INJURY AND ILLNESS PREVENTION PROGRAMehs.cbssc.com/temp/CTS/CBS Television Studio IIPP 050515.pdf · 2005-05-15 · OSHA Form 300 - RECORDKEEPING ... endangers the safety of fellow

INJURY AND ILLNESS PREVENTION PROGRAM

11:36:26 AM 5/5/2015

INJURY AND ILLNESS PREVENTION PROGRAM TABLE OF CONTENTS OCCUPATIONAL SAFETY AND HEALTH POLICY...................................................... 1

PERSONNEL RESPONSIBILITIES, RIGHTS, AND OBJECTIVES............................... 3

PRODUCTION CONTACT INFORMATION ................................................................... 5

EMERGENCY TELEPHONE NUMBERS ....................................................................... 6

SAFETY AND HEALTH OFFICER DESIGNATION FORM............................................ 7

EMERGENCY PROCEDURES....................................................................................... 8

ENFORCEMENT AND DISCIPLINARY PROCEDURES.............................................. 15

HEALTH AND SAFETY COMMITTEE ......................................................................... 16

HEALTH AND SAFETY TRAINING PROGRAM.......................................................... 18

OSHA Form 300 - RECORDKEEPING ........................................................................ 20

WORKERS’ COMPENSATION .................................................................................... 31

ACCIDENT REPORTING AND INVESTIGATION PROCEDURES.............................. 35

SAFETY AUDIT AND HOUSEKEEPING PROGRAM .................................................. 40

EMPLOYEE SAFETY REPORT AND SUGGESTION PROGRAM .............................. 44

EMPLOYEE SAFETY REPORT AND SUGGESTION PROGRAM Cont. .................... 45

HAZARD ABATEMENT................................................................................................ 46

HORSEPLAY................................................................................................................ 46

SMOKING ..................................................................................................................... 46

INTOXICANTS.............................................................................................................. 46

EMPLOYER POSTING AND RECORD KEEPING....................................................... 47

WORKPLACE VIOLENCE POLICY ............................................................................. 48

Appendix A: REPORT OF SAFETY COMMITTEE MEETING ................................... 51

Appendix B: ACCIDENT/INCIDENT REPORT AND INVESTIGATION FORM.......... 53

Appendix C: EMPLOYEE REPORT OF SAFETY HAZARDS.................................... 55

Appendix D: WEEKLY SAFETY INSPECTION CHECKLIST..................................... 57

Appendix E: SELF-INSPECTION CHECKLISTS ....................................................... 59

Appendix F: POWER LIFT TRUCK DAILY INSPECTION ......................................... 77

Appendix G: EMPLOYEE SAFETY TRAINING.......................................................... 79

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INJURY AND ILLNESS PREVENTION PROGRAM OCCUPATIONAL SAFETY AND HEALTH POLICY

CBS Television Studios (the “Company”) is a recognized and respected leader in the entertainment industry for numerous reasons. Our success is achieved through maintaining high standards of quality, dedication and competence. We apply these high standards not only to our products and service but also to protecting the well being of our employees. It is the Company's goal to provide a safe and healthful environment for all employees and visitors. In support of this goal, every employee is required to follow the guidelines established in our Injury and Illness Prevention Program and associated Safety Manual. Prevention of injuries and occupational illness is consistent with sound management practices and optimum employee relations; hence an aggressive injury and illness prevention effort is key and the responsibility of every manager, supervisor, and employee. Safety, quality, and productivity go hand-and-hand. Injuries and occupational illnesses result in lost work days, physical disability, pain and suffering, loss of earnings, equipment damage, and poor production quality, all of which can directly or indirectly affect productivity and profitability. A formal Injury and Illness Prevention Program, combined with safe working conditions and good housekeeping controls, is an essential tool in achieving maximum productivity, quality, and profit. There is no place at the Company for an employee who does not work safely or who endangers the safety of fellow workers. It is essential that all managers and supervisors insist on maximum safety performance and awareness from the employees under their direction by enthusiastically and consistently administering all safety rules and regulations. Each of us has a duty to recognize, report, and act on hazardous situations before they can lead to injury or illness. The cooperation of every employee in detecting and controlling hazards is vital to the effectiveness of the Injury and Illness Prevention Program. Only through working together can we achieve our goal of a safe and healthy work environment.

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PERSONNEL RESPONSIBILITIES, RIGHTS, AND OBJECTIVES

I. PURPOSE

The Injury and Illness Prevention Program applies to all full time and per diem employees. The Injury and Illness Prevention Program has been developed to provide the guidance necessary to ensure a safe and healthful work environment and to meet occupational safety and health mandates. A copy of the program can be found in the Production offices, Human Resources Department and Environmental, Health and Safety Department.

II. RESPONSIBILITIES

A. Senior Management

Senior management is ultimately responsible for the occupational safety and health of all employees. This requires the allocation of both financial and personnel resources to ensure that an effective safety and health program is established. Accordingly, it is the Company's responsibility to:

1. Furnish a workplace free from recognized hazards.2. Comply fully with laws regulating employee occupational safety and health.3. Recognize the priority of safety and health considerations when there are

competing economic factors.4. Provide a professional staff to support occupational safety and health

programs.5. Hold each supervisor accountable for the safety performance of his/her

activities. Their achievements in controlling accidents and losses will beregularly measured.

6. Educate employees in the use of proper safe procedures and compliancewith safety regulations and procedures

7. Develop and implement more effective methods of reducing the human andeconomic cost of accidents.

8. Regularly monitor progress made towards achieving a safer and healthierwork environment.

B. Managers and Supervisors

Managers and supervisors have the responsibility to safeguard and provide job specific training to employees who have been placed under their supervision. They should also monitor work areas on a daily basis to identify unsafe conditions or work practices capable of causing accidents and ensure that potential problems are corrected in a timely manner.

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INJURY AND ILLNESS PREVENTION PROGRAM PERSONNEL RESPONSIBILITIES, RIGHTS, AND OBJECTIVES Cont.

C. Employees

Each employee is responsible for their own conduct including compliance with all established safety and health policies and procedures.

1. Employees have the following rights under this program:a. To be advised of occupational safety and health hazards and to receive

training on safe work conditions, practices, and the use of personalprotective equipment.

b. To provide information to the employer on safety hazards, requests forsafety and health information, or make safety suggestions without fear ofreprisal.

2. Employees have a duty to comply with the following requirements to makehe workplace safe for themselves and fellow employees:t

a. Know the safe work practices for the general area and job assignment.b. Comply with safe work practices.c. Ensure the safe operation of all equipment, tools, machinery, vehicles,

and other property in their charge.d. Report any unsafe or hazardous workplace conditions to their supervisor.

Supervisors shall investigate and take the necessary steps to correct thesituation as soon as possible. Each case will be documented andreviewed by the responsible manager.

e. Wear appropriate protective equipment when required. The personalprotective equipment shall be provided and maintained by the Company. It is the responsibility of the employee to return worn or defective safety equipment to the supervisor in order to have it replaced. Failure to wearthe required equipment is cause for disciplinary action, up to andincluding termination of employment.

f. Report all accidents, injuries, exposures, and all "near misses," no matterhow small, to their supervisor.

3. Employees must comply with requirements listed above or face disciplinaryaction, up to and including immediate termination of employment.

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PRODUCTION CONTACT INFORMATION

Production Title: _________________________ Address: ________________________________

________________________________City: ____________________________________ State: ___________________________________ Zip Code: ________________________________

NAME TELEPHONE Unit Production Manager:

Production Coordinator:

(Circle one) 1st / 2nd Assistant Director:

1st / 2nd Assistant Director:



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EMERGENCY TELEPHONE NUMBERS

After Hours Emergency Call List: 1. UPM/Line Producer:___________________________________

2. Executive in Charge:__________________________________

Emergency Coordinator: 1. 1st Associate Director:__________________________________

2. Production Coordinator:__________________________________

Fire/Police/Ambulance/Paramedics: 911

Authorized Medical Clinic: Please See Location/Shooting Call Sheet

Workers' Compensation Coverage: Murphy & Beane Entertainment Partners

5901 Green Valley Circle Risk Management Department Suite 145 26954 North Naomi Street

Culver City, CA 90230 Burbank, CA 91504 Contact: (310) 649-4470 Contact: (818) 955-6051

OSHA: Van Nuys Office 6150 Van Nuys Boulevard

Ste. 405 Van Nuys, CA 91401 Phone: (818) 901-5403 Fax: (818) 901-5578

Environmental, Health and Safety Department: Manny Mendoza818-655-5258

Departmental Safety Representatives: 1. Supervising Producer2. Key Make/Hair3. Wardrobe Supervisor4. Stage Manager5. Technical Supervisor6. Head Utility7. Gaffer

8. Production Coordinator9. Construction Coordinator10. Key Grip 11. Stunts/Special Effects Supervisor12. Production Teacher13. 2nd Associate Director14. Insert Crew Supervisor

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SAFETY AND HEALTH OFFICER DESIGNATION FORM

The production is responsible for the Occupational Safety and Health Program set forth. The EHS department has overall responsibility for implementation of the Occupational Safety and Health Program and will ensure that the Company provides a workplace that is in compliance with all OSHA and other applicable health and safety standards and regulations.

APPROVED:

_____________________ CBS Television Studios Date

ACCEPTED:

_____________________ _____________________ EH&S Date

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EMERGENCY PROCEDURES

I. GENERAL EVACUATION PROCEDURES

A. Evacuations will be initiated in at least one of the following manners: 1. An audible alarm (fire bell) activated by pull stations or heat or smoke

alarm; 2. An announcement over the public address system; and/or,3. A warning by the area managers/supervisors/employees.

The following procedures must be used in any evacuation, including drills:

1. Shut down equipment, if applicable, following shut down procedures.

2. Proceed by predetermined evacuation routes to the safe assembly area asindicated on the posted diagrams located throughout the facilities. Even inthe event of rain or cold weather the posted evacuation procedures must befollowed. Note: Practice drills will not be conducted during inclementweather.

3. Escort, or be able to account for, any new employees, vendors, contractors,or other visitors in your area.

4. Do not run or panic. Exit the building in an orderly fashion and go directlyto the designated assembly area. (See Section V) Promptness is essentialto determine as quickly as possible if anyone is missing and possible inneed of assistance.

5. To determine that all personnel are safely out of the facility, each personmust check in with the Evacuation Coordinator or designated alternate.Each Evacuation Coordinator or designated alternate will report the resultsof the roll call to the Emergency Coordinator.

6. If any information pertaining to the evacuation arises that may assist theEvacuation Coordinator inform him/her in a concise manner after you havechecked in.

7. Keep discussions to a minimum and do not smoke. Do not at any timereturn for personal belongings. Remain calm and encourage others to dothe same. Do not under any circumstances leave the designated assemblyarea without first informing the Evacuation Coordinator.

8. Employees must stay in the assembly area until the EmergencyCoordinator gives an “All Clear”.

9. During an emergency Do Not use the elevator.

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INJURY AND ILLNESS PREVENTION PROGRAM II. EARTHQUAKE PROCEDURES

A. Earthquakes require special emergency procedures due to potential damage to facilities and emergency systems. During an earthquake, remember to REMAIN CALM. This is the #1 safety rule.

1. During the Earthquake:

It is important to mentally develop appropriate earthquake responsesbefore an actual quake occurs. Automatic reactions can occur within a splitsecond if you are mentally conditioned. If you stay calm you will be able toassess your situation intelligently and make the appropriate decisions.

2. If you are inside a building, stay where you are.a. Stand in a secure doorway or away from all unsecured structures.b. Place yourself under a sturdy table, desk, or in a corner away from

windows.c. Move to an inner wall or hallway. Door frames and structural inner

cores are the strongest points of a building and the least likely tocollapse. These points will also intercept the impact of falling objects.

d. Choose shelter which will provide air space should it collapse.Remain under furniture or shelter even if it should move.

e. Watch for falling objects such as plaster, bricks, light fixtures, andother materials, such as shelving and broken glass.

f. Stay away from windows. The earthquake's rocking motion canshatter glass and topple masonry.

g. Stay away from tall book cases, high shelves, and other furnishingsand equipment that might slide or topple.

h. Grab anything handy (a coat, blanket, newspaper, cardboard, etc.)that will shield your head and face from falling debris and splinteringglass.

i. Do not attempt to use the elevator during an earthquake.

3. Do not rush outside. Stairways may be damaged and exits jammed withpeople or debris. The greatest danger from falling debris is just outsidedoorways and close to outer walls. If you must leave the building, chooseyour exit as carefully as possible to ensure no debris is falling and it is safeto exit. Do not use the elevator.

4. If you are outside, remain well clear of all structures and move to thedesignated assembly area. Stay away from buildings, walls, power poles,and lampposts.

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INJURY AND ILLNESS PREVENTION PROGRAM EARTHQUAKE PROCEDURES Cont.

5. If you are in a moving vehicle, stop and park as quickly and safely as possible. Do not park your vehicle where falling debris from buildings or a collapsing bridge/overpass may involve the vehicle. Remain in your vehicle for protection. A car is an excellent shock absorber and can absorb most earthquake vibrations.

6. The possibility of encountering live electrical wires is great after an

earthquake. a. If you are on foot, make a wide path around wires. b. If you are in a car and live wires have fallen across the automobile,

remain where you are. Your car is usually insulated and unless you touch charged metal and then ground yourself, you are protected from electricity. The best advice for most situations is to stay in your vehicle until help arrives.

B. Following the Earthquake

1. Stop and take time to think. Wait until all motion has stopped. Do not run

down stairs or outside. Be prepared for additional shocks.

2. Do not operate electrical switches, appliances, or open flame equipment if gas leaks are suspected. Sparks or flames can ignite gas from broken lines causing an explosion. Flashlights are one of the best light sources after damaging earthquakes. Do not light matches or cigarettes, and proceed with caution.

3. Protect hands and feet in all areas near broken glass or debris. Keep your

head and face protected with something like a hard hat, blanket, coat, newspapers, cardboard, etc.

4. Conduct a quick assessment for injuries or trapped people. Provide first

aid if needed. Do not attempt to move seriously injured persons unless they are in immediate danger of further injury. Notify and obtain medical assistance when appropriate.

5. Check for fires, fire hazards, and any other hazards. Ensure sewage lines

are intact before flushing toilets.

6. Turn off equipment and extinguish all flames.

7 . Hang up all phones.

8. Prepare for possible evacuation.

9. Use the telephone only to report extreme emergency situations.

10. When an evacuation is called, proceed as outlined in the evacuation procedures.

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INJURY AND ILLNESS PREVENTION PROGRAM III. BOMB THREAT

A. In this changing world the likelihood of receiving a bomb threat is increasing. Generally, the switchboard operator will be the most likely to receive a threatening call but with direct telephone access for the general employee population, anyone could be the recipient of a bomb threat.

If you receive a bomb threat, the following applies:

1. Take the bomb threat seriously, it could be real.

2. Keep the caller talking

3. Ask Questions:

a. Where is the bomb? b. Why are you doing this? c. Where are you calling from? d. Who are you? Name? e. Who do you represent?

4. Listen for:

a. Slurred Speech b. Accents (Nationalities) c. Male or Female d. Background Noise:

- Glasses (Bar) - Music - Traffic Noise - Freeway Noise

5. Recipient of a threatening call must immediately notify the Security

Department.

6. The Security Department will notify: a. Stage Production Managers

b. The various «Company» organizations within the complex c. Local Authorities

7. Production Departmental Managers shall:

a. Notify the Sweep Teams (Floor Wardens) b. Determine if the facility will be evacuated

B. Follow the procedures prescribed in Section I GENERAL EVACUATION

PROCEDURES.

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INJURY AND ILLNESS PREVENTION PROGRAM IV. ASSEMBLY AND PERSONNEL ACCOUNTING PROCEDURES:

A. Emergency Coordinator or Designated Alternate is a senior member of management and has overall responsible for the evacuation process. a. Emergency Coordinator:

1st Associate Director Alternates: Production Coordinator

Responsibilities include: 1. Ensure a cellular telephone is available before exiting building. 2. The Floor Wardens will assemble in their designated evacuation areas

located outside their building. 3. The Emergency Coordinator will dispatch a Quad Leader to meet with each

Secondary Floor Warden to conduct an attendance count. 4. Ensure members of the Sweep Team (Primary Floor Warden) have exited

the building and are accounted for in the attendance count. 5. Make determination on course of action:

a. Call 911 b. Other

7. Before exiting building pick-up first aid kit.

6. Investigate post-emergency employee relief needs.

B. Sweep Team (Primary Floor Wardens)

1. Sweep Team members will include:

2. Before exiting the building during an evacuation, the Sweep Team

(Business Unit Coordinator) will search the various areas within the office and stage complex to assist injured, stranded or otherwise not compliant employees.

3. Check-in with the Emergency Coordinator immediately upon exiting the

building.

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INJURY AND ILLNESS PREVENTION PROGRAM ASSEMBLY AND PERSONNEL ACCOUNTING PROCEDURES Cont.

C. The Secondary Floor Wardens will take any visitor and temporary employee log

to the Emergency Response Team. The Security Department is responsible for mustering all visitors and temporary employees.

D. Check-In Responsibilities:

1. All employees will assemble by Business Unit in the designated parking area during an evacuation.

2. The Business Unit Coordinators will conduct an immediate roll call of all

members in their unit. Prior to leaving the building a pre-printed unit personnel list should be obtained by the Business Unit Coordinator to serve as a roster. Visitors and temporary employees will be directed to the Human Resources assembly area for mustering.

3. Report results of the roll call to the Emergency Coordinator’s “Runner”.

(Missing members must be reported to the “Runner”). Any missing person’s name and probable location will be passed to the Emergency Coordinator.

4. Ensure everyone remains in the assembly area until advised by the

Emergency Coordinator.

5. Rescue and Medical Duties: a. Rescue activities will be conducted by the City/County Fire

Department. b. Medical services for injured personnel shall be provided by the Fire

Department’s Paramedics. c. Minor First Aid may be conducted by the Security Departments’, EMT

or CBS Television Studios personnel trained in first aid.

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INJURY AND ILLNESS PREVENTION PROGRAM V. TRAINING

A. Business Unit Supervisors/Managers will be trained in employee evacuation procedures.

B. All employees will be trained on the safe evacuation procedures at the start of

their employment and annual retraining documented and forward to security. C. When procedures or employee’s responsibilities are changed, employees will be

retrained. D. This evacuation procedure is available in each Business Unit and accessible by

employees at all times for review. As part of the safety program, the procedures will be kept in the Injury and Illness Prevention Program (IIPP) Binders.

E. When employees are retrained in the evacuation plan, the on-line training

database must be updated. Employee Training Records are maintained by Security.

F. An evacuation drill will be conducted annually.

All training will be documented using a hard copy attendance record.

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INJURY AND ILLNESS PREVENTION PROGRAM ENFORCEMENT AND DISCIPLINARY PROCEDURES

I SAFETY PERFORMANCE CBS Television Studios cannot and will not tolerate unsafe acts by its employees. Employees are expected to comply with all Company safety and health policies and rules. Employees failing to perform their jobs according to Company regulations will be subject to appropriate disciplinary action, up to and including immediate termination of employment.

A. Communication

The Company expects managers/supervisors to maintain a two-way process in addressing employee safety compliance concerns. The process is designed to: 1) Ensure the employee understands the occupational health and safety requirements for their specific work activities; 2) Integrates health and safety requirements into each work activity; and, 3) Maintains two-way communication between the employee and managers/supervisors to characterize job specific safety requirements and to continually reinforce the need to develop safe work habits.

B. Employee Responsibilities

It is important to stress that safety is everyone's responsibility and all employees will be held accountable for their own safety performance. If an employee is observed not complying with mandated occupational safety and health requirements, the manager/supervisor will immediately counsel the employee making sure to address the specific safety infraction(s) and the required corrective actions. If the employee’s behavior is not corrected by this initial session, further disciplinary action may be taken, up to and including termination of employment.

C. A progressive disciplinary procedure involving health and safety compliance concerns will be addressed in accordance with the established disciplinary guidelines.

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INJURY AND ILLNESS PREVENTION PROGRAM HEALTH AND SAFETY COMMITTEE

I. PURPOSE

The Health and Safety Committee is an essential element to Company’s Injury and Illness Prevention Program. The committee membership includes the Director, Environmental, Health and Safety Department, Security Manager, Human Resources Manager and the various Business Units Safety Representatives. The committee will meet regularly to assess the Company’s safety performance, review injury and illness prevention measures for effectiveness, and recommend measures to improve health and safety and minimize potential hazards.

The Health and Safety Committee will also address the specific or unique hazards associated with the various work activities within the studio complexes. In addition, these meetings will serve as a forum whereby employees can ask questions, get clarification, or voice safety concerns. Furthermore, they can make suggestions that may improve the safety of their work environment.


A. The following procedures for the Health and Safety Committee (HSC) shall be implemented:

1. The Employee Safety Committee Meeting will be conducted no less than

quarterly or when the working environment has been changed to a degree that additional hazards may have been introduced; or as a result of a serious or potentially serious accident, and at the request of the Health and Safety Committee members.

2. One week prior to each HSC meeting an announcement will be

communicated to all personnel in order to provide sufficient time for employees desiring to attend the open portion of the meeting to arrange their schedule or to submit safety related concerns to their Business Unit Safety Representative.

3. The following personnel must be present in order to have a HSC meeting:

a. The Director, Environmental, Health and Safety Department or an alternate.

b. The Health and Safety Secretary or an alternate to record the minutes of the meeting.

4. Meetings shall be scheduled no less than quarterly, have a formal agenda,

and have the proceedings recorded as outlined in Appendix A.

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INJURY AND ILLNESS PREVENTION PROGRAM HEALTH AND SAFETY COMMITTEE Cont.

B. Meeting Structure

1. The initial portion of the meeting shall be used as an open forum for those

who wish to discuss health and safety concerns.

2. Accidents, injuries and occupational diseases that have occurred since the previous meeting will be reviewed and discussed.

3. A record of each meeting shall be documented and should include:

a. Date and time b. Location designation c. Person(s) conducting the meeting d. Attendees' e. Topics discussed f. Accidents reviewed g. Any employee suggestions related to hazards or suggestions for

corrective measures h. Review of actions and progress on previous suggestions by

employees regarding control measures and workplace safety concerns

i. Date of next scheduled meeting

4. The Health and Safety Committee will be chaired by an elected representative, or alternate, and minutes recorded by the Health and Safety Secretary.

5. Action items emanating from the committee will be forwarded, when

necessary, to upper management for review, implementation and/or comment.

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INJURY AND ILLNESS PREVENTION PROGRAM HEALTH AND SAFETY TRAINING PROGRAM

I. PURPOSE

CBS Television Studios employees will receive health and safety training in general safe work practices and job specific instructions when unique hazards may be encountered due to the employee's job assignment. Specific training requirements are identified throughout the OSHA regulations. A brief listing of minimum safety training as mandated by the regulations is provided in Appendix H. The regulations will be reviewed frequently by the Environmental, Health and Safety Department for changes in the Safety Training Program requirements.


A. Environmental, Health and Safety Department will:

1. Develop general occupational safety and health training programs for new hires and for the annual refresher updates.

2. Assist managers and supervisors to supplement training on specialized

topics or when technical assistance is required.

3. Ensure new hires, rehires, and transfers are provided the required training prior to job assignment.

B. Business Unit Coordinators, Department Managers and Supervisors will:

1. Provide general industrial safety training to new employees and document

the training using the sample form in Appendix G.

2. Provide step-by-step job specific training as defined in Safety Manual.

3. Schedule employees to attend various health and safety-training courses based on the needs of the employees, job safety analysis and workplace requirements.

4. Evaluate the effectiveness of the training.

5. All employees must be trained prior to commencing work activities.

C. Employees -- Employees are required to attend all training classes that have been scheduled and apply the lessons learned to their every day work activities. Employees who cannot demonstrate acceptable skill levels will be prohibited from performing the jobs/tasks for which the training was conducted. All training must be conducted before the employee begins work activities.

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INJURY AND ILLNESS PREVENTION PROGRAM III. DEFINITIONS

A. Job Specific Safety Training -- Job specific training covers the areas, activities and special equipment which an employee encounters during his/her normal job duties. Such things as personal protective equipment, chemical usage, emergency action procedures, and safety requirements as defined in step-by-step job procedures.

B. New Employee – An individual hired from the general public or a current

employee who is transferred to a new facility, department or project.

C. General Safety Training – General safety training covers such topics as housekeeping, slip/trip/fall hazards, emergency evacuation procedures, safe lifting skills, fire prevention, industrial safety rules, accident prevention, injury reporting and others.

D. Refresher Training – Refresher training includes instruction provided to an

employee in order to maintain knowledge or skill levels either on a periodic basis or as determined by performance.

IV. PROCEDURAL REQUIREMENTS

A. Documentation of training on the attendance roster is the responsibility of supervisory personnel. See Appendix G.

B. New Employee training is to be completed prior to assigning the employee to

his/her job duties. This applies to transferring and temporary employees as well as employees temporarily reassigned to a position while a fellow employee is on leave or otherwise absent.

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OSHA Form 300 - RECORDKEEPING

I. PURPOSE

CBS Television Studios shall comply fully with the Federal and State Occupational Safety and Health Administration regulations relating to the recording and reporting of work-related injuries and illnesses and maintain an OSHA Form 300 Log. This log will be current at all times and available for immediate review by a OSHA representative.


A. Managers and Supervisors -- The injured employee’s immediate supervisor is responsible for reporting the injury or illness to the appropriate Business Unit Safety Representative. It is required that the employee’s immediate supervisor complete, sign and submit an Accident Report to the representative within 24 hours of an injury.

B. Employees

1. Employees who are injured or become ill due to work-related activities are responsible for reporting the condition to their immediate supervisor and not a fellow employee.

2. Employees shall report their status to the Business Unit Safety Representative after each medical evaluation. It is also the employee’s responsibility to follow the prescribed medical treatment plan and keep all appointments.

C. Human Resources Department

1. Human Resources is responsible for properly recording injury and illness

data on the OSHA Form 300 Log. The OSHA Form 300A - Summary of Work-Related Injuries and Illnesses will be posted from February 1 to April 30 in a location where all employees have an opportunity to view. Previous OSHA Form 300 Log and OSHA Form 300A – Summary of Work-Related Injuries and Illnesses will be filed and maintained for at least five years. The OSHA Form 300 Logs and OSHA Form 300A Summaries may be archived if more than 4 years old.

2. Human Resources is responsible for the accuracy of the OSHA Form 300

Log, OSHA Form 300A Summary of Work-Related Injuries and Illnesses, and the OSHA Form 301 Incident Report.

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OSHA Form 300 – RECORDKEEPING Cont.

3. Human Resources is responsible to implement a privacy concern case file.

A confidential list of cases by number and employee name will be maintained separately to ensure privacy. This list will be updated regularly and provided to the government upon request.

4. Human Resources will advise all new hires of their responsibility to report and the way to report a work-related injury or illness during their new hire orientation.

5. A Company executive (Vice President Level) will certify the OSHA Form 300A Summary of Work-Related Injuries and Illnesses for accuracy and sign the summary before posting.

6. The Environmental, Health and Safety Department is responsible for ensuring that all personnel directly involved in record keeping activities are properly trained in OSHA Form 300 Log record keeping, OSHA Form 300A Summary of Work-Related Injuries and Illnesses, and the OSHA Form 301 Incident Report procedures. Information and other support are available through the Human Resources Department.

III. DEFINITIONS

A. Access – an employee, former employee, or personal representative can have access to the OSHA Form 300 Log and the OSHA Form 301 Incident Report. An exception to the OSHA Form 301 Incident Report would be for a privacy concern case.

B. Annual Summary of Work-Related Injuries and Illnesses (Form 300A) – Consists of a copy of the occupational injury and illness totals for the year from the OSHA Form 300, and the following information: The company name, company address, industry description, Standard Industrial Classification (SIC), if known, annual average number of employees, total hours worked by all employees last year, certification signature, title, and date.

C. Certification – A Company executive must certify that he or she has examined the OSHA Form 300 Log and that he or she reasonably believes based on his or her knowledge of the process by which the information was recorded that the annual summary is correct and complete.

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D. Company executive – must be one of the following: 1. Owner of the company.

2. Officer of the corporation.

3. The highest ranking company official working at the facility or site

4. The immediate supervisor of the highest ranking company official

working at the establishment.

E. Contractor – Generally an employee of a contractor that the Company has entered into a contractual agreement to provide a specific service or complete a specific project. Contractors are typically retained by the Company for a limited period of time. Contractors are not covered under the Company's workers’ compensation coverage and must have their own. Any injuries sustained while performing their contractual work are not recordable on the Company's OSHA 300 Log but, rather, must be recorded on the Contractor’s own OSHA 300 log.

F. Days Away From Work -- The number of calendar days the employee was unable to work as a result of the injury or illness, regardless of whether or not the employee was scheduled to work on those day(s). Weekend days, holidays, vacation days or other days off are included in the total number of days recorded if the employee would not have been able to work on those days because of a work-related injury or illness.

The company is no longer required to count days away or days of restricted work beyond 180 days.

The day on which the injury or illness occurred is not counted as a day away from work or a day of restricted work.

G. Days Away From Work Cases -- Cases that involve days away from work, days of restricted work activity, job transfer, or any combination.

H. Exposure -- The reasonable likelihood that a worker is or was subject to some effect, influence, or safety hazard, or in contact with a hazardous chemical or physical agent at the facility.

I. Employee -- Any person employed by the Company who has an employee number assigned and receives their pay directly from the Company payroll.

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J. First Aid -- Means only the following treatments, any treatment not included on the list below is not considered first aid for OSHA recordkeeping purposes. Such treatment and observation are considered first aid even though provided by a physician or registered professional personnel. First aid treatment is defined in 29 CFR 1904.7

1. Using a nonprescription medication at nonprescription strength; 2. Administering tetanus immunizations; NOTE – Hepatitis B vaccine and

rabies vaccine are considered medical treatment; 3. Cleaning, flushing or soaking wounds on the surface of the skin; 4. Using wound coverings such as bandages, Band-Aids™, gauze pads, etc.;

or using butterfly bandages or Steri-Strips™; 5. Using hot or cold therapy; 6. Using any non-rigid means of support, such as elastic bandages, wraps,

non-rigid back belts, etc.; 7. Using temporary immobilization devices while transporting an accident

victim; 8. Drilling of a fingernail or toenail to relieve pressure, or draining fluid from a

blister; 9. Using eye patches; 10. Removing foreign bodies from the eye using only irrigation or a cotton

swab; 11. Removing splinters or foreign material from areas other than the eye by

irrigation, tweezers, cotton swabs or other simple means; 12. Using finger guards; 13. Using massages (physical therapy or chiropractic treatment are considered

medical treatment for recordkeeping purposes); or 14. Drinking fluids for relief of heat stress. 15. Any other procedure requiring medical treatment.

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K. Medical treatment -- Includes managing and caring for a patient for the purpose of combating disease or disorder. The following are not considered medical treatments and are NOT recordable:

1. Employee visits to a doctor or health care professional solely for observation or counseling.

2. Diagnostic procedures, including administering prescription medications that are used solely for diagnostic purposes.

3. Any procedure that is defined as first aid, even though administered by a doctor or healthcare professional.

L. Musculoskeletal disorder (MSD) -- Disorders of the muscles, nerves, tendons, ligaments, joints, cartilage and spinal disc. MSDs do not include disorders caused by slips, trips, falls, motor vehicle accidents, or other similar accidents.

M. New case - Employee who has not previously experienced a recorded injury or illness of the same type that affects the same part of the body; or the employee previously experienced a recorded injury or illness of the same type that affected the same part of the body but had recovered completely (all signs and symptoms had disappeared) from the previous injury or illness and an event or exposure in the work environment caused the signs or symptoms to reappear.

N. Occupational illness -- Any abnormal condition or disorder, other than one resulting from an occupational injury, caused by exposure to environmental factors associated with employment. It includes acute and chronic illnesses or diseases that may be caused by inhalation, absorption, ingestion, or direct contact. Human Resources should use the categories listed below in order to classify recordable occupational illnesses on the log in the columns indicated:

Column M2. - Occupational skin diseases or disorders.

Skin diseases or disorders are illnesses involving the worker’s skin that are causes by work exposure to chemicals, plants, or other substances.

Examples: Contact dermatitis, eczema, or rash caused by primary irritants and sensitizers or poisonous plants; oil acne, friction blisters; chrome ulcers; or inflammation of the skin; etc.

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Column M3. - Respiratory conditions.

Respiratory conditions are illnesses associated with breathing hazardous biological agents, chemicals, dusts, gases, vapors, or fumes at work.

Examples: Silicosis, asbestosis, pneumonitis, pharyngitis, rhinitis or acute congestion, farmer's lung, beryllium disease, tuberculosis, occupational asthma, reactive airway dysfunction syndrome (RADS), chronic obstructive pulmonary disease (COPD), hypersensitivity pneumonitis, toxic inhalation injury, such as metal fume fever, chronic obstructive bronchitis, and other pneumoconioses.

Column M4. - Poisoning.

Poisoning includes disorders evidenced by abnormal concentrations of toxic substances in blood, other tissues, other bodily fluids, or the breath that are caused by the ingestion or absorption of toxic substances into the body.

Examples: Poisoning by lead, mercury, cadmium, arsenic, or other metals; poisoning by carbon monoxide, hydrogen sulfide, or other gases; poisoning by benzene, benzol, carbon tetrachloride, or other organic solvents; poisoning by insecticide sprays such as parathion or lead arsenate; poisoning by other chemicals such as formaldehyde, plastics, and resins; etc.

Column M5. - All other Illnesses.

All other occupational illnesses.

Examples: Heatstroke, sunstroke, heat exhaustion, heat stress and other effects of environmental heat; freezing, frostbite, and other effects of exposure to low temperatures; decompression sickness; effects of ionizing radiation (isotopes, x-rays, radium); effects of non-ionizing radiation (welding flash, ultra-violet rays, lasers, microwaves, sunburn): anthrax; bloodborne pathogenic diseases, such as Aids, HIV, Hepatitis B or Hepatitis C; brucellosis; malignant or benign tumors; histoplasmosis; coccidioidomycosis, etc.

Musculoskeletal Disorder (MSD).

Examples: Carpal tunnel syndrome, Rotator cuff syndrome, De Quervain’s disease, Trigger finger, Tarsal tunnel syndrome, Sciatica, Epicondylitis, Tendinitis, Raynaud’s phenomenon, Carpet layer’s knee, Herniated spinal disc, and low back pain.

MSDs are currently recorded as an injury or illness as defined.

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O. Occupational injury -- Any injury is any wound or damage to the body resulting from an event in the work environment; such as a cut, puncture, laceration, abrasion, fracture, bruise, contusion, chipped tooth, amputation, insect bite, electrocution, or thermal, chemical, electrical, or radiation burn.

Sprain and strain injuries to muscles, joints, and connective tissues are classified as injuries when they result from a slip, trip, fall or other similar incident.

Note: Conditions resulting from animal bites, such as insect or snakebites, and from one-time exposure to chemicals are considered to be injuries.

P. OSHA Form 300 – Log of Work-Related Injuries and Illnesses -- The OSHA recordkeeping form used to classify work-related injuries and illnesses and to note the extent and severity of each case.

Q. OSHA Form 300A – Summary of Work-Related Injuries and Illnesses -- a form to show the work-related injury and illness totals for the year in each category. At the end of the year, the sum of all incidents in each category is totaled on the summary. The summary is posted in a visible location for all employees to review from February 1 through April 30.

R. OSHA Form 301 – Injury and Illness Incident Report -- a form to show how the injury or illness occurred. Some State worker’s compensation forms may be acceptable substitutes.

An equivalent substitute form must contain all the information asked for on this form, including the privacy concern instruction:

"ATTENTION: This form contains information relating to employee health and must be used in a manner that protects the confidentiality of employees to the extent possible while the information is being used for occupational safety and health purposes."

S. Posting -- The annual summary of occupational injuries and illnesses must be posted at each establishment by February 1 and remain in place until April 30 to provide employees access to the record of their facility's injury and illness experience for the previous calendar year.

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T. Privacy concern case - employee’s name is not entered on the OSHA Form 300 Log, instead enter privacy case. Privacy concern cases are of the following types of injuries and illnesses:

1. An injury or illness to an intimate body part or to the reproductive system. 2. An injury or illness resulting from a sexual assault. 3. A mental illness. 4. A case of HIV infection, hepatitis, or tuberculosis. 5. A needlestick injury or cut from a sharp object that is contaminated with

blood or other potentially infectious material (OPIM). 6. Other illnesses, if the employee independently and voluntarily requests that

his or her name not be entered on the log.

R. Recordable cases -- All work-related cases that result in the following:

1. Fatalities, regardless of the time between the injury, or the length of illness, and death;

2. Employee loss of consciousness; 3. Days away from work; 4. Restricted work activity or job transfer, or 5. Medical treatment beyond first aid; 6. A significant work-related injury or illness that is diagnosed by a physician

or licensed health care professional; 7. Work-related case involving cancer, chronic irreversible disease, a

fractured or chipped bone, or a punctured eardrum. Additional criteria: 8. A needlestick injury or cut from a sharp object that is contaminated with

another person’s blood or other potentially infectious material (OPIM); 9. A case requiring an employee to be removed under the requirements of an

OSHA standard, such as cadmium, arsenic, lead, etc.; 10. Tuberculosis infection as evidenced by a positive skin test or diagnosis by a

physician or other licensed health care professional after exposure to a known case of active tuberculosis.

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S. Restricted work (commonly known as “Modified Duty”, “Limited Duty”) occurs when, as the result of a work-related injury or illness:

1. You keep the employee from performing one or more of the routine functions of his or her job, or from working the full workday that he or she would otherwise have been scheduled to work; or

2. A physician or other licensed health care professional recommends that the employee not perform one or more of the routine functions of his or her job, or not work the full workday that he or she would otherwise have been scheduled to work.

3. For recordkeeping purposes, an employee's routine functions are those work activities the employee regularly performs at least once per week.

T. Work environment -- Consists of the employer's premises and other locations where employees are engaged in work-related activities or are present as a condition of their employment. The work environment includes not only physical locations but also the equipment or materials used by the employee during the course of his or her work.

IV. PROCEDURAL REQUIREMENTS

A. All Company facilities will advise the Business Unit Safety Representative of all work-related injuries and illnesses meeting the mandated State criteria. Any questions concerning the need to record a work-related injury by any facility should be referred to the Human Resources Department.

B. OSHA Form 300 – Log of Work-Related Injuries and Illnesses and OSHA Form 300A – Summary of Work-Related Injuries and Illnesses are available for inspection upon request by any Company employee or authorized regulating agency. Identities of those injured are to be held confidential.

C. Human Resources will keep an OSHA Form 300 Log of Work-Related Injuries and Illnesses and OSHA Form 300A – Summary of Work-Related Injuries and Illnesses for each facility or site.

D. All injuries and illnesses are to be entered onto the OSHA Form 300 within seven (7) calendar days, if the case is recordable under the OSHA recordkeeping requirements.

E. Human Resources will determine if the incident is a new case or a recurrence of an existing case.

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F. Human Resources will determine if the case is recordable, and fill out the OSHA Form 301 – Injury and Illness Incident Report or equivalent form, such as the state worker’s compensation form, as long as it provides the same information as the OSHA Form 301.

G. The identity of the employee involved is placed in Column B, OSHA Form 300, unless it is a privacy case. See privacy concern case definition.

H. Privacy case information is listed on the Human Resources Privacy Case File.

I. The job title of the employee is placed in Column C.

J. The date of injury or onset of illness is placed in Column D.

K. The location of the incident is placed in Column E.

L. A description of the injury or illness, including body parts and the cause is placed in Column F.

M. The seriousness of the case is placed in one of the following:

1. Column G (Death), 2. Column H (Days Away From Work), 3. Column I (Work Restriction or Job Transfer), or in 4. Column J (Other Recordable cases).

N. Calendar days of Restricted Work activity or Job Transfer are placed in Column K; days are tracked for a maximum of 180 days.

O. Calendar days of Days Away From Work are placed in Column L; days are tracked for a maximum of 180 days.

P. Injury or Illness type is placed in one of the following columns:

1. Column 1 (Injury) 2. Column 2 (Skin Disorder) 3. Column 3 (Respiratory Condition) 4. Column 4 (Poisoning) 5. Column 5 (All Other Illnesses)

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Q. Specific directions and definitions are provided in a booklet published by the U.S. Department of Labor, "OSHA Forms for Recordkeeping Work-Related Injuries and Illnesses”, 2001.

R. Questions concerning the recordability of any injury or illness are to be referred to the Human Resources Department.

S. The required annual OSHA Form 300A - Summary of Work-related Injuries and Illnesses is certified by a Company Executive before posting.

T. The required annual OSHA Form 300A - Summary of Work-related Injuries and Illnesses is to be posted from February 1 to April 30 at each facility.

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WORKERS’ COMPENSATION I. PURPOSE

To provide payments of medical expenses and partial lost wages to Company employees who have experienced work-related injuries and to ensure the return of an injured employee to regular work status as quickly as possible.


A. Environmental, Health and Safety Department

1. Will ensure compliance with the appropriate state workers’ compensation program requirements.

2. Acts as a liaison between the CBS Television Studios, the Third Party

Administrator (TPA) and the injured worker to facilitate expeditious claims service.

3. Responds to all employee inquiries regarding workers’ compensation

benefits, coverage or administration.

4. Coordinates workers' compensation activities between the Company and the carrier, and serves to resolve administrative conflicts.

5. Will be available as a resource to answer questions from employees and

the service provider, and to resolve coverage conflicts.

6. Shall identify an authorized medical treatment facility. All injuries requiring medical treatment shall be referred to this designated medical facility.

7. Shall ensure claims are processed in accordance with applicable State

mandates.


1. The injured employee’s immediate manager or supervisor is responsible for reporting all occupationally related injuries or illnesses to both the Business Unit Safety Representative and the Security Department.

2. If at all possible modified work will be provided during the employee’s

recovery period. All modified work assignments will be coordinated through the Human Resources Department.

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WORKERS’ COMPENSATION Cont. C. Employees

1. Who are injured or become ill because of a work-related activity must

immediately report their condition to their supervisor.

2. Shall report their status to the Business Unit Safety Representative after each medical evaluation.

3. Must follow the prescribed medical treatment plan and keep all

appointments. 4. After each visit for medical care related to a work related injury, a Medical

Status Report will be provided to the Business Unit Safety Representative. 5. Immediately report any change in physical condition while working in a

modified work program

D. Human Resources Department

1. Shall advise the employee of their workers’ compensation benefit rights and reporting procedures when newly employed.

2. Maintain the workers’ compensation claims records and ensure the OSHA

Log-300 is maintained. 3. Advise payroll of the pay status of the injured employee 4. Communicate on a regular basis with the employee during the recovery

period. 5. Advise the employee who has experienced a Loss Time injury of the

following: a. Employee’s who lose time as a result of a work related injury may use

available sick time to compensate for lost wages not paid by self-insurance coverage.

b. Group health care and life insurance coverage that CBS Television Studios pays remain in force during the period of time the employee is absent due to a work related injury. Note: The employee remains responsible for the dependant portion of the premium.

c. Qualifying employees will be placed on Family and Medical Leave (FEMA).

6. Discuss return to work option with the employee

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WORKERS’ COMPENSATION Cont.

E. Security Department

1. Will ensure the Emergency Medical Technician (EMT) responds to all accidents/incidents and in those that result in injury ensure that appropriate first aid is provided.

2. Coordinate transportation of injured employees to the designated medical

care provider. This shall be accomplished by way of licensed agencies insured to transport the general public (i.e. taxis, clinic van) or Company personnel. Note: Care must be exercised in allowing an injured employee to drive themselves for medical care.

3. In cases involving more serious injuries initiate the 911 emergency

response systems. 4. Will conduct a comprehensive accident/incident investigation

F. Contractors

1. All contractors must have a current workers’ compensation policy prior to commencing work at Company facilities.

2. The contractor must designate a medical treatment facility to which their

employees are to be sent for emergency treatment if a work-related injury occurs. Note: If no such designation is provided the injured employee will be transported to the medical provider used by the Company.

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WORKERS’ COMPENSATION Cont. III. DEFINITIONS

A. Workers' Compensation – Each State as well as the Federal government has regulations governing workers' compensation. The regulations for the state in which the employees of the Company are employed govern.

B. Self-insurance – The Company has been approved by the State to insure its own

workers' compensation program loses. Claims management services will are provided by a Third Party Administrator under contract to CBS Television Studios and pay all benefits, including employee medical expenses as well as temporary and permanent disability. The employee is eligible for workers' compensation insurance benefits following a work-related injury.

C. Work-Related or Industrial Injury – All injuries or illnesses Arising-Out-Of

Employment or in the Course-Of-Employment (AOE/COE) are compensable under the Company’s workers' compensation program.

D. Work Restrictions – Commonly known as "Modified Duty," "Limited Duty", or

"Restricted Work", which accommodates the injured worker will be provided when at all possible. The treating physician must identify the specific work limitations prior to the employee’s return to work.

E. Company Employee – A person employed by the Company, either permanently

or temporarily, and receives their pay directly from the Company or affiliate payroll.

F. Contractors – Do not report directly to the Company but rather to a separate

entity with which the Company has entered into an agreement to provide a service for a limited time. Contractors are not covered by the Company’s workers' compensation coverage, and must be covered under the contractor’s policy.

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ACCIDENT REPORTING AND INVESTIGATION PROCEDURES

A. Managers/supervisors

1. The manager/supervisor must immediately report all work-related injuries to both the Departmental Safety Representative and Security Department.

2. As part of the reporting process, the manager/supervisor will within 24 hours

completes the Injury/Accident Investigation Report and deliver it to the Departmental Safety Representative.

3. Should a serious injury occur, obtain emergency medical assistance by calling

Security and requesting that they activate the 911 emergency systems. Until Security’s EMT arrives render aid to the injured employee as appropriate. Note: If the accident is serious, immediately contact the Environmental, Health and Safety Department.

4. In the event that the accident or injury occurs on a weekend or after normal

work hours, the Security Department will coordinate all necessary medical care.

5. Ensure the injured employee knows the identity and location of the

designated medical treatment facility and that transportation is being provided.

6. If in the course of the accident or injury investigation it is determined a safety

policy or rule has been violated, the Human Resources Department will be notified so that appropriate disciplinary action can be initiated.

Environmental, Health and Safety Department:

1. Should an accident occur that involving a serious injuries or fatality, the

Department will immediately initiate an independent investigation, a preliminary report will be completed within 24 hours.

2. A copy of the preliminary accident report will be provided to the appropriate

members of senior management within 24 hours.

3. In less serious accidents/injuries, if requested by the supervisor, the Department will assist the appropriate manager with the accident or injury investigation.

4. The Department will review all accident investigation reports and promptly

initiate corrective measures.

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ACCIDENT REPORTING AND INVESTIGATION PROCEDURES Cont. Departmental Safety Representative:

1. Will complete the paperwork (5020 & DWC-1 Forms) necessary to initiate the workers’ compensation benefits for the injured employee.

2. Will complete the “Incident Investigation—First Aid Only form” when an

employee suffers a minor injury requiring only first aid treatment or observation and refuses to go the designated medial facility for care.

3. Will coordinate the workers’ compensation claims filing process. (See

attachment)

Employees:

1. All work-related injuries, even minor ones, must be promptly reported to the supervisor/manager and Department Safety Representative. If this individual is not available, the employee can report the incident directly to Security.

2. Following a work related injury, if medical attention is required, the employee

will go to the CBS Television Studios designated medical facility for care. Note: If medical treatment is required, transportation will be arranged by Security -- the employee will not be allowed to drive to the treatment facility.

3. The employee directly involved in the accident or injury will provide the

supervisor with all pertinent information relative to the circumstances leading up to the injury or accident.

B. Contractors who are injured while working at the Company’s corporate facilities shall receive immediate medical attention from their designated medical provider. All contract and/or temporary employees must be covered for workers' compensation by the service or company providing the work. The service shall carry full administrative and financial responsibility for their injured workers. The Company uses contract and/or temporary personnel under the assumption that all workers' compensation issues are controlled by the providing service.

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ACCIDENT REPORTING AND INVESTIGATION PROCEDURES Cont. C. Loss Time

1. Refer to the Employee Handbook and/or the Human Resources Policies

and Procedures Manual. 2. Company-provided medical, dental group care and life insurance coverage

remains in force during the period of time that the employee is absent due to a work-related industrial injury. However, the employee remains responsible for the portion that they normally pay.

D. Supervisory Personnel shall make every effort to accommodate the injured

employee’s work restriction(s). All restricted work assignments will be coordinated through the Human Resources Department.

E. Human Resources will:

1. Coordinate each workers' compensation claim until the employee returns to

a full, unrestricted work status or employment is terminated and the claim is closed by the carrier.

2. Shall advise the employee of their workers' compensation benefit rights and

reporting procedure when newly employed and when injured. 3. Maintain all workers' compensation claims records and ensure the OSHA

Form 300 Log is maintained. 4. Advise payroll of the pay status of the injured employees.

5. All new hires shall be advised of their workers’ compensation benefits

during their new hire orientation. G. Medical

1. All employees experiencing a work-related injury will receive medical

attention at a designated medical facility, or if deemed necessary, paramedics, if they have not previously elected to be treated by their own physician.

2. Unauthorized, self-procured medical treatment and the resulting charges

may not be covered. Any employee securing self-procured (unauthorized) treatment is responsible for the cost if the charges are disapproved by the TPA.

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ACCIDENT REPORTING AND INVESTIGATION PROCEDURES Cont.

3. The injured employee shall be provided transportation both to and from the authorized medical treating facility when an injury first occurs. This shall be accomplished by way of licensed agencies insured to transport the general public (i.e. taxi, clinic vans) or Company personnel. Care should be exercised in allowing injured employees to drive themselves for medical treatment.

4. Supervisory Personnel shall be familiar with the proper reporting procedure

when an employee sustains an industrial injury. The initial incident report will be made immediately to Human Resources.

H. Claims Notification

1. Fraudulent or suspicious claims shall be reported to the Environmental,

Health and Safety Department who will in turn insure the TPA is immediately notified.

2. Various types of ‘serious” injuries require State OSHA notification. The

managers and supervisors are responsible for informing the Environmental, Health and Safety Department immediately as to the type and extent of injury so a determination as to the notification requirements can be made. If OSHA notification is required, it must be made within the prescribed 8-hour time limit.

I. Workers’ Compensation Claims Filing Procedure

1. When an accident is reported the Departmental Safety Representative will initiate the Injury Reporting/Processing Procedures.

2 Upon notification of an accident, Safety Representative will contact the

Security Department’s EMT. When the EMT arrives, a medical assessment will be initiated to identify the appropriate avenue of treatment:

a. For minor injuries the EMT will determine the appropriate course of action, which includes: 1) Application of first aid care locally; and, 2) Sending the employee to the CBS Television Studios designated medical facility. The employee will be provided transportation if the injury and associated pain would reasonably interfere with his/her ability to operate a motor vehicle.

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ACCIDENT REPORTING AND INVESTIGATION PROCEDURES Cont.

b. For more serious injuries the EMT will coordinate transportation of the injured employee to the designated medical facility. Transportation can be by Privately Owned Vehicle (POV), taxis or ambulance but the injured employee will not operate his/her own vehicle. Note: If a doubt as to the seriousness of an injury exist request Security to initiate a call to activate the 911 emergency system.

* For serious or lift threatening injuries Security will initiate a call to 911 and the EMT will identify what Trauma Center to which the injured employee is being transported.

* The CBS Television Studios designated medical treatment facility includes: 1) See Daily Call Sheet

3. Once the medical needs of the injured employee has been addressed,

the Department Safety Representative will complete the required workers’ compensation forms (Form 5020 & DWC Form 1) using the First Report on line system. Three (3) copies of each form will be printed and retained until the Primary Treating Physician’s Progress Report (Form PR-2) is obtained from the treating medical facility. Once the Physician’s Progress Report has been received, it will be combined with the 5020 & DWC-1 forms and sent to: * Murphy & Beane or E.P. (The Third Party Administrator—TPA) * Human Resources * Environmental, Health and Safety Department

4. When an injury occurs, the Manager must complete and Injury/Accident

Investigation Report within 24 hours. The employee is responsible for completing sections 1 and 2 and the manager sections 3, 4 and 5. If the employee’s injured preclude timely completion of section 1 and 2, the remaining three sections must be completed by the manager within the designated 24 hour period. The injured employee can, when physically able, complete their sections at a later time.

5. The Security Department’s EMT will investigate all incidents/accidents and

complete an accident investigation report. Access to this report will be restricted.

6. The Environmental, Health and Safety Department will keep the department

apprised of employee’s injury status. This includes any restriction and accommodation requirements.

39


SAFETY AUDIT AND HOUSEKEEPING PROGRAM I. PURPOSE

This procedure addresses the implementation of an effective safety audit and housekeeping program that will meet the requirements of National Fire Protection Association (NFPA) and OSHA.


A. Environmental, Health and Safety Department

1. Publish and implement safety audit and housekeeping policies and provide advice and assistance to help supervisory personnel implement the changes needed to enhance safety and good housekeeping.

2. Provide managers and supervisors with the resources necessary to comply

with an effective safety audit and housekeeping program.

3. Conduct a quarterly inspection of the Company's work areas to evaluate the effectiveness of the safety audit and housekeeping program. A copy of the completed audit will be submitted to the Health and Safety Committee during the quarterly meeting.

B. Manager

1. Must ensure that quarterly safety audits are conducted in their work areas

and report audit discrepancies to the appropriate supervisory personnel for correction. A copy of the completed audit will be submitted to the Environmental, Health and Safety Department.

2. As part of the audit program the departmental managers/supervisors must

also ensure:

a. Employees are technically competent for the job and are aware of the job-specific safety requirements.

b. The employee is equipped with the proper tools for each job and that

they are adequately trained in there use. c. The employees are provided the proper personal protective

equipment and that the employee is adequately trained in its use, and that it is in good repair.

40


SAFETY AUDIT AND HOUSEKEEPING PROGRAM Cont.

d. Ensure that supervisors have been inspecting the work areas for proper operating equipment and safety hazards. Power tools, electrical cables, and lighting must all be inspected for electrical defects such as frayed cords, broken grounding plugs, exposed conductors and inoperative switches. Defective equipment must not be used and must be reported immediately for repairs.

C. Supervisors – Supervisors are to conduct daily visual inspections of their work

environment and implement good housekeeping policies throughout the work areas under their control. They must also:

1. Enforce good housekeeping practices. 2. Take prompt action to correct facility and equipment deficiencies.

D. Employee – The employee must ensure the following:

1. Maintain work areas in a clean and orderly manner.

2. Return tools to their proper storage locations when they are not in use.

3. Thoroughly clean work areas at the end of each shift.

4. Report safety hazards and equipment defects to supervision.

5. Comply with safety, health, and housekeeping requirements. III. DEFINITIONS

A. Housekeeping – The orderly arrangements of tools, equipment, supplies, and the implementation of work procedures needed to facilitate efficient work habits. This includes the static arrangement and storage of objects, work processes (the flow of work), and the movement of objects and personnel. Good housekeeping encompasses minimizing disorder, eliminating clutter, enhancing the decor without compromising safety, protecting access and egress aisles, ensuring access to emergency equipment, and facilitating cleanliness and sanitation.

B. Safety Audit – The safety audit, also referred to as a safety review, is an

assessment or evaluation of an organization's total safety and housekeeping program. Its goal is to identify and eliminate safety hazards before they result in an accident. Audits help build and maintain employee awareness and interest in safety. With strong management involvement in audits, employees realize management is serious about safety.

41


SAFETY AUDIT AND HOUSEKEEPING PROGRAM Cont. IV. PROCEDURES

A. Safety audits and good housekeeping practices include having a place for everything and having everything in its place. Safety audits insure the identification of unsafe conditions and their timely elimination. Poor housekeeping is an external manifestation of safety problems, and unsafe acts lead to accidents, fires, and occupational health hazards. Each employee will ensure good housekeeping, and the safety audits will assist in maintaining a neat, clean, and orderly work area through the early identification of recognized hazards.

B. Good industrial safety practices require mandatory safety rules and a formalized

safety program. To ensure compliance with the stated safety program objectives, regular facility and site inspections are necessary. The early detection of potential health and safety hazards and the subsequent correction of deficiencies not only eliminates the hazards but also demonstrates to the employee the importance management places in providing a safe work environment and ensuring safe work practices.

1. Supervisors - The overall effectiveness of a safety program rests primarily

with the first-line supervisor. A supervisor's familiarity with the employee, equipment, processes, environment, and safety requirements places him/her in a unique position to affect change. A supervisor's close and continuous association with the worker and the work environment allows for the early detection and abatement of unsafe acts and unsafe conditions.

a. Daily "Supervisor’s" Visual Inspection:

At the start of each shift the supervisor should conduct a walk-

through safety inspection of his/her area of responsibility. Special attention should be devoted to housekeeping, electrical power tools and cables, equipment guarding, use of flammable and toxic materials, and material handling equipment.

During the visual inspection, a list of discrepancies shall be

completed and provided to facility maintenance for correction. This list will be fully completed and retained by the inspecting supervisor. The supervisor's respective manager will be immediately informed of all discrepancies discovered during the daily inspection so that prompt corrective action can be initiated.

42


SAFETY AUDIT AND HOUSEKEEPING PROGRAM Cont. b. Quarterly "Comprehensive" Safety Inspection:

Once each quarter a comprehensive safety inspection will be

completed by the responsible supervisor/manager. To assist in this inspection, a safety checklist detailing special concerns for each area within the work environment has been developed. (Appendix E).

To ensure the adequacy of safety related training for the

supervisors in fulfilling this vital requirement, the Occupational Health and Safety will participate in the initial inspections with the manager. This provides each manager a hands-on-experience under the direct guidance of a safety professional.

c. Quarterly Environmental, Health and Safety Department Inspection:

A comprehensive safety inspection will be conducted by the Environmental, Health and Safety Department once a quarter. The safety checklist, Appendix E, will be used to assist in this inspection.

43


44

EMPLOYEE SAFETY REPORT AND SUGGESTION PROGRAM I. PROGRAM REQUIREMENTS The employee by virtue of their work activities are often the most familiar with the

hazards inherent in their job or work areas. To encourage the use of this valuable resource, an employee occupational safety and health suggestion program has been initiated.

1. Employee with a safety concern will be encouraged to obtain a suggestion

form from their respective supervisor/manager, the Departmental Safety Representative or from the employee’s "Safety Suggestion Box".

2. Once the form has been completed, it will be returned to the supervisor or

anonymously placed in the "suggestion box." If desired, the employee can request assistance from the supervisor in completing the form.

3. The completed suggestion form will be review by the supervisor, and if the

suggestion has immediate benefits to either enhance safety or productivity, it will be promptly implemented if possible. If additional consideration is required, the safety suggestion shall be evaluated by the Environmental, Health and Safety Department.

4. A copy of all safety suggestions will be forwarded to the Environmental,

Health and Safety Department for review and, if appropriate, implementation.


45

EMPLOYEE SAFETY REPORT AND SUGGESTION PROGRAM Cont. I I. RESPONSIBILITIES

1. Environmental, Health and Safety Department:

a. Will on a weekly basis collect all completed safety suggestion forms from the "Safety Suggestion Box."

b. Will review all employee safety suggestions and make recommendations

both to the employee’s supervisor, and if necessary, management.

c. Will ensure all suggestions are discussed during the safety committee meeting.

d. Meritorious suggestions will be implemented, or if beyond the

Environmental, Health and Safety Department’s scope of authority, forwarded to the appropriate manager.

2. Supervisor:

a. Shall assist the employee with completing the safety suggestions upon request.

b. Will forward a copy of all safety suggestions to the Occupational Health

and Department for review.


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HAZARD ABATEMENT Workplace hazards are to be corrected as soon as possible after they are identified. In the event that a hazard cannot be eliminated immediately, a target date for correction will be set. This target date will be based on such considerations as the probability and severity of an injury or illness resulting from the hazard and the availability of needed equipment, materials, personnel, deliveries, modifications, construction, and installations. Testing and training times will also be considered. Until the hazard is eliminated, employees who are exposed will be provided with interim protection where appropriate. The facilities department will maintain a written log in order to track the progress of the hazard correction. The Company, recognizing that regular preventative maintenance is an important part of its Injury and Illness Prevention Program will ensure preventative maintenance is performed on all appropriate machinery, tools, vehicles, and other equipment.

HORSEPLAY Conduct that may be termed as "practical joking", "fooling around", "horseplay", or "scuffling" is forbidden, since serious injuries could arise from such action.

SMOKING "No Smoking" rules will be enforced. CBS Television Studios is a non-smoking company. Smoking is permitted only in designated areas outside of the building. Designated areas will be identified by management.

INTOXICANTS It is well known that intoxicants (both alcohol and drugs) interfere with the individual's ability to work in a safe manner. Therefore, reporting to work or attempting to work while under the influence of alcohol, hallucinatory drugs, stimulants, depressants, marijuana, etc. is strictly prohibited. Only drugs prescribed by a physician are permitted, and then only if the drug does not interfere with safe job performance. This rule will be enforced.


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EMPLOYER POSTING AND RECORD KEEPING 1. Display OSHA Poster "Safety and Health Protection on the Job" in a prominent

location where it can be seen by all employees. 2. Post Emergency Telephone numbers where it can be readily seen in an

emergency. 3. Post appropriate information concerning access to employees’ medical and

exposure records, and Material Safety Data Sheets or otherwise have them readily available to employees.

4. Exit signs posted where required. 5. Post the Industrial Welfare Commission orders regarding the regulation of wages,

hours and working conditions. 6. Display properly, the State notification on the prohibition of discrimination in

employment. 7. Display notice to employees on unemployment and disability insurance. 8. Post State Payday Notice. 9. Post OSHA Form 300A – Summary of Work-Related injuries and Illnesses from

February 1 through April 30. 10. Maintain records of employee exposure to hazardous substances or harmful

physical agents.


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WORKPLACE VIOLENCE POLICY I . PURPOSE

The Company has established this policy on Workplace Violence to protect employees and maintain a safe work environment. This policy covers not only physical violence, but verbal abuse such as harassment, intimidation and disruptive behavior. It is critical that all employees understand that all claims of workplace violence will be investigated and remedied promptly. This includes incidents involving coworkers and incidents involving individuals from outside the company perpetrating violence against company employees.



Managers and supervisors have the responsibility to safeguard and provide training to employees who have been placed under their supervision. 1. Training will consist of warning signs and potential violent situations. 2. Monitor work areas on a daily basis to identify unsafe conditions or work

practices capable of causing violence and ensure that potential problems are corrected in a timely manner.

3. Supervisors should encourage their employees to report all incidents and

threats of workplace violence.

C. Employees

Each employee is responsible to help reduce acts of workplace violence by complying with the company policies and procedures.

1. Employees can protect themselves and other coworkers by:

a. Learning how to recognize, avoid, or diffuse potentially violent situations.

b. Alerting Supervisors of any concerns and reporting all incidents immediately in writing.

2. Employees must comply with requirements listed above or face

disciplinary action, up to and including immediate termination of employment.


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APPENDICES


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Appendix A: REPORT OF SAFETY COMMITTEE MEETING Location: _____ Date: Attendees: Name (Print) Signature

================================================================= Safety Topic: Safety Hazards Discussed:

1. 2. 3. 4.

Committee Recommendations:

1. 2. 3. 4.


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Appendix B: ACCIDENT/INCIDENT REPORT AND INVESTIGATION FORM 1. Name of Injured Employee:___________________________________ 2. Date:________________ Time of Injury:______________AM/PM 3. Date Injury was Reported:____________ Time:______________ 4. Supervisors Name:____________________________________________ 5. Location of Accident: _________________________________________

____________________________________________________________ 6. Description of Injury:__________________________________________

____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________

7. Cause of Injury:_______________________________________________

____________________________________________________________ ____________________________________________________________ ____________________________________________________________

8. Preventive Measures Initiated:__________________________________

____________________________________________________________ ____________________________________________________________ ____________________________________________________________

9. Comments:___________________________________________________

____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________


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Appendix C: EMPLOYEE REPORT OF SAFETY HAZARDS Note: All workplace safety concerns communicated to management are strictly

confidential. Under no circumstances will an employee be reprimanded or shall there be reprisals against employees who make the Company aware of hazards.

Specify Hazard:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Location of Hazard:

________________________________________________________________________________________________________________________________________________

How can this Hazard Be Corrected:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Name (Optional): _____________________________________________ Date: _______________________________________________________


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INJURY AND ILLNESS PREVENTION PROGRAM Appendix D: WEEKLY SAFETY INSPECTION CHECKLIST

Date:________________ 1. ____ Are electrical cords and plugs free of fraying, missing grounding prongs and

other defects? 2. ____ Are portable electric tools and appliances properly grounded? 3. ____ Are portable lights and fans equipped with guards? 4. ____ Is the area in front of all electrical circuit breaker and switch panels free of

materials and other obstruction for a minimum of three feet? 5. ____ Are approved safety cans and other acceptable containers used for handling

and dispensing flammable materials? 6. ____ Are all exits clearly marked and free of obstructions? 7. ____ Are appropriate fire extinguishers available for immediate use, clearly marked

and readily accessible? 8. ____ Is the work area clean, free of rubbish and other clutter? 9. ____ Are protective goggles, safety glasses, and aprons readily available for use? 10. ____ Is all required personal protective equipment being used in designated areas? 11. ____ Are all deluge showers and eye washes clean, free of obstructions and in

proper working order? 12. ____ Are all work areas adequately illuminated and ventilated? 13. ____ Are toilets, personal hygiene facilities and employee break areas clean,

properly supplied and in sanitary conditions?

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INJURY AND ILLNESS PREVENTION PROGRAM Appendix E: SELF-INSPECTION CHECKLISTS

Inspector: Date: EMPLOYER'S POSTING YES NO N/A 1. � � � Is the OSHA Poster Safety and Health Protection on the Job

displayed in a prominent location where it can be seen by all employees?

2. � � � Is the emergency telephone number posted where it can be readily

seen in an emergency? 3. � � � Are exit signs posted where required? 4. � � � Are the Industrial Welfare Commission orders regarding the

regulation of wages, hours, and working conditions posted? 5. � � � Is the State notification on the prohibition of discrimination in

employment properly displayed? 6. � � � Is the notice to employees on unemployment and disability

insurance posted? 7. � � � Is the State "Payday" Notice posted? 8. � � � Is the OSHA Form 300A - Summary of Work-Related Injuries and

Illnesses posted from February 1 through April 30. 9. � � � Are all occupational injury or illnesses, except minor first aid only

cases, recorded as required on the OSHA Form 200?

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INJURY AND ILLNESS PREVENTION PROGRAM SELF-INSPECTION CHECKLISTS

TOOLS AND EQUIPMENT YES NO N/A 1. � � � Are worn, damaged and broken tools removed from service? 2. � � � Are employees informed of the hazards associated with faulty or improperly

used hand tools? 3. � � � Are all electrically operated tools and equipment grounded or of the approved

double insulated type? 4. � � � Are portable electric fans provided with guards or screens with openings of ½

inch or less? 5. � � � Are rotating or moving parts of equipment guarded to prevent physical

contact? 6. � � � Are effective guards in place over belts, pulleys, chains, and sprockets on

equipment such as sewing machines?

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FIRE PROTECTION AND EMERGENCY RESPONSE YES NO N/A 1. � � � Is there an emergency evacuation plan for the building and is it posted? 2. � � � Have employees been trained in their responsibilities during a fire or other

emergency? 3. � � � Are emergency exits unobstructed and clearly identified? 4. � � � Is the emergency telephone number posted and plainly visible? 5. � � � Have employees been notified to proceed to the appropriate outside

assembly area during an evacuation? 6. � � � Is there emergency lighting at exits and on exit routes? 7. � � � Are only approved containers used for the storage and handling of flammable

and combustible liquids? 8. � � � Are all flammable liquids containers kept closed when not in direct use? 9. � � � Are portable fire extinguishers located no farther than 50 feet from any work

area? 10. � � � Are fire extinguishers mounted in readily accessible locations? 11. � � � Are fire extinguishers inspected regularly and recharging or replacement

noted on the inspection tag? 12. � � � Are all extinguishers fully charged and hung in their designated locations? 13. � � � Do employees know where fire extinguishers are located and how to use

them? 14. � � � Are fire extinguishers visually inspected monthly to ensure they are

accessible, charged, clean, and tagged? 15. � � � Are fire extinguishers inspected annually by a licensed fire extinguisher

inspector or replaced?

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AISLES AND WALKING SURFACES YES NO N/A

1. � � � Are aisles and walkways kept clear of storage, obstructions, and debris? 2. � � � Are holes in floors or other walking surface repaired properly or covered? 3. � � � Are materials and equipment stored such that projections will not intrude into

walkways? 4. � � � Are liquid spills cleaned up immediately? 5. � � � Are changes of direction and changes in elevation readily identifiable?

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ELECTRICAL SAFETY YES NO N/A 1. � � � Is electrical wiring free from fraying and splices, and insulation free from cuts

and tears? 2. � � � Are electrical outlets and plugs in good condition with no bare wires

exposed? 3. � � � Is the use of extension cords limited to temporary use and not used in place

of fixed wiring? 4. � � � Are operating instructions for all electrical equipment kept on file? 5. � � � Are electrical power cords protected from damage and from presenting trip

hazards? 6. � � � Are portable electrical tools and equipment grounded or double insulated? 7. � � � Are electrical appliances, such as refrigerators, coffee makers, microwave

ovens, and electric fans, grounded? 8. � � � Do extension cords have a grounding conductor? 9. � � � Are multiple plug adapters prohibited? 10. � � � Are exposed wiring and cords with frayed or deteriorated insulation taken out

of service until repaired or replaced? 11. � � � Are flexible cords and cables free of splices and taps? 12. � � � Are all cord, cable and raceway connections intact and secured? 13. � � � Are all electrical raceways and enclosures securely fastened in place? 14. � � � Are all energized parts of electrical circuits and equipment guarded against

accidental contact by approved cabinets or enclosures? 15. � � � Are electrical enclosures such as switches, receptacles, and junction boxes,

provided with tight-fitting covers or plates?

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HAZARD COMMUNICATION YES NO N/A 1. � � � Is there a current inventory of hazardous substances? 2. � � � Are employees trained on the hazards associated with the hazardous

substances in their work areas? 3. � � � Is there an MSDS for each hazardous substance on site? 4. � � � Do employees know how to obtain and use an MSDS? 5. � � � Is every hazardous substances labeled with product identification information

and hazard warnings? 6. � � � Are employees aware of the physical and health hazards in their work areas,

and of the specific protective measures to use? 7. � � � Do employees understand the hazardous substances labeling system? 8. � � � Are containers of hazardous substances kept closed when not directly in

use? 9. � � � Are employees trained in safe handling practices for hazardous substances? 10. � � � Have employees been trained in the hazards associated with the storage and

use of hazardous substances? 11. � � � Are all containers of hazardous substances labeled with the complete names

of the contents and appropriate hazard warnings? 12. � � � Have employees been instructed in the proper technique for cleaning up

chemical spills?

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RECORD KEEPING

1. � � � Are employee records of employee exposures to hazardous substances or harmful physical agents up to date?

YES NO N/A

2. � � � Are the required records maintained for the legal period of time for each

specific type of record?

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GENERAL OFFICE ENVIRONMENT YES NO N/A 1. � � � Is there an active health and safety program in effect? 2. � � � Is one person identified as responsible for the overall health and safety

program? 3. � � � Does the safety committee meet no less than quarterly and report minutes in

writing on its activities? 4. � � � Is there a procedure for handling in-house employee complaints on

occupational safety and health concerns? 5. � � � Are loose or damaged carpeting, floorboards, and tiles repaired or replaced

in a timely manner? 6. � � � Are chairs routinely inspected by users for broken springs, loose screws and

defective welds? 7. � � � Are step-stools/ladders used to reach objects on high shelves? 8. � � � Are telephone and power cords kept out of walkways? 9. � � � Are bottom file cabinet drawers filled first for stability? 10. � � � Are file cabinet drawers opened one at a time, with each drawer closed and

latched before another drawer is opened? 11. � � � Are liquids, heavy and breakable items stored on bottom shelves or in closed

cabinets? 12. � � � Are paper cutters equipped with guards and stored with blades secured when

not in use? 13. � � � Are all work areas clean and orderly? 14. � � � Are all occupied areas and corridors adequately illuminated? 15. � � � Are all spilled materials and liquids cleaned up immediately?

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GENERAL OFFICE ENVIRONMENT - Continued YES NO N/A 16. � � � Are all toilets and washing facilities clean and sanitary? 17. � � � Is there a designated hospital or clinic for medical care? 18. � � � Is at least one employee qualified to render first aid and CPR? 19. � � � Are first aid kits inspected regularly and supplies replenished as needed?

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ERGONOMICS YES NO N/A 1. � � � Do Video Display Terminal (VDT) monitors have adjustable brightness and

contrast controls? 2. � � � Do VDT monitors adjustment for tilt and swivel firmly attach to a separate

base which can be adjusted? 3. � � � Do the exteriors of VDT monitors have non-glare finishes? 4. � � � Are VDT screens free from flicker and glare? 5. � � � Do VDT keyboards adjust to a comfortable user position? 6. � � � Do VDT user chairs adjust for seat height, backrest height, and backrest

angle without the use of tools? 7. � � � Do VDT workstations adjust to a convenient height for users? 8. � � � Do chairs adjust to provide good lumbar support? 9. � � � Are footrests available? 10. � � � Are the VDT keyboard and the chair adjustable so that proper body posture

can be maintained? 11. � � � Are VDT user manuscript holders adjustable so that the user's head remains

in a neutral position? 12. � � � Is the VDT monitor located such that the work can be performed without

eyestrain or glare? 13. � � � Are employees trained in the safe lifting of heavy objects? 14. � � � Is work accomplished without prolonged raising of the arms? 15. � � � Is the work accomplished using the larger muscles of the body? 16. � � � Is the work accomplished without twisting or bending the lower back?

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ERGONOMICS - Continued YES NO N/A 17. � � � Are work breaks provided to relieve stress of repetitive motion tasks? 18. � � � Is equipment shaped, positioned, and handled so that work-tasks can be

performed comfortably? 19. � � � Are furnishings adjustable or arranged to minimize strain on all parts of the

body?

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INJURY AND ILLNESS PREVENTION PROGRAM Appendix F: POWER LIFT TRUCK DAILY INSPECTION

The following items will be inspected at the beginning of each shift to ensure proper operation/condition of the lift truck. If any one of these items does not properly operate, the lift must be taken out of service immediately, tagged out of service and repaired by the manufacturer or repair company authorized by the manufacturer. 1. Horn 2. All Lights 3. Battery/Engine Fluids 4. Lift Controls 5. Brakes 6. Steering Mechanism 7. Lift System:

a. Forks b. Chains c. Cables d. Hydraulic e. Limit Switches

8. Tires 9. Safety Mechanisms

a. Handrails b. Platforms c. Anchor Points d. Footswitch e. Emergency Stop Switch f. Strobes and Audible Alerts

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Appendix G: EMPLOYEE SAFETY TRAINING Location: Date: ____________________________ Conducted By: Topic: Attendees:

Name (Print) Signature

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________


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INJURY AND ILLNESS PREVENTION PROGRAMehs.cbssc.com/temp/CTS/CBS Television Studio IIPP 050515.pdf · 2005-05-15 · OSHA Form 300 - RECORDKEEPING ... endangers the safety of fellow