Sample Accident Prevention Program (Masonry) - Long version, exceeds requirements

Here is a sample Accident Prevention Program to help you comply with WISHA rules. It includes suggested safety policies based on WISHA rules, accepted industry practices and manufacturer’s safety instructions for tools and equipment used in the masonry industry.

Before using this sample program, you must tailor it to the needs of your workplace and the kinds of hazards you and your employees may face.

Follow these steps to put your own safety program into action:

1. Customize the Word:sample written program
  • Read each section and fill in the blanks and check boxes.
  • If necessary, rewrite a section until it describes what you do and what you expect from employees.
  • If a section doesn’t apply, you can delete it from your program. (For example: you are exempt from OSHA recordkeeping if you never have more than 10 employees.)
  • If you use equipment or do tasks the sample doesn’t talk about (For example: you sometimes use an articulated boom lift) you can write a “Safety Rules and PPE” sheet that looks just like those in the sample program. Use relevant WISHA rules and manufacturer’s instructions as your starting point.
  • If you need to do more than just fill in the blanks, checkboxes and make minor changes, ask us for the sample program on CD-ROM to make editing easier.
    If you do make changes, check the references to WISHA Safety rules included in the sample program. You don’t want to make a policy that doesn’t comply with those rules.
  • Be sure to ask your employees for their suggestions. They often have good ideas and like you are going to have to follow your policies and procedures.
2. Train employees so they know what you expect.
  • Document the training using the “Employee Safety Orientation Checklist” in your program.
  • Use the “Safety Rules and PPE” sheets when talking with employees so they get complete information about how to do the assigned task(s) safely.
  • Also, give this training to new employees before they start working.
3. Make sure workers actually follow your policies.
  • Hold worksite supervisors accountable for making sure employees work safely.
  • Do weekly self-inspections and watch how the work is done.
  • It’s a good idea to document disciplinary actions if they become necessary.
4. Review your program each year.
  • Does the program still describe your actual safety policies?
  • Has the work changed in a way that means you need to revise or make new rules?
  • What can you do to make this program even more effective at keeping the workplace free of hazards?


Related Documents:

Word:Cover Sheet (more information)

Word:Accident Investigation Report

Word:Emergency Information form

Word:Employee Orientation

Word:Employee's Report of an Injury form

Word:Fall Protection Work Plan

Word:Minor Injury Log

Word:Pre-Task Hazard Analysis form

Word:Self-Inspection Checklist

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