HomeMy WebLinkAboutOrdinance 94-02
ORDINANCE NO. 94- 02
AN ORDINANCE OF THE CITY OF OCOEE, FLORIDA,
REPEALING ORDINANCE NUMBER 90-80; ADOPTING AND
APPROVING THE CITY OF OCOEE SAFETY MANUAL;
PROVIDING FOR SEVERABILITY; PROVIDING AN EFFECTIVE
DATE.
WHEREAS, the City Commission of the City of Ocoee desires to provide for the most
current safety policies and regulations for the safety and welfare of the employees of the City of
Ocoee; and
WHEREAS, the City Commission of the City of Ocoee believes that it is important to
provide for the proper and equitable treatment of City Employees.
NOW, THEREFORE, BE IT ENACTED BY THE CITY COMMISSION OF THE
CITY OF OCOEE, FLORIDA, AS FOLLOWS:
SECTION 1. Short Title and Authority.
A. This Ordinance shall be known and may be cited as the "CITY OF OCOEE
SAFETY MANUAL" .
B. The City Commission of the City of Ocoee has the authority to adopt this
Ordinance pursuant to Article VIII of the Constitution of the State of Florida and Chapter 166, Florida
Statutes.
SECTION 2. Repeal of Ordinance Number 90-80. City of Ocoee Ordinance Number
90-80 is hereby repealed in its entirety.
SECTION 3. AdoDtion of City of Ocoee Safety Manual. The City Commission of
the City of Ocoee, Florida, hereby adopts and approves the CITY OF OCOEE SAFETY MANUAL
as set forth in Exhibit "A" attached hereto and by this reference made a part hereof.
SECTION 4. Severability. If any section, subsection, sentence, clause, phrase or
portion of this Ordinance is for any reason held invalid or unconstitutional by any court of competent
jurisdiction, such portion shall be deemed a separate, distinct and independent provision and such
holding shall not affect the validity of the remaining portion hereto.
SECTION 5. Effective Date. This Ordinance shall become effective immediately
upon passage and adoption.
PASSED AND ADOPTED this /6- day of ll1A-f ell , 1994.
ATTEST:
J
(SEAL)
FOR USE AND RELIANCE ONLY BY
THE CITY OF OCOEE, FLORIDA
APPRQVED AS TP.Fqpt AND LEGALITY
this ~ day of ~, 1994.
FOLEY VRDNER :
~~<f~
City Attorney
By:
C:IWP51 IDOCSIOCOElORDIN .9412191941 18W0151 DPB:dp
APPROVED:
CITY OF OCOEE, FLORIDA
ADVERTISED February 17 , 1994
READ FIRST TIME Feb. 15 , 1994
READ SECOND TIME AND
ADOPTED llAA-rZCH I , 1994,
UNDER AGENDA ITEM NO. '"ll...
2
CITY OF OCOEE
SAFETY MANUAL
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.. SAFETY"
IT WORKS FOR EVERYONE
CITY OF OCOEE, FLORIDA
SAFETY MANUAL
Adopted by City Commission 3-1-94, Ordinance No. 94-02
INTRODUCTION
The Safety Committee of the City of Oc~ee is under the Direction of
the Safety Director and the Director of Personnel and Employee
Relations. The Safety Committee shall meet on a regular basis and
on occasions when the need may arise.
This Safety Manual replaces the original Safety Manual adopted by
Ordinance on November 20, 1990, and as such, any and all actions
made relative to safety violations/training shall be governed by
the Personnel Rules and Regulations Manual.
~ABLE OF CONTENTS
SECTION
SUB-SECTION & TOPIC
TABLE OF CONTENTS
FORvlARD
100.
INTRODUCTION
100.1
200.
ASSIGNMENT
200.1
200.2
200.3
200.4
300.
GENERAL POLICY
OF RESPONSIBILITIES
SCOPE
GUIDELINES
RESPONSIBILITY
SAFETY COMMITTEE
SAFETY COMMITTEE
300.1 SAFETY COMMITTEE MINUTES
400.
MAINTENANCE
400.1
400.2
400.3
4\00.4
4130.5
500.
TRAINING
51.00.1
500.2
500.3
600.
OF SAFE WORKING CONDITIONS
SCOPE
SELF INSPECTIONS
ESTABLISHING THE
INSPECTION PROGRfu~
PERSONAL PROTECTIVE
EQUIPMENT
JOB HAZARD ANALYSIS
GUIDELINES
SAFETY TRAINING
RIGHT TO KNOW TRAINING
ACCIDENT
600.1
600.2
600.3
600.4
INVESTIGATION
GENERAL
RESPONSIBILITIES
ACCIDENT REPORT CONTENT
PROPERTY DAMAGE
700.
SAFETY RULES,
700.1
700.2
700.3
700.4
700.5
700.6
700.7
700.8
700.9
700.10
700.11
7190.12
POLICIES, AND PROCEDURES
GENERAL
VEHICLE SAFETY
OFFICE SAFETY
LIFTING SAFETY
WELDING/CUTTING/BURNING
LADDER SAFETY
HAZARD ENVIRONMENT
RESPIRATORY PROTECTION
MAINTENANCE SHOP SAFETY
ELECTRICAL SAFETY
TOOL SAFETY
MAINTENANCE VEHICLES,
TRACTORS AND EQUIPMENT
PAGE NUMBER
1-2
3-7
8-9
10-13
14-16
17-18
19-32
SECTION SUB-SECTION & TOPIC PAGE NUMBER
7(!J0.13 CONSTRUCTION, BUILDINGS,
AND GROUND MAINTENANCE
70(/).14 CHLORINE AND OTHER
HAZARDOUS MATERIALS
700.15 WATER AND WASTEWATER
PLANT SAFETY
700.16 SANITATION DEPARTMENT
SAFETY
8lJ10. FCffi4S FOR USE IN THE SAFETY PROGRAM 33-47
800.1 (A & B) ACCIDENT INVESTIGATION
REPORT FORM
800.2 MAJOR LOSS REPORT FORM
800.3 MINOR INJURY REPORT FORM
800.4 NOTICE OF SAFETY
INSTRUCTION FORM
800.5 MONTHLY SAFETY MEETING
ATTENDANCE FORM
800.6 SAFE OR UNSAFE OBSERVATION
FOR11
800.7 ACKNOWLEDGEMENT OF JOB
SAFETY INSTRUCTION FORM
80(0.8 SAFETY INSTRUCTION FORM
800.9 (1 & 2 ) MONTHLY SAFETY CHECK
800.10 ( 1 & 2 ) SAFETY COMMITTEE FORM
CITY OF OCOEE
SAFETY POLICY AND PROCEDURES
FORWARD
The Safety Committee of the City of Ocoee is under the direction of
the Di rector of Personne 1 and Emp 1 oyee Re 1 a ti ons . The Saf ety
Commi t tee shall meet quarterl y or on an as-needed basis. The
Committee shall report safety violations to the proper departments
with reports to the Director of Personnel and Employee Relations.
This Safety Manual was adopted by the Ocoee Commission effective
March 1, 1994, and as such, any and all actions made relative to
saf ety vi 0 1 a ti ons/ training shall be governed by the Personnel Rul es
and Regulations Manual.
The Safety Commi t tee wi 11 be comprised from indi vidual departments.
Periodic inspections of any and all City property will be made on
a regular basis by permanent members of the Safety Committee, and
any violation noted will be immediately reported to the Department
Head for their immediate response with a copy forwarded to the
Director of Personnel and Employee Relations and Safety Director.
The Safety Committee strongly encourages all employees to read the
entire manual, and stresses that any incident, whether it be
personal injury, property damage, accident, unsafe condition, or
accident involving City property or equipment by other than City
employees shall be reported IMMEDIATELY to the Director of
Personnel and Employee Relations and all forms filled out as
applicable.
The Safety Commi t tee encourages all employees to practice safe
practices and welcome any ideas or suggestions anyone may have
concerning the safety and well being of our employees. If you have
any questions concerning this manual, please do not hesitate to
contact any member of the Safety Committee, the Director of
Personnel and Employee Relations and Safety Director.
100.1
CITY OF OCOEE
SAFETY POLICY AND PROCEDURES
SECTION 100 - INTRODUCTION
GENERAL POLICY
The City of Ocoee is very conscious of the safety and
welfare of its employees and that of the general public.
As an employer, the City recognizes its obligation to
ensure the safest possible work place for its employees.
As a government entity, it recognizes the responsibility
to provide a safe environment for the public it serves.
Most accidents can be attributed to unsafe acts or
conditions and generally can be avoided.
It shall be the goal of the City to prevent accidents.
The results from achieving this goal will be a reduction
in personal injury, property loss, liability claims, and
an overall more efficient operation.
The safety program 1S organized in a commi ttee
system. Each department is responsible for its own
accident prevention program. The Fire Chief serves
as Safety Director and coordinates the City's
overall safety efforts. The Safety Director,
however, is not responsible for line functions that
are normally the responsibility of department
directors and supervisors. It is expected that
department directors will compliment the efforts of
the Safety Director, assuring realistic efforts
wi 11 be taken to reduce accidents, injuries, and
liability losses and provide for the safety of the
publ ic. These efforts shoul d be continuous and
equal in importance to all other operational
considerations.
To reach the goal to provide a work environment free of
potential hazards, management and supervisory personnel
are held accountable to:
A. Provide 1 eadership and guidance to the Ci ty work
force.
B. Provide proper training of employees and undertake
job and public "hazard" analysis in all
departments.
C. Minimize the severi ty of injuries through prompt
and adequate medical care.
1
D. Continuously review work procedures and conditions
of the work environment and public safety, seeking
improvement.
E. Maintain accurate records that document the safety
program.
F. Taking prompt corrective action as necessary as a
result of inspection for unsafe practices.
All employees are responsible for cooperation with, and
support of, safety program objectives. Employees are
expected to adopt the concept that the safe way is the
most efficient and only acceptable way a task is to be
accomplished.
Safety records shall be reviewed along with other phases
of supervisor and employee performance evaluations.
Therefore, it is essential such records be complete and
accurate and all accidents be fully and timely reported.
2
200.1
200.2
200.3
SECTION 200
ASSIGNMENT OF RESPONSIBILITIES
SCOPE
The purpose 1S:
A. To delegate to key personnel, responsibility,
authority and accountability.
B. Emphasize to employees their responsibility to
follow safe procedures.
GUIDELINES
A. Management has the overall responsibi I i ties for
providing a'safe work environment.
B. The Safety Director has direct reporting authority
to the Director of Personnel and Employee Relations
in matters pertaining to safety.
C. Department directors are responsible for supporting
the safety program in all respects. In addition,
they are responsible for developing and
implementing department safety rules.
D. Supervisors are responsible for providing adequate
job training and instructions to all employees.
E.
A saf ety commi t tee
periodically.
will
meet
function
and
RESPONSIBILITY
A. Director of Personnel and Employee Relations'
Responsibilities:
1. Maintain the accident record system, make
necessary reports, investigate fatal or
serious accidents, and check corrective action
taken by department directors to el iminate
accident causes.
2. Ensure new employees are properly trained in
matters of safety.
3. Ensure proper action has been taken to all
violations of safety procedures.
3
B. Safety Director's responsibilities:
1.
Formulate, administer and make
changes in the Safety Program.
necessary
2. Submi t to the Ci ty Manager and Director of
Per-sonne I and Emp I oyee ReI a ti ons reports on
the status of safety on a quarterly basis.
3. Act ln an advisory capaci ty on all matters
pertaining to safety, as required for the
guidance of department directors, supervisors
and employees.
4. Make personal inspections for the purpose of
discovering and correcting unsafe conditions
or unsafe work practices before they cause an
accident.
5. Maintain outside professional contacts to
exchange information with others and keep the
Safety Program up to date.
6. Along with the Director of Personnel and
Employee Relations make certain all laws,
ordinances or orders bearing on safety are
followed.
7. Conduct acti vi ties that wi 11 stimul ate and
maintain employee interest.
8. Administer the Safety Committee with the
Director of Personnel and Employee Relations.
C. Department Head Responsibilities:
1.
Meet with
Committee.
Safety
Director
and
Safety
2. Plan safety program and establish safety rules
for all department employees.
3. Make necessary reports, personally investigate
serious accidents, secure supervisors'
accident reports and check corrective action
taken by supervisors to eliminate accident
recurrence.
4. Make personal inspections and supervise
department inspections for the purpose of
discovering and correcting unsafe conditions
or unsafe work practices prior to an accident.
4
5. Notify the Director of Personnel and Employee
Relations and Safety Director of injuries as
they occur.
6.
Stress accountability to supervisors
compliance with the safety program.
for
7 .
Forward
training
coverage
basis) .
to Safety Director monthly safety
reports (office personnel wi 11 have
on a semi-annual, or as needed,
8. Ensure proper action has been taken for
violations of safety practices.
D. Supervisors Responsibilities:
1. Provide job training and document safety
instruction to all employees on an initial and
ongoing basis.
2. Provide continuing safety instruction whi 1 e
using daily work assignments to focus
attention upon potential hazards, changes in
work condition or procedures, etc.
3. Actively support safety promotional measures.
4. Continuously observe and evaluate work
conditions and work procedures to detect and
correct unsafe conditions and practices.
5. Promptly investigate accidents and complete
required reports.
6. Be receptive and encourage employees to report
unsafe practices and conditions at work.
7. Participate in training courses designed to
increase professional knowledge of safety
supervision principles and techniques.
8 .
Obtain and maintain high
housekeeping, personal and
sanitation in work activities.
standards in
environmental
9. Ensure proper action has been taken to correct
violations of safety practices.
10. Ensure tools, equipment and protective devises
are promptly maintained and properly utilized
by regularly documented inspections.
5
200.4
11. Become thoroughly familiar with and actively
enforce all safety procedures appl icabl e to
the work supervised.
12. Assist the department director in developing
safety rules through the completion of "job
hazard analysis".
E. Employees Responsibilities:
1. Immediately report to the supervisor and
Director of Personnel and Employee Relations
all accidents and injuries occurring wi thin
the course of employment.
2 .
to the supervisor
unsafe practices
and
or
Immediately report
Safety Director all
conditions observed.
3 .
Cooperate and assist in investigation
accidents to identify correctable causes
to prevent recurrence.
of
and
4. Acti vel y support and parti cipate in safety
promotional and educational measures utilized
in the department safety program.
5. Become familiar with and observe approved safe
work procedures for work activities and
constantly be on the "look-out" for unsafe
conditions in the community, advising
supervisors of hazards noted.
SAFETY COMMITTEE
The basic function of the Safety Committee is to help
create and maintain all employees' active interest in
safety. To achieve this, there must be a spiri t of
cooperation and commitment to safety as a shared
responsibility between management and the employees. The
proper safety at ti tude of the members wi 11 have a
posi ti ve infl uence on others. The more they become
involved, the more they will involve other employees and
the community they service.
A. Safety Committee Composure:
1. Safety Director (Fire Chief)
2. Director of Personnel and Employee Relations
3. Chief of Police
6
4. utilities Director
5. Recreation Director
6 . Pub I i cWo r k s D ire c tor
B. Duties and Functions or the Safety Committee:
1. Meet on a bi-monthly basis, or more often if
needed; maintain records of meetings.
2 .
Review the circumstances and causes
accidents and make recommendations
preventive measures.
of
for
3. Increase the knowl edge and understanding of
safety for all employees by promoting
educational and training activities.
4. Develop' and recommend improvements to the
safety program.
5. Conduct periodic safety inspections and make
recommendations for correction of unsafe
conditions and practices.
o. Listen to suggestions by employees and report
them to the committee for consideration.
C. Agenda:
1. Record of attendance.
2. Consideration of unfinished business.
3. Review of recent accidents and trend analysis.
4. Reports on special projects of the committee.
5. Reports on inspections performed.
6. Presentation of new business.
7
SECTION 300
SAFETY COMMITTEE
300.1
SAFETY COMMITTEE MINUTES
Date of-meeting:
Those in attendance were:
Facility:
Called to order at:
Minutes from the previous meeting were
(approved/approved with exceptions/corrections).
reviewed
and
Unfinished Business/Open Action Items.
Accident
Date of injury
Type of injury
Suggestions/recommendations to prevent reoccurrence.
8
New Business/Action Items.
Suggestions, Recognition and Incentives.
Follow-up Items:
Special Assignments/Sub-committee reports.
Inspections. (Attach Report).
(Attach Report)
Report Discussions.
other.
Meeting Adjourned at:
Safety Committee Chairman
q
400.1
400.2
SECTION 400
MAINTENANCE OF SAFE WORKING CONDITIONS
SCOPE
- This section outl ines the cri teria for the maintenance of
safe working condition elements. It includes
inspections, personal protective equipment and job hazard
analysis.
It is vital for managers and supervisors at every level
to ensure compliance wi th safe working condi tions. This
is done by:
A. Making certain key personnel are trained in the
basics of inspecting personal protective equipment
and how to. anal yze job tasks in which they are
responsible.
B.
Understanding their
safety violations.
responsibility to correct
C. Enforcing the use of safety equipment.
D. Monitoring results.
SELF-INSPECTIONS
An inspection program should not only address the work
place, but all things and all locations in the City. A
good plan will provide for all employees to become
involved in reporting hazardous conditions in the city,
(i.e., tree limbs obstructing a stop sign, misplaced
manhole covers, slippery floors, pot holes, broken
sidewalks, etc.). All employees should be instructed on
what to look for and who to report to when a hazardous
condition is found.
Relative to on-the-job inspections, self-inspections
should occur at various time intervals and be conducted
by various people, depending on the scope and purpose of
the inspection.
Daily - Employees should inspect their work area, tools
and equipment at the beginning of each workday.
Maintenance personnel, supervisors and others whose
duties take them into the production/field work area
should constantly check for unsafe actions and
condi tions. In all cases where remedial action is
needed, it should be reported and corrected as soon as
possible.
10
41210.3
Weekly - Department director and supervisors who may not
normally get into the production/field work area should
tour the area for the purpose of inspection and safety
contacts with employees.
Monthly - Planned and scheduled inspection by department
directors and supervisors. This inspection should cover
a 11 areas, inc 1 uding thos e areas where "no one ever
goes." It is advis~ble to schedule the inspection when
maximum observations can be made with the least amount of
work interruption.
ESTABLISHING THE INSPECTION PROGRAM
A. Prior to conducting an inspection, consider the
following:
1. Review'previous inspection to ensure previous
recommendations have been completed.
2. Review accident records for the department.
Information concerning how a particular
accident occurred often wi 11 reveal hazards
which need to be corrected.
3. Plan for and wear all necessary personal
protective equipment worn in areas where it is
required.
4. Pre-pI an an inspection route. This wi 11
ensure all areas will be inspected completely
and thoroughly. it will also eliminate
backtracking, unnecessary interruptions of
employee work and distractions.
B. Program Records.
1. Accurate inspection records are important.
They serve as evidence of the program, provide
documentation of necessary corrective actions
and provide a method of follow up to assure
completion. The easiest method to record an
inspection is to use a checklist. A standard
checklist is provided in this document.
However, departments may tailor a checklist to
suit specific department requirements.
2. Department heads will forward the form to the
Safety Director monthly.
, 1
400.4
C. Instituting Corrective Actions.
The results of an inspection should prompt actions
to correct the problems. The following guidelines
should be used.:
1. Correct the cause of the probl em whenever
possibl e. I f the authori ty needed is above
the inspector's, make certain it is brought to
the attention of someone who has the proper
authority.
2. When authority exist to correct or minimize a
problem, do it immediately.
3. Condi tions that cannot be corrected
immediately should be conveyed to management
in a written report. The conditions should be
listed in the order of priority, including
suggested solut.ions and compliance dates, if
possible.
4. Management should adVIse the inspectors as to
what actions are planned on the suggestions,
or the reasons why actions will not be taken.
PERSONAL PROTECTIVE EQUIPMENT
Personal protective equipment is utilized to safeguard
from physical and heal th hazards, it is back up for
engineering controls that are not completely reliable,
not possibl e or not practical. When protecti ve equipment
is needed to safeguard people from hazards, the
selection, fit, maintenance and use are critical.
In order to ensure those utilizing the equipment are
protected, department directors and supervisors should:
A. Survey all work activi ties to identify hazardous
exposures.
B. Eval uate which exposures must be controll ed wi th
protective equipment.
C. Research the type of protective equipment that IS
needed.
D. Have selected employees trained in fitting and
testing the equipment chosen.
E. Establish and maintain an issue, fitting and
maintenance system.
12
400.5
F. Establish and maintain standards for the use and
care of equipment.
G. Explain the need for use of equipment to employees
and discuss during safety meetings.
H. Investigate violations to identify and r~medy the
basic causes.
I. Use progressive discipline to ensure compliance.
JOB HAZARD ANALYSIS
A job hazard analysis is a procedure designed to study
the job for any potential hazards and/or liabilities
caused by machinery, the surroundings or the worker. Its
purpose is to eliminate or control all hazards and
liabilities that 'can be caused by unsafe actions of the
worker and unsafe conditions of the environment.
Department directors and supervisors should:
A. Conduct a job inventory for each position assigned,
listing all work tasks performed and evaluate these
tasks as to their potential for accidents, and make
changes accordingly.
B. Review the job inventory and update the cri tical
job procedure or practice whenever the respective
process, equipment or materials are changed.
C.
Review and verify
annually.
job hazard anal ysis
each
13
500.1
500.2
SECTION 500
TRAINING
GUIDELINES
Education means increasing a person's understanding and
knowledge. Training means developing a person's ability
to do something. Both are important. People first need
to understand what the job is and how it fits in with
other work, then they need to do the job step by step.
Training makes people more efficient and reduces
incidents. Well-trained people know the hazards of the
job and how to avoid them.
Job Orientation. People at new work sites have certain
mental preoccupations. These affect their ability to
learn new tasks and work safely. The job site
orientation should personalize the safety program to the
work to be done and the possibl e hazard exposures, it
should be given the first day employees are at a new work
site. Follow-up briefings should be given on critical
items for high risk jobs. Further, Right-to-Know
training must be included and completed within 30 days of
employment.
SAFETY TRAINING
It is an establ ished statistic that 30 percent of all
persons injured were employed 1 ess than six months.
Also, it is found that very little training was attached
to the job. It is important, therefore, that supervisors
know how to train a new employee on all aspects of safety
associated with the job.
A training program is needed:
A. For new employees.
B. When new equipment or processes are introduced.
C. When procedures are revised or updated.
D. When employee performance needs to be improved.
E.
When loss analyses reveal
contributing to injuries.
are
that
trends
14
Supervisors should discuss the following with newly-hired
employees prior to their starting work:
A. Hazards wi thin the department and importance of
good housekeeping.
B. Lgcation of locker room, rest rooms and shower
rooms, as applicable.
C. Special clean-up rules, if applicable.
D. Review of City Safety Policies and Procedures.
E. Proper use of personal protective equipment.
F. Specific safety rules applicable in the department.
G. Safety rule$ on clothing, gloves and jewelry.
H. Proper lifting techniques.
T. Proper use of machinery, hand tools, and material
handling equipment.
,J. Fire safety rules.
K. Location of fire extinguisher and fire exits.
L. Walk through of evacuation routes.
M. What to do in case of a fire or emergency.
N. What to do in the event of an accident, wi th or
without injuries.
O. How to obtain first aid.
P. How to report unsafe conditions.
Q. Right-to-Know information.
Supervisors should never assume a newly-hired, newly-
assigned or re-assigned employee thoroughl y knows the
safe job procedures. The employee must be trained to
perform according to approved department procedures. The
supervisor must accomplish the following:
A. Preparation. Have on hand all the equipment and
materials to teach the job.
B. Instruction. Demonstrate and explain to the
employee how the job is to be done, step-by-step.
Emphasis should be placed on the hazardous steps
and potential accidents.
15
500.3
C.
Application. The employee
to demonstrate the task
eval uate the performance.
corrections as necessary.
is given the opportunity
and the supervisor to
The supervisor makes
RIGHT-TO-KNOW TRAINING
All employees handling toxic or hazardous materials will
receive annual training in the proper use, storage and
treatment for accidental exposure cl ean up procedures
according to Chapter 442, Florida statutes. This
training will be completed within 30 days of employment
and annually thereafter. This training will be
coordinated by the Fire Training Officer and must be
certified by the department director. A copy of the
certification will be placed in the employee's personnel
record.
1 c:.
600.1
600.2
SECTION 600
ACCIDENT INVESTIGATION
GENERAL
Accident investigations are a cri tical factor in the
City's loss control effort because an investigation will
pinpoint causes and/or defects so similar accidents can
be prevented.
Investigations must also go beyond the immediate accident
and involve all factors which contributed to the losses.
The examination of the interfacing of peopler equipment,
material and the environment will lead to the basic
causes.
RESPONSIBILITIES
A. Each supervisor will set up a procedure for
employees to report accidents to him/her to the
Director of Personnel and Employee Relations
immediately on occurrence.
B. Supervisors will respond immediately to the scene
of any accident, initiate emergency care and damage
control measures, and begin an investigation.
C. Every accident wi 11 be investigated to determine
the potential for serious or frequent loss.
D. Minor losses and those accidents wi th minor loss
potential will be investigated by the supervisor of
the area where the incident occurred. A minor loss
will include property damage of less than $500 or
personal injury not requiring hospitalization.
(Forms 800.1 (A & B))
E. Major losses and those accidents wi th major loss
potential will be reported immediately to the
Director of Personnel and Employee Relations and
the Safety Director and investigated by the
department director where the incident occurred. A
serious loss will include property damage of $500
and over or personal injury requiring medical
attention. (Forms 800.1 (A & B) and Form 800.2)
F. A copy of all accident reports will be submitted to
the Director of Personnel and Employee Relations
and Safety Director by close of business the next
workday after the occurrence of the incident. (An
Accident Investigation Report Form and a Major Loss
Report Form are found in this document)
17
600.3
600.4
G. All accident reports will be followed by the Notice
of Safety Instruction Form. This form is a
constructi ve reminder to perform work in a safe
manner.
H. All automobile accidents invol ving Ci ty vehicl es
will be immediately reported to the Police and Fire
Department in the investigation of the accident and
the Director of Personnel and Employee Relations
and the Safety Director.
I. All automobile accidents involving police and fire
vehicles will be immediately reported to the
Florida Highway Patrol, the Director of Personnel
and Employee Relations and Safety Director.
ACCIDENT REPORT CONTENT
The accident investigation report shall include:
A. Identifying information: When, where, who and what
was invol ved in the accident and what were the
losses.
B. Pictures shall be taken of the accident, cause of
accident, or any other pertinent information that
can be photographed. The Police or Fire Department
can be called to take the pictures, if not other
means available.
C. A detailed statement and sketch of what happened
before, during and after the occurrence. Incl ude
information whether safety bel ts, safety guards,
protective equipment were in use, etc. A statement
will be included of what happened in the involved
person's handwriting. (Form 800.1(A))
D. All unsafe actions and conditions that occurred.
E. What actions are planned to control all factors
that caused the accident and what immediate actions
must be taken to temporarily reduce the risk.
PROPERTY DAMAGE
A. Any damage to City property, including buildings,
equipment and vehicl es, must be reported to the
City Manager or Director of Personnel and Employee
Relations within 12 hours.
B. Any damage to private property must be reported to
the City Manager or Director of Personnel and
Employee Relations within 12 hours of knowledge of
the damage.
C. No employee is to admit or comment on liability ln
any accident.
18
SECTION 700
SAFETY RULES, POLICIES, AND PROCEDURES
GENERAL DEPARTMENT SAFETY RULES
Your help and involvement in safety is vital for your protection,
that of your co-workers and that of the general public. Safety
Rules are posted in the office area. Observe the following safety
rules at all times.
700.1
GENERAL
A. Keep work and common areas clean and orderly.
B. No horseplay or other misconduct will be tolerated.
C. Do not obs't ruct or block s tai rwe 11 s / exi ts or
accesses to safety and emergency equipment for any
reason.
D. No department member shall report to work under the
influence of mood altering drugs or intoxicant
drugs. (City Rules and Regulations)
E. The use of illegal substances and/or alcoholic
beverages on the job is prohibi ted. (Ci ty Rul es
and Regulations)
F. Any department member taking prescribed medications
or who has a medical condition which might impair
their ability to perform certain tasks shall report
this to their supervisor prior to beginning work.
G. Turn on lights when entering any dim or darkened
room or allow sufficient time for your eyes to
adjust to low light levels.
H. Use only proper climbing devices, such as ladders
or stools designed for the purpose.
I. Hearing protection shall be worn at all times when
noise levels prohibit normal conversation.
J. Employee shall wear all provided safety equipment
when involved in emergency operations.
K. Smoking regulations shall be observed. (City Rules
and Regulations)
L.
Unauthorized
allowed on
Regulations)
fi rearms or expl osi ves
Ci ty property. (Ci ty
wi 11 not
Rules
be
and
19
700.2
700.3
M. Follow all additional safety instructions,
warnings, signs, procedures, and rules as written,
posted, or communicated.
VEHICLE SAFETY
(All Personnel)
A. Inspect the vehicle's lights, windshield WIpers,
brakes, mirrors, tires, and seat belts daily.
B.
Cab, dashboard and seats shall
loose object or papers that
distraction while in operation.
be cl ear of any
could cause a
C. All personnel shall be seated and belted while the
vehicle is moving.
D. Observe all local traffic laws when operating
vehicles under routine or non-emergency conditions.
E. Do not ride on any department vehicle outsIde the
cab or canopy. Sanitation workers will only ride
from stop to stop, extended distances wi 11 be in
cab.
F. Check behind the vehicle for obstructions, tools,
debris and/or personnel before backing.
G. Do not open doors or exit a vehicle while it is In
motion.
H. SEAT BELTS ARE REQUIRED TO BE WORN BY ALL EMPLOYEES
DRIVING CITY VEHICLES - NO EXCEPTIONS. If you are
involved in an accident and are not wearing a seat
belt, you will be responsible for 25% of all
medical costs incurred.
OFFICE SAFETY
(All Personnel)
A. Do not connect mul tiple electrical devices to a
single outlet.
B. Do not use extension or other power cords that are
cut, frayed or damaged.
C. Close file and desk drawers when unattended. Do
not open more than one drawer at a time and close
it when done.
D. Put heavy files in bottom drawers of file cabinets
to prevent cabinets from tipping over.
20
700.4
700.5
E. Do not tilt your chair back on two legs.
F. Do not use chairs, boxes or improvised climbing
devices.
G.
Turn off the machine and disconnect
power before attempting to adjust
electrical office equipment.
electrical
or c I ear
H. Do not remove, bypass, or tamper with electrical
equipment fuses, switches or safeguards.
I. Do not place your fingers In or near the feed of a
paper shredder. Veri fy guards are in p I ace and
working prior to use.
LIFTING SAFETY
(All Personnel)
A. All employees are required to do some lifting,
moving and handl ing of material and equipment as
part of their regular assigned duties. Avoid
accidents I earn the right way to handl e
materials.
B. Do not lift awkward or especially heavy materials
(50 lbs or more) by yourself. Get help or use a
lifting device.
C. Know your physical capacity and limitations. Place
your feet as close as possible to the load,
proper I y spaced for body ba lance. Be sure your
back and elbows are straight and knees are bent
unti I hands reach proper pI ace for gripping the
load. Grip the load firmly and do not shift or
readjust. I f you need to readjust, put the load
down and start over. Li ft by straightening the
legs using the leg muscles and arm muscles keeping
the load close to the body.
D. When changing direction of travel, do not twist,
but turn the whole body including the feet. When
putting the load down, carefully reverse the above
procedure, as this operation is fully as dangerous
as lifting.
WELDING/CUTTING/BURNING
A. Ignite torches with friction lighters only.
B. Place valve protective caps on cylinders not in use
or stored, and whenever being transported.
21
700.6
C. Do not use open flame devices or spark producing
equipment/tools where flammable liquids are stored
or where combustible gases or vapors may be
present.
D. Use only fuel gas hoses and oxygen hoses that are
easily distinguished from each other.
E. Tighten all connecti0ns and verify that they are
oil free prior to equipment use.
F. Do not use a defecti ve torch. Inspect torches
prior to each use. If a leaking shut-off valve or
tip connector is detected, replace torch and notify
your superVlsor.
G. Do not use oxygen hoses without reverse flow check
valves in the line.
H. Remove all oily rags, paper, and other combustible
materials from the welding or cutting area.
I . BLOW OUT ( crack/ part i all y open) cyl inder val ve
before attaching regulator.
J. stand to the side of regulator when opening
cylinder valves.
K. Ground the work place and avoid wet locations when
welding to avoid electric shock.
L. Wear eye protection, gloves and clothing when
cutting or welding.
M. Shield cutting or welding operations with screens
or blankets.
N. Store, transport, and use propane cyl inders ln a
secure, upright position.
O. Do not use a portable gasoline powered welder in an
enclosed or confined area. If welding in such an
area is necessary, pipe exhaust to the outside and
use SCBA or other respiratory protection.
LADDER SAFETY
A. Do not use ladders with broken steps, rungs, cleats
or side rails. Inspect metal ladders for
corrosion.
B. Check for overhead electrical wires before raising
or lowering ladders.
22
700.7
C. Do not place a ladder at a blind corner or doorway.
I f set up is necessary in these areas, block or
rope off the area.
D. Do not try to get additional height from a ladder
by placing it on a make-shift or unstable base.
E. Face the ladder and use both hands when climbing or
descending ladder. Do not descend facing away from
the ladder.
F. Use a "heel man" or tie off ladder to prevent
slipping.
G. Do not run portable electric leads down ladders nor
permit them to cross in front of ladder landings.
H. Clean shoes ,of mud, grease, tar or other substances
that could cause a slip or fall, prior to using a
ladder.
I. Do not ride or climb material hoisting devices or
conveyors to gain access to the roof or upper
levels.
HAZARDOUS ENVIRONMENT
A. Do not enter any hazardous envi ronment wi thout
prior approval.
B. Assume all atmospheres to be contaminated unl ess
proven otherwise.
C. Use SCBA or supplied air unless atmosphere is
proven to be safe.
D. Do not enter any hazardous environment without
prepositioning full safety and rescue equipment at
the access.
E. Do not enter any hazardous envi ronment wi thout a
safety observer present.
F. Remove the victim(s) prior to attempting first-aid,
CPR or providing medical treatment.
G. Report any exposure immediately to your supervisor
or the Incident Commander.
H. Practice universal precautions at all times.
23
700.8
700.9
RESPIRATORY PROTECTION
A. Do not use any respiratory equipment without prior
medical examination and specific training.
B. Do not use respiratory equipment without performing
a visual inspection and fit test prior to use.
c. clean and disinfect respirator after each use or at
least weekly.
D. Place the cleaned respirator face piece ln a
plastic bag prior to storage.
E. Do not enter smoke-filled, hazardous or toxic
atmosphere without SCBA and PASS equipment.
MAINTENANCE SHOP SAFETY
A. The normal activities of the vehicle maintenance
shop presents numerous hazards to maintenance
personnel. It is essential that adequate safety
standards be prescribed and observed by all shop
personnel to promote efficiency and reduce the
possibility of personal injury and property damage.
All working areas shall be free of trash and other
hazards. Floors shall be free from oil spills and
other flammable materials. ONLY AUTHORIZED PEOPLE
SHALL BE ALLOWED IN WORKING AREAS. Oil absorbent
materials must be swept up after application.
B. Tire repair work is hazardous if proper precautions
are not taken. A safety cage is mandatory when
inf 1 a ting ti res equipped wi th lock rings. When
inflating the tire, turn your face away from the
tire. Never hold the tire between your legs.
ALWAYS STAND TO ONE SIDE WHEN APPLYING AIR.
C. All tools shall be kept in good condition. It is
the responsibility of each mechanic to keep tools
in top shape.
D.
The shop shall be
times to protect
monoxide gas.
adequately ventilated at all
against exposure to carbon
E. When performing maintenance on vehicles in the
elevated portion of the hydraulic lift safety locks
must be locked in place and safety goggles must be
worn before work can be performed underneath
vehicle.
24
F. All tire removal, installation and repair will be
accomplished only by Vehicle Maintenance Personnel.
700.10
ELECTRICAL SAFETY
Electrical Equipment and Repairs
A. Electrical wires and extension cords - treat all
electrical Wlres as live wires. DO NOT drag cords
over sharp edges or across floor where they can be
damaged or run over. When removing pI ug from
outlet, pull, do not yank. Do not OVERLOAD
outlets. Keep cords clean and never allow
extension cords to lay in water, oil, grease or any
solvent. Wipe clean before using.
B. El ectrical ,Equipment ground wire provided on
electrical apparatus must not be disconnected or
broken. Any kind of electrical shock, no matter
how slight, is a WARNING that something is wrong.
C. El ectrical Repai rs - use tag out system (tape on
switch and tape on breaker with signature of person
working on the repair - same person puts tag on and
same person takes tag off); be sure current is OFF
before attempting to make any electrical repairs.
No 1 i ve wi re work wi 11 be performed, even under
emergency condition. All electrical work will be
under the direct supervision of the Ci ty' s
Electrical Inspector.
ALWAYS TURN CURRENT OFF AND TEST FOR VOLTAGE BEFORE WORKING ON ANY
ELECTRICAL EQUIPMENT.
700.11
TOOL SAFETY
A. All tool-using employees wi 11 be covered on safe
operation of any new tool or tool that is
unfamiliar to them.
B. Do not use damaged or defective tools. A tool that
is not in working order should be removed from
service and reported to the supervisor.
C. Do not carry sharp/pointed tool s in your pockets
unless edges are sheathed; use a kit or tool belt.
D. Do not use el ectric hand tool s when standing in
water.
E. Do not use portable saws unless equipped with
moving guards and a constant pressure switch.
25
700.12
F. Do not use portable electric tools which have the
ground prong on a three prong plug broken or
removed.
G. Do not use power tools with frayed, cut or damaged
cords.
H. Do not leave running tools or equipment unattended.
I. Do not operate any power tools without wearing eye
and hearing protection.
J. Install and maintain safety clips and retainers on
pneumatic tools to prev8nt attachments from being
expelled.
K. Do not use portable electric tools which are not
grounded or'double insulated.
MAINTENANCE VEHICLES AND EQUIPMENT
A. General:
1. Many different types and sizes of mechanized
equipment are used in Ci ty construction and
maintenance activities. Because of the nature
of this equipment, operators and other workers
are exposed to hazards whi I e working on or
near it. All personnel will be alert at all
times to avoid accidental injury and property
damage that may result from improper operation
of this equipment.
2. Only properly trained and qualified personnel
will be authorized to operate and maintain
construction vehicles and equipment. All
mechanized equipment will be inspected prior
to use and at frequent intervals to ensure
safe operating condition is maintained.
3. Mobile equipment operators will conform to all
laws and regulations governing motor vehicles
when operating on state, county and city roads
and highways.
4. When construction equipment. proves hazardous
to highway users, traffic will be controlled
or warned by f I aggers , signs 1 temporary
barricades or other means.
26
700.13
B. Tractor and Attachments:
Tractor op~rators will be constantly alert to avoid
contact wi th workers, obstructions and other
vehicles. Operators will not allow passengers to
ride on tracr.ors. Operators will check cables and
sheaves on both tractor and attachments as a daily
inspection. Hydraulic systems should also be
checked to ensure safe and satisfactory operation
on a regular basis.
C. Backhoe:
Onl y the operator wi 11 be permi t ted in the cab
during operations. When working with equipment in
areas where vision is limited, signalers will be
used to direct operations. Signal ers wi 11 use
standard ha'nd signal s and wi 11 be in posi tions
where they are visible to the operators and at the
same time see the equipment boom. Swinging loads
wi 11 not be swung over the heads of workers. All
personnel working in the vicinity of backhoes will
wear hard hats. This is considered a hard hat
area. NO ONE will be permitted to ride buckets of
backhoes.
D. Underground Obstructions:
Any and all power, television, telephone, gas lines
and cables will be located prior to digging.
CONSTRUCTION, BUILDINGS AND GROUND MAINTENANCE
A. Building and Grounds Areas:
Unsafe condi tions in bui ldings and ground areas
require repair and maintenance to render them safe
for employees and the public. Report all unsafe
conditions to the responsible City department and
Personnel Department for correction without delay.
Materials will not be stored under, or piled
against buildings, doors or exits, or under
stairways.
27
B Excavations and Trenching:
1. The sides of excavations in stabl e soi I of
five or more feet (5'+) in depth, and those in
loose soil more than four feet (4') in depth,
will be properly and substantially braced and
shored, 'or the sides will be sloped away from
the hole.
2. Dirt removed from the excavation, and other
materials, will not be piled closer than two
feet (2') from the edge. stumps and other
debris that could slide into the excavation
will be removed from the area.
3. Wal kways, guardrai Is, warning signs, 1 ights
and barricades will be placed over, or near,
open excavations that may present hazards to
vehicle or pedestrian traffic.
4. Where it is necessary to undercut the side of
an excavation, overhanging material shall be
safety supported.
C. Construction Hazard Identification:
All construction work will be clearly identified by
signs and protected by barricades suitably marked
with reflective materials and illumination for easy
sighting after dark.
D. Grass Cutting:
1. Mower operators will wear eye protection and
approved safety gloves, vests and shoes at all
times.
2. All mower operations shall take precautions
when operating around the public, houses, and
vehicles.
E. Grass/Weed Trimmers:
1. Read all safety precautions before use.
2. Operators wi 11 wear eye protection, safety
shoes and all other safety items required.
3.
All operators shall take
operating around public,
etc.
precaution when
houses, vehicles,
")Q
700.14
F. Chain Saws:
1. Read all safety precautions before use.
2. Operators will wear eye protection, safety
sho~s and all other safety items required.
3. Operators will use extreme caution when chain
saws ar~ in the operational mode. A safe work
area must be maintained to prevent s I ips or
falls. Saws will be used only by personnel
that have been instructed on the usage.
Chlorine and other Hazardous Materials
A. All leaks and spills shall be reported to the Fire
Department immediately.
B. Chlorine is an extremely dangerous gas not only to
the employees but to the general public. Personnel
should be thoroughly trained in the proper handling
and use of chlorine.
C. Chlorine should be stored in an area away from the
regul ar work areas, but wi th adequate faci I i ties
for proper loading and unloading of the cylinders.
D.
SCBA should
working wi th
cylinders.
always be available
chlorine in case of
to employees
damage to the
E. Extreme care should be used in handling or
transport ing chlorine cyl inders . They shoul d not
be dropped or permitted to collide with each other.
F. Gasol ine, kerosene, fuel oi I, and any other
hazardous material should be used for their
designed purpose. All fuels shall be in approved
containers and marked accordingl y. Gasol ine wi 11
not be used as an agent for starting fires, and if
spilled, the area should be flushed down with
water. Smoking is not permitted within 30 feet of
all fuel pumps or while fuel is being transferred.
G. When handling chemicals, acids and sprays,
employees will wear suitable protective equipment,
including, but not limited to, hats, goggles,
boots, rubber gloves, and face masks.
H. Before handling unfamiliar chemicals, the MSDS book
will be reviewed to assure proper safety equipment.
29
700.15
I.
Employees will
Di rect or of
immediately if
symptoms after
gasses:
report to their supervisor and
Personnel/Employee Relations
they feel any of the following
being exposed to chemicals or
Headache, nausea, dizziness, weakness In the
knees
REPORT THESE SYMPTOMS IMMEDIATELY
Water and Wastewater Plant Safety
A. General:
1. Sewage Plants, sewage systems and
sedimentation areas require careful control to
avoid accidents occurring from the various
gasses'generated, unguarded plant machinery,
manholes and underground sewer piping hazards.
Most sewage contains large numbers of harmful
bacteria that can cause serious disease which
requires the observance of standards to ensure
personal cleanliness to safeguard the health
of the workers. Good housekeeping is a must
for the health of sewage plant workers.
Floors, sidewalks, catwalks and stairways will
be kept clean and free from obstructions.
Smoking will not be permitted, and signs will
be posted to this effect where explosive and
flammable gasses may be generated.
2. Immediately after work, and always before
eating, utilities personnel will wash their
hands and face. When persons come in direct
contact with sewage or sludge, they will wash
immediately. All cuts and scratches will be
treated immediately. No one will drink water
from 1 abora tory gl assware. All workers
assigned to wastewater treatment plant and
sewerage systems work will be required to
study and understand the rules and regulations
governing their work and safety requirements
outlined, and comply with them as directed by
the supervisor.
3. Adequate ventilation will be provided in pump
pits, digester areas and other locations where
hazardous gases may accumulate. Good lighting
will be available for safe plant operations,
particularly around pits, settling tanks and
on stairways and fixed ladders.
30
700.16
B. Protective Equipment:
1. Protective clothing, equipment and devices
such as breathing apparatus, safety bel ts,
safety harnesses, and testing devices for
detecting oxygen deficiency will be provided
and made available as needed. All sewer and
pits and steeling t.anks will be tested for
oxygen deficiencies before workers are
permi tted to enter. When ei ther of these
hazards are found, forced ventilation will be
provided and personnel will wear appropriate
breathing apparatus as dIrected by their
supervisor.
2. Workers entering deep sewers will wear safety
harnesses and 1 i fel ines. Two workers wi 11
remain outside the sewer to tend to the line
and provide emergency assistance if needed.
These workers wi 11 wear safety harnesses in
the event they must enter the sewer or utility
hole to effect rescue. Protective clothing,
rubber or leather gloves and other specialized
clothing wi 11 be worn when needed to avoid
direct contact with sewage or sludge. Sewage
plant workers and sewage system workers will
be trained in the use and know the limitations
of all breathing apparatus provided for their
protection.
3. All breathing apparatus will be inspected
monthl y to ensure it is in proper working
order. Defective apparatus wi 11 be repaired
or replaced without delay.
SANITATION DEPARTMENT SAFETY
A. Personal protective equipment such as gloves,
vests, and safety shoes are required for Sanitation
workers. All vehicles will be equipped with lights
and back-up horns.
B. All employees shall report any type of hydraulic
lift leakage immediately to their supervisor.
c. All employees will practice safe lifting practices;
keeping the back straight and lifting with your
legs rather than the back alone, keeping the load
as close to the body as possible.
D. When driver exits the cab of the vehicle they must
ensure that the air parking system is engaged.
31
E. Sanitation worKers will not ride on outside of the
sanitation ~rucks when not traveling stop to stop.
F.
Proper clothing will be worn or safety vest will be
supplied.
~
0.
In ousy sections of roadway extra c&ution should be
used for traffic control.
32
SECTION 800
FORMS FOR USE IN THE SAFETY PROGRAM
These forms can be reproduced for departmental use.
800.1 (A ,'c< B)
Accident Investigation Report Form: To
accidents and injuries that do not result
serious injury or death. (Property damage
or personal injury which does not require
Supervisor (A) and =mployee (8) form.
be used for all
in a ma j 0 r 1 0 s s ,
of less than $500
hospitalization.)
800.2
Major Loss Report Form: To be used for serious personal
injury or death and/or major property loss. (Property damage
of $500 or more or personal injury requiring medical
attention.)
800.3
Minor Injury Report Form
800.4
Notice or Safety Instruction Form
800.5
Monthly Safety Meeting Attendance Form:
1. Police
2. Fi re
3. Water, Wastewater
4. Public Works
800.5
Semi-Annual Safety Meeting Attendance Form:
1. City Manager Personnel
2. Personnel
33
3. Finance
4. City Clerk
5. Building/code Enforcement
ij . Recreation
7. Engineering
8. Planning
800.6
Safe or Unsafe Observation Form
800.7
Safety Instruction Form
800.8 (1 & 2)
Monthly Safety Check:
monthl y safety checks
vehicles.
To be used by departments to conduct
of faci 1 i ties, work areas and work
800.9
Safety Committee Form (1 & 2)
34
CITY OF OCOEE FORM 800.1 (A)
ACCIDENT INVESTIGATION REPORT FORM
SUPERVISOR FORM
Names of Employee(s)
Department/Division
Date/Time
1. What happened? (Te 11 what the emp 1 oyee was doing: how the
accident occurred, and what thing directly injured the employee.
Include information on the extent of injury and comment on whether
seat belts, safeguards, protective equipment, etc., were properly
used. )
2. Why did it happen? (Get the facts by studying the job and
situation involved.)
3. What should be done? (What action(s) will prevent similar
accidents in the future?)
4. What has been done so far?
depending on your authority.)
Taken or recommended actions,
5. How will this lmprove operations and meet accident prevention
objectives?
Investigated By:
Date:
Department Director Signature
Date:
Safety Director Signature
Date:
Attachments:
Pictures
Police Report
Statements
Forward to Personnel Date:
35
CITY OF OCOEE
ACCIDENT INVESTIGATION FORM
EMPLOYEE FORM
FORM 800.1 (B)
Employee Name
ate of Accident
Location of Accident
Job Position
Supervisor's Name
Type of Injury
Witness(s)
DESCRIPTION OF ACCIDENT:
Time
Date of Hire
EMPLOYEE SIGNATURE
DATE
SAFETY DIRECTOR
DATE
PERSONNEL DIRECTOR
DATE
":l.f\
CITY OF OCOEE
MAJOR LOSS REPORT FORM
FORM 800.2
TYPE
r:=J PERSONAL INJURY
o PROPERTY DF.MAGE
[=:J OTHER INCIDENT'-
Department/Division
Location
Date and Time
LOSS
APPARENT NATURE AND EXTENT OF INJURY OR OTHER LOSS TO PERSONS, PROPERTY.
(INCLUDE COST WHEN PROPERTY IS INVOLVED).
DESCRIPTION OF INCIDENT
INCLUDE DETAILS CONCERNING THE USE OF SEAT BELTS, SAFEGUARDS, PROTECTIVE
EQUIPMENT, ETC.
CAUSE ANALYSIS
DEPARTMENT
DIRECTOR DATE
SAFETY DIRECTOR
DATE
-I:.tachments:
Pictures
Police Report
Statements
PERSONNEL
DATE
37
CITY OF OCOEE
MINOR INJURY REPORT FORM
FORM 800.3
EMPLOYEE NAME:
'JB POSITION:
SUPERVISOR'S NAME:
DATE OF ACCIDENT:
LOCATION OF ACCIDENT:
TYPE OF INJURY:
WITNESS(S) :
DESCRIPTION OF ACCIDENT:
TIME:
DEPARTMENT FOR TREATMENT?
SIGNATURE:
SIGNATURE:
YES
NO
WAS EMPLOYEE TAKEN TO THE FIRE
DATE TREATED:
FOLLOW-UP DATE:
SUPERVISOR
DATE
SAFETY DIRECTOR
DATE
PERSONNEL
DATE
INSTRUCTIONS FOR MINOR INJURY FORM: THIS FORM WILL BE FILLED OUT FOR ALL
MINOR INJURIES AND WILL BE FOLLOWED UP BY THE SUPERVISOR, FIRE DEPARTMENT
AND DIRECTOR OF PERSONNEL AND EMPLOYEE RELATIONS.
38
FORM 800.4
NOTICE OF SAFETY INSTRUCTION
On the day of 19
has been given safety instructions in regards to the following:
THIS SAFETY INSTRUCTION IS INTENDED AS A REMINDER
I have been instructed on the above and acknowledge receiving this
safety instruction, which shall be placed in my personnel file.
DATE EMPLOYEE
DATE
SUPERVISOR
DATE
DEPT. HEAD
DATE
CITY MANAGER
39
CITY OF OCOEE
MONTHLY SAFETY MEETING ATTENDANCE FORM*
FORM 800.5
PROGRAM NAME:
DATE:
'~TIPERV I SOR :
DEPARTMENT:
ATTENDEES:
I
. - -., .
'NAME:
i
I
~
,>< NAME
I I i
:
I I i
,
I I
II I
I
I I
I I
II I I
,
I I
i
I
i ~ I
I
I
I
I I
I
I II
II
I II
"
I i;
II
'I
I I,
I
I
*ALSO USE FOR SEMI-ANNUAL SAFETY MEETING
40
FORM 800.6
l.
2 .
3 .
INSTRUCTIONS
WHITE - EMPLOYEES
YELLOW - SUPERVISOR
PINK - PERSONNEL DEPT.
Use this form for
safe or unsafe
observations
*****************************************************************
SAFETY
OBSERVATION
DATE:
TIME:
OBSERVATION:
EMPLOYEE:
OBSERVER:
SAFETY PAYS BIG DIVIDENDS!
41
CITY OF OCOEE
ACKNOWLEDGEMENT OF JOB SAFETY INSTRUCTIONS
FOR NEW OR TRANSFERRED EMPLOYEES
FORM 800.7
The following Safety Procedures were fully discussed with
as a requirement for his/her job as
. , the Department of
CHECK ITEMS THAT WERE FULLY DISCUSSED
1. Use of safety equipment*
or special procedures
2. Work shoes needed
3. Correct job procedure
and safety equipment
4. Hazards of job
5. How to report unsafe
condition
6. Safe use of chemicals,
materials, etc.
7. Good housekeeping
8. First Aid procedure
10. Reporting an injury,
(how, when, where, who)
11. Authorized use of
vehicles
12. How to report an
accident
13. Use and care of tools
14. No horseplay
15. other *(Explain)
16. MSDA (Explain)
17. Seatbelts (Explain)
* Itemize specific equipment or special procedures on equipment or special
procedures Form 800.7.
I understand the job safety instructions and wi 11 cooperate to prevent
accidents and injuries occurring to myself and my fellow workers.
I understand failure to abide by the rules of the safety manual and failure
to wear and use issued safety equipment properly, will result in disciplinary
action which could lead to termination.
DATE
SIGNATURE OF EMPLOYEE
DATE
SIGNATURE OF SUPERVISOR
DATE
DEPARTMENT HEAD
ORIGINAL SIGNED DOCUMENT TO PERSONNEL
42
CITY OF OCOEE FORM 800.8
SAFETY INSTRUCTION
EQUIPMENT OR SPECIAL PROCEDURES
The fallowing ~quipment or special procedures were fully demonstrated and
discussed wi~h as a requirement of their
~b as ln the Department of
This form must be used whenever a new procedure or piece of equipment is
assigned to an employee. The form must be forwarded to the Director of
Personnel and Employee Relations.
EQUIPMENT OR PROCEDURES
DATE COVERED
1.
1.
2.
2.
'"
.) .
3.
4.
4.
5.
5.
6.
6.
DATE
EMPLOYEE
DATE
SUPERVISOR
.~TE
DEPT. HEAD
DATE
CITY MANAGER
Original must be forwarded to Director of Personnel & Employee Relations.
43
CITY OF OCOEE
MONTHLY SAFETY CHECK
FORM 800.9-1
I SUPERVISOR
I
I
IDATE
I
I DEPARTMENT/DIVISION
.ldicates discrepancy (X)
GENERAL AREA
FLOOR CONDITIONS
AISLES, CLEARANCE MARKINGS
FLOOR OPENINGS, SAFEGUARDS
RAILINGS, STAIRS TEMP. / PERM.
PARKING AND YARD AREA
PIPING--(WATEP, STEAM, AIR)
WALL DAMAGE
VENTILATION
ILLUMINATION - WIRING
UNNECESSARY/IMPROPER USE
FRAYED/DEFECTIVE WIRING
OVERLOADING CIRCUITS/OUTLETS
MACHINERY NOT GROUNDED
I HAZARDOUS LOCATION
OTHER-EXP. ON SEPARATE SHEET
HOUSEKEEPING
FLOORS
BREAK AREA/REST ROOMS
WASTE DISPOSAL
RODENT, INSECT, VERMIN CONT
I OTHER-EXP. ON SEPARATE SHEET
TOOLS
POWER TOOL WIRING
CONDITION OF HAND TOOLS
SAFE STORAGE
OTHER- EXPLAIN ON SEPARATE SHEET
MACHINERY
OPERATIONS/STOP INST. POSTED
EMERGENCY STOPS NOT WORKING
UNATTENDED MACHINES OPERATING
GUARDS IN PLACE
PINCH POINTS
OTHER-EXPLAIN ON SEPARATE SHEET
SECURITY
DOOR/WINDOWS, ETC. AS REQUIRED
ALARM OPERATION
.
DEPARTMENT SHUTDOWN SECURITY
EQUIPMENT SECURED
OTHER- EXPLAIN ON SEPARATE SHEET
44
MATERIAL STORAGE
i HAZMAT NOT PROPERLY STORED
. LOADING/SECURING
I IMPROPER
I IMPROPER VENT/LIGHTING
I
U WARNING SIGNS
VEHICLE SAFETY
UNAUTHORIZED USE
OPERATING DEFECTIVE VEHICLE
RECKLESS/SPEEDING OPERATION
FAILURE TO OBEY TRAF. RULES
SAFETY BELTS USED
PUBLIC RIGHT-OF-WAY AREA
SAFETY CONES USED
WARNING SIGNS POSTED
BARRICADES USED
TRAFFIC SAFETY VESTS WORN
OTHER-EXP. ON SEPARATE SHEET
HAZARDOUS MATERIAL
FUELS IMPROPERLY STORED
WARNING SIGNS POSTED
RIGHT-TO-KNOW INFORMATION
MATERIALS NOT LABELED
OTHER-EXP. ON SEPARATE SHEET
OTHER-EXP. ON SEPARATE SHEET
I OTHER-EXP. ON SEPARATE SHEET
INSPECTED BY:
FORM 800.9-2
FIRE PROTECTION
I
ACCESS TO FIRE EQUIPMENT
EXTINGUISHER AVAIL./CHARGED I
EXIT LIGHTS/DOORS/SIGNS
OTHER-EXPLAIN ON SEPARATE SHEET I
PROTECTIVE EQUIPMENT USE
EQUIPMENT AVAILABLE
PROPERLY FITTED TO EMPLOYEE
USED WHEN JOB DICTATES
DEFECTIVE EQUIPMENT REPLACED
OTHER-EXPLAIN ON SEPARATE SHEET
OTHER
OFFICE SAFETY
EXTENSION CORD USE
FILING CABINETS
CHAIRS, DESKS, ETC.
FIRE EXTINGUISHERS
EQUIPMENT PROTECTION
STORAGE
OTHER
TITLE:
SAFETY SUPERVISOR:
DATE:
PERSONNEL DIRECTOR:
DATE:
45
CITY OF OCOEE
SAFETY COMMITTEE
FORM 800.10-1
SAFETY COMMITTEE MINUTES
Date of meeting:
Those in attendance were:
Facility:
~~lled to order at:
Minutes from the previous meeting were reviewed and (approved/approved with
exceptions/corrections).
Unfinished Business/Open Action.Items.
Accident
Date of injury
Type of injury
Suggestion/recommendations to prevent reoccurrence.
46
FORM 800.10-2
New Business/Action Items.
._________0__________.__.___.
Suggestions, Recognition and Incentives.
Follow~up Items.
Special Assignments/Sub-committee reports.
(Attach Report).
( At tach Report) Inspecti ons .
Report Discussion.
other.
Meeting Adjourned at:
Safety Committee Chairman
47