Health, Safety, Security and Environment

General Safety Guidelines and Employee Acknowledgment form

3 min read

The main goal of safety and health programs is to prevent workplace injuries, illnesses, and deaths, as well as the suffering and financial hardship these events can cause for workers, their families, and employers. The recommended practices use a proactive approach to managing workplace safety and health. Traditional approaches are often reactive –that is, problems are addressed only after a worker is injured or becomes sick, a new standard or regulation is published, or an outside inspection finds a problem that must be fixed. These recommended practices recognize that finding and fixing hazards before they cause injury or illness is a far more effective approach.

in this article, HSSEWORLD provide proactive form as following

  1. General Safety Guidelines for the company.
  2. Acknowledgment Form.

since the Employees, prior to starting his job he shall read the General safety guideline of his company and sign the Acknowledgment form then submit it to his supervisor

General Safety Guidelines for the company

shall be addressed and distributed to all employees prior to starting the job to have a short brief about all workplace hazards and safety practices the Guideline include the following topics

  • General
  • Emergency information
    • In the Event of Fire
    • Fire Extinguishers
    • Fire Prevention
    • Emergency plan
  • Working At Heights
    • Fall protection: Definitions & Guidelines
    • Fall protection: Trigger Heights
    • Fall Protection: General Ladder Safety
    • Fall Protection: Fixed Ladder
    • Fall Protection: Soundstage Permanents
    • Fall Protection: Horizontal Cable system over permanents
    • Fall Protection: Below the Permanents single rope grab system
    • Fall Protection: Below the Permanents multiple rope grab system
    • Fall Protection: Rooftop Restraint
  • Fall Protection: Controlled Acess zone
  • Fall Protection: In the event of Fall
  • Hazard Coummunications
  • Lockout/Tagout
  • Trenching and shoring
  • Lifting
  • Heat Illness
  • Scaffold user awareness
  • Blood born Precautions
  • Personal Protective Equipment (PPE)
  • Tools
  • Welding /cutting
  • Indoor Crane ( HOIST)
  • Compressed Air
  • Rope and chain
  • Vehicles and heavy equipment
  • Crane Operation Awareness
  • Aerial Platforms
  • Electric Carts
  • Bicycles
  • Set walls

The supervisor:

  • Is the one person who can take immediate, direct action to make sure that his or her work area is safe for their employees.
  • Is the only person who can control employees, machines, and working conditions on a daily, full-time basis.
  • Works most directly with their subordinates and bears responsibility and accountability for their work practices.

Under Governmental Safety Regulations, a supervisor is responsible for certain safety duties, including but not limited to:

  • Provide, or arrange and ensure safety training for subordinates.
  • Provide resources, support, and share the experience.
  • Enforce safety practices consistently.
  • Oversee worksite safety.
  • Investigate workplace accidents.
  • Correct unsafe conditions.
  • Lead by working safely and ensure your subordinates follow your lead.

These Safety Guidelines are not intended as a legal interpretation of any Governmental or local laws.

Failure to comply with these Safety Guidelines may result in discipline, up to and including termination.

Download the forms

General Safety Guidelines for the company.

Editable Form.DOC

Reding form.PDF

Employee Acknowledgment Form

Editable Form.DOC

Reding form.PDF

More Forms

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