and constructed so that the way of exit travel is obvious and direct?
Are windows that could be mistaken for exit doors, made inaccessible by means of barriers or railings?
Are exit doors openable from the direction of exit travel without the use of a key or any special knowledge or effort when the building is occupied?
Is a revolving, sliding, or overhead door prohibited from serving as a required exit door? Where panic hardware is installed on a required exit door, will it allow the door to open by applying a force of 15 pounds or less in the direction of the exit traffic? Are doors on cold storage rooms provided with an inside release mechanism that will release the latch and open the door even if it's padlocked or otherwise locked on the outside? Where exit doors open directly onto any street, alley, or other area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees stepping into the path of traffic?
Are doors that swing in both directions and are located between rooms where there is frequent traffic, provided with viewing panels in each door?
PORTABLE LADDERS
Are all ladders maintained in good condition, joints between steps and side rails tight, all hardware and fittings securely attached, and moveable parts operating freely without binding or undue play? Are non-slip safety feet provided on each ladder?
Are non-slip safety feet provided on each metal or rung ladder? Are ladder rungs and steps free of grease and oil?
Is it prohibited to place a ladder in front of doors opening toward the ladder except when the door is blocked open, locked, or guarded?
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Is it prohibited to place ladders on boxes, barrels, or other unstable bases to obtain additional height?
Are employees instructed to face the ladder when ascending or descending? Are employees prohibited from using ladders that are broken, missing steps, rungs, or cleats, broken side rails or other faulty equipment?
Are employees instructed not to use the top 2 steps of ordinary stepladders as a step? When portable rung ladders are used to gain access to elevated platforms, roofs, and the like does the ladder always extend at least 3 feet above the elevated surface? Is it required that when portable rung or cleat type ladders are used the base is so placed that slipping will not occur, or it is lashed or otherwise held in place? Are portable metal ladders legibly marked with signs reading "CAUTION" "Do Not Use Around Electrical Equipment" or equivalent wording?
Are employees prohibited from using ladders as guys, braces, skids, gin poles, or for other than their intended purposes?
Are employees instructed to only adjust extension ladders while standing at a base (not while standing on the ladder or from a position above the ladder)? Are metal ladders inspected for damage?
Are the rungs of ladders uniformly spaced at 12 inches, center to center?
HAND TOOLS & EQUIPMENT
Are all tools and equipment (both company, and employee- owned) used by employees at their workplace in good condition?
Are hand tools such as chisels, punches, which develop mushroomed heads during use, reconditioned or replaced as necessary?
Are broken or fractured handles on hammers, axes and similar equipment replaced promptly? Are worn or bent wrenches replaced regularly?
Are appropriate handles used on files and similar tools? Are employees made aware of the hazards caused by faulty or improperly used hand tools? Are appropriate safety glasses, face shields, and similar equipment used while using hand tools or equipment that might produce flying materials or be subject to breakage? Are jacks checked periodically to assure they are in good operating condition? Are tool handles wedged tightly in the head of all tools? Are tool cutting edges kept sharp so the tool will move smoothly without binding or skipping? Are tools stored in dry, secure location where they won't be tampered with? Is eye and face protection used when driving hardened or tempered spuds or nails?
PORTABLE (POWER OPERATED) TOOLS & EQUIPMENT
Are grinders, saws, and similar equipment provided with appropriate safety guards? Are power tools used with the correct shield, guard or attachment recommended by the manufacturer?
Are portable circular saws equipped with guards above and below the base shoe? Are circular saw guards checked to assure they are not wedged up, thus leaving the lower portion of the blade unguarded?
Are rotating or moving parts of equipment guarded to prevent physical contact? Are all cord-connected, electrically operated tools and equipment effectively grounded or of the approved double insulated type?
Are effective guards in place over belts, pulleys, chains, and sprockets, on equipment such as concrete mixers, air compressors, and the like?
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Are portable fans provided with full guards or screens having openings 1/2 inch or less? Is hoisting equipment available and used for lifting heavy objects, and are hoist ratings and characteristics appropriate for the task?
Are ground-fault circuit interrupters provided on all temporary electrical 15 and 20 ampere circuits, used during periods of construction?
Are pneumatic and hydraulic hoses on power-operated tools checked regularly for deterioration or damage?
ABRASIVE WHEEL EQUIPMENT GRINDERS
Is the work rest used and kept adjusted to within 1/8 inch of the wheel? Is the adjustable tongue on the top side of the grinder used and kept adjusted to within 1/4 inch of the wheel?
Do side guards cover the spindle, nut, and flange and 75 percent of the wheel diameter? Are bench and pedestal grinders permanently mounted?
Are goggles or face shields always worn when grinding? Is the maximum RPM rating of each abrasive wheel compatible with the RPM rating of the grinder motor?
Are fixed or permanently mounted grinders connected to their electrical supply system with metallic conduit or other permanent wiring method?
Does each grinder have an individual on and off control switch? Is each electrically operated grinder effectively grounded? Before new abrasive wheels are mounted, are they visually inspected and ring tested? Are dust collectors and powered exhausts provided on grinders used in operations that produce large amounts of dust?
Are splashguards mounted on grinders that use coolant, to prevent the coolant reaching employees?
Is cleanliness maintained around grinder?
POWDER ACTUATED TOOLS
Are employees who operate powder-actuated tools trained in their use and carry a valid operator's card?
Do the powder-actuated tools being used have written approval of the Division of Occupational Safety and Health?
Is each powder-actuated tool stored in its own locked container when not being used? Is a sign at least 7" by 10" with bold type reading "POWDER- ACTUATED TOOL IN USE" conspicuously posted when the tool is being used?
Are powder-actuated tools left unloaded until they are actually ready to be used? Are powder-actuated tools inspected for obstructions or defects each day before use? Do powder-actuated tools operators have and use appropriate personal protective equipment such as hard hats, safety goggles, safety shoes and ear protectors?
MACHINE GUARDING
Is there a training program to instruct employees on safe methods of machine operation? Is there adequate supervision to ensure that employees are following safe machine operating procedures?
Is there a regular program of safety inspection of machinery and equipment? Is all machinery and equipment kept clean and properly maintained? Self-Inspecting Checklist
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Is sufficient clearance provided around and between machines to allow for safe operations, set up and servicing, material handling and waste removal?
Is equipment and machinery securely placed and anchored, when necessary to prevent tipping or other movement that could result in personal injury?
Is there a power shut-off switch within reach of the operator's position at each machine? Can electric power to each machine be locked out for maintenance, repair, or security? Are the noncurrent-carrying metal parts of electrically operated machines bonded and grounded? Are foot-operated switches guarded or arranged to prevent accidental actuation by personnel or falling objects?
Are manually operated valves and switches controlling the operation of equipment and machines clearly identified and readily accessible?
Are all emergency stop buttons colored red?
Are all pulleys and belts that are within 7 feet of the floor or working level properly guarded? Are all moving chains and gears properly guarded?
Are splashguards mounted on machines that use coolant, to prevent the coolant from reaching employees?
Are methods provided to protect the operator and other employees in the machine area from hazards created at the point of operation, ingoing nip points, rotating parts, flying chips, and sparks?
Are machinery guards secure and so arranged that they do not offer a hazard in their use? If special hand tools are used for placing and removing material, do they protect the operator's hands?
Are revolving drums, barrels, and containers required to be guarded by an enclosure that is interlocked with the drive mechanism, so that revolution cannot occur unless the guard enclosure is in place, so guarded?
Do arbors and mandrels have firm and secure bearings and are they free from play? Are provisions made to prevent machines from automatically starting when power is restored after a power failure or shutdown?
Are machines constructed so as to be free from excessive vibration when the largest size tool is mounted and run at full speed?
If machinery is cleaned with compressed air, is air pressure controlled and personal protective equipment or other safeguards used to protect operators and other workers from eye and body injury?
Are fan blades protected with a guard having openings no larger than 1/2 inch, when operating within 7 feet of the floor?
Are saws used for ripping, equipped with anti-kick back devices and spreaders? Are radial arm saws so arranged that the cutting head will gently return to the back of the table when released?
LOCKOUT BLOCKOUT PROCEDURES
Is all machinery or equipment capable of movement, required to be de-energized or disengaged and blocked or locked out during cleaning, servicing, adjusting, or setting up operations, whenever required?
Is the locking-out of control circuits in lieu of locking-out main power disconnects prohibited? Are all equipment control valve handles provided with a means for locking-out? Does the lockout procedure require that stored energy (i.e., mechanical, hydraulic, air,) be released or blocked before equipment is locked-out for repairs? Are appropriate employees provided with individually keyed personal safety locks? Self-Inspecting Checklist
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Are employees required to keep personal control of their key(s) while they have safety locks in use?
Is it required that employees check the safety of the lock out by attempting a start up after making sure no one is exposed?
Where the power disconnecting means for equipment does not also disconnect the electrical control circuit:
Are the appropriate electrical enclosures identified? Is means provide to assure the control circuit can also be disconnected and locked out?
WELDING, CUTTING & BRAZING
Are only authorized and trained personnel permitted to use welding, cutting or brazing equipment? Do all operators have a copy of the appropriate operating instructions and are they directed to follow them?
Are compressed gas cylinders regularly examined for obvious signs of defects, deep rusting, or leakage?
Is care used in handling and storage of cylinders, safety valves, relief valves, and the like, to prevent damage?
Are precautions taken to prevent the mixture of air or oxygen with flammable gases, except at a burner or in a standard torch?
Is only approved apparatus (torches, regulators, pressure- reducing valves, acetylene generators, manifolds) used?
Are cylinders kept away from sources of heat?
Is it prohibited to use cylinders as rollers or supports? Are empty cylinders appropriately marked their valves closed and valve-protection caps on? Are signs reading: DANGER NO-SMOKING, MATCHES, OR OPEN LIGHTS, or the equivalent posted?
Are cylinders, cylinder valves, couplings, regulators, hoses, and apparatus keep free of oily or greasy substances?
Is care taken not to drop or strike cylinders?
Unless secured on special trucks, are regulators removed and valve-protection caps put in place before moving cylinders?
Do cylinders without fixed hand wheels have keys, handles, or non-adjustable wrenches on stem valves when in service?
Are liquefied gases stored and shipped valve-end up with valve covers in place? Are employees instructed to never crack a fuel-gas cylinder valve near sources of ignition? Before a regulator is removed, is the valve closed and gas released form the regulator? Is red used to identify the acetylene (and other fuel-gas) hose, green for oxygen hose, and black for inert gas and air hose?
Are pressure-reducing regulators used only for the gas and pressures for which they are intended? Is open circuit (No Load) voltage of arc welding and cutting machines as low as possible and not in excess of the recommended limits?
Under wet conditions, are automatic controls for reducing no-load voltage used? Is grounding of the machine frame and safety ground connections of portable machines checked periodically?
Are electrodes removed from the holders when not in use? Is it required that electric power to the welder be shut off when no one is in attendance? Is suitable fire extinguishing equipment available for immediate use? Is the welder forbidden to coil or loop welding electrode cable around his body? Self-Inspecting Checklist
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Are wet machines thoroughly dried and tested before being used? Are work and electrode lead cables frequently inspected for wear and damage, and replaced when needed?
Do means for connecting cables' lengths have adequate insulation? When the object to be welded cannot be moved and fire hazards cannot be removed, are shields used to confine heat, sparks, and slag?
Are firewatchers assigned when welding or cutting is performed, in locations where a serious fire might develop?
Are combustible floors kept wet, covered by damp sand, or protected by fire-resistant shields? When floors are wet down, are personnel protected from possible electrical shock? When welding is done on metal walls, are precautions taken to protect combustibles on the other side?
Before hot work is begun, are used drums, barrels, tanks, and other containers so thoroughly cleaned that no substances remain that could explode, ignite, or produce toxic vapors? Is it required that eye protection helmets, hand shields and goggles meet appropriate standards? Are employees exposed to the hazards created by welding, cutting, or bracing operations protected with personal protective equipment and clothing? Is a check made for adequate ventilation in and where welding or cutting is preformed? When working in confined places are environmental monitoring tests taken and means provided for quick removal of welders in case of an emergency?
COMPRESSORS & COMPRESSED AIR
Are compressors equipped with pressure relief valves, and pressure gauges? Are compressor air intakes installed and equipped to ensure that only clean uncontaminated air enters the compressor?
Are air filters installed on the compressor intake?
Are compressors operated and lubricated in accordance with the manufacturer's recommendations?
Are safety devices on compressed air systems checked frequently? Before any repair work is done on the pressure system of a compressor, is the pressure bled off and the system locked- out?
Are signs posted to warn of the automatic starting feature of the compressors? Is the belt drive system totally enclosed to provide protection for the front, back, top, and sides? Is it strictly prohibited to direct compressed air towards a person? Are employees prohibited from using highly compressed air for cleaning purposes? If compressed air is used for cleaning off clothing, is the pressure reduced to less than 10 psi? When using compressed air for cleaning, do employees use personal protective equipment? Are safety chains or other suitable locking devices used at couplings of high-pressure hose lines where a connection failure would create a hazard?
Before compressed air is used to empty containers of liquid, is the safe working pressure of the container checked?
When compressed air is used with abrasive blast cleaning equipment, is the operating valve a type that must be held open manually?
When compressed air is used to inflate auto tires, is a clip-on chuck and an inline regulator preset to 40 psi required?
Is it prohibited to use compressed air to clean up or move combustible dust if such action could cause the dust to be suspended in the air and cause a fire or explosion hazard? Self-Inspecting Checklist
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COMPRESSED AIR RECEIVERS
Is every receiver equipped with a pressure gauge and with one or more automatic, spring-loaded safety valves?
Is the total relieving capacity of the safety valve capable of preventing pressure in the receiver from exceeding the maximum allowable working pressure of the receiver by more than 10 percent? Is every air receiver provided with a drainpipe and valve at the lowest point for the removal of accumulated oil and water?
Are compressed air receivers periodically drained of moisture and oil? Are all safety valves tested frequently and at regular intervals to determine whether they are in good operating condition?
Is there a current operating permit issued by the Division of Occupational Safety and Health? Is the inlet of air receivers and piping systems kept free of accumulated oil and carbonaceous materials?
COMPRESSED GAS & CYLINDERS
Are cylinders with a water weight capacity over 30 pounds equipped with means for connecting a valve protector device, or with a collar or recess to protect the valve? Are cylinders legibly marked to clearly identify the gas contained? Are compressed gas cylinders stored in areas which are protected from external heat sources such as flame impingement, intense radiant heat, electric arcs, or high temperature lines? Are cylinders located or stored in areas where they will not be damaged by passing or falling objects, or subject to tampering by unauthorized persons? Are cylinders stored or transported in a manner to prevent them creating a hazard by tipping, falling, or rolling?
Are cylinders containing liquefied fuel gas, stored, or transported in a position so that the safety relief device is always in direct contact with the vapor space in the cylinder? Are valve protectors always placed on cylinders when the cylinders are not in use or connected for use?
Are all valves closed off before a cylinder is moved, when the cylinder is empty, and at the completion of each job?
Are low pressure fuel-gas cylinders checked periodically for corrosion, general distortion, cracks, or any other defect that might indicate a weakness or render it unfit for service? Does the periodic check of low-pressure fuel-gas cylinders include a close inspection of the cylinders' bottom?
VEHICLE HOIST & AUXILIARY EQUIPMENT
Is each overhead electric hoist equipped with a limit device to stop the hook travel at its highest and lowest point of safe travel?
Will each hoist automatically stop and hold any load up to 125 percent of its rated load, if its actuating force is removed?
Is the rated load of each hoist legibly marked and visible to the operator? Are stops provided at the safe limits of travel for trolley hoist? Are the controls of hoists plainly marked to indicate the direction of travel or motion? Is each cage-controlled hoist equipped with an effective warning device? re close-fitting guards or other suitable devices installed on hoist to assure hoist ropes will be maintained in the sheave groves?
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Are all hoist chains or ropes of sufficient length to handle the full range of movement for the application while still maintaining two full wraps on the drum at all times? Are nip points or contact points between hoist ropes and sheaves which are permanently located within 7 feet of the floor, ground or working platform, guarded? Is it prohibited to use chains or rope slings that are kinked or twisted? Is it prohibited to use the hoist rope or chain wrapped around the load as a substitute, for a sling? Is the operator instructed to avoid carrying loads over people? Are only employees who have been trained in the proper use of hoists allowed to operate them?
INDUSTRIAL TRUCKS - FORKLIFTS
Are only trained personnel allowed to operate industrial trucks? Is substantial overhead protective equipment provided on high lift rider equipment? Are the required lift truck operating rules posted and enforced? Is directional lighting provided on each industrial truck that operates in an area with less than 2-foot candles per square foot of general lighting?
Does each industrial truck have a warning horn, whistle, gong, or other device which can be clearly heard above the normal noise in the areas where operated? Are the brakes on each industrial truck capable of bringing the vehicle to a complete and safe stop when fully loaded?
Will the industrial truck's parking brake effectively prevent the vehicle from moving when unattended?
Are industrial trucks operating in areas where flammable gases or vapors, or combustible dust or ignitable fibers may be present in the atmosphere, approved for such locations? Are motorized hand and hand/rider trucks so designed that the brakes are applied, and power to the drive motor shuts off when the operator releases his/her grip on the device that controls the travel?
Are industrial trucks with internal combustion engine operated in buildings or enclosed areas, carefully checked to ensure such operations do not cause harmful concentration of dangerous gases or fumes?
SPRAYING OPERATIONS
Is adequate ventilation assured before spray operations are started? Is mechanical ventilation provided when spraying operation is done in enclosed areas? When mechanical ventilation is provided during spraying operations, is it so arranged that it will not circulate the contaminated air?
Is the spray area free of hot surfaces?
Is the spray area at least 20 feet from flames, sparks, operating electrical motors and other ignition sources?
Are portable lamps used to illuminate spray areas suitable for use in a hazardous location? Is approved respiratory equipment provided and used when appropriate during spraying operations?
Do solvents used for cleaning have a flash point of 100"W F or more? Are fire control sprinkler heads kept clean?
Are "NO SMOKING" signs posted in spray areas, paint rooms, paint booths, and paint storage areas?
Is the spray area kept clean of combustible residue?
Are spray booths constructed of metal, masonry, or other substantial noncombustible material? Are spray booth floors and baffles noncombustible and easily cleaned? Self-Inspecting Checklist
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Is infrared drying apparatus kept out of the spray area during spraying operations? Is the spray booth completely ventilated before using the drying apparatus? Is the electric drying apparatus properly grounded?
Are lighting fixtures for spray booths located outside of the booth and the interior lighted through sealed clear panels?
Are the electric motors for exhaust fans placed outside booths or ducts? Are belts and pulleys inside the booth fully enclosed? Do ducts have access doors to allow cleaning?
Do all drying spaces have adequate ventilation?
ENTERING CONFINED SPACES
Are confined spaces thoroughly emptied of any corrosive or hazardous substances, such as acids or caustics, before entry?
Before entry, are all lines to a confined space, containing inert, toxic, flammable, or corrosive materials valved off and blanked or disconnected and separated? Is it required that all impellers, agitators, or other moving equipment inside confined spaces be locked-out if they present a hazard?
Is either natural or mechanical ventilation provided prior to confined space entry? Before entry, are appropriate atmospheric tests performed to check for oxygen deficiency, toxic substance, and explosive concentrations in the confined space before entry? Is adequate illumination provided for the work to be performed in the confined space? Is the atmosphere inside the confined space frequently tested or continuously monitor during conduct of work?
Is there an assigned safety standby employee outside of the confined space, whose sole responsibility is to watch the work in progress, sound an alarm if necessary, and render assistance?
Is the standby employee or other employees prohibited from entering the confined space without lifelines and respiratory equipment if there is any questions as to the cause of an emergency? In addition to the standby employee, is there at least one other trained rescuer in the vicinity? Are all rescuers appropriately trained and using approved, recently inspected equipment? Does all rescue equipment allow for lifting employees vertically from a top opening? Are there trained personnel in First Aid and CPR immediately available? Is there an effective communication system in place whenever respiratory equipment is used and the employee in the confined space is out of sight of the standby person? Is approved respiratory equipment required if the atmosphere inside the confined space cannot be made acceptable?
Is all portable electrical equipment used inside confined spaces either grounded and insulated, or equipped with ground fault protection?
Before gas welding or burning is started in a confined space, are hoses checked for leaks, compressed gas bottles forbidden inside of the confined space, torches lighted only outside of the confined area and the confined area tested for an explosive atmosphere each time before a lighted torch is to be taken into the confined space?
If employees will be using oxygen-consuming equipment such as salamanders, torches, furnaces, in a confined space, is sufficient air provided to assure combustion without reducing the oxygen concentration of the atmosphere below 19.5 percent by volume? Whenever combustion-type equipment is used in confined space, are provisions made to ensure the exhaust gases are vented outside of the enclosure?
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Is each confined space checked for decaying vegetation or animal matter, which may produce methane?
Is the confined space checked for possible industrial waste, which could contain toxic properties? If the confined space is below the ground and near areas where motor vehicles will be operating, is it possible for vehicle exhaust or carbon monoxide to enter the space?
ENVIRONMENTAL CONTROLS
Are all work areas properly illuminated?
Are employees instructed in proper first aid and other emergency procedures? Are hazardous substances identified which may cause harm by inhalation, ingestion, skin absorption or contact?
Are employees aware of the hazards involved with the various chemicals they may be exposed to in their work environment, such as ammonia, chlorine, epoxies, and caustics? Is employee exposure to chemicals in the workplace kept within acceptable levels? Can a less harmful method or product be used?
Is the work area's ventilation system appropriate for the work being performed? Are spray painting operations done in spray rooms or booths equipped with an appropriate exhaust system?
Is employee exposure to welding fumes controlled by ventilation, use of respirators, exposure time, or other means?
Are welders and other workers nearby provided with flash shields during welding operations? If forklifts and other vehicles are used in buildings or other enclosed areas, are the carbon monoxide levels kept below maximum acceptable concentration? Has there been a determination that noise levels in the facilities are within acceptable levels? Are steps being taken to use engineering controls to reduce excessive noise levels? Are proper precautions being taken when handling asbestos and other fibrous materials? Are caution labels and signs used to warn of asbestos? Are wet methods used, when practicable, to prevent the emission of airborne asbestos fibers, silica dust and similar hazardous materials?
Is vacuuming with appropriate equipment used whenever possible rather than blowing or sweeping dust?
Are grinders, saws, and other machines that produce respirable dusts vented to an industrial collector or central exhaust system?
Are all local exhaust ventilation systems designed and operating properly such as airflow and volume necessary for the application? Are the ducts free of obstructions or the belts slipping? Is personal protective equipment provided, used, and maintained wherever required? Are there written standard operating procedures for the selection and use of respirators where needed?
Are restrooms and washrooms kept clean and sanitary?
Is all water provided for drinking, washing, and cooking potable? Are all outlets for water not suitable for drinking clearly identified? Are employees' physical capacities assessed before being assigned to jobs requiring heavy work? Are employees instructed in the proper manner of lifting heavy objects? Where heat is a problem, have all fixed work areas been provided with spot cooling or air conditioning?
Are employees screened before assignment to areas of high heat to determine if their health condition might make them more susceptible to having an adverse reaction? Self-Inspecting Checklist
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Are employees working on streets and roadways where they are exposed to the hazards of traffic, required to wear bright colored (traffic orange) warning vest? Are exhaust stacks and air intakes located so that contaminated air will not be recirculated within a building or other enclosed area?
Is equipment producing ultra-violet radiation properly shielded?
FLAMMABLE & COMBUSTIBLE MATERIALS
Are combustible scrap, debris, and waste materials (i.e., oily rags) stored in covered metal receptacles and removed from the worksite promptly?
Is proper storage practiced to minimize the risk of fire including spontaneous combustion? Are approved containers and tanks used for the storage and handling of flammable and combustible liquids?
Are all connections on drums and combustible liquid piping, vapor and liquid tight? Are all flammable liquids kept in closed containers when not in use (e.g., parts cleaning tanks, pans)?
Are bulk drums of flammable liquids grounded and bonded to containers during dispensing? Do storage rooms for flammable and combustible liquids have explosion-proof lights? Do storage rooms for flammable and combustible liquids have mechanical or gravity ventilation? Is liquefied petroleum gas stored, handled, and used in accordance with safe practices and standards?
Are liquefied petroleum storage tanks guarded to prevent damage from vehicles? Are all solvent wastes and flammable liquids kept in fire- resistant covered containers until they are removed from the worksite?
Is vacuuming used whenever possible rather than blowing or sweeping combustible dust? Are fire separators placed between containers of combustibles or flammables, when stacked one upon another, to assure their support and stability?
Are fuel gas cylinders and oxygen cylinders separated by distance, fire resistant barriers or other means while in storage?
Are fire extinguishers selected and provided for the types of materials in areas where they are to be used?
Class A: Ordinary combustible material fires.
Class B: Flammable liquid, gas, or grease fires.
Class C: Energized-electrical equipment fires.
If a Halon 1301 fire extinguisher is used, can employees evacuate within the specified time for that extinguisher?
Are appropriate fire extinguishers mounted within 75 feet of outside areas containing flammable liquids, and within 10 feet of any inside storage area for such materials? Is the transfer/withdrawal of flammable or combustible liquids performed by trained personnel? Are fire extinguishers mounted so that employees do not have to travel more than 75 feet for a class "A" fire or 50 feet for a class "B" fire?
Are employees trained in the use of fire extinguishers? Are extinguishers free from obstructions or blockage? Are all extinguishers serviced, maintained, and tagged at intervals not to exceed one year? Are all extinguishers fully charged and in their designated places? Is a record maintained of required monthly checks of extinguishers? Where sprinkler systems are permanently installed, are the nozzle heads directed or arranged so that water will not be sprayed into operating electrical switchboards and equipment? Self-Inspecting Checklist
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Are "NO SMOKING" signs posted where appropriate in areas where flammable or combustible materials are used or stored?
Are "NO SMOKING" signs posted on liquefied petroleum gas tanks? Are "NO SMOKING" rules enforced in areas involving storage and use of flammable materials? Are safety cans used for dispensing flammable or combustible liquids at a point of use? Are all spills of flammable or combustible liquids cleaned up promptly? Are storage tanks adequately vented to prevent the development of excessive vacuum or pressure as a result of filling, emptying, or atmosphere temperature changes? Are storage tanks equipped with emergency venting that will relieve excessive internal pressure caused by fire exposure?
Are spare portable or butane tanks, which are sued by industrial trucks stored in accord with regulations?
FIRE PROTECTION
Do you have a fire prevention plan?
Does your plan describe the type of fire protection equipment and/or systems? Have you established practices and procedures to control potential fire hazards and ignition sources?
Are employees aware of the fire hazards of the material and processes to which they are exposed?
Is your local fire department well acquainted with your facilities, location, and specific hazards? If you have a fire alarm system, is it tested at least annually? If you have a fire alarm system, is it certified as required? If you have interior standpipes and valves, are they inspected regularly? If you have outside private fire hydrants, are they flushed at least once a year and on a routine preventive maintenance schedule?
Are fire doors and shutters in good operating condition? Are fire doors and shutters unobstructed and protected against obstructions, including their counterweights?
Are fire door and shutter fusible links in place?
Are automatic sprinkler system water control valves, air and water pressures checked weekly/periodically as required?
Is maintenance of automatic sprinkler system assigned to responsible persons or to a sprinkler contractor?
Are sprinkler heads protected by metal guards, when exposed to physical damage? Is proper clearance maintained below sprinkler heads? Are portable fire extinguishers provided in adequate number and type? Are fire extinguishers mounted in readily accessible locations? Are fire extinguishers recharged regularly and noted on the inspection tag? Are employees periodically instructed in the use of extinguishers and fire protection procedures?
HAZARDOUS CHEMICAL EXPOSURES
Are employees trained in the safe handling practices of hazardous chemicals such as acids, caustics, and the like?
Are employees aware of the potential hazards involving various chemicals stored or used in the workplace--such as acids, bases, caustics, epoxies, and phenols? Is employee exposure to chemicals kept within acceptable levels? Self-Inspecting Checklist
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Are eye wash fountains and safety showers provided in areas where corrosive chemicals are handled?
Are all containers, such as vats and storage tanks labeled as to their contents--e.g., "CAUSTICS"? Are all employees required to use personal protective clothing and equipment when handling chemicals (i.e., gloves, eye protection, and respirators)? Are flammable or toxic chemicals kept in closed containers when not in use? Are chemical piping systems clearly marked as to their content? Where corrosive liquids are frequently handled in open containers or drawn from storage vessels or pipelines, is adequate means readily available for neutralizing or disposing of spills or overflows properly and safely?
Have standard operating procedures been established and are they being followed when cleaning up chemical spills?
Where needed for emergency use, are respirators stored in a convenient, clean, and sanitary location?
Are respirators intended for emergency use adequate for the various uses for which they may be needed?
Are employees prohibited from eating in areas where hazardous chemicals are present? Is personal protective equipment provided, used, and maintained whenever necessary? Are there written standard operating procedures for the selection and use of respirators where needed?
If you have a respirator protection program, are your employees instructed on the correct usage and limitations of the respirators?
Are the respirators NIOSH approved for this particular application? Are they regularly inspected and cleaned sanitized and maintained? If hazardous substances are used in your processes, do you have a medical or biological monitoring system in operation?
Are you familiar with the Threshold Limit Values or Permissible Exposure Limits of airborne contaminants and physical agents used in your workplace? Have control procedures been instituted for hazardous materials, where appropriate, such as respirators, ventilation systems, handling practices, and the like? Whenever possible, are hazardous substances handled in properly designed and exhausted booths or similar locations?
Do you use general dilution or local exhaust ventilation systems to control dusts, vapors, gases, fumes, smoke, solvents, or mists which may be generated in your workplace? Is ventilation equipment provided for removal of contaminants from such operations as production grinding, buffing, spray painting, and/or vapor decreasing, and is it operating properly? Do employees complain about dizziness, headaches, nausea, irritation, or other factors of discomfort when they use solvents or other chemicals?
Is there a dermatitis problem--do employee complain about skin dryness, irritation, or sensitization?
Have you considered the use of an industrial hygienist or environmental health specialist to evaluate your operation?
If internal combustion engines are used, is carbon monoxide kept within acceptable levels? Is vacuuming used, rather than blowing or sweeping dusts whenever possible for clean up? Are materials, which give off toxic, asphyxiant, suffocating or anesthetic fumes, stored in remote or isolated locations when not in use?
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HAZARDOUS SUBSTANCES COMMUNICATION
Is there a list of hazardous substances used in your workplace? Is there a written hazard communication program dealing with Safety Data Sheets (SDS) labeling, and employee training?
Who is responsible for SDSs, container labeling, employee training? Is each container for a hazardous substance (i.e., vats, bottles, storage tanks,) labeled with product identity and a hazard warning (communication of the specific health hazards and physical hazards)?
Is there a Safety Data Sheet readily available for each hazardous substance used? How will you inform other employers whose employees share the same work area where the hazardous substances are used?
Is there an employee training program for hazardous substances? Does this program include:
An explanation of what an SDS is and how to use and obtain one? SDS contents for each hazardous substance or class of substances? Explanation of "Right to Know"?
Identification of where employees can see the employer's written hazard communication program and where hazardous substances are present in their work area? The physical and health hazards of substances in the work area, how to detect their presence, and specific protective measures to be used?
Details of the hazard communication program, including how to use the labeling system and SDSs?
How employees will be informed of hazards of non-routine tasks, and hazards of unlabeled pipes?
ELECTRICAL
Are your workplace electricians familiar with the Cal/OSHA Electrical Safety Orders? Do you specify compliance with Cal/OSHA for all contract electrical work? Are all employees required to report as soon as practicable any obvious hazard to life or property observed in connection with electrical equipment or lines? Are employees instructed to make preliminary inspections and/or appropriate tests to determine what conditions exist before starting work on electrical equipment or lines? When electrical equipment or lines are to be serviced, maintained, or adjusted, are necessary switches opened, locked-out and tagged whenever possible? Are portable electrical tools and equipment grounded or of the double insulated type? Are electrical appliances such as vacuum cleaners, polishers, vending machines grounded? Do extension cords being used have a grounding conductor? Are multiple plug adapters prohibited?
Are ground-fault circuit interrupters installed on each temporary 15 or 20 amperes, 120-volt AC circuit at locations where construction, demolition, modifications, alterations, or excavations are being performed?
Are all temporary circuits protected by suitable disconnecting switches or plug connectors at the junction with permanent wiring?
Is exposed wiring and cords with frayed or deteriorated insulation repaired or replaced promptly? Are flexible cords and cables free of splices or taps? Are clamps or other securing means provided on flexible cords or cables at plugs, receptacles, tools, and equipment and is the cord jacket securely held in place? Are all cord, cable, and raceway connections intact and secure? Self-Inspecting Checklist
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In wet or damp locations, are electrical tools and equipment appropriate for the use or location or otherwise protected?
Is the location of electrical power lines and cables (overhead, underground, underfloor, other side of walls) determined before digging, drilling or similar work is begun? Are metal measuring tapes, ropes, handlines, or similar devices with metallic thread woven into the fabric prohibited where they could come in contact with energized parts of equipment or circuit conductors?
Is the use of metal ladders prohibited in area where the ladder or the person using the ladder could come in contact with energized parts of equipment, fixtures or circuit conductors? Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment served?
Are disconnecting means always opened before fuses are replaced? Do all interior wiring systems include provisions for grounding metal parts of electrical raceways, equipment, and enclosures?
Are all electrical raceways and enclosures securely fastened in place? Are all energized parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or enclosures?
Is sufficient access and working space provided and maintained about all electrical equipment to permit ready and safe operations and maintenance?
Are all unused openings (including conduit knockouts) in electrical enclosures and fittings closed with appropriate covers, plugs or plates?
Are electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tightfitting covers or plates? Are disconnecting switches for electrical motors in excess of two horsepower, capable of opening the circuit when the motor is in a stalled condition, without exploding? (Switches must be horsepower rated equal to or in excess of the motor hp rating). Is low voltage protection provided in the control device of motors driving machines or equipment, which could cause probably injury from inadvertent starting? Is each motor disconnecting switch or circuit breaker located within sight of the motor control device?
Is each motor located within sight of its controller or the controller disconnecting means capable of being locked in the open position or is a separate disconnecting means installed in the circuit within sight of the motor?
Is the controller for each motor in excess of two horsepower, rated in horsepower equal to or in excess of the rating of the motor is serves?
Are employees who regularly work on or around energized electrical equipment or lines instructed in the cardiopulmonary resuscitation (CPR) methods?
Are employees prohibited from working alone on energized lines or equipment over 600 volts.
NOISE
Are there areas in the workplace where continuous noise levels exceed 85 dBA? (To determine maximum allowable levels for intermittent or impact noise, see Title 8, Section 5097.) Are noise levels being measured using a sound level meter or an octave band analyzer and records being kept?
Have you tried isolating noisy machinery from the rest of your operation? Have engineering controls been used to reduce excessive noise levels? Where engineering controls are determined not feasible, are administrative controls (i.e., worker rotation) being used to minimize individual employee exposure to noise? Self-Inspecting Checklist
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Is there an ongoing preventive health program to educate employees in safe levels of noise and exposure, effects of noise on their health, and use of personal protection? Is the training repeated annually for employees exposed to continuous noise above 85 dBA? Have work areas where noise levels make voice communication between employees difficult been identified and posted?
Is approved hearing protective equipment (noise attenuating devices) available to every employee working in areas where continuous noise levels exceed 85 dBA? If you use ear protectors, are employees properly fitted and instructed in their use and care? Are employees exposed to continuous noise above 85 dBA given periodic audiometric testing to ensure that you have an effective hearing protection system?
FUELING
Is it prohibited to fuel an internal combustion engine with a flammable liquid while the engine is running?
Are fueling operations done in such a manner that likelihood of spillage will be minimal? When spillage occurs during fueling operations, is the spilled fuel cleaned up completely, evaporated, or other measures taken to control vapors before restarting the engine? Are fuel tank caps replaced and secured before starting the engine? In fueling operations is there always metal contact between the container and fuel tank? Are fueling hoses of a type designed to handle the specific type of fuel? Is it prohibited to handle or transfer gasoline in open containers? Are open lights, open flames, or sparking or arcing equipment prohibited near fueling or transfer of fuel operations?
Is smoking prohibited in the vicinity of fueling operations? Are fueling operations prohibited in building or other enclosed areas that are not specifically ventilated for this purpose?
Where fueling or transfer of fuel is done through a gravity flow system, are the nozzles of the selfclosing type?
IDENTIFICATION OF PIPING SYSTEMS
When nonpotable water is piped through a facility, are outlets or taps posted to alert employees that it is unsafe and not to be used for drinking, washing or other personal use? When hazardous substances are transported through above ground piping, is each pipeline identified at points where confusion could introduce hazards to employees? When pipelines are identified by color painting, are all visible parts of the line so identified? When pipelines are identified by color painted bands or tapes, are the bands or tapes located at reasonable intervals and at each outlet, valve, or connection? When pipelines are identified by color, is the color code posted at all locations where confusion could introduce hazards to employees?
When the contents of pipelines are identified by name or name abbreviation, is the information readily visible on the pipe near each valve or outlet?
When pipelines carrying hazardous substances are identified by tags, are the tags constructed of durable materials, the message clearly carried ad permanently distinguishable and are tags installed at each valve or outlet?
When pipelines are heated by electricity, steam, or other external source, are suitable warning signs or tags placed at unions, valves, or other serviceable parts of the system? Self-Inspecting Checklist
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MATERIAL HANDLING
Is there safe clearance for equipment through aisles and doorways? Are aisleways designated, permanently marked, and kept clear to allow unhindered passage? Are motorized vehicles and mechanized equipment inspected daily or prior to use? Are vehicles shut off and brakes set prior to loading or unloading? Are containers or combustibles or flammables, when stacked while being moved, always separated by dunnage sufficient to provide stability?
Are dock boards (bridge plates) used when loading or unloading operations are taking place between vehicles and docks?
Are trucks and trailers secured from movement during loading and unloading operations? Are dock plates and loading ramps constructed and maintained with sufficient strength to support imposed loading?
Are hand trucks maintained in safe operating condition? Are chutes equipped with sideboards of sufficient height to prevent the materials being handled from falling off?
Are chutes and gravity roller sections firmly placed or secured to prevent displacement? At the delivery end of rollers or chutes, are provisions made to brake the movement of the handled materials.
Are pallets usually inspected before being loaded or moved? Are hooks with safety latches or other arrangements used when hoisting materials so that slings or load attachments won't accidentally slip off the hoist hooks? Are securing chains, ropes, chockers or slings adequate for the job to be performed? When hoisting material or equipment, are provisions made to assure no one will be passing under the suspended loads?
Are Safety Data Sheets available to employees handling hazardous substances?
TRANSPORTING EMPLOYEES & MATERIALS
Do employees who operate vehicles on public thoroughfares have valid operator's licenses? When seven or more employees are regularly transported in a van, bus, or truck, is the operator's license appropriate for the class of vehicle being driven? Is each van, bus or truck used regularly to transport employees, equipped with an adequate number of seats?
When employees are transported by truck, are provision provided to prevent their falling from the vehicle?
Are vehicles used to transport employees, equipped with lamps, brakes, horns, mirrors, windshields and turn signals in good repair?
Are transport vehicles provided with handrails, steps, stirrups, or similar devices, so placed and arranged that employees can safely mount or dismount?
Are employee transport vehicles equipped at all times with at least two reflective type flares? Is a full charged fire extinguisher, in good condition, with at least 4 B:C rating maintained in each employee transport vehicle?
When cutting tools with sharp edges are carried in passenger compartments of employee transport vehicles, are they placed in closed boxes or containers which are secured in place? Are employees prohibited from riding on top of any load, which can shift, topple, or otherwise become unstable?
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CONTROL OF HARMFUL SUBSTANCES BY VENTILATION
Is the volume and velocity of air in each exhaust system sufficient to gather the dusts, fumes, mists, vapors, or gases to be controlled, and to convey them to a suitable point of disposal? Are exhaust inlets, ducts and plenums designed, constructed, and supported to prevent collapse or failure of any part of the system?
Are clean-out ports or doors provided at intervals not to exceed 12 feet in all horizontal runs of exhaust ducts?
Where two or more different type of operations are being controlled through the same exhaust system, will the combination of substances being controlled, constitute a fire, explosion, or chemical reaction hazard in the duct?
Is adequate makeup air provided to areas where exhaust systems are operating? Is the intake for makeup air located so that only clean, fresh air, which is free of contaminates, will enter the work environment?
Where two or more ventilation systems are serving a work area, is their operation such that one will not offset the functions of the other?
SANITIZING EQUIPMENT & CLOTHING
Is personal protective clothing or equipment, that employees are required to wear or use, of a type capable of being easily cleaned and disinfected?
Are employees prohibited from interchanging personal protective clothing or equipment unless it has been properly cleaned?
Are machines and equipment, which processes, handle or apply materials that could be injurious to employees, cleaned and/or decontaminated before being overhauled or placed in storage? Are employees prohibited from smoking or eating in any area where contaminates are present that could be injurious if ingested?
When employees are required to change from street clothing into protective clothing, is a clean changeroom with separate storage facility for street and protective clothing provided? Are employees required to shower and wash their hair as soon as possible after a known contact has occurred with a carcinogen?
When equipment, materials, or other items are taken into or removed from a carcinogen regulated area, is it done in a manner that will not contaminate non-regulated areas or the external environment?
TIRE INFLATION
Where tires are mounted and/or inflated on drop center wheels is a safe practice procedure posted and enforced?
Where tires are mounted and/or inflated on wheels with split rims and/or retainer rings is a safe practice procedure posted and enforced?
Does each tire inflation hose have a clip-on chuck with at least 24 inches of hose between the chuck and an in-line hand valve and gauge?
Does the tire inflation control valve automatically shut off the airflow when the valve is released? Is a tire restraining device such as a cage, rack or other effective means used while inflating tires mounted on split rims, or rims using retainer rings?
Are employees strictly forbidden from taking a position directly over or in front of a tire while it's being inflated?
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EMERGENCY ACTION PLAN
Are you required to have an emergency action plan?
Does the emergency action plan comply with requirements of T8CCR 3220(a)? Have emergency escape procedures and routes been developed and communicated to all employers?
Do employees, who remain to operate critical plant operations before they evacuate, know the proper procedures?
Is the employee alarm system that provides a warning for emergency action recognizable and perceptible above ambient conditions?
Are alarm systems properly maintained and tested regularly? Is the emergency action plan reviewed and revised periodically? Do employees know their responsibilities:
For reporting emergencies?
During an emergency?
For conducting rescue and medical duties?
INFECTION CONTROL
Are employees potentially exposed to infectious agents in body fluids? Have occasions of potential occupational exposure been identified and documented? Has a training and information program been provided for employees exposed to or potentially exposed to blood and/or body fluids?
Have infection control procedures been instituted where appropriate, such as ventilation, universal precautions, workplace practices, and personal protective equipment? Are employees aware of specific workplace practices to follow when appropriate? (Hand washing, handling sharp instruments, handling of laundry, disposal of contaminated materials, reusable equipment.)
Is personal protective equipment provided to employees, and in all appropriate locations? Is the necessary equipment (i.e., mouthpieces, resuscitation bags, and other ventilation devices) provided for administering mouth-to-mouth resuscitation on potentially infected patients? Are facilities/equipment to comply with workplace practices available, such as hand-washing sinks, biohazard tags and labels, needle containers, detergents/disinfectants to clean up spills? Are all equipment and environmental and working surfaces cleaned and disinfected after contact with blood or potentially infectious materials?
Is infectious waste placed in closable, leak proof containers, bags, or puncture-resistant holders with proper labels?
Has medical surveillance including HBV evaluation, antibody testing and vaccination been made available to potentially exposed employees?
Training on universal precautions?
Training on personal protective equipment?
Training on workplace practices, which should include blood drawing, room cleaning, laundry handling, cleanup of blood spills?
Training on needlestick exposure/management?
Hepatitis B vaccinations?
ERGONOMICS
Can the work be performed without eyestrain or glare to the employees? Does the task require prolonged raising of the arms?
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Do the neck and shoulders have to be stooped to view the task? Are there pressure points on any parts of the body (wrists, forearms, back of thighs)? Can the work be done using the larger muscles of the body? Can the work be done without twisting or overly bending the lower back? Are there sufficient rest breaks, in addition to the regular rest breaks, to relieve stress from repetitive-motion tasks?
Are tools, instruments and machinery shaped, positioned, and handled so that tasks can be performed comfortably?
Are all pieces of furniture adjusted, positioned, and arranged to minimize strain on all parts of the body?
VENTILATION FOR INDOOR AIR QUALITY
Does your HVAC system provide at least the quantity of outdoor air required by the State Building Standards Code, Title 24, Part 2 at the time the building was constructed? Is the HVAC system inspected at least annually, and problems corrected? Are inspection records retained for at least 5 years?
CRANE CHECKLIST
Are the cranes visually inspected for defective components? prior to the beginning of any work shift?
Are all electrically operated cranes effectively grounded? Is a crane preventive maintenance program established? Is the load chart clearly visible to the operator?
Are operating controls clearly identified?
Is a fire extinguisher provided at the operator's station? Is the rated capacity visibly marked on each crane?
Is an audible warning device mounted on each crane?
Is sufficient illumination provided for the operator to perform the work safely? Are cranes of such design, that the boom could fall over backward, equipped with boomstops?
MEDICAL SERVICES AND FIRST AID
Do you require each employee to have a pre-employment physical examination? Is there a hospital, clinic, or infirmary for medical care in proximity of your workplace? If medical and first aid facilities are not in proximity of your workplace, is at least one employee on each shift currently qualified to render first aid?
Are medical personnel readily available for advice and consultation on matters of employees’ health?
Are emergency phone numbers posted?
Are first aid kits easily accessible to each work area, with necessary supplies available, periodically inspected and replenished as needed?
Have first aid kit supplies been approved by a physician, indicating that they are adequate for a particular area or operation?
Are means provided for quick drenching or flushing of the eyes and body in areas where corrosive liquids or materials are handled?
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DO EMPLOYEES KNOW THEIR RESPONSIBILITES
For reporting emergencies?
During an emergency?
For conducting rescue and medical duties?
DRINKING WATER
Is an adequate supply of drinking water located at each job location? Are containers used to dispense drinking water equipped with a faucet or drinking fountain and is it capable of being maintained in sanitary condition with no dipping from the container? Are containers used to dispense drinking water clearly marked as to contents? Where drinking fountains are not provided, are single service cups provided? Where single service cups are provided, is a sanitary container for the unused cups provided? Where single service cups are provided, is a receptacle provided for the disposing of the used cups?
TOILET FACILITIES
Where there are five or more employees, are separate toilet facilities provided for each sex? Are toilet facilities kept clean and in good working order? Is there an adequate supply of toilet paper provided for every toilet? Are toilet facilities within 200 feet and one floor of work locations? If not a public sewage system, is sewage disposal system in conformance with applicable State and local laws?
Do mobile crews and workers at remote, normally unattended locations have available transportation to nearby toilet facilities?
OFFICE: GENERAL WORK AREA
Are provisions made so that all unsafe conditions may be reported to the supervisors or the Safety Officer?
Are provisions made so that all accidents, injuries, and illnesses may be reported to the supervisors or the Safety Officer?
Will the alarm work and are employees provided training on sounding the alarm in the event of a fire?
Are employees trained that upon hearing alarm, to stop work and proceed to the nearest clear exit? Are they trained to gather at the appointed location? Do employees know that only trained and designated workers may attempt to respond to a fire or other emergency?
Are fire extinguishers kept clear and accessible at all times? Are means of egress unblocked, well-lighted and unlocked during work hours? Are employees trained not to store excessive combustibles (paper) in work areas? Are aisles and hallways kept clear at all times?
CLERICAL & ADMINISTRATIVE EMPLOYEES
Determine if VDT workstations, background and screen lighting are compatible and adjustable. IS VDT screen positions adjustable?
Are chairs adjustable?
Are workplaces kept free of debris, floor storage and electrical cords? Is adequate aisle space maintained?
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Do employees exercise caution in moving about the office? Do employees observe that file cabinet drawers are opened only one at a time and closed when work is finished?
Is care an exercised in closing file drawer to avoid pinching fingers? Do employees exercise care when carrying loads, to avoid overexertion and strain? Do employees seek eye and vision care and use rest periods to relax eyes and body? Do employees follow training in preventing problems associated with VDT use?
DRIVERS AND DELIVERY WORKERS
Are drivers required to have specific knowledge of the safe and proper operation of the vehicle before operating the vehicle?
Do operators comply with all traffic rules and regulations? Do they know that failure to follow rules is cause for discipline?
Do operators understand that they are responsible for the mechanical integrity of the vehicle? Are all defective systems reported to supervisors before operating the vehicle? Are operators that drive a mechanically deficient vehicle held responsible for any citation issued for that deficiency?
Are windows and mirrors kept clean?
Do employees understand that vehicles that have major safety deficiencies shall not be driven? Do workers realize that backing of vehicles can be dangerous? Are operators required to be able to see behind, before backing? If the view is obstructed, and unsafe to do so, do workers exit the vehicle to make sure it is safe to back?
In all cases, when people are in the area, do employees sound the horn with three short blasts, before backing (unless vehicle is equipped with an automatic back-up alarm.)? Do drivers realize that the use of the horn does not reduce the responsibility of the operator of backing in a safe manner?
Do workers avoid parking on hills? If unavoidable; do they use the parking brake and turn the wheels into the curb if headed down hill and out from the curb if headed up hill? Are drivers instructed to place a chock block on one wheel on the downhill side? In any condition when the vehicle is not clearly off the roadway, are warning devices used? Are employees warned not to use flares in areas that could cause fires? Do employees use proper lifting techniques and avoid overexertion when lifting packages? Are handcarts used for heavy loads?
Are seat belts and shoulder harnesses worn at all times? Do employees observe the speed limit safe for conditions? Do employees practice defensive driving?
Do employees park in legal spaces and not obstruct traffic? Do delivery employees consume alcoholic beverages or use any intoxicating substance prior to or during work?
Are vehicles locked when unattended to avoid criminal misconduct? Do drivers park in well-lighted areas and/or near entrances to avoid criminal misconduct?
EQUIPMENT AND VEHICLE SAFETY
Do employees exercise safety precautions at all times while operating vehicles and equipment? Do employees know that there is no smoking when fueling vehicles or using combustible materials?
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Do employees check vehicles each morning as to condition of fuel, tires, oil, battery, turn signals, lights, brakes and safety equipment, windshield wipers and washers? Do employees fuel vehicles while engine is running?
Is smoking or open flame prohibited within 25 feet of fueling operations? Are employees cautioned that radiator pressure must be released by loosening cap or cooling with water before the cap is completely removed?
Do employees use their seat belts on the highway?
Are safety chains used at all times when towing equipment on the highway? Do all employees know to check to rear of vehicles before getting in to back up? Do employees drive defensively? Do employees use speed that is safe for existing road conditions?
Do employees obey road signs and state vehicle code at all times? Do drivers ensure that their vehicles are in good operating condition at all times? Do operators report any malfunctions to their supervisor?
Are vehicles adequately secured against accidental starting or movement when left unattended? Do drivers keep all vehicles clean of trash and litter? Are all tools and equipment properly guarded, stowed, and securely fastened when transported with personnel?
CASHIERS & SALES CLERKS
Are workstations designed to minimize musculoskeletal injury, including adjustable equipment to the extent feasible?
Are “No glare” screens for VDTs provided at employee request? Are workstation designed to consider background lighting levels and other measures to reduce vision strain?
Are workstations kept free of debris and storage, especially floor surfaces? Are floor surfaces maintained clean and dry; spills cleaned up immediately? Are employees provided with eye examinations and care as necessary? Are employees trained on the hazards of musculoskeletal trauma and how to avoid this type of injury?
Do employees report all unsafe conditions and symptoms of injury to their supervisors? Are adequate security procedures provided to handle unlawful conduct?
STOCK CLERKS & MATERIAL HANDLERS
Are handcarts and other mechanical stock handling equipment available for heavy loads? Are motorized vehicles and mechanized equipment inspected daily or prior to use? Are cutting devices maintained in good condition when provided to employees? Do employees exercise care in use of cutting devices? Do employees apply techniques on proper lifting on which they have been trained? Do employees use handcarts and other mechanical stock handling for heavy loads? Are hand trucks maintained in safe operating condition? Do employees exercise care and avoid overexertion?
Are spills cleaned up immediately; floors maintained in a dry condition? Are employees trained to consult SDSs if they do not know the hazards associated with chemical spills?
Are material safety data sheets available to employees handling hazardous substances? Do employees wear proper protective equipment when performing cleanups of chemical spills? Is there safe clearance for equipment through aisles and doorways? Are aisleways designated, permanently marked, and kept clear to allow unhindered passage? Self-Inspecting Checklist
30 | Page
Are vehicles shut off and brakes set prior to loading or unloading? Are containers of combustibles or flammables, when stacked while being moved, always separated by dunnage sufficient to provide stability?
Are dock boards (bridge plates) used when loading or unloading operations are taking place between vehicles and docks?
Is the maximum height of all merchandise stored in warehouse a minimum of 18 inches below the height of emergency fire sprinklers to prevent obstruction or neutralization of the fire sprinkler system?
Are employees taught not to block access to fire sprinkler system control valves or emergency exits?
Do you maintain a minimum of 36 inches of clearance space from electrical panels, hot water heaters, and emergency generators and sprinkler control valves? Are trucks and trailers secured from movement during loading and unloading operations? Are dock plates and loading ramps constructed and maintained with sufficient strength to support imposed loading?
Are chutes equipped with sideboards of sufficient height to prevent the materials being handled from falling off?
Are chutes and gravity roller sections fairly placed or secured to prevent displacement? At the deliver end of rollers of chutes, are provisions made to brake the movement of the handled materials?
Are pallets usually inspected before being loaded or moved? Are hooks with safety latches or other arrangements used when hoisting materials so that slings or load attachments won’t accidentally slip off the hoist hooks? Are securing chains, ropes, chockers or slings adequate for the job to be performed? When hoisting material or equipment, are provisions made to assure no one will be passing under the suspended loads?
BULK STORAGE OF LOOSE MATERIAL
Are workers directed to not stand, climb, walk or work on or over loose material such as piles of sand, sawdust, chips, gravel, fuel, seed, grain or similar granular or loose materials within bins, bunkers, hoppers, silos or other structures until they have been instructed in the hazards involved and the precautions that must be taken to prevent employees being caught in caved- in material? After workers have been trained in the hazards involved and the precautions that must be taken to prevent employees from being caught in caved-in material; Are they instructed not to stand, climb, walk or work on or over loose material such as piles of sand, sawdust, chips, gravel, fuel, seed, grain or similar granular or loose materials within bins, bunkers, hoppers, silos or other structures without either working from a platform or walkway or a boatswains chair or a Class III body harness with a suspended line?
SEC 4 FORMS
TO DO
WHEN A NEW EMPLOYEE IS HIRED
1. CONDUCT AN INITIAL SAFETY TRAINING AND RECORD IT ON
AN “INITIAL SAFETY TRAINING LOG”. THIS FORM TO BE PLACED IN THE CURRENT YEAR SAFETY FILE.
2. PROVIDE THE NEW EMPLOYEE WITH A COPY OF YOUR
COMPANY’S CODES OF SAFE PRACTICE AND PROVIDE HIM OR HER WITH A “RECEIPT FOR COMPANY CODES OF SAFE PRACTICE” TO
SIGN AND DATE. THIS FORM IS THEN PLACED IN THE BACK OF
THIS SAFETY MANUAL.
INITIAL SAFETY TRAINING LOG
NEW EMPLOYEE NAME: ________________________________ DATE: _____________________________ POSITION: ___________________________________ SUPERVISOR: _______________________________ I, certify that the new employee noted above received a thorough safety orientation by me. Below are the subjects covered during the orientation.
THE FOLLOWING SUBJECTS WERE REVIEWED:
Personal clothing: goggles, shoes, etc. Lifting procedures How to reporting injuries or illness Fire prevention
Housekeeping Chemicals
Machinery operation, power & hand tools Ergonomic Issues Other (Specify)________________________________________________________________ THE FOLLOWING ARE THE JOB, OR TASK SPECIFIC SUBJECTS REVIEWED WITH THE NEW EMPLOYEE:
______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________
THE NEW EMPLOYEE WAS SHOWN THE FOLLOWING AUDIO VIDEO PROGRAMS OR GIVEN THE SAFETY MATERIALS NOTED BELOW:
______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ SIGNED: _________________________________________________ DATE: ___________________________________________________ (MANAGEMENT)
SIGNED: _________________________________________________ DATE: ___________________________________________________ (NEW EMPLOYEE)
INITIAL SAFETY TRAINING LOG
NEW EMPLOYEE NAME: ________________________________ DATE: _____________________________ POSITION: ___________________________________ SUPERVISOR: _______________________________ I, certify that the new employee noted above received a thorough safety orientation by me. Below are the subjects covered during the orientation.
THE FOLLOWING SUBJECTS WERE REVIEWED:
Personal clothing: goggles, shoes, etc. Lifting procedures How to reporting injuries or illness Fire prevention
Housekeeping Chemicals
Machinery operation, power & hand tools Ergonomic Issues Other (Specify)________________________________________________________________ THE FOLLOWING ARE THE JOB, OR TASK SPECIFIC SUBJECTS REVIEWED WITH THE NEW EMPLOYEE:
______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________
THE NEW EMPLOYEE WAS SHOWN THE FOLLOWING AUDIO VIDEO PROGRAMS OR GIVEN THE SAFETY MATERIALS NOTED BELOW:
______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ SIGNED: _________________________________________________ DATE: ___________________________________________________ (MANAGEMENT)
SIGNED: _________________________________________________ DATE: ___________________________________________________ (NEW EMPLOYEE)
INITIAL SAFETY TRAINING LOG
NEW EMPLOYEE NAME: ________________________________ DATE: _____________________________ POSITION: ___________________________________ SUPERVISOR: _______________________________ I, certify that the new employee noted above received a thorough safety orientation by me. Below are the subjects covered during the orientation.
THE FOLLOWING SUBJECTS WERE REVIEWED:
Personal clothing: goggles, shoes, etc. Lifting procedures How to reporting injuries or illness Fire prevention
Housekeeping Chemicals
Machinery operation, power & hand tools Ergonomic Issues Other (Specify)________________________________________________________________ THE FOLLOWING ARE THE JOB, OR TASK SPECIFIC SUBJECTS REVIEWED WITH THE NEW EMPLOYEE:
______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________
THE NEW EMPLOYEE WAS SHOWN THE FOLLOWING AUDIO VIDEO PROGRAMS OR GIVEN THE SAFETY MATERIALS NOTED BELOW:
______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ SIGNED: _________________________________________________ DATE: ___________________________________________________ (MANAGEMENT)
SIGNED: _________________________________________________ DATE: ___________________________________________________ (NEW EMPLOYEE)
INITIAL SAFETY TRAINING LOG
NEW EMPLOYEE NAME: ________________________________ DATE: _____________________________ POSITION: ___________________________________ SUPERVISOR: _______________________________ I, certify that the new employee noted above received a thorough safety orientation by me. Below are the subjects covered during the orientation.
THE FOLLOWING SUBJECTS WERE REVIEWED:
Personal clothing: goggles, shoes, etc. Lifting procedures How to reporting injuries or illness Fire prevention
Housekeeping Chemicals
Machinery operation, power & hand tools Ergonomic Issues Other (Specify)________________________________________________________________ THE FOLLOWING ARE THE JOB, OR TASK SPECIFIC SUBJECTS REVIEWED WITH THE NEW EMPLOYEE:
______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________
THE NEW EMPLOYEE WAS SHOWN THE FOLLOWING AUDIO VIDEO PROGRAMS OR GIVEN THE SAFETY MATERIALS NOTED BELOW:
______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ SIGNED: _________________________________________________ DATE: ___________________________________________________ (MANAGEMENT)
SIGNED: _________________________________________________ DATE: ___________________________________________________ (NEW EMPLOYEE)
INITIAL SAFETY TRAINING LOG
NEW EMPLOYEE NAME: ________________________________ DATE: _____________________________ POSITION: ___________________________________ SUPERVISOR: _______________________________ I, certify that the new employee noted above received a thorough safety orientation by me. Below are the subjects covered during the orientation.
THE FOLLOWING SUBJECTS WERE REVIEWED:
Personal clothing: goggles, shoes, etc. Lifting procedures How to reporting injuries or illness Fire prevention
Housekeeping Chemicals
Machinery operation, power & hand tools Ergonomic Issues Other (Specify)________________________________________________________________ THE FOLLOWING ARE THE JOB, OR TASK SPECIFIC SUBJECTS REVIEWED WITH THE NEW EMPLOYEE:
______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________
THE NEW EMPLOYEE WAS SHOWN THE FOLLOWING AUDIO VIDEO PROGRAMS OR GIVEN THE SAFETY MATERIALS NOTED BELOW:
______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ SIGNED: _________________________________________________ DATE: ___________________________________________________ (MANAGEMENT)
SIGNED: _________________________________________________ DATE: ___________________________________________________ (NEW EMPLOYEE)
Receipt for Company Codes
of Safe Practice
This acknowledges that I have received a copy of CITY OF KINGSBURG Codes of Safe Practice. I have also had an opportunity to see and read a copy of CITY OF KINGSBURG Employee Health and Safety Program. In consideration of my employment, I agree to conform to the rules and standards of CITY OF KINGSBURG Safety Policy.
Either CITY OF KINGSBURG or I may end my employment relationship either with or without cause or any prior notice. No one has any authority to enter into any agreement for employment with CITY OF KINGSBURG for any specified period of time or to make any agreement contrary to the foregoing.
Except for the terms of employment set forth in the previous paragraph which specify that my employment with CITY OF KINGSBURG is irrevocably at will, CITY OF KINGSBURG reserves the right to change, revoke or add to its employment policies, including CITY OF KINGSBURG Employee Health and Safety Program, at any time by notifying employees of the change, revocation or addition. By remaining in CITY OF KINGSBURG employment after having been notified, an employee is deemed to have agreed to the change, revocation or addition.
I must read the Codes of Safe Practice thoroughly and secure the assistance of the Safety Officer, my supervisor, or the Manager should I have a question on anything in the Safety Manual.
Employee Signature________________________________ Date__________ Employer Signature_________________________________ Date__________ Receipt for Company Codes
of Safe Practice
This acknowledges that I have received a copy of CITY OF KINGSBURG Codes of Safe Practice. I have also had an opportunity to see and read a copy of CITY OF KINGSBURG Employee Health and Safety Program. In consideration of my employment, I agree to conform to the rules and standards of CITY OF KINGSBURG Safety Policy.
Either CITY OF KINGSBURG or I may end my employment relationship either with or without cause or any prior notice. No one has any authority to enter into any agreement for employment with CITY OF KINGSBURG for any specified period of time or to make any agreement contrary to the foregoing.
Except for the terms of employment set forth in the previous paragraph which specify that my employment with CITY OF KINGSBURG is irrevocably at will, CITY OF KINGSBURG reserves the right to change, revoke or add to its employment policies, including CITY OF KINGSBURG Employee Health and Safety Program, at any time by notifying employees of the change, revocation or addition. By remaining in CITY OF KINGSBURG employment after having been notified, an employee is deemed to have agreed to the change, revocation or addition.
I must read the Codes of Safe Practice thoroughly and secure the assistance of the Safety Officer, my supervisor, or the Manager should I have a question on anything in the Safety Manual.
Employee Signature________________________________ Date__________ Employer Signature_________________________________ Date__________ Receipt for Company Codes
of Safe Practice
This acknowledges that I have received a copy of CITY OF KINGSBURG Codes of Safe Practice. I have also had an opportunity to see and read a copy of CITY OF KINGSBURG Employee Health and Safety Program. In consideration of my employment, I agree to conform to the rules and standards of CITY OF KINGSBURG Safety Policy.
Either CITY OF KINGSBURG or I may end my employment relationship either with or without cause or any prior notice. No one has any authority to enter into any agreement for employment with CITY OF KINGSBURG for any specified period of time or to make any agreement contrary to the foregoing.
Except for the terms of employment set forth in the previous paragraph which specify that my employment with CITY OF KINGSBURG is irrevocably at will, CITY OF KINGSBURG reserves the right to change, revoke or add to its employment policies, including CITY OF KINGSBURG Employee Health and Safety Program, at any time by notifying employees of the change, revocation or addition. By remaining in CITY OF KINGSBURG employment after having been notified, an employee is deemed to have agreed to the change, revocation or addition.
I must read the Codes of Safe Practice thoroughly and secure the assistance of the Safety Officer, my supervisor, or the Manager should I have a question on anything in the Safety Manual.
Employee Signature________________________________ Date__________ Employer Signature_________________________________ Date__________ Receipt for Company Codes
of Safe Practice
This acknowledges that I have received a copy of CITY OF KINGSBURG Codes of Safe Practice. I have also had an opportunity to see and read a copy of CITY OF KINGSBURG Employee Health and Safety Program. In consideration of my employment, I agree to conform to the rules and standards of CITY OF KINGSBURG Safety Policy.
Either CITY OF KINGSBURG or I may end my employment relationship either with or without cause or any prior notice. No one has any authority to enter into any agreement for employment with CITY OF KINGSBURG for any specified period of time or to make any agreement contrary to the foregoing.
Except for the terms of employment set forth in the previous paragraph which specify that my employment with CITY OF KINGSBURG is irrevocably at will, CITY OF KINGSBURG reserves the right to change, revoke or add to its employment policies, including CITY OF KINGSBURG Employee Health and Safety Program, at any time by notifying employees of the change, revocation or addition. By remaining in CITY OF KINGSBURG employment after having been notified, an employee is deemed to have agreed to the change, revocation or addition.
I must read the Codes of Safe Practice thoroughly and secure the assistance of the Safety Officer, my supervisor, or the Manager should I have a question on anything in the Safety Manual.
Employee Signature________________________________ Date__________ Employer Signature_________________________________ Date__________ Receipt for Company Codes
of Safe Practice
This acknowledges that I have received a copy of CITY OF KINGSBURG Codes of Safe Practice. I have also had an opportunity to see and read a copy of CITY OF KINGSBURG Employee Health and Safety Program. In consideration of my employment, I agree to conform to the rules and standards of CITY OF KINGSBURG Safety Policy.
Either CITY OF KINGSBURG or I may end my employment relationship either with or without cause or any prior notice. No one has any authority to enter into any agreement for employment with CITY OF KINGSBURG for any specified period of time or to make any agreement contrary to the foregoing.
Except for the terms of employment set forth in the previous paragraph which specify that my employment with CITY OF KINGSBURG is irrevocably at will, CITY OF KINGSBURG reserves the right to change, revoke or add to its employment policies, including CITY OF KINGSBURG Employee Health and Safety Program, at any time by notifying employees of the change, revocation or addition. By remaining in CITY OF KINGSBURG employment after having been notified, an employee is deemed to have agreed to the change, revocation or addition.
I must read the Codes of Safe Practice thoroughly and secure the assistance of the Safety Officer, my supervisor, or the Manager should I have a question on anything in the Safety Manual.
Employee Signature________________________________ Date__________ Employer Signature_________________________________ Date__________ TO DO
WHEN A LOST TIME ACCIDENT OR
ILLNESS OCCURS
A lost time injury or illness means one that results in lost time beyond the date of an injury or illness; ie. Absence from work for a full day or full shift beyond the date of the injury or illness, or one which requires medical treatment beyond first aid; ie. Any one-time treatment of minor scratches, cuts, burns, splinters, etc. which do not require the services of a physician.
1. Fill out an “Analysis of Injury or Illness Form”. The data from this report is posted to OSHA Form 300.
2. If the injured employee or another employee contributed to the accident as a result of not following the company Codes of Safe Practice, the employee shall receive a “Safety Policy Violation”. A copy of this notice goes into the employee’s employment file and a copy should be placed in the back of this safety manual.
3. Every employer shall report immediately by telephone or facsimile to the nearest District Office of the Division any serious injury or illness, or death of an employee occurring in a place of employment in connection with any employment. DEFINITION:
"Immediately" means as soon as practically possible, but no longer than eight (8) hours after the employer knows, or with diligent inquiry would have known of the death or serious injury or illness. If the employer can demonstrate that exigent circumstances exist, the time frame for the report may be made no longer than twenty-four (24) hours after the incident.
4. Serious Injury or Illness Any injury or illness to one or more employees, occurring in a place of employment or in connection with any employment, which requires inpatient hospitalization for a period in excess of twenty- four (24) hours for other than medical observation, or in which an employee suffers the loss of any member of the body, or suffers any serious degree of physical disfigurement shall be reported to the Division.
See 8 CCR Section 342(a).
ANALYSIS OF INJURY OR ILLNESS FORM
PERSON INJURED: _____________________________________________ DATE OF INJURY: ____________ BRIEF DESCRIPTION OF INJURY:
________________________________________________________________________________________________ ________________________________________________________________________________ AREA WHERE INJURY OCCURRED: ____________________________________________________________ INJURY REVIEWER: _______________________________ SUPERVISOR: _____________________________
1. WAS THE INJURY OR ILLNESS CAUSED BY AN IDENTIFIABLE HAZARD? YES NO
IF YES, WHAT CORRECTIONS ARE NECESSARY TO PREVENT THIS TYPE OF INJURY FROM OCCURRING AGAIN:
_____________________________________________________________________________________ ___________________________________________________________________________________
2. WAS THE INJURY OR ILLNESS CAUSED BY AN UNSAFE WORK PROCEDURE? YES NO
IF YES, WHAT CORRECTIONS OF COMPANY WORK PROCEDURES ARE NECESSARY TO PREVENT THIS TYPE OF INJURY OR ILLNESS FROM OCCURRING AGAIN:
_____________________________________________________________________________________ ___________________________________________________________________________________
3. DID THE EMPLOYEE(S) USE AN UNSAFE WORK PROCEDURE CONTRARY TO ESTABLISHED COMPANY PROCEDURES?
YES NO
IF YES, PLEASE EXPLAIN:
_____________________________________________________________________________________ _____________________________________________________________________________________
WHAT TRAINING OR DISCIPLINARY ACTION SHOULD BE TAKEN?
________________________________________________________________________________________________ ________________________________________________________________________________
EMPLOYEE SIGNATURE: _________________________________________ DATE: _____________________
SUPERVISOR/FOREMAN/MANAGER SIGNATURE: ________________________ DATE: __________________ _______________________________________________________________________________________ SUPERVISORS RESPONSE: (MUST BE RETURNED TO SAFETY OFFICER WITHIN 7 DAYS)
IDENTIFIABLE HAZARD CORRECTION WAS COMPLETED ON_____________. IF THE CORRECTION IS NOT COMPLETED, WHAT IS THE ESTIMATED DATE FOR COMPLETION? ___________________ UNSAFE WORK PROCEDURES REVISED OR CORRECTED ON_________________. IF THE CORRECTION IS NOT COMPLETE, WHAT IS THE ESTIMATED DATE FOR COMPLETION? _________________________ TRAINING OF EMPLOYEE(S) USING UNSAFE PROCEDURES CONTRARY TO COMPANY PROCEDURES WAS COMPLETED___________, OR IT WILL BE COMPLETED____________________. EMPLOYEE(S) USING UNSAFE PROCEDURES WERE DISCIPLINED ON_____________.
THE DISCIPLINE CONSISTED OF ______________________.
ANALYSIS OF INJURY OR ILLNESS FORM
PERSON INJURED: _____________________________________________ DATE OF INJURY: ____________ BRIEF DESCRIPTION OF INJURY:
________________________________________________________________________________________________ ________________________________________________________________________________ AREA WHERE INJURY OCCURRED: ____________________________________________________________ INJURY REVIEWER: _______________________________ SUPERVISOR: _____________________________
1. WAS THE INJURY OR ILLNESS CAUSED BY AN IDENTIFIABLE HAZARD? YES NO
IF YES, WHAT CORRECTIONS ARE NECESSARY TO PREVENT THIS TYPE OF INJURY FROM OCCURRING AGAIN:
_____________________________________________________________________________________ ___________________________________________________________________________________
2. WAS THE INJURY OR ILLNESS CAUSED BY AN UNSAFE WORK PROCEDURE? YES NO
IF YES, WHAT CORRECTIONS OF COMPANY WORK PROCEDURES ARE NECESSARY TO PREVENT THIS TYPE OF INJURY OR ILLNESS FROM OCCURRING AGAIN:
_____________________________________________________________________________________ ___________________________________________________________________________________
3. DID THE EMPLOYEE(S) USE AN UNSAFE WORK PROCEDURE CONTRARY TO ESTABLISHED COMPANY PROCEDURES?
YES NO
IF YES, PLEASE EXPLAIN:
_____________________________________________________________________________________ _____________________________________________________________________________________
WHAT TRAINING OR DISCIPLINARY ACTION SHOULD BE TAKEN?
________________________________________________________________________________________________ ________________________________________________________________________________
EMPLOYEE SIGNATURE: _________________________________________ DATE: _____________________
SUPERVISOR/FOREMAN/MANAGER SIGNATURE: ________________________ DATE: __________________ _______________________________________________________________________________________ SUPERVISORS RESPONSE: (MUST BE RETURNED TO SAFETY OFFICER WITHIN 7 DAYS)
IDENTIFIABLE HAZARD CORRECTION WAS COMPLETED ON_____________. IF THE CORRECTION IS NOT COMPLETED, WHAT IS THE ESTIMATED DATE FOR COMPLETION? ___________________ UNSAFE WORK PROCEDURES REVISED OR CORRECTED ON_________________. IF THE CORRECTION IS NOT COMPLETE, WHAT IS THE ESTIMATED DATE FOR COMPLETION? _________________________ TRAINING OF EMPLOYEE(S) USING UNSAFE PROCEDURES CONTRARY TO COMPANY PROCEDURES WAS COMPLETED___________, OR IT WILL BE COMPLETED____________________. EMPLOYEE(S) USING UNSAFE PROCEDURES WERE DISCIPLINED ON_____________.
THE DISCIPLINE CONSISTED OF ______________________.
ANALYSIS OF INJURY OR ILLNESS FORM
PERSON INJURED: _____________________________________________ DATE OF INJURY: ____________ BRIEF DESCRIPTION OF INJURY:
________________________________________________________________________________________________ ________________________________________________________________________________ AREA WHERE INJURY OCCURRED: ____________________________________________________________ INJURY REVIEWER: _______________________________ SUPERVISOR: _____________________________
1. WAS THE INJURY OR ILLNESS CAUSED BY AN IDENTIFIABLE HAZARD? YES NO
IF YES, WHAT CORRECTIONS ARE NECESSARY TO PREVENT THIS TYPE OF INJURY FROM OCCURRING AGAIN:
_____________________________________________________________________________________ ___________________________________________________________________________________
2. WAS THE INJURY OR ILLNESS CAUSED BY AN UNSAFE WORK PROCEDURE? YES NO
IF YES, WHAT CORRECTIONS OF COMPANY WORK PROCEDURES ARE NECESSARY TO PREVENT THIS TYPE OF INJURY OR ILLNESS FROM OCCURRING AGAIN:
_____________________________________________________________________________________ ___________________________________________________________________________________
3. DID THE EMPLOYEE(S) USE AN UNSAFE WORK PROCEDURE CONTRARY TO ESTABLISHED COMPANY PROCEDURES?
YES NO
IF YES, PLEASE EXPLAIN:
_____________________________________________________________________________________ _____________________________________________________________________________________
WHAT TRAINING OR DISCIPLINARY ACTION SHOULD BE TAKEN?
________________________________________________________________________________________________ ________________________________________________________________________________
EMPLOYEE SIGNATURE: _________________________________________ DATE: _____________________
SUPERVISOR/FOREMAN/MANAGER SIGNATURE: ________________________ DATE: __________________ _______________________________________________________________________________________ SUPERVISORS RESPONSE: (MUST BE RETURNED TO SAFETY OFFICER WITHIN 7 DAYS)
IDENTIFIABLE HAZARD CORRECTION WAS COMPLETED ON_____________. IF THE CORRECTION IS NOT COMPLETED, WHAT IS THE ESTIMATED DATE FOR COMPLETION? ___________________ UNSAFE WORK PROCEDURES REVISED OR CORRECTED ON_________________. IF THE CORRECTION IS NOT COMPLETE, WHAT IS THE ESTIMATED DATE FOR COMPLETION? _________________________ TRAINING OF EMPLOYEE(S) USING UNSAFE PROCEDURES CONTRARY TO COMPANY PROCEDURES WAS COMPLETED___________, OR IT WILL BE COMPLETED____________________. EMPLOYEE(S) USING UNSAFE PROCEDURES WERE DISCIPLINED ON_____________.
THE DISCIPLINE CONSISTED OF ______________________.
ANALYSIS OF INJURY OR ILLNESS FORM
PERSON INJURED: _____________________________________________ DATE OF INJURY: ____________ BRIEF DESCRIPTION OF INJURY:
________________________________________________________________________________________________ ________________________________________________________________________________ AREA WHERE INJURY OCCURRED: ____________________________________________________________ INJURY REVIEWER: _______________________________ SUPERVISOR: _____________________________
1. WAS THE INJURY OR ILLNESS CAUSED BY AN IDENTIFIABLE HAZARD? YES NO
IF YES, WHAT CORRECTIONS ARE NECESSARY TO PREVENT THIS TYPE OF INJURY FROM OCCURRING AGAIN:
_____________________________________________________________________________________ ___________________________________________________________________________________
2. WAS THE INJURY OR ILLNESS CAUSED BY AN UNSAFE WORK PROCEDURE? YES NO
IF YES, WHAT CORRECTIONS OF COMPANY WORK PROCEDURES ARE NECESSARY TO PREVENT THIS TYPE OF INJURY OR ILLNESS FROM OCCURRING AGAIN:
_____________________________________________________________________________________ ___________________________________________________________________________________
3. DID THE EMPLOYEE(S) USE AN UNSAFE WORK PROCEDURE CONTRARY TO ESTABLISHED COMPANY PROCEDURES?
YES NO
IF YES, PLEASE EXPLAIN:
_____________________________________________________________________________________ _____________________________________________________________________________________
WHAT TRAINING OR DISCIPLINARY ACTION SHOULD BE TAKEN?
________________________________________________________________________________________________ ________________________________________________________________________________
EMPLOYEE SIGNATURE: _________________________________________ DATE: _____________________
SUPERVISOR/FOREMAN/MANAGER SIGNATURE: ________________________ DATE: __________________ _______________________________________________________________________________________ SUPERVISORS RESPONSE: (MUST BE RETURNED TO SAFETY OFFICER WITHIN 7 DAYS)
IDENTIFIABLE HAZARD CORRECTION WAS COMPLETED ON_____________. IF THE CORRECTION IS NOT COMPLETED, WHAT IS THE ESTIMATED DATE FOR COMPLETION? ___________________ UNSAFE WORK PROCEDURES REVISED OR CORRECTED ON_________________. IF THE CORRECTION IS NOT COMPLETE, WHAT IS THE ESTIMATED DATE FOR COMPLETION? _________________________ TRAINING OF EMPLOYEE(S) USING UNSAFE PROCEDURES CONTRARY TO COMPANY PROCEDURES WAS COMPLETED___________, OR IT WILL BE COMPLETED____________________. EMPLOYEE(S) USING UNSAFE PROCEDURES WERE DISCIPLINED ON_____________.
THE DISCIPLINE CONSISTED OF ______________________.
ANALYSIS OF INJURY OR ILLNESS FORM
PERSON INJURED: _____________________________________________ DATE OF INJURY: ____________ BRIEF DESCRIPTION OF INJURY:
________________________________________________________________________________________________ ________________________________________________________________________________ AREA WHERE INJURY OCCURRED: ____________________________________________________________ INJURY REVIEWER: _______________________________ SUPERVISOR: _____________________________
1. WAS THE INJURY OR ILLNESS CAUSED BY AN IDENTIFIABLE HAZARD? YES NO
IF YES, WHAT CORRECTIONS ARE NECESSARY TO PREVENT THIS TYPE OF INJURY FROM OCCURRING AGAIN:
_____________________________________________________________________________________ ___________________________________________________________________________________
2. WAS THE INJURY OR ILLNESS CAUSED BY AN UNSAFE WORK PROCEDURE? YES NO
IF YES, WHAT CORRECTIONS OF COMPANY WORK PROCEDURES ARE NECESSARY TO PREVENT THIS TYPE OF INJURY OR ILLNESS FROM OCCURRING AGAIN:
_____________________________________________________________________________________ ___________________________________________________________________________________
3. DID THE EMPLOYEE(S) USE AN UNSAFE WORK PROCEDURE CONTRARY TO ESTABLISHED COMPANY PROCEDURES?
YES NO
IF YES, PLEASE EXPLAIN:
_____________________________________________________________________________________ _____________________________________________________________________________________
WHAT TRAINING OR DISCIPLINARY ACTION SHOULD BE TAKEN?
________________________________________________________________________________________________ ________________________________________________________________________________
EMPLOYEE SIGNATURE: _________________________________________ DATE: _____________________
SUPERVISOR/FOREMAN/MANAGER SIGNATURE: ________________________ DATE: __________________ _______________________________________________________________________________________ SUPERVISORS RESPONSE: (MUST BE RETURNED TO SAFETY OFFICER WITHIN 7 DAYS)
IDENTIFIABLE HAZARD CORRECTION WAS COMPLETED ON_____________. IF THE CORRECTION IS NOT COMPLETED, WHAT IS THE ESTIMATED DATE FOR COMPLETION? ___________________ UNSAFE WORK PROCEDURES REVISED OR CORRECTED ON_________________. IF THE CORRECTION IS NOT COMPLETE, WHAT IS THE ESTIMATED DATE FOR COMPLETION? _________________________ TRAINING OF EMPLOYEE(S) USING UNSAFE PROCEDURES CONTRARY TO COMPANY PROCEDURES WAS COMPLETED___________, OR IT WILL BE COMPLETED____________________. EMPLOYEE(S) USING UNSAFE PROCEDURES WERE DISCIPLINED ON_____________.
THE DISCIPLINE CONSISTED OF ______________________.
TO DO
WHEN A VIOLATION OF
SAFETY POLICY OCCURS
1. If the injured employee or another employee
contributes to the accident as a result of not following the company codes of Safe Practice, the employee
shall receive a “Safety Policy Violation”. A copy of this notice goes into the employee’s employment file and
a copy should be placed in the back of this safety
manual.
WARNING NOTICE: SAFETY POLICY VIOLATION
TO: ___________________________________________DATE: ____________________________________
YOU ARE BEING GIVEN THIS REPRIMAND BECAUSE:
7. YOU VIOLATED A SAFETY RULE:
_______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________
8. YOU WERE INVOLVED IN AN UNSAFE ACT:
_______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________
9. YOU FAILED TO REPORT YOUR ON THE JOB INJURY IMMEDIATELY _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ THIS WARNING WILL BE PLACED IN YOUR PERSONNEL FILE. AN EMPLOYEE, WHO VIOLATES ANY
COMPANY STANDARD, WHETHER OR NOT IT IS LISTED IN THE SAFETY MANUAL OR EMPLOYEE HANDBOOK, MAY RECEIVE SOME FORM OF DISCIPLINARY ACTION. NO MECHANICAL FORMULA DETERMINES THE IMPOSITION OF DISCIPLINARY ACTION. IN SOME CASES, THE EMPLOYEE MAY
RECEIVE EITHER A VERBAL OR WRITTEN WARNING, OR DISCHARGED IF PROHIBITED CONDUCT IS REPEATED. THE COMPANY MAY DISCHARGE THE EMPLOYEE IMMEDIATELY FOR MORE SERIOUS
VIOLATIONS OR WHERE AN EMPLOYEE HAS PREVIOUSLY VIOLATED THE SAME OR ANOTHER RULE
OR IS NOT MEETING ACCEPTABLE PERFORMANCE STANDARDS OR REFUSING TO SIGN A DISCIPLINARY NOTICE.
SUPERVISOR: _______________________________ EMPLOYEE: ___________________________________
WARNING NOTICE: SAFETY POLICY VIOLATION
TO: ___________________________________________DATE: ____________________________________
YOU ARE BEING GIVEN THIS REPRIMAND BECAUSE:
7. YOU VIOLATED A SAFETY RULE:
_______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________
8. YOU WERE INVOLVED IN AN UNSAFE ACT:
_______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________
9. YOU FAILED TO REPORT YOUR ON THE JOB INJURY IMMEDIATELY _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ THIS WARNING WILL BE PLACED IN YOUR PERSONNEL FILE. AN EMPLOYEE, WHO VIOLATES ANY
COMPANY STANDARD, WHETHER OR NOT IT IS LISTED IN THE SAFETY MANUAL OR EMPLOYEE HANDBOOK, MAY RECEIVE SOME FORM OF DISCIPLINARY ACTION. NO MECHANICAL FORMULA DETERMINES THE IMPOSITION OF DISCIPLINARY ACTION. IN SOME CASES, THE EMPLOYEE MAY
RECEIVE EITHER A VERBAL OR WRITTEN WARNING, OR DISCHARGED IF PROHIBITED CONDUCT IS REPEATED. THE COMPANY MAY DISCHARGE THE EMPLOYEE IMMEDIATELY FOR MORE SERIOUS
VIOLATIONS OR WHERE AN EMPLOYEE HAS PREVIOUSLY VIOLATED THE SAME OR ANOTHER RULE
OR IS NOT MEETING ACCEPTABLE PERFORMANCE STANDARDS OR REFUSING TO SIGN A DISCIPLINARY NOTICE.
SUPERVISOR: _______________________________ EMPLOYEE: ___________________________________
WARNING NOTICE: SAFETY POLICY VIOLATION
TO: ___________________________________________DATE: ____________________________________
YOU ARE BEING GIVEN THIS REPRIMAND BECAUSE:
7. YOU VIOLATED A SAFETY RULE:
_______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________
8. YOU WERE INVOLVED IN AN UNSAFE ACT:
_______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________
9. YOU FAILED TO REPORT YOUR ON THE JOB INJURY IMMEDIATELY _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ THIS WARNING WILL BE PLACED IN YOUR PERSONNEL FILE. AN EMPLOYEE, WHO VIOLATES ANY
COMPANY STANDARD, WHETHER OR NOT IT IS LISTED IN THE SAFETY MANUAL OR EMPLOYEE HANDBOOK, MAY RECEIVE SOME FORM OF DISCIPLINARY ACTION. NO MECHANICAL FORMULA DETERMINES THE IMPOSITION OF DISCIPLINARY ACTION. IN SOME CASES, THE EMPLOYEE MAY
RECEIVE EITHER A VERBAL OR WRITTEN WARNING, OR DISCHARGED IF PROHIBITED CONDUCT IS REPEATED. THE COMPANY MAY DISCHARGE THE EMPLOYEE IMMEDIATELY FOR MORE SERIOUS
VIOLATIONS OR WHERE AN EMPLOYEE HAS PREVIOUSLY VIOLATED THE SAME OR ANOTHER RULE
OR IS NOT MEETING ACCEPTABLE PERFORMANCE STANDARDS OR REFUSING TO SIGN A DISCIPLINARY NOTICE.
SUPERVISOR: _______________________________ EMPLOYEE: ___________________________________
WARNING NOTICE: SAFETY POLICY VIOLATION
TO: ___________________________________________DATE: ____________________________________
YOU ARE BEING GIVEN THIS REPRIMAND BECAUSE:
7. YOU VIOLATED A SAFETY RULE:
_______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________
8. YOU WERE INVOLVED IN AN UNSAFE ACT:
_______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________
9. YOU FAILED TO REPORT YOUR ON THE JOB INJURY IMMEDIATELY _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ THIS WARNING WILL BE PLACED IN YOUR PERSONNEL FILE. AN EMPLOYEE, WHO VIOLATES ANY
COMPANY STANDARD, WHETHER OR NOT IT IS LISTED IN THE SAFETY MANUAL OR EMPLOYEE HANDBOOK, MAY RECEIVE SOME FORM OF DISCIPLINARY ACTION. NO MECHANICAL FORMULA DETERMINES THE IMPOSITION OF DISCIPLINARY ACTION. IN SOME CASES, THE EMPLOYEE MAY
RECEIVE EITHER A VERBAL OR WRITTEN WARNING, OR DISCHARGED IF PROHIBITED CONDUCT IS REPEATED. THE COMPANY MAY DISCHARGE THE EMPLOYEE IMMEDIATELY FOR MORE SERIOUS
VIOLATIONS OR WHERE AN EMPLOYEE HAS PREVIOUSLY VIOLATED THE SAME OR ANOTHER RULE
OR IS NOT MEETING ACCEPTABLE PERFORMANCE STANDARDS OR REFUSING TO SIGN A DISCIPLINARY NOTICE.
SUPERVISOR: _______________________________ EMPLOYEE: ___________________________________
WARNING NOTICE: SAFETY POLICY VIOLATION
TO: ___________________________________________DATE: ____________________________________
YOU ARE BEING GIVEN THIS REPRIMAND BECAUSE:
7. YOU VIOLATED A SAFETY RULE:
_______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________
8. YOU WERE INVOLVED IN AN UNSAFE ACT:
_______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________
9. YOU FAILED TO REPORT YOUR ON THE JOB INJURY IMMEDIATELY _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ THIS WARNING WILL BE PLACED IN YOUR PERSONNEL FILE. AN EMPLOYEE, WHO VIOLATES ANY
COMPANY STANDARD, WHETHER OR NOT IT IS LISTED IN THE SAFETY MANUAL OR EMPLOYEE HANDBOOK, MAY RECEIVE SOME FORM OF DISCIPLINARY ACTION. NO MECHANICAL FORMULA DETERMINES THE IMPOSITION OF DISCIPLINARY ACTION. IN SOME CASES, THE EMPLOYEE MAY
RECEIVE EITHER A VERBAL OR WRITTEN WARNING, OR DISCHARGED IF PROHIBITED CONDUCT IS REPEATED. THE COMPANY MAY DISCHARGE THE EMPLOYEE IMMEDIATELY FOR MORE SERIOUS
VIOLATIONS OR WHERE AN EMPLOYEE HAS PREVIOUSLY VIOLATED THE SAME OR ANOTHER RULE
OR IS NOT MEETING ACCEPTABLE PERFORMANCE STANDARDS OR REFUSING TO SIGN A DISCIPLINARY NOTICE.
SUPERVISOR: _______________________________ EMPLOYEE: ___________________________________
TO DO
WHEN NEW EQUIPMENT, OPERATIONS,
OR JOB FUNCTIONS ARE ADDED
1. When new equipment is added, working with the equipment supplier or manufacturer, management will develop detailed procedures for its safe operation and add them to your Codes of Safe Practice with a numbered addendum. Employees will be then trained in accordance with the new safe practices. Two copies of the Addendum should be signed by the employees using the new equipment stating it has been received and understood, one for the employee to keep and one for his employment file. A third copy should be placed in back of the safety manual.
2. When new operations or job functions are added, working with the immediate supervisor and the employees, company will develop detailed procedures for safe practices and add them to your Codes of Safe Practice with a numbered Addendum. Employees will then be trained in regards to the new job functions or operations. Two copies of the Addendum should be signed by the employees performing the new operation or job functions stating it has been received and understood, one for the employee to keep and one for his employment file. A third copy should be placed in back of the safety manual.
3. When workplace hazards are identified, management will conduct an onsite safety hazard inspection to ensure the safety of all employees.
Once that is done employees will be trained with regards to the workplace hazards making sure that employees know how to deal with all situations safely.
TO DO
EMPLOYEE REPORT OF UNSAFE
HAZARDS IN THE WORKPLACE
1. Should an employee find a hazard at the worksite or unsafe condition. Please use the form on the following page to report said hazard to the safety officer.
We appreciate your cooperation with us and you can be assured that there is no reprisal of any kind.
EMPLOYEE REPORT OF UNSAFE
HAZARDS IN THE WORKPLACE
EMPLOYEE
_____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ SIGNATURE: _____________________________________________ DATE: _______________________________________________
SUPERVISOR
ACTION TAKEN OR RECOMMENDED: ________________________________________________________________________________ _____________________________________________________________________________________________________________ DATE WORK ORDER SUBMITTED:______________________ DATE OF ACTUAL ABATEMENT: ____________________________ DATE WORK ORDER COMPLETED: _____________________ DATE EMPLOYEE NOTIFIED: _______________________________ SIGNATURE: _____________________________________________ DATE: ________________________________________________
NEXT LEVEL MANAGER
NO HAZARD DEEMED TO EXIST, NO ACTION AUTHORIZED.
RECOMMENDATION APPROVED.
RECOMMENDATION APPROVED WITH THE CHANGES NOTED.
FOR SAFETY OFFICER USE ONLY:
LOGGED: _______________________ ACTION OK: ______________________ ACTION NOT OK: ____________________ Employee Report of Unsafe Hazards In the Workplace
Instructions Page
The company is committed to providing safe working conditions. You are encouraged to assist by reporting unsafe conditions or practices. The preferred way to make a report is to simply tell your supervisor what the situation is, so it can be corrected. This reduces the paperwork necessary to process a written report. However, if you desire to make a written report, you may use this form.
Employee Section: Clearly state what the unsafe condition or practice is. Be specific, state exact location, specific equipment or procedure, show what action you think needs to be taken to correct the problem. Be sure to sign and date the report.
Supervisor Section: Carefully review the information provided by the employee. If the report is not clear, discuss it with the employee.
If it is within your authority to correct the condition or practice, do so. Note the action you took; date work order submitted and completed, if applicable; the date of actual abatement, and the date the employee was notified.
Sign and date the report and submit it to the Safety Officer.
If it is not within your authority to correct the condition or practice, or if you believe no hazard really exists, enter your recommendations, sign and date the form and submit it to the next level manager. When the form is returned to you with the necessary approval, note the action taken; date work order submitted and completed if applicable; the date the employee was notified and submit the form to the Safety Officer.
Note: It is the supervisor’s responsibility to track the status of the Report of Unsafe Hazards In The Workplace that is beyond the supervisor’s authority to abate, you should take the following action. Review the supervisor’s recommendation.
If it is appropriate, check “Recommendations approved with the changes noted”; sign, date, and return it to the supervisor.
If the supervisor’s recommendation is not appropriate, indicate the necessary changes, check “Recommendation approved with the changes noted”; sign, date, and return the form to the supervisor.
EMPLOYEE REPORT OF UNSAFE
HAZARDS IN THE WORKPLACE
EMPLOYEE
_____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ SIGNATURE: _____________________________________________ DATE: _______________________________________________
SUPERVISOR
ACTION TAKEN OR RECOMMENDED: ________________________________________________________________________________ _____________________________________________________________________________________________________________ DATE WORK ORDER SUBMITTED:______________________ DATE OF ACTUAL ABATEMENT: ____________________________ DATE WORK ORDER COMPLETED: _____________________ DATE EMPLOYEE NOTIFIED: _______________________________ SIGNATURE: _____________________________________________ DATE: ________________________________________________
NEXT LEVEL MANAGER
NO HAZARD DEEMED TO EXIST, NO ACTION AUTHORIZED.
RECOMMENDATION APPROVED.
RECOMMENDATION APPROVED WITH THE CHANGES NOTED.
FOR SAFETY OFFICER USE ONLY:
LOGGED: _______________________ ACTION OK: ______________________ ACTION NOT OK: ____________________ Employee Report of Unsafe Hazards In the Workplace
Instructions Page
The company is committed to providing safe working conditions. You are encouraged to assist by reporting unsafe conditions or practices. The preferred way to make a report is to simply tell your supervisor what the situation is, so it can be corrected. This reduces the paperwork necessary to process a written report. However, if you desire to make a written report, you may use this form.
Employee Section: Clearly state what the unsafe condition or practice is. Be specific, state exact location, specific equipment or procedure, show what action you think needs to be taken to correct the problem. Be sure to sign and date the report.
Supervisor Section: Carefully review the information provided by the employee. If the report is not clear, discuss it with the employee.
If it is within your authority to correct the condition or practice, do so. Note the action you took; date work order submitted and completed, if applicable; the date of actual abatement, and the date the employee was notified.
Sign and date the report and submit it to the Safety Officer.
If it is not within your authority to correct the condition or practice, or if you believe no hazard really exists, enter your recommendations, sign and date the form and submit it to the next level manager. When the form is returned to you with the necessary approval, note the action taken; date work order submitted and completed if applicable; the date the employee was notified and submit the form to the Safety Officer.
Note: It is the supervisor’s responsibility to track the status of the Report of Unsafe Hazards In The Workplace that is beyond the supervisor’s authority to abate, you should take the following action. Review the supervisor’s recommendation.
If it is appropriate, check “Recommendations approved with the changes noted”; sign, date, and return it to the supervisor.
If the supervisor’s recommendation is not appropriate, indicate the necessary changes, check “Recommendation approved with the changes noted”; sign, date, and return the form to the supervisor.
EMPLOYEE REPORT OF UNSAFE
HAZARDS IN THE WORKPLACE
EMPLOYEE
_____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ SIGNATURE: _____________________________________________ DATE: _______________________________________________
SUPERVISOR
ACTION TAKEN OR RECOMMENDED: ________________________________________________________________________________ _____________________________________________________________________________________________________________ DATE WORK ORDER SUBMITTED:______________________ DATE OF ACTUAL ABATEMENT: ____________________________ DATE WORK ORDER COMPLETED: _____________________ DATE EMPLOYEE NOTIFIED: _______________________________ SIGNATURE: _____________________________________________ DATE: ________________________________________________
NEXT LEVEL MANAGER
NO HAZARD DEEMED TO EXIST, NO ACTION AUTHORIZED.
RECOMMENDATION APPROVED.
RECOMMENDATION APPROVED WITH THE CHANGES NOTED.
FOR SAFETY OFFICER USE ONLY:
LOGGED: _______________________ ACTION OK: ______________________ ACTION NOT OK: ____________________ Employee Report of Unsafe Hazards In the Workplace
Instructions Page
The company is committed to providing safe working conditions. You are encouraged to assist by reporting unsafe conditions or practices. The preferred way to make a report is to simply tell your supervisor what the situation is, so it can be corrected. This reduces the paperwork necessary to process a written report. However, if you desire to make a written report, you may use this form.
Employee Section: Clearly state what the unsafe condition or practice is. Be specific, state exact location, specific equipment or procedure, show what action you think needs to be taken to correct the problem. Be sure to sign and date the report.
Supervisor Section: Carefully review the information provided by the employee. If the report is not clear, discuss it with the employee.
If it is within your authority to correct the condition or practice, do so. Note the action you took; date work order submitted and completed, if applicable; the date of actual abatement, and the date the employee was notified.
Sign and date the report and submit it to the Safety Officer.
If it is not within your authority to correct the condition or practice, or if you believe no hazard really exists, enter your recommendations, sign and date the form and submit it to the next level manager. When the form is returned to you with the necessary approval, note the action taken; date work order submitted and completed if applicable; the date the employee was notified and submit the form to the Safety Officer.
Note: It is the supervisor’s responsibility to track the status of the Report of Unsafe Hazards In The Workplace that is beyond the supervisor’s authority to abate, you should take the following action. Review the supervisor’s recommendation.
If it is appropriate, check “Recommendations approved with the changes noted”; sign, date, and return it to the supervisor.
If the supervisor’s recommendation is not appropriate, indicate the necessary changes, check “Recommendation approved with the changes noted”; sign, date, and return the form to the supervisor.
EMPLOYEE REPORT OF UNSAFE
HAZARDS IN THE WORKPLACE
EMPLOYEE
_____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ SIGNATURE: _____________________________________________ DATE: _______________________________________________
SUPERVISOR
ACTION TAKEN OR RECOMMENDED: ________________________________________________________________________________ _____________________________________________________________________________________________________________ DATE WORK ORDER SUBMITTED:______________________ DATE OF ACTUAL ABATEMENT: ____________________________ DATE WORK ORDER COMPLETED: _____________________ DATE EMPLOYEE NOTIFIED: _______________________________ SIGNATURE: _____________________________________________ DATE: ________________________________________________
NEXT LEVEL MANAGER
NO HAZARD DEEMED TO EXIST, NO ACTION AUTHORIZED.
RECOMMENDATION APPROVED.
RECOMMENDATION APPROVED WITH THE CHANGES NOTED.
FOR SAFETY OFFICER USE ONLY:
LOGGED: _______________________ ACTION OK: ______________________ ACTION NOT OK: ____________________ Employee Report of Unsafe Hazards In the Workplace
Instructions Page
The company is committed to providing safe working conditions. You are encouraged to assist by reporting unsafe conditions or practices. The preferred way to make a report is to simply tell your supervisor what the situation is, so it can be corrected. This reduces the paperwork necessary to process a written report. However, if you desire to make a written report, you may use this form.
Employee Section: Clearly state what the unsafe condition or practice is. Be specific, state exact location, specific equipment or procedure, show what action you think needs to be taken to correct the problem. Be sure to sign and date the report.
Supervisor Section: Carefully review the information provided by the employee. If the report is not clear, discuss it with the employee.
If it is within your authority to correct the condition or practice, do so. Note the action you took; date work order submitted and completed, if applicable; the date of actual abatement, and the date the employee was notified.
Sign and date the report and submit it to the Safety Officer.
If it is not within your authority to correct the condition or practice, or if you believe no hazard really exists, enter your recommendations, sign and date the form and submit it to the next level manager. When the form is returned to you with the necessary approval, note the action taken; date work order submitted and completed if applicable; the date the employee was notified and submit the form to the Safety Officer.
Note: It is the supervisor’s responsibility to track the status of the Report of Unsafe Hazards In The Workplace that is beyond the supervisor’s authority to abate, you should take the following action. Review the supervisor’s recommendation.
If it is appropriate, check “Recommendations approved with the changes noted”; sign, date, and return it to the supervisor.
If the supervisor’s recommendation is not appropriate, indicate the necessary changes, check “Recommendation approved with the changes noted”; sign, date, and return the form to the supervisor.
EMPLOYEE REPORT OF UNSAFE
HAZARDS IN THE WORKPLACE
EMPLOYEE
_____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ SIGNATURE: _____________________________________________ DATE: _______________________________________________
SUPERVISOR
ACTION TAKEN OR RECOMMENDED: ________________________________________________________________________________ _____________________________________________________________________________________________________________ DATE WORK ORDER SUBMITTED:______________________ DATE OF ACTUAL ABATEMENT: ____________________________ DATE WORK ORDER COMPLETED: _____________________ DATE EMPLOYEE NOTIFIED: _______________________________ SIGNATURE: _____________________________________________ DATE: ________________________________________________
NEXT LEVEL MANAGER
NO HAZARD DEEMED TO EXIST, NO ACTION AUTHORIZED.
RECOMMENDATION APPROVED.
RECOMMENDATION APPROVED WITH THE CHANGES NOTED.
FOR SAFETY OFFICER USE ONLY:
LOGGED: _______________________ ACTION OK: ______________________ ACTION NOT OK: ____________________ Employee Report of Unsafe Hazards In the Workplace
Instructions Page
The company is committed to providing safe working conditions. You are encouraged to assist by reporting unsafe conditions or practices. The preferred way to make a report is to simply tell your supervisor what the situation is, so it can be corrected. This reduces the paperwork necessary to process a written report. However, if you desire to make a written report, you may use this form.
Employee Section: Clearly state what the unsafe condition or practice is. Be specific, state exact location, specific equipment or procedure, show what action you think needs to be taken to correct the problem. Be sure to sign and date the report.
Supervisor Section: Carefully review the information provided by the employee. If the report is not clear, discuss it with the employee.
If it is within your authority to correct the condition or practice, do so. Note the action you took; date work order submitted and completed, if applicable; the date of actual abatement, and the date the employee was notified.
Sign and date the report and submit it to the Safety Officer.
If it is not within your authority to correct the condition or practice, or if you believe no hazard really exists, enter your recommendations, sign and date the form and submit it to the next level manager. When the form is returned to you with the necessary approval, note the action taken; date work order submitted and completed if applicable; the date the employee was notified and submit the form to the Safety Officer.
Note: It is the supervisor’s responsibility to track the status of the Report of Unsafe Hazards In The Workplace that is beyond the supervisor’s authority to abate, you should take the following action. Review the supervisor’s recommendation.
If it is appropriate, check “Recommendations approved with the changes noted”; sign, date, and return it to the supervisor.
If the supervisor’s recommendation is not appropriate, indicate the necessary changes, check “Recommendation approved with the changes noted”; sign, date, and return the form to the supervisor.
TO DO
MONTHLY (NON-CONSTRUCTION) /
EVERY 10 WORKING DAYS (CONSTRUCTION)
MONTHLY: (NON-CONSTRUCTION)
1. Conduct a brief safety training topic with all supervisors and employees. (If you are a Construction related industry, you must do your safety training topics every 10 days). Record the safety training topic information and attendees on a “Safety Training Report”. The “Safety Training Report” is saved in the current year Safety File.
2. Provide an opportunity for employees to meet without any management personnel present to discuss safety concerns. The employees may report the results of the meeting orally or in an anonymous report.
3. Perform a visual inspection of your fire extinguishers.
EVERY 10 WORKING DAYS: (CONSTRUCTION)
4. Conduct a brief safety training topic with all supervisors and employees. Record the safety meeting information and attendees on a “Safety Training Report”. The “Safety Training Report” is saved in the current year Safety File.
5. Provide an opportunity for employees to meet without any management personnel present to discuss safety concerns. The employees may report the results of the meeting orally or in an anonymous report.
6. Perform a visual inspection of your fire extinguishers.
SAFETY TRAINING REPORT
AREA: ___________________________________________________ DATE: __________________________ SUPERVISOR: ______________________________________________________________ TRAINING CONDUCTED BY: ________________________________________________ SUPERVISOR: _____________________________________________________ GUEST SPEAKER: __________________________________________________ BRIEF OUTLINE OF INFORMATION COVERED:
_________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ LENGTH OF TRAINING: ___________ MINUTES.
NAME OF PERSONS ATTENDING NAME OF PERSONS ATTENDING
1 11
2 12
3 13
4 14
5 15
6 16
7 17
8 18
9 19
10 20
EMPLOYEE FEEDBACK:
_________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ COMMENTS:
_________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________
SAFETY TRAINING REPORT
AREA: ___________________________________________________ DATE: __________________________ SUPERVISOR: ______________________________________________________________ TRAINING CONDUCTED BY: ________________________________________________ SUPERVISOR: _____________________________________________________ GUEST SPEAKER: __________________________________________________ BRIEF OUTLINE OF INFORMATION COVERED:
_________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ LENGTH OF TRAINING: ___________ MINUTES.
NAME OF PERSONS ATTENDING NAME OF PERSONS ATTENDING
1 11
2 12
3 13
4 14
5 15
6 16
7 17
8 18
9 19
10 20
EMPLOYEE FEEDBACK:
_________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ COMMENTS:
_________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________
SAFETY TRAINING REPORT
AREA: ___________________________________________________ DATE: __________________________ SUPERVISOR: ______________________________________________________________ TRAINING CONDUCTED BY: ________________________________________________ SUPERVISOR: _____________________________________________________ GUEST SPEAKER: __________________________________________________ BRIEF OUTLINE OF INFORMATION COVERED:
_________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ LENGTH OF TRAINING: ___________ MINUTES.
NAME OF PERSONS ATTENDING NAME OF PERSONS ATTENDING
1 11
2 12
3 13
4 14
5 15
6 16
7 17
8 18
9 19
10 20
EMPLOYEE FEEDBACK:
_________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ COMMENTS:
_________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________
SAFETY TRAINING REPORT
AREA: ___________________________________________________ DATE: __________________________ SUPERVISOR: ______________________________________________________________ TRAINING CONDUCTED BY: ________________________________________________ SUPERVISOR: _____________________________________________________ GUEST SPEAKER: __________________________________________________ BRIEF OUTLINE OF INFORMATION COVERED:
_________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ LENGTH OF TRAINING: ___________ MINUTES.
NAME OF PERSONS ATTENDING NAME OF PERSONS ATTENDING
1 11
2 12
3 13
4 14
5 15
6 16
7 17
8 18
9 19
10 20
EMPLOYEE FEEDBACK:
_________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ COMMENTS:
_________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________
SAFETY TRAINING REPORT
AREA: ___________________________________________________ DATE: __________________________ SUPERVISOR: ______________________________________________________________ TRAINING CONDUCTED BY: ________________________________________________ SUPERVISOR: _____________________________________________________ GUEST SPEAKER: __________________________________________________ BRIEF OUTLINE OF INFORMATION COVERED:
_________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ LENGTH OF TRAINING: ___________ MINUTES.
NAME OF PERSONS ATTENDING NAME OF PERSONS ATTENDING
1 11
2 12
3 13
4 14
5 15
6 16
7 17
8 18
9 19
10 20
EMPLOYEE FEEDBACK:
_________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ COMMENTS:
_________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ TO DO
RANDOM/HAZARD INSPECTIONS &
UNSAFE OR UNHEALTHY CONDITIONS
1. On a random basis we will inspect our entire facility; including offices, shops, and field sites. Record the results of the inspection and your recommendations on the Hazard
Inspection/Deficiency Report form.
2. UNSAFE OR UNHEALTHY CONDITIONS
When observed and discovered; and
When an imminent hazard exists, which cannot be
immediately abated without endangering employee(s)
and/or property, all exposed personnel will be removed
from the area except those necessary to correct existing condition
HAZARD INSPECTION/DEFICIENCY REPORT FORM
DATE: _____________________________________ ACTION TAKEN: _________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ DATE OF INSPECTION: ________________________ FACILITY INSPECTED: ____________________________
HAZARDS/DEFICIENCIES FOUND RECOMENDATIONS
HAZARD INSPECTION/DEFICIENCY REPORT FORM
DATE: _____________________________________ ACTION TAKEN: _________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ DATE OF INSPECTION: ________________________ FACILITY INSPECTED: ____________________________
HAZARDS/DEFICIENCIES FOUND RECOMENDATIONS
HAZARD INSPECTION/DEFICIENCY REPORT FORM
DATE: _____________________________________ ACTION TAKEN: _________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ DATE OF INSPECTION: ________________________ FACILITY INSPECTED: ____________________________
HAZARDS/DEFICIENCIES FOUND RECOMENDATIONS
HAZARD INSPECTION/DEFICIENCY REPORT FORM
DATE: _____________________________________ ACTION TAKEN: _________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ DATE OF INSPECTION: ________________________ FACILITY INSPECTED: ____________________________
HAZARDS/DEFICIENCIES FOUND RECOMENDATIONS
HAZARD INSPECTION/DEFICIENCY REPORT FORM
DATE: _____________________________________ ACTION TAKEN: _________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ DATE OF INSPECTION: ________________________ FACILITY INSPECTED: ____________________________
HAZARDS/DEFICIENCIES FOUND RECOMENDATIONS
1 Fire Prevention Plan
SCOPE
This program applies to all general and specific potential fire hazards associated with the employees, buildings, and processes of the facility.
PURPOSE
The purpose of this plan is to detail potential fire hazards and their proper handling and storage procedures, potential ignition sources and their control procedures in compliance with 29 CFR 1910.39. Also, to detail the fire protection equipment or systems that can control a fire, and their associated inspection and maintenance procedures.
RESPONSIBILITIES
Responsibilities for the plan should be as follows: Responsible Safety Officer (RSO) is in charge of implementing the following duties.
♦ (RSO) should be the Fire Prevention Coordinator and should be responsible for ensuring that the overall fire prevention plan is implemented and maintained. ♦ Each supervisor is responsible for ensuring that their departmental control procedures are implemented and enforced consistent in accordance with this plan. ♦ (RSO) is responsible for ensuring that the warehouse fire protection equipment is serviced and maintained in accordance with this plan.
♦ (RSO) is responsible for control of fuel source hazards and ignition sources.
FIRE PREVENTION PLAN EVALUATION
All employee activities, buildings, and process equipment should be individually evaluated for potential fire hazards, proper handling and storage procedures, potential ignition sources and their controls, using a LIST OF WORKPLACE FIRE HAZARDS FORM. The hazard evaluation should include as a minimum:
(1) A list of all major fire hazards, proper handling and storage procedures for hazardous materials, potential ignition sources and their control, and the type of fire protection equipment necessary to control each major hazard;
(2) Procedures to control accumulations of flammable and combustible waste materials; (3) Procedures for regular maintenance of safeguards installed on heat-producing equipment to prevent the accidental ignition of combustible materials;
(4) The name or job title of employees responsible for maintaining equipment to prevent or control sources of ignition or fires;
(5) The name or job title of employees responsible for the control of fuel source hazards.
The Fire Prevention Plan Coordinator should approve and sign all evaluations.
When changes in equipment or methods occur, a new fire hazard assessment should be completed.
Annually the List of Workplace Fire Hazards should be reviewed and updated by the Plan Coordinated. The forms should be kept on file by the Fire Prevention Plan Coordinator for five years.
2 PARTIAL LIST OF MAJOR WORKPLACE FIRE HAZARDS
HAZARD PROPER HANDLING
AND STORAGE
POTENTIAL IGNITION
SOURCES
CONTROL
PROCEDURES
Building heating
systems
Designated room/area Combustible
materials/burners
Periodic inspections
Hot water
systems
Designated room/area Combustible
materials/burners
Periodic inspections
Welding and
Cutting
Containers secured in
upright position with
valve protection
Combustible materials
near cutting/welding
Extinguisher,
clearances, wet down,
fire watch
Housekeeping Exterior Dumpster,
metal covered
containers
Electrical, flame, heat Daily cleanup
Smoking Exterior ashtrays Smoking materials Daily cleanup Electrical
Maintenance
Metal enclosed wiring,
fixtures and fuse
boxes
Exposed wiring Periodic inspections
Flammable gases Enclosed systems,
with one way flow
valves
Various common sources Periodic inspections
Flammable
Liquids
Stored only in
approved containers
and areas
Various common sources Listed containers
properly stored
TRAINING
The Fire Prevention Plan Coordinator, Area Supervisor, and Department Heads are responsible for training each employee upon initial assignment. This training should include the following:
♦The workplace location of the written Fire Prevention Plan, made available for employee review during and after training.
♦All employees on hire and prior to being assigned to a new work assignment, should be made aware of:
1. The parts of this plan they should know to protect themselves in event of an emergency,
2. The fire hazards of the materials and processes to which they will be exposed. ♦All affected employees should be given basic training in the general principles of extinguisher use, and the hazards involved in incipient stage fire fighting.
♦All training should be documented to include the employee's name and signature, department, training date, signature of instructor, and an outline of what was presented.
GENERAL FIRE PREVENTION PROCEDURES AND CONTROLS
Department supervisors are responsible for establishing, maintaining and enforcing routine procedures encompassing at a minimum the items contained in the following elements:
3 HOUSEKEEPING: Housekeeping is essential to fire prevention and to a well run operation. The following general housekeeping rules should be followed:
♦ Prevention of accumulations of loose debris, waste and trash. ♦ Control of combustible waste and refuse in covered metal cans with at least shift-end removal from the building.
♦ Storage racks and stacks of materials on pallets are in a neat and orderly manner and in their designated stock locations.
♦ Immediate clean-up of stock or chemical spills.
♦ Aisles and exit ways clear and free of obstructions.
♦ Prohibition of any nature of storage in exit ways, stairwells, and inside or outside fire exits doors.
♦ Clear access to all fire protection and emergency equipment and electrical panels.
SMOKING CONTROLS: Smoking is a recognized hazard and should be prohibited or prevented wherever possible. ♦ Smoking should be restricted to designated areas.
♦ Such areas should be provided with appropriate non-combustible ashtrays, and should be emptied daily into metal trash containers not containing combustible waste. ♦ It is important to inform all visitors, truck drivers, etc. of the company's smoking restrictions, and insist on their obeyance.
♦ A five pound, ABC, multi-purpose fire extinguisher should be made readily available near all designated smoking areas.
ELECTRICAL MAINTENANCE: Almost 25% of electrical fires are due to electrical malfunctions or causes. ♦ Only qualified, trained electrical maintenance personnel should be permitted repair or work on electrical installations and equipment.
♦ Any defective wiring or electrical equipment should be reported immediately to your supervisor. Such equipment should be immediately taken out of use, tagged as defective, and a work order issued for its repair or evaluation.
♦ Strict attention should be paid to cleanliness. Combustible materials should be prohibited from accumulating in substations, electrical rooms, control rooms, cable trays, around motors and other electrical installations.
♦ Extension cords should be permitted only for emergency or truly temporary situations, and shall be properly sized for the equipment to be operated. Care should be taken to assure such temporary wiring is visible and protected from fraying or pinching.
1. All electrical installations should meet appropriate electrical codes and listings.
2. Access clearances should be maintained to all electrical panel boxes and switchgear.
4 FLAMMABLE LIQUIDS: Flammable liquids can present serious fire and explosion hazards if not handled properly. ♦ Storage of flammable liquids only in specially approved and designated cabinets, storage rooms or outbuildings.
♦ Use of only manufacturer's original containers or U. L. approved flammable liquid containers. ♦ Proper handling and dispensing procedures to include grounding, quantity limits, and pressure relief, and personal protective equipment.
♦ Control and reporting of spills.
♦ Control and reporting of any potential ignition sources such as faulty electrical, open lights and flames.
FLAMMABLE GASES: Flammable gases are especially dangerous and require special precautions in storage and handling.
♦ All storage and handling procedures for specific flammable gases and operations should be strictly observed.
♦ Flammable gases should be stored separately from oxygen or other oxidizers. Only exception will be one oxygen cylinder in use on an acetylene welding cart. ♦ Unless the cylinder valve is protected by a recess in the head, keep the metal cap in place to protect the valve when the cylinder is not connected for use. ♦ Do not use a cylinder of compressed gas without a pressure reducing regulator attached to the cylinder valve, except where cylinders are attached to a manifold, in which case the regulator will be attached to the manifold header.
♦ Use regulators and pressure gauges only with gases for which they are designated and intended.
♦ Never bring cylinders into tanks, unventilated rooms, or other closed quarters. ♦ Cylinder valves shall be kept in a closed position when work is completed.
WELDING AND CUTTING
♦ Welding and cutting, or use of propane soldering equipment or similar flame producing equipment should only be used/conducted in designated maintenance areas properly outfitted for this type operation.
♦ Only authorized and trained personnel shall use such equipment. ♦ Combustibles should be moved to a safe distance from the work or have the combustibles properly shielded against ignition, if the work cannot be moved. ♦ Before hot work is permitted, the area shall be inspected by the individual responsible for authorizing hot work operations. This person designates precautions to be followed in granting authorization to proceed preferably in the form of a written permit. ♦ Determine that fire protection and extinguishing equipment are properly located at the site. 5 ♦ Where fire watches are required, the supervisor sees that they area available at the site. ♦ If welding is required outside of maintenance, a safety/hot work permit should be required.
This procedure is administered by the (RSO).
FIRE PROTECTION INSPECTION AND MAINTENANCE
The designated fire protection coordinator is responsible for seeing that the following inspection and maintenance procedures are followed:
♦ Portable Fire Extinguishers.
1. Monthly visual inspection to assure extinguisher is charged, not damaged, properly hung and accessible (not blocked.)
2. Annual (and after each use) service by trained personnel. ♦ Standpipe and Hose Systems.
1. Annual (and after each use) visual inspection to assure equipment is in place, available for use and in serviceable condition.
♦ Sprinkler Systems.
Monthly inspection of main riser(s) and water control valves to assure they are open, operable, and accessible.
2. Monthly test of P.I.V. valves and water flow alarm.
3. Annual conduct of main drain flow test.
4. Bi-annual flow test by opening of inspector test valve(s).
5. Fixed/Special Extinguishing Systems (Halon, Dry Chemical, CO2, etc. (See manufacturer's recommendations and appropriate 29 CFR 1910.160-163 sections).
Sprinkler/Fixed System Repair Procedures.
♦ Notify fire insurance carrier office.
♦ Tag equipment out-of-service and record all equipment operation on the "Record of Valve” ♦ Closures" card provided in the kit (provided by fire carrier). ♦ Stop all hazardous operations such as cutting and welding in affected area. ♦ Establish precautionary procedures, i.e., fire watch, notification of local fire department and alarm companies.
♦ Expedite repair.
♦ Restore protection, make necessary test on the system(s). ♦ Re-notify all outside agencies when the system is restored, complete "Fire Protection Restored" 6 card and mail to fire carrier.
♦ Remove tags and record reopening operations.
Sprinkler/Fixed System Activated Fire Alarm.
1. In the event of system activation, sensors will send a signal to outside central station service:
________________ who will automatically call the Fire Department.
2. During normal facility hours, in-facility notification procedures should be activated as specified in the emergency action plan.
3. Monthly test of water flow alarm operation.
4. Manual/Employee Alarm System.
5. Bi-monthly operational test (if alarm is not supervised.)
7 FIRE PREVENTION PLAN TRAINING LOG
INSTRUCTOR:____________________________________
DATE: __________________ SUBJECT: ________________________ I have trained the employees listed below on the OSHA 29 CFR 1910.39 Fire Prevention Plan Standard. A copy of the training outline is attached.
INSTRUCTOR'S SIGNATURE: ______________________________________________
EMPLOYEE'S NAME
(Print or Type)
EMPLOYEE'S
SIGNATURE DEPARTMENT
DATE
8 FIRE PREVENTION PLAN AUDIT FORM
On an annual basis the Fire Prevention Plan should be evaluated by the (RSO) to determine if the facility is adhering to this written program, as well as the OSHA, 29 CFR 1910.39 Fire Prevention Plan Standard. This documentation is maintained by (RSO) for five years.
Requires Updating Date Update
Program Areas To Be Audited Yes No Complete
1 Have the Program Coordinator and area supervisor completed the Fire Prevention Plan Evaluation with the last year?
2 Have there been any fires/emergencies in the area as a result of not following the plan properly?
3 Are there new potential fire hazards in the area where control procedure assessments should be completed?
4 Are Hot Work permits in effect for non-routine welding, cutting, and brazing activities?
5 Do employees know the location of the facility's Fire Prevention Plan?
6 Have employees received general training on the materials and fire hazards to which they are exposed?
7 Has the Fire Prevention Plan training been documented? 8 Do employees know the controls for fire hazards in their area? Signature: Date:
CITY COUNCIL MEETING STAFF REPORT
REPORT TO: Mayor Palomar & City Council
REPORT FROM: Daniel Perkins, Fire Chief REVIEWED BY: AJH AGENDA ITEM: Fire Department Multi-agency Health Management Agreement (HMA) Amendment and Continuation of Services contract.
ACTION REQUESTED: ___Ordinance ____Resolution √ Motion ______Receive/File
EXECUTIVE SUMMARY
The Health Management Agency, a financial consultancy well-versed in ambulance funding for public agencies, administers the Intergovernmental Transfer (IGT) process and completes financial calculations based upon ever-changing reimbursement formulas required by Medicare and Medi-Cal for Ambulance Ground Transport fees that are at the heart of Kingsburg Fire Department’s funding. Kingsburg is one of 5 agencies to include Coalinga, Selma, Sanger, and Dinuba Fire Departments that are part of this same agreement. The costs for the consultancy fees are shared equally with the 5 cities to reduce the cost of the management fees. This agreement is usual and customary and is an amendment and continuation of the current agreement with the addition of a 5% per annum escalator over the length of the 2-year continuation.
Kingsburg costs historically have been:
Meeting Date: 08/16/2023
Agenda Item: 5.5
The amount for each year is dependent upon changes to the program which require additional services. This consultancy group has a long track record of responsive, timely financial forecasting that has aided the positive performance of the Ambulance Enterprise Fund for Kingsburg and each of the member agencies each year of previous contracts.
RECOMMENDED ACTION BY CITY COUNCIL
1. Approve the Fire Department Health Management Agency (HMA) Amendment and Continuation Contract with the 5% increase for each year over the next 2 years.
POLICY ALTERNATIVE(S)
1. Council could choose to not support the proposed agreement; however, this would cause a disruption in ambulance funding as the HMA currently performs a significant amount of application and forecasting of ambulance funding, placing the workload back to Fire Department Staff.
REASON FOR RECOMMENDATION/KEY METRIC
1. To enter into the new agreement for 2 years with the HMA for Ambulance Funding Consultancy work.
FINANCIAL INFORMATION
FINANCIAL SUMMARY
None
PRIOR ACTION/REVIEW
BACKGROUND INFORMATION
These agreements have been in place for more than 10 years and are renewed, extended or amended annually.
These agreements are usual and customary throughout the Fire and Emergency Services with ambulance funding.
ATTACHMENTS
1. Second Amendment to Health Management Associates Services Agreement and Cooperative Agreement.
FISCAL IMPACT:
1. Is There A Fiscal Impact? Yes
2. Is it Currently Budgeted? Yes
3. If Budgeted, Which Line? 320 Enterprise Fund
SECOND AMENDMENT TO
HEALTH MANAGEMENT ASSOCIATES SERVICES AGREEMENT
AND
COOPERATIVE AGREEMENT
This Second Amendment to Health Management Associates Services Agreement and Cooperative Agreement (“Amendment”) is made and entered into effective June 30, 2022, by and between the CITY OF COALINGA, CITY OF DINUBA, CITY OF KINGSBURG, CITY OF SANGER, AND CITY OF SELMA (individually “City” and collectively “Cities”), and HEALTH MANAGEMENT ASSOCIATES, INC., a Michigan corporation (“Consultant”). The Cities and Consultant are sometimes collectively referred to herein as “Parties.”
RECITALS
The City and Consultant are parties to a certain Health Management Associates Services Agreement and Cooperative Agreement (“Agreement”) effective February 11, 2021. The original Agreement term is from June 30, 2021, to June 30, 2022.
WHEREAS, the City and Consultant have executed a First Amendment to Health Management Associates Services Agreement and Cooperative Agreement effective June 30, 2022 (“Amendment #1") which extended the term of the Agreement to June 30, 2023.
The parties wish to amend the Agreement as further stated herein.
AGREEMENT
A. The Parties wish to extend the term of the Agreement an additional two (2) year per section 2. Commencement of Services; Term of Agreement and Renewal of the Agreement.
The parties agree the term of the Agreement shall begin on the Effective Date and shall continue in effect until June 30, 2025.
B. The Parties wish to amend the Agreement by adding the Scope of Services and Schedule of Compensation attached hereto as Exhibit A.
[Signatures on next page]
NOW, THEREFORE, the parties have executed this Agreement on the date(s) set forth below.
HEALTH MANAGEMENT ASSOCIATES, INC.
By: ______________________________
Kelly Johnson, Vice President
Date: _____________________________
CITY OF SANGER CITY OF DINUBA
By: ______________________________ By: _________________________ Greg Garner, Acting City Manager Luis Patlan, City Manager Date: _____________________________ Date: ________________________ ATTEST: APPROVED AS TO FORM:
______________________________ ______________________________ Rebeca Padron, City Clerk , City Attorney
APPROVED AS TO FORM: CITY OF COALINGA
______________________________ By: __________________________ Hilda Cantu Montoy, City Attorney Marissa Trejo, City Manager Date: _________________________
APPROVED AS TO FORM:
______________________________
, City Attorney
CITY OF SELMA CITY OF KINGSBURG
By: ___________________________ By: __________________________ Fernando Santillan, City Manager Alexander Henderson, City Manager APPROVED AS TO FORM: APPROVED AS TO FORM:
_______________________________ ______________________________ , City Attorney , City Attorney
EXHIBIT A
SCOPE OF SERVICES AND SCHEDULE OF COMPENSATION
I. Services
Consultant shall respond to requests from the Cities or any City regarding participation in applicable Voluntary Rate Range Program (VRRP) and the Public Provider Ground Emergency Medical Transportation (PP-GEMT) Intergovernmental Transfers (IGT) programs administered within the Medi-Cal program by the California Department of Health Care Services (DHCS).
Voluntary Rate Range Program (VRRP)
Areas of assistance include but are not limited to:
a) Helping the Cities understand VRRP, the IGT process, and the documents used to transact an IGT in order to make informed decisions on whether to participate and if so, how to participate.
b) Contacting DHCS and the relevant Health Plans to participate in VRRP, calculating the value of the IGT and the dollar amounts involved at each step of the process and submitting Attachment Bs and Letters of Interest (LOIs) once DHCS is ready to receive them.
c) Consultant shall work with the DHCS on behalf of City, and the Cities to resolve any questions and troubleshoot issues that arise.
d) Consultant shall assist the Cities and their respective staff to ensure all documents are correctly prepared for participation in VRRP, and work with the Health Plans to meet DHCS timelines.
e) Consultant shall assist the Cities determining whether VRRP payment amounts are correct and support the District in resolving any payment issues with DHCS and the Health Plans, if required.
f) Consultant will monitor state and federal policies to assess any impacts to VRRP.
Public Provider Ground Emergency Medical Transportation Program (PP-GEMT) Areas of assistance include but are not limited to:
a) Consultant shall provide subject matter expertise to support the District’s understanding of PP-GEMT and the PP-GEMT IGT process.
b) Consultant shall provide the Cities with financial projections to estimate quarterly PP-GEMT IGT contributions, estimated payments from DHCs and the Health Plans, and potential impacts of PP-GEMT on future VRRP payments.
c) Consultant shall provide project management support to ensure timely submission of any DHCS required information for participation in PP-GEMT. d) Consultant will monitor state and federal policies to assess any impacts to PPGEMT and attend DHCS PP-GEMT trainings and information sessions. e) Consultant shall coordinate and engage with DHCS to resolve any questions and troubleshoot issues, if required, which may include educating DHCS on potential cash flow issues and risks associated with PP-GEMT participation. f) Consultant shall assist the Cities with the PP-GEMT IGT process, including any issues with the wiring of funds to DHCS.
g) Consultant shall provide the Cities with information regarding their quarterly PPGEMT IGT contribution amounts, estimated payments from DHCS and the Health Plans, and net new funds from PP-GEMT.
h) Consultant shall assist the Cities determining whether PP-GEMT payment amounts are correct and support the District in resolving any payment issues with DHCS and the Health Plans, if required.
II. Schedule of Compensation
Subject to the maximum Contract Sum set forth in Section 3(a), Consultant shall provide services to the Cities at the following hourly rates or task amounts:
The Cities will pay Consultant $322.00 per hour for its work under this agreement effective July 1, 2023. Thereafter, Consultant’s billing rates will increase no more than five percent (5%) on July 1 of each year unless agreed otherwise in writing. Consultant agrees to notify the Cities of the amount of increase in rates no less than 30 days prior to the rate increase.
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