Implementation of Lewis County Accident Prevention Plan Corrected caption
BEFORE THE BOARD OF COUNTY COMMISSIONERS OF LEWIS
COUNTY,WASHINGTON
IN RE. IMPLEMENTATION OF LEWIS COUNTY } RESOLUTION NO 19 157
ACCIDENT PREVENTION PLAN }
WHEREAS, Lewis County is required to have a published Accident Prevention Plan with the
objective of the preservation of a safe and healthy work environment for all employees This
Accident Prevention Plan will be evolving and dynamic document; and
WHEREAS, Lewis County has established a WISHA Accident Prevention Program that integrates
safety and health measures into each job task so that safety practice accident prevention and job
performance become inseparable, and
WHEREAS, this Accident Prevention Program is based on the Safety and Health Core Rules of the
Washington Industrial Safety and Health Act (WISHA) WAC
296-800-11005 through 12005, and
WHEREAS, the Accident Prevention Program includes an Employee Safety Orientation and a
Safety and Health Committee, and it provides additional specific safety programs safety training
resources and personal protective equipment (PPE) requirements as determined by a job hazard
analysis, and
WHEREAS, as new workplace hazards are introduced, the responsible department supervisor will
update the relevant addendum to the plan
NOW THEREFORE BE IT RESOLVED that the Lewis County Board of County Commissioners
hereby ratifies and adopts the attached Accident Prevention Plan, and directs that it be
implemented forthwith
Done in open session this 3rd day of June 2019
APPROVED AS TO FORM. BOARD OF COUNTY COMMISSIONERS
Jonathan Meyer, Prosecuting Attorney LEWIS,COUNTY, WASHINGTON
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By Deputy Prosecuting Attorney Rob- C Jackson, Chair
ATTEST. Gary Stamper, Vice C air
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ieva Lestei'Clerk of the +4' \'I.; Edna J Fund, Commoner
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BEFORE THE BOARD OF COUNTY COMMISSIONERS
OF LEWIS COUNTY, WASHINGTON
IN RE. IMPLEMENTTION OF LEWIS COUNTY } RESOLUTION NO 19- 151
ACCIDENT PREVENTION PLAN }
WHEREAS, Lewis County is required to have a published Accident Prevention Plan with the
objective of the preservation of a safe and healthy work environment for all employees This Accident
Prevention Plan will be evolving and dynamic document, and
WHEREAS, Lewis County has established a WISHA Accident Prevention Program that integrates safety
and health measures into each job task so that safety practice, accident prevention and job performance
become inseparable, and
WHEREAS, this Accident Prevention Program is based on the Safety and Health Core Rules of the
Washington Industrial Safety and Health Act (WISHA) WAC 296 800-11005 through 12005, and
WHEREAS, the Accident Prevention Program includes an Employee Safety Orientation and a Safety and
Health Committee, and it provides additional specific safety programs, safety training resources and
personal protective equipment (PPE) requirements as determined by a job hazard analysis, and
WHEREAS, as new workplace hazards are introduced,the responsible department supervisor will
update the relevant addendum to the plan.
NOW THEREFORE BE IT RESOLVED that the Lewis County Board of County Commissioners
hereby ratifies and adopts the attached Accident Prevention Plan, and directs that it be
implemented forthwith
Done in open session this 3rd day of June 2019
APPROVED AS TO FORM BOARD OF COUNTY COMMISSIONERS
Jonathan Meyer, Prosecuting Attorney L OUNTY, WASHINGTON
By Deputy Prosecuting Attorney Robert C Jackson, Chair
ATTEST Ga tampe Vice Chai
� SGpUNTX Wq••
zrZinr.Rieva Lester lerk of the Fd c\• J Fund, CommiI oner
SINCE \ o
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Lewis County
Accident Prevention Plan
Lewis County Risk and Safety Department
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LEWIS COUNTY/
Washington s First County
Revised, June 3, 2019
Lewis County Accident Prevention Plan
Lewis County Risk and Safety Department
351 NW North Street
Chehalis, WA 98532
Contact Persons
Tawni Shepherd
Lewis County Safety Officer
(360) 740-2737
tawni.shepherd(&Iewiscountywa qov
Wayne Whiton
Lewis County Risk and Safety Administrator
(360) 740-1299
wayne.wh iton(a�lewiscou ntywa.gov
LEWIS COUNTY
!b•a±hington c first County
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Revised, June 3, 2019 Page 2
Lewis County Accident Prevention Plan
Table of Contents
Section 1 Safety and Health Statement
Section 2. Accident Prevention Plan
Section 3 Management's Responsibilities
Section 4 Employee's Responsibilities
Section 5. Employee Safety Orientation
Section 6. Safety and Health Committees
Section 7 Self-Inspection of Facilities
Section 8. First-aid & Emergency Washing Facilities
Section 9. Safety Bulletin Board and WISHA Poster
Section 10 Hazardous Chemicals & SDS
Section 11. Safety and Health Education and Training
Section 12. Injury & Occupational Illness Reporting
Section 13 Claims Administration
Section 14. Forms
Section 15 Appendices
Revised, June 3, 2019 Page 3
Lewis County Accident Prevention Plan
Introduction
Employers in Washington State must develop a formal Accident Prevention
Plan, tailored to the needs and hazards of the particular place of employment.
(WAC 296-800-140)
Lewis County (LC) has established a Washington Industrial Safety and Health Act
(WISHA) Accident Prevention Plan that integrates safety and health measures into
each job task so that safety practice, accident prevention and job performance
become inseparable The integration of job tasks and safety practices is
accomplished through the cooperative efforts of leadership, management and staff
to obtain the lowest possible occupational injury and illness (workers' compensation)
rates The objective is the preservation of a safe and healthy work environment for
all employees
This Accident Prevention Plan is based on WAC 296-800, the Safety and Health
Core Rules of WISHA
In accordance with WISHA requirements located in WAC 296-800-140 (the
Safety and Health Core Rules) this Accident Prevention Plan includes an
Employee Safety Orientation, establishes a Safety and Health Committee,
provides additional specific safety plans, safety training resources and
personal protective equipment (PPE) requirements as determined by a job
hazard analysis
Revised, June 3, 2019 Page 4
Lewis County Accident Prevention Plan
Section 1
Safety and Health Statement
LC places a high value on the health and safety of its employees It is committed to
providing a safe and healthy workplace for all employees and has developed this
accident and occupational illness prevention plan to involve leadership,
management and staff in identifying and eliminating hazards that may develop
during our work process
The LC Board of County Commissioners (BOCC) believe that no task is so
important that an employee must violate a safety rule or incur a risk of injury or
illness in order to get the job done
Employees are required to comply with all W1SHA regulations and LC safety rules
and are encouraged to actively participate in identifying ways to make LC a safe and
healthy place to work
Supervisors are responsible for the occupational health and safety of their
employees As a part of their routine duties, supervisors will check the workplace for
unsafe conditions and take immediate action to eliminate any hazards observed
Supervisors will also monitor employees for unsafe work practices and promptly
correct any unsafe behavior
The LC BOCC will do its part by devoting the resources necessary to form a safety
committee composed of management-designated and employee-elected members
We will develop a system for identifying and correcting hazards We will plan for
potential emergencies We will provide initial and ongoing training for employees
and supervisors
Safety is a team effort The entire staff must work together to ensure that LC is a
safe and healthy workplace for all staff and stakeholders By accepting mutual
responsibility to always act in the most prudent and safe manner, all parties
contribute to the safety, health and well-being of the staff and visitors in LC buildings
and vehicles
• , �� ,/ G av ao/ 9
ign=d - BOCC aftrict 1) (Date)
2jil
igne - BOC District 2) (Date)
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Revised,June 3, 2019 Page 5
Lewis County Accident Prevention Plan
rf
(Signed B• C District 3) (Date)
The LC Accident Prevention Plan Administrator is
(Signed — Risk and Safes Administrator) (Date)
The LC Safety Officer is
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(Signed Safety Officer) (Date)
Each Department Director and Elected Official of LC is responsible for the training
and/or supervision of the following Plans Information on each Plan is provided in
the corresponding lettered appendix section of this Accident Prevention Manual
Appendix / Title Department Specific
A Safety Orientation, Accident Investigation, First-aid
B Hazard Assessment & PPE
C Bloodborne Pathogens- Exposure Control Plan
D Volunteer Respiratory Protection Plan
E Hearing Conservation
F Evacuation, Disaster & Crisis Planning
G Hazard Communication Plan
H Asbestos Hazard Emergency Response Act
I Ladder Safety Plan
J Fall Protection Work Plan
K Control of Hazardous Energy-Lock-out/Tag-out Plan
L Confined Space Entry Plan
M Lifting, Back Care & Injury Prevention
Revised, June 3, 2019 Page 6
Lewis County Accident Prevention Plan
N Machine Guarding
O Portable Power Tools
P Heat Illness
Page 7
Revised,June 3, 2019
Lewis County Accident Prevention Plan
Section 2
Accident Prevention Plan
This Accident Prevention Plan includes the following elements in accordance with
WISHA requirements located in WAC 296-800-140 (Also known as the Safety and
Health Core Rules )
Provide an Employee Safety Orientation that includes the following elements
(WAC 296-800-14005)
• A written description of the total safety and health Plan
• On-the-job orientation showing employees what they need to know to
perform their initial job assignments safely
• How and when to report on-the-job injuries including the location of
first-aid facilities throughout the workplace
• How to report unsafe conditions and practices
• The use and care of required PPE
• What to do in an emergency, including how to exit the workplace
• Identification of hazardous gases, chemicals or materials used on-the-
job and instruction about the safe use and emergency action to take
after accidental exposure
Establish a Safety and Health Committee as described in WAC 296-800-130.
Provide training as required by WAC 296-800-14020•
• Develop, supervise, implement and enforce training Plans to improve
the skill, awareness and competency of all employees in the field of
occupational safety and health
• Ensure that safety training includes on-the-job instruction to
employees prior to their job assignment about hazards such as
Safe use of powered materials-handling equipment such as forklifts,
backhoes, etc
'v Safe use of machine tool operations
Use of toxic materials
Operation of utility systems
Establish, supervise and enforce the Accident Prevention Plan in a manner that is
effective in practice (WAC 296-800-14025)
Provide additional safety Plans specific to the workplace environment as determined
by a Job Hazard Assessment (WAC 296-800-160)
Provide PPE and training as indicated by the Job Hazard Assessment
Revised,June 3, 2019 Page 8
Lewis County Accident Prevention Plan
Section 3
Management's Responsibilities
It shall be the responsibility of the management staff of LC to
• Provide a workplace free from recognized hazards (WAC 296-800-
11005)
• Provide and use means to make the workplace safe (WAC 296-800-
11010)
• Prohibit employees from entering, or being in, any workplace that is
not safe (WAC 296-800-11015)
• Construct the workplace so it is safe (WAC 296-800-11020)
• Prohibit alcohol and narcotics from the workplace (WAC 296-800-
11025)
• Prohibit the use of all tobacco products on all LC property
(RCW 21A.31 170)
• Prohibit employees from using equipment or materials that do not
meet the applicable WISHA requirements (WAC 296-800-11030)
• Establish, supervise and enforce rules that lead to a safe and healthy
work environment that are effective in practice (WAC 296-800-11035)
• Control chemical agents. (WAC 296-800-11040)
• Protect employees from biological agents (WAC 296-800-11045)
• Provide training Plans to improve the skill and competency of all
employees in the field of occupational safety and health
Revised June 3, 2019 Page 9
Lewis County Accident Prevention Plan
Section 4
Employee's Responsibilities
It is the responsibility of all employees to play an active role in creating a safe and
healthy workplace and to comply with all applicable safety and health rules (WAC
296-800-12005) Therefore all employees shall
• Follow the WISHA safety rules and other safety practices described in
this Plan and always apply the safety training you have received
• Coordinate and cooperate with all other employees in the workplace to
try to eliminate on-the-job injuries and illnesses
• Promptly report unsafe conditions or actions to your supervisor or
safety committee representative.
• Make suggestions to your supervisor or safety committee
representative or safety officer about changes you believe will improve
employee safety
• Apply the principles of accident prevention in your daily work and use
proper safety devices and PPE as required by your employer
• Take care of all PPE properly
• Do not wear torn or loose clothing while working around machinery
• Report promptly to your supervisor every industrial injury or
occupational illness
• Do not remove, displace, damage, destroy or carry off any safeguard,
notice or warning provided to make the workplace safe Do not
interfere with the use of any safeguard by anyone in the workplace
• Do not interfere with the use of any work practice designed to protect
others from injuries
• Do everything reasonably necessary to protect the life and safety of all
employees
• Observe Washington state law that prohibits the use of all tobacco
products on all LC property and in all LC and state owned vehicles
(RCW 28A.210.310)
• Observe Washington state law that prohibits alcohol and narcotics
(drugs) from the workplace and prohibits employees under the
influence of alcohol or narcotics from the worksite (WAC 296-800-
11025)
• Obey state requirement to always wear the seat belt when driving or
riding in a vehicle
Revised June 3, 2019 Page 10
Lewis County Accident Prevention Plan
• Actively support and participate with LC to provide an effective and
efficient Accident Prevention Plan
Revised,June 3, 2019 Page 11
Lewis County Accident Prevention Plan
Section 5
Employee Safety Orientation
WISHA requires that all Accident Prevention Plans include an employee safety
orientation targeted to the needs of the particular worksrte and to the specific type of
hazards involved (WAC 296-800-14005)
The following are the minimal elements of the employee safety orientation for
all employers
• Description of the LC's total safety and health Plan
• On-the-job orientation showing employees what they need to know to
perform their initial job assignments safely.
• How and when to report on-the-job injuries including instruction about
the location of first-aid facilities in your workplace
• How to report unsafe conditions and practices
• The use and care of required PPE
• What to do in an emergency, including how to exit the workplace
• Identification of hazardous gases, chemicals or materials used on-the-
job and instruction about their safe use and emergency action to take
after accidental exposure
Each of these topics is addressed within this Accident Prevention Plan
Material contained in the following Appendices must be reviewed with all
employees.
Appendix A, "Safety Orientation, Accident Investigation and First-Aid
requirements"
Appendix B, "Hazard Assessment and PPE "
Appendix C, "Bloodborne Pathogens."
Appendix F, "Evacuation, Disaster and Crisis Planning "
Appendix G, "Hazard Communication Plan "
Appendix I, "Heat Illness- Outdoor Heat Exposure."
Material contained in other appendices must be reviewed, as appropriate, with
each individual employee depending on their specific job assignment and Job
Hazard Analysis described in Appendix B
Revised, June 3, 2019 Page 12
Lewis County Accident Prevention Plan
Section 6
Safety and Health Committee
Large Departments (11 or more employees)
All employers of eleven or more employees shall have a designated safety
committee composed of employer-selected and employee-elected members as
required by WAC 296-800-13020(1)
• The number of selected members shall not exceed the number of
elected members The method of election shall be optional (WAC
296-800-13020)
• The terms of elected members shall be a maximum of one year
Should a vacancy occur on the committee, a new member shall be
elected The members of the safety committee shall elect the
chairperson
• Safety committees will meet a minimum of four times a year At least
two of the required four meetings shall be held between September
and December, and at least two of the required four meetings shall be
held between January and May
• The safety committee shall determine the date, hour and location of
meetings The length of each meeting shall not exceed one hour
except by majority vote of the committee
These topics must be covered. WAC 296-800-13020(2)
• Review safety and health inspection reports to help correct safety
hazards
• Evaluate the accident reports and investigations conducted since the
last meeting to determine if the cause(s) of the unsafe situation(s) was
identified and corrected
• Evaluate the LC's accident and illness prevention Plan and discuss
recommendations for improvement, if needed
Record the meetings WAC 296-800-13020(3)
• Prepare minutes from each safety committee meeting and preserve for
one year
• Document attendance
• Copies of the minutes must be provided to
y LC Safety Officer
r Staff- by posting on the shared "Y" drive
• Make them available for review, if requested, by personnel of the
WISHA consultation division of the Department of Labor and
Industries
Revised, June 3, 2019 Page 13
Lewis County Accident Prevention Plan
Section 6
Safety & Health Committee
Small Departments (10 or less employees)
WAC 296-800-13025 allows all employers of ten or less employees to hold monthly
safety meetings in lieu of forming a safety and health committee
Monthly Safety Meetings
• These meetings may be a part of another meeting, e g , staff
meetings (Monthly safety meetings at small departments' may be less
formal and shorter in length than quarterly safety committee meetings
at larger departments)
• At least one management representative must be present
• Those in attendance and the subjects discussed shall be documented
and maintained on file for one year on the form provided, i e
department Safety Meeting Minutes
These topics must be covered. (WAC 296-800-13025)
• Review safety and health inspection reports to help correct safety
hazards
• Evaluate the accident investigations conducted since the last meeting
to determine if the cause(s) of the unsafe situation was identified and
corrected
• Evaluate the LC's accident prevention Plan and discuss
recommendations for improvement, if needed
Record the meetings (WAC 296-800-13025)
• Prepare minutes of each safety meeting
• Document attendance
• Copies of the minutes must be provided to
LC Safety Officer
y Staff- by posting on the shared "Y" drive
• Make them available for review, if requested, by personnel of the
WISHA consultation division of the Department of Labor and
Industries
Revised,June 3, 2019 Page 14
Lewis County Accident Prevention Plan
Section 6
Employee Safety and Health Committee
An employee safety and health committee is a management tool used by the
County's departments to coordinate several (required) site-based safety
committees Safety committees from each site within LC forward their minutes and
recommendations to the central committee The central committee reviews the
recommendations, prioritizes the needs and recommends action to the administrator
who then assigns personnel and resources to address the issue(s) based on the
County priorities and available resources
Minutes of a Central Safety Committee should be forwarded to the LC Safety Officer
for review along with the minutes of the individual site-based Safety Committees
The recommended format for Departments and Elected Officials within LC is as
follows
Members of the Central Safety Committee should include
• The elected Safety Chairman
• A Secretary to take meeting minutes
• A representative from each County Department and Elected Office
• A mix of management and non-management personnel
Minutes of the Central Safety Committee should be sent to each site-based Safety
Committee and posted on all safety bulletin boards prior to the next scheduled
meeting
Revised, June 3, 2019 Page 15
Lewis County Accident Prevention Plan
Section 7
Self-Inspection of Facilities
Accident, illness and injury prevention activities need to be reinforced by a
systematic plan to minimize physical hazards within the workplace LC feels that the
best way to eliminate exposure to these hazards is through a self-inspection plan
Each site shall be self-inspected at least once a year
Members of the Safety and Health Committee and the Safety Officer will assist
supervisors in conducting a self-inspection of their respective work areas to
determine whether hazardous conditions and/or practices exist. Additional resources
that can be consulted or utilized when conducting inspections include
• The LC Safety Officer and/or the Risk and Safety Administrator
• Employee suggestions and hazard reports
• Previous incident and claims experience of LC
• WISHA Standards
• Safety Awareness Walkthrough (SAW) Checklist
Findings of the self-inspection will be reviewed and discussed at the next scheduled
Safety and Health Committee meeting Safety concerns resulting from this
inspection will be forwarded to the Safety Officer and/or the Risk and Safety
Administrator
Follow-up to committee recommendations may be accomplished by one of the
following options
• Carry out the recommendations
• Explain why no action is necessary
• Propose alternatives based on further investigation
• Propose temporary alternatives until a permanent solution can be
implemented
Revised, June 3, 2019 Page 16
Lewis County Accident Prevention Plan
Section 8
First-Aid & Emergency Washing Facilities
First-Aid Trained Personnel -WAC 296-800-15005
Make sure that first-aid trained personnel are available to provide quick and effective
first aid
First-Aid Supplies -WAC 296-800-15020
You must make sure first-aid supplies are readily available
Each building should post the location of their first-aid kits on the safety bulletin
board If first-aid kits are not clearly visible, a sign shall be posted indicating their
location
During employee orientation, each employee should be shown the location of the
first-aid kits in their building or work area
Except in those instances where another person is designated, the department
supervisor is designated to ensure that the first-aid kits are properly maintained and
stocked
Emergency telephone numbers and emergency procedures will be strategically
located, such as on the first-aid kits, near telephones, on the safety bulletin board
and at other areas where appropriate
You must make sure first-aid supplies at your workplace are appropriate to
• Your occupational setting - e g , Road Crews, Fleet Service etc
• The response time of your emergency medical services should
determine the needed supplies Note First-aid kits from your local
retailer or safety supplier should be adequate for most buildings and
other LC facilities
You must make sure that first-aid supplies are
Easily accessible to all your employees
• Stored in containers that protect them from damage, deterioration or
contamination
• Containers must be clearly marked, not locked, and may be sealed
• Able to be moved to the location of an injured or acutely ill worker
Revised, June 3, 2019 Page 17
Lewis County Accident Prevention Plan
Emergency Washing Facilities (Showers & Eyewash) -WAC 296-800-15030
Make sure emergency washing facilities are functional and readily accessible
You must provide an emergency shower
• When there is potential for major portions of an employee's body to
contact corrosives, strong irritants, or toxic chemicals
• That delivers water to cascade over the user's entire body at a
minimum rate of 20 gallons (75 liters) per minute for fifteen minutes or
more
You must provide an emergency eyewash.
• When there is potential for an employee's eyes to be exposed to
corrosives, strong irritants, or toxic chemicals (For example custodial
and maintenance workers )
• That irrigates and flushes both eyes simultaneously while the user
holds their (own) eyes open
• With an on-off valve that activates in one second or less and remains
on without user assistance until intentionally turned off
• That delivers at least 0 4 gallons (1 5 liters) of water per minute for
fifteen minutes or more
Safety Data Sheets (SDS):
You can determine whether chemicals in your workplace require emergency
washing facilities by looking at the SDS or similar documents The SDS contains
information about first-aid requirements and emergency flushing of skin or eyes
You must make sure emergency washing facilities
• Are located so that it takes no more than ten seconds to reach
• Are kept free of obstacles blocking their use
• Function correctly
• Provide the quality and quantity of water that is satisfactory for
emergency washing purposes
Maintenance of Showers and Eyewashes:
• If water in emergency washing facilities is allowed to freeze, they will
not function correctly Precautions need to be taken to prevent this
from happening
Travel Distance to Showers and Eyewashes
The travel distance to an emergency washing facility should be no more than fifty
feet (15 25 meters)
Revised,June 3, 2019 Page 18
Lewis County Accident Prevention Plan
Training for Showers and Eyewashes
• Training in the location and use of your emergency washing facilities is
required under the employer chemical hazard communication rule,
WAC 296-800-170 and the accident prevention Plan rule,
WAC 296-800-140.
• All emergency-washing facilities using non-potable water must have
signs stating the water is "not fit for drinking " See WAC 296-800-
23010.
Inspection of Showers and Eyewashes - WAC 296-800-15035
You must make sure all plumbed emergency washing facilities are inspected once a
year to make sure they function correctly
Inspections should include
• Examination of the piping
• Making sure that water is available at the appropriate temperature and
quality
• Activation to check that the valves and other hardware work properly
• Checking the water flow rate
Activation of Showers and Eyewashes -WAC 296-800-15035
• Make sure plumbed emergency eyewashes and hand-held drench
hoses are activated weekly to check the proper functioning of the
valves, hardware and availability of water
• Make sure all self-contained eyewash equipment and personal
eyewash units are inspected and maintained according to
manufacturer instructions
• Inspections to check proper operation must be done once a year
y Sealed personal eyewashes must be replaced after the manufacturer's
expiration date The period for sealed containers is typically two years
➢ Most manufacturers recommend replacing fluid in open self-contained
eyewashes every six months
Supplemental Flushing Equipment -WAC 296-800-15040
Supplemental flushing equipment cannot be used in place of required emergency
showers or eyewashes.
• You must make sure hand-held drench hoses deliver at least 3 0
gallons (11 4 liters) of water per minute for fifteen minutes or more
• A drench hose is useful when
• The spill is small and does not require an emergency shower
y Used with a shower for local rinsing particularly on the lower extremities
Revised June 3 2019 Page 19
Lewis County Accident Prevention Plan
• You must make sure personal eyewash equipment delivers only clean
water or other medically approved eye flushing solutions
Revised, June 3, 2019 Page 20
Lewis County Accident Prevention Plan
Section 9
Safety Bulletin Board & WISHA Poster
Install and maintain a safety bulletin board large enough to post the following
(WAC 296-800-19005)
• The self-insurer's "Notice to Employees - To Report an Injury"
• L&I Job Safety and Health Law Poster
• L&I Your Rights as a Worker in Washington State Poster
• Safety Committee minutes from the previous meeting including time,
dates and place of next meeting
• Citation and Notice (60 days following receipt)
Note The WISHA "Notice to Employees" poster should NOT be posted since
LC member buildings are self-insured for workers' compensation insurance
and the information on that poster is for employees covered with workers'
compensation insurance through the State Fund.
Other Suggested Items
• Safety posters, bulletins and/or newsletters
• Safety training announcements
• List (or drawing) indicating the location of first-aid kits
• List of First-aid trained persons and each trained person's assigned
wo rks ite
• Emergency evacuation and disaster response information
• List of Safety Committee members
• EPA/AHERA-mandated "Annual Public Notice"
Items NOT allowed.
• Any item not directly related to the Safety Plan
Note All WISHA posters can be downloaded from the L&I web site at
http //www Ini wa gov/IPUB/101-054-000 asp or, telephone 1-800-4BE-SAFE
(1-800-423-7233)
Revised,June 3, 2019 Page 21
Lewis County Accident Prevention Plan
Section 10
Hazard Communication Standard - WAC 296-901 -140
LC is committed to the prevention of exposures that result in injury and/or illness
and to comply with all applicable state health and safety rules To make sure that all
affected employees know about information concerning the dangers of all
hazardous, and potentially hazardous, chemicals used by LC, the following
hazardous chemical communication Plan has been established
All work units of LC will participate in the hazard communication Plan This written
Plan will be available in our Accident Prevention Plan for review by any interested
employee
Container Labeling
Each LC department is responsible for container labeling procedures, including
reviewing and updating labels as needed The labeling system used at LC is to use
a manufacturer's and/or the distributor's chemical specific label and an NFPA label
The Global Harmonization System labels will be followed as they are produced by
manufactures
It is the policy of LC that no container will be released for use until the above
procedures have been followed
SDS
Each LC department is responsible for their site specific SDS, will make sure
procedures are developed to obtain the necessary SDS, and will review incoming
SDS for new or significant health and safety information Each LC department will
see that any new information is passed on to affected employees
Copies of SDS for all hazardous chemicals in use will be kept in the SDS Manual
SDS will be available to all employees during each work shift If an SDS is not
available or a new chemical in use does not have an SDS, immediately contact your
supervisor
Employee Information and Training
The Safety Officer is responsible for the employee training Plan
The procedures for how employees will be informed and trained includes an
employee safety orientation that includes training on PPE and SDS as well as
specific instruction by the employee's immediate supervisor
Site specific Managers will make sure that before starting work, each new employee
of LC will attend a health and safety orientation that includes information and
training on the following
Revised, June 3, 2019 Page 22
Lewis County Accident Prevention Plan
• An overview of the requirements contained in the Hazard
Communication Standard
• Hazardous chemicals present at their work area
• Physical and health risks of each hazardous chemical
• The symptoms of overexposure
• How to determine the presence or release of hazardous chemicals in
their work area
• How to reduce or prevent exposure to hazardous chemicals through
use of control procedures, work practices and PPE
• Steps the employer has taken to reduce or prevent exposure to
hazardous chemicals
• Procedures to follow if employees are overexposed to hazardous
chemicals.
• How to read labels and review SDS to obtain hazard information
• Location of the SDS file and written hazard communication Plan
• An overview of the requirements contained in the Hazard
Communication Standard
Before introducing a new chemical hazard into any department of LC, each
employee in that department will be given information and training as outlined above
for the new chemical
Multi-Employer Work Places
It is the responsibility of LC to provide employers of any other employees at the work
site with the following information
• Copies of SDS (or make them available at a central location) for any
hazardous chemicals that the other employers' employee may be
exposed to while working
• Inform other employers of any precautionary measures that need to be
taken to protect employees during normal operating conditions or in
foreseeable emergencies
• Provide other employers with an explanation of the labeling system
that is used at the work site
It is also the responsibility of LC to identify and obtain SDS for the chemicals the
contractor is bringing into the work place
List of Hazardous Chemicals
Further information on each chemical used by employees of LC may be obtained by
reviewing site specific SDS manuals
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Lewis County Accident Prevention Plan
Section 11
Safety and Health Education and Training
Safety and Health educational Plans will be provided for all employees to
• Increase awareness of accident cause factors
• Improve morale by demonstrating management's concern for the
individual employee
• Promote acceptance of safety and health regulations by presenting
accident prevention as a positive and integral part of all activities
Safety and Health training Plans are available as required by regulations
• First-aid (WAC 296-800-15005)
• Personal Protective Equipment (WAC 296-800-160)
• Bloodborne Pathogens (WAC 296-823)
• Respirators, including training, medical exams and fit-testing (WAC
296-842)
• Hearing Conservation (WAC 296-817)
Evacuation, Disaster and Crisis Planning (WAC 296-24-567)
• Hazard Communication Standard (WAC 296-901-140)
• Ladder Safety (WAC 296-296-150)
• Fall Protection Work Plan (WAC 296-155-Part C-1 & 296-155-24505)
• Control of Hazardous Energy (Lock-out/Tag-out) (WAC 296-803)
• Confined Space Entry and Rescue (WAC 296-809-200)
• Lifting, Back Care & Injury Prevention (WAC 296-126-222)
• Machine Guarding (WAC 296-806)
• Hand & Portable Power Tools (WAC 296-807-160)
For assistance with training materials contact the Risk and Safety
Department.
Revised June 3, 2019 Page 24
Lewis County Accident Prevention Plan
Safety Training Matrix
The following matrix has been edited to reflect the types of work tasks
employees are most likely to engage in that requires specific safety training
This is not the complete list of required training A Job Hazard Analysis
should be used to further identify specific training requirements
Safety Training Topic Regulatory Citation Frequency of
Training Who Should Have Training
Accident Prevention Plan WAC 296-800 Initial All Employees
Asbestos Awareness 29 CFR 1910 1001 Initial/Annual Solid Waste&Facilities Employees
Back Safety/Lifting Safety WAC 296-126-222 Initial Employees who lift
Bloodbome Pathogens WAC 296-823 Initial/Annual All Employees
Confined Spaces WAC 296-809-200 Initial/Annual Entrants/Attendant/Entry
Supervisor/Rescuer
CPR/AED/First-Aid WAC 296-800 15005 Initial& Designated Employees
Re-Cert
Evacuation,Disaster/Crisis WAC 296 24-567 Initial/Annual All Employees
Planning
Fall Protection WAC 296-800 290 Initial/Annual Maintenance,Custodial,At-risk
Employees
Fire Extinguisher WAC 296-800-30025 Initial/Annual Employees with"access to"or
"assigned to use"Fire Fighting
Equipment
Hazard Communication WAC 296 901 140 Initial&when Employees using/exposed to
new hazards chemicals
are introduced
Hearing Conservation WAC 296-817 Initial/Annual Employees exposed to 85 db or
above
Ladder Safety WAC 296 876-150 Initial/Annual Maintenance,Custodial Employees
that routinely use ladders
Lead Awareness 29 CFR 1926.62 Initial/Annual Maintenance,Custodial At-risk
Employees
Lock Out/Tag Out WAC 296 803 Initial/Annual Electricians,Maintenance,and Affected
Employees
Machine Guarding WAC 296 908-200 Initial/Annual Maintenance Shop Instructors
Personal Protective Equipment WAC 296-800 160 Initial PPE Users
Portable Power Tools WAC 296-807 Initial/Annual Maintenance Shop Instructors
Powered Industrial Trucks WAC 296-863 Initial/Annual Maintenance,Custodial,At-risk
employees
Respiratory Protection WAC 296 841 &842 Initial/Annual Respirator Wearers
Ergonomics Job Hazard Analysis Initial/Annual At-risk Employees
Slips,Trips and Falls Job Hazard Analysis Initial/Annual At-risk Employees
De-escalation Job Hazard Analysis InitialAnnual At-Risk Employees
Revised,June 3,2019 Page 25
Lewis County Accident Prevention Plan
Section 12
Injury and Occupational Illness Reporting
ALL incidents causing injury or illness, no matter how minor, shall be reported
promptly to the immediate supervisor for evaluation and investigation It is, most
often, possible to avoid a repeat performance of the first event by recognizing and
eliminating the contributing causes thus preventing a recurrence
Supervisors must take appropriate action based upon their findings This could
include initiating corrective action, additional training, counseling and/or follow-up
activity The Safety Committee should always review all injury / illness / blood
exposure incident reports and offer recommendations
Medical Emergency Procedure:
Major Injury or Illness
• An emergency response, including an ambulance, will be called in the
case of serious injury and when an employee needs immediate
medical attention A LC representative may accompany the employee
to the doctor's office or hospital Persons with serious injuries should
NOT be allowed to drive themselves
Minor Injury or Illness
• Each injury or illness will be evaluated on a case by case basis,
arranging for transport as needed
Documentation Procedure
Major Injury or Illness: (Fatality or multiple hospitalizations)
• The person in charge at the accident scene will immediately notify the
injured employee's supervisor and the Risk and Safety Department
• In the event of a fatality, or if any employee is hospitalized, the
supervisor will report the accident to the LC Safety Officer (360) 740-
2737 and/or the Risk and Safety Administrator (360) 740-1299
• Department of Labor and Industries within eight (8) hours after the
occurrence of the accident (L&I's toll-free telephone number is 1-
800-423-7233) The report shall relate the circumstances, the number
of fatalities and the extent of any injuries
Revised, June 3, 2019 Page 26
Lewis County Accident Prevention Plan
• Note. Any equipment involved in an accident is not to be moved until
Labor and Industries investigates and authorizes its removal The
equipment may only be moved to prevent further harm or to remove
the victim
Minor Injury or Illness (Requiring doctor and/or outpatient care)
Following an accident, the immediate supervisor, along with any
witnesses to the accident shall conduct an investigation of the accident
to determine the cause The findings of the investigation shall be
documented on a LC Employee Injury/Illness/Blood Exposure Incident
Analysis Report Form
Distribution of the completed form will be as follows.
• Original to Safety Officer and/or Risk Administrator
• Department/Elected
• Safety Committee
Near Misses. (Likelihood of personal injury or property damage)
• A "near-miss" incident is defined as an unplanned event where
damage resulted to equipment but there was no personal injury to
employees, or where damage did not result but the likelihood of
personal injury to the employee was great
• If the conditions that caused the "near-miss" or "close call" to exist are
not eliminated, they potentially could cause future accidents resulting
in personal injury to an employee and liability exposure to the LC
• Whenever possible, "near-miss" incidents should be investigated by
the employee's supervisor and a safety committee representative A
LC Employee Injury/Illness/Blood Exposure Incident Analysis Report
Form or a LC `Field' Vehicle/Property Damage Report Form should be
presented at the next Safety Committee meeting
It is the responsibility of management:
• To conduct a preliminary investigation of the cause of all accidents as
quickly as possible after emergency actions have been taken and to
provide first-aid for any injured person
• To ensure that a person designated by the administrator or the
immediate supervisor of the injured employee shall conduct the
investigation It shall be conducted with cooperation from any
witnesses, an employee representative and any other person with the
Revised, June 3, 2019 Page 27
Lewis County Accident Prevention Plan
special expertise required to evaluate the facts relating to the cause of
the accident
• To ensure that the employee representative shall be one of the
following an employee's union business agent or shop steward, an
employee representative member of the safety committee or a person
selected by the employees to represent them
• To ensure that the findings of the investigation shall be documented
and retained by LC Safety Officer for reference at any subsequent
formal investigation
Reporting of fatality or multiple hospitalization accidents:
• It is the responsibility of management to report fatalities or multiple
hospitalization incidents within eight (8) hours after the occurrence
of an occupational incident resulting in an immediate or probable
fatality or which results in the hospitalization of any employee
• The employer of any employee killed, or so injured, shall report the
incident to the Department of Labor and Industries at (1-800-423-
7233) and to the nearest office of L & I (Western Regional Office in
Kelso, WA/ (360) 575-6900
• The report shall include
• The circumstances of the accident
• The number of fatalities
• The extent of any injuries
• All telephone reports must be followed by written reports
• Each report shall relate the LC's name, address, phone number and
contact person, the time, date and location of the incident, number of
injured employees, and a brief description of the incident
• Check the LC policy manual for additional reporting requirements
• Equipment involved in an accident shall not be moved until a WISHA
representative of L&I investigates the accident and releases such
equipment, except where removal is essential to prevent further injury
• Upon arrival of the WISHA investigator, the administrator shall assign
the immediate supervisor (or whomever the state investigator deems
necessary) and all employees who were witnesses to the accident to
assist until the investigation is complete
Revised,June 3, 2019 Page 28
Lewis County Accident Prevention Plan
Section 13
Claims Administration
General Administrative Procedures
As a self-insured employer, LC pays all allowable claims costs
Self-Insurance
• Self-insurance means that expenses resulting from occupational
injuries and illnesses (claims) are paid directly by the employer (LC)
instead of being paid by the Department of Labor and Industries
Washington State laws relating to Workers' Compensation bind both
the LC All expenses (claims) are paid according to the rate schedule
for fees established by the Department of Labor and Industries
• Injured workers work directly with the LC Risk and Safety Department
personnel
• The effectiveness of self-insurance is dependent on communication
and coordination between all affected parties Cooperation of the
injured worker, the supervisor or person in authority and the employer
is vitally important if claims are to be compensated efficiently
Report of Occupational Injury or Illness (Supervisor/Employee)
• Employees should report an injury immediately to their supervisor, or
person in authority, and to LC Risk and Safety Department
• If the employee decides that medical attention is necessary, the LC
Risk and Safety Department should be notified as soon as possible If
the office is closed, contact should be made as soon as possible.
• A delay in notification of an injury could result in a delay in benefits
• Reporting the incident is the responsibility of both the injured worker
and the supervisor or person in authority
• The injured worker must complete a LC Injury/Illness/Blood Exposure
Incident Analysis Report form with their supervisor at the time of
injury/illness This provides required information and documentation
that the injury/illness occurred
• Injured employees have the right to seek treatment from the medical
provider of their choice per Washington State regulations (Questions
regarding these workers' compensation should be addressed to
the LC Safety Officer (360) 740-2737 )
Revised, June 3, 2019 Page 29
Lewis County Accident Prevention Plan
• Injured employees must allow sufficient time for the attending
physician (AP) to affect recovery If an injured employee wishes to
change an AP, they must request this from LC
• If the employee does not miss time from work, the injury is considered
a "Treatment Only" claim All reasonable charges allowed by
Washington State Law will be covered
• If the employee receives a statement (demand for payment) from
a medical provider, that statement should be sent to
LC Risk and Safety Department
Safety Officer
351 NW North Street
Chehalis, WA 98532
• It is up to the employee to notify their direct supervisor and/or the Risk
and Safety Department immediately if they will miss time from work on
the advice of the treating physician Failure to notify promptly will result
in delayed compensation to the employee or medical provider
• The amount of time loss compensation is dependent on the
employee's wage, marital status, and number of dependents
• Once the claim is closed, the employee has a period of seven years,
from the date of closure, to apply for re-opening if the condition
worsens It is the responsibility of the employee, along with the AP, to
request a re-opening of the claim
If a LC director, administrator, elected official, or any other LC employee, has
questions relating to any aspect of self-insurance or workers' compensation
insurance regulations, please contact the LC Safety Officer at (360) 740-2737
Revised, June 3, 2019 Page 30
Lewis County Accident Prevention Plan
Section 14
Accident Prevention Plan Forms
In this section you will find an example of forms used in LC's written Accident
Prevention Plan
• Incident Report Form
* Note. You must file two copies of the Injury / Illness / Blood Exposure
Analysis Report Form.
• The original goes to LC Risk and Safety Department
• The second copy goes to your Department/Elected
Safety Committee Minutes, Injury / Illness / Blood Exposure Analysis Report
forms may be mailed, faxed, or sent via inter-office mail to the LC Risk and
Safety Department at.
Mail. Lewis County Risk and Safety Department
351 NW North Street
Chehalis, WA 98532
FAX: (360) 740-1494
Revised June 3, 2019 Page 31
BOCC AGENDA ITEM SUMMARY
Resolution BOCC Meeting Date Jun 03, 2019
Suggested Wording for Agenda Item Agenda Type. Consent
Implement a Lewis County Accident Prevention Plan.
Contact Wayne Winton Phone- 3607401299
Department: Risk Management
Action Needed: Approve Resolution
Description
The LC BOCC will do its part by devoting the resources necessary to form a safety committee composed of
management-designated and employee-elected members We will develop a system for identifying and
correcting hazards We will plan for potential emergencies We will provide initial and ongoing training for
employees and supervisors
Safety is a team effort The entire staff must work together to ensure that LC is a safe and healthy workplace for
all staff and stakeholders. By acceptmg mutual responsibility to always act in the most prudent and safe manner,
all parties contribute to the safety, health and well-being of the staff and visitors in LC buildings and vehicles