EMPLOYMENT SERVICES INJURY & ILLNESS PREVENTION PROGRAM THINK SAFETY FIRST CPPFOUNDATION.COM

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EMPLOYMENT SERVICES INJURY & ILLNESS PREVENTION PROGRAM THINK SAFETY FIRST CPPFOUNDATION.COM

Memorandum Date: January 30, 2012 To: Personnel Committee Cal Poly Pomona Foundation, Inc. From: Dennis Miller Director, Employment Services Subject: INJURY & ILLNESS PREVENTION PROGRAM 2012 Foundation has an organization wide Injury & Illness Prevention Program (IIPP) more commonly referred to as our Safety Program, which, when working at its peak effectiveness, will reduce injuries and illness associated with the work environment. The attached IIPP provides the framework in which all safety and/or hazard related programs, initiatives, communications, training, and accident reporting is based within Foundation. While our IIPP is designed to ensure compliance with SB 288, more importantly, it provides Foundation employees with a code of safe practices for the long term purpose of shaping the mindset and subsequent behaviors that results in creating and sustaining a safe work environment. The objective of our IIPP is not zero accidents, but rather, zero behaviors that ultimately lead to accidents. Still, accidents will happen and the policy outlines the process for reporting accidents as well as record retention, and other administrative duties. The IIPP is an integral component of our workers compensation program. And although the forms associated with reporting workplace injuries are not included in the attached packet of information, our IIPP is directly tied to how Foundation manages the $250,000 annual expense associated with workers compensation. For your information, the key components of our IIPP are attached.

INJURY AND ILLNESS PREVENTION PROGRAM FOR Cal Poly Pomona Foundation, Inc. RESPONSIBILITY The Injury and Illness Prevention Program (IIPP) administrator, Chief Employment Officer has the authority and responsibility for implementing the provisions of this program for Cal Poly Pomona Foundation, Inc. All managers, supervisors and lead personnel are responsible for implementing and maintaining the IIPP in their work areas and for answering worker questions about the Program. A copy of this IIPP is available in 3801 W. Temple Ave, Bldg 55, Pomona, CA 91768, and on Foundation s website at www.foundation.cpp.edu COMPLIANCE Management is responsible for ensuring that all safety and health policies and procedures are clearly communicated and understood by all employees. Supervisors and lead personnel are expected to enforce the rules fairly and uniformly. All employees are responsible for using safe work practices, for following all directives, policies and procedures, and for assisting in maintaining a safe work environment. The following is our system of ensuring that all workers comply with the rules and maintain a safe work environment: Informing workers of the provisions of our IIPP; Evaluating the safety performance of all workers; Recognizing employees who perform safe and healthful work practices. This recognition is accomplished by: Informal recognition within Foundation and AORMA Recognition Programs; Providing training to workers whose safety performance is deficient; Disciplining workers for failure to comply with safe and healthful work practices. The following outlines our disciplinary process: When it becomes necessary, Foundation reserves the right to discipline employees who knowingly violate company safety rules or policies. o Disciplinary measures will include, but are not limited to: Verbal warning (documented) for minor offenses. Written warning for more severe or repeated violations. Suspension without pay, if verbal and written warnings do not prove to be sufficient. If none of the above measures achieve satisfactory corrective results, and no other acceptable solution can be found, the Foundation will have no choice but to end the employment for those who continue to jeopardize their own safety and the safety of others. COMMUNICATION We recognize that open, two-way communication between management and employee on health and safety issues is essential to an injury-free, productive workplace. The following is our system of communication, designed to facilitate a continuous flow of two-way (management,

supervision and employees) safety and health information in a form that is readily understandable to and between all affected site personnel: New worker orientation, including a discussion of site-specific safety and health policies and procedures. Follow-through by supervision to ensure effectiveness. Workplace-specific safety and health training. Formal safety meetings will be held on a quarterly basis at each enterprise jobsite. Informal safety briefings will be conducted weekly depending on the department or site. The quarterly meetings will include supervisors and will last for at least 30 minutes, and will be documented. The weekly meetings will be short (5-10 minutes), and will cover 1-2 specific subjects. Safety meetings are required by CAL/OSHA in order to successfully communicate important information to employees, as well as promote safety awareness. All safety meeting meetings will be documented. Effective communication of safety and health concerns between workers and supervisors, including language translation where appropriate. Posted and distributed safety information. Supervisors will report any unsafe acts or unsafe conditions in writing immediately by submitting a Safety Hazard Notice to the Safety Director. The Safety Director will initiate immediate abatement procedures, either personally or by delegation to one of the Safety Managers. Employee Hazard Reporting Program - Employees will also be responsible for reporting any unsafe act or unsafe condition to their supervisor via a written Safety Hazard Notice. The supervisor will then forward the notice on to the Safety Director for handling and disposition. Vehicle and site-specific codes of safe work practices. An authorized instructor will conduct workplace safety and health training. Posting and/or distributing safety information via the newsletter or other Foundation wide communications. A suggestion box is available at every enterprise location for workers to report hazards, anonymously, and also inter-office mail directly to the Safety Director can be used for anonymous reports. Our organization also uses a labor/management safety and health committee which meets the requirements of T8CCR 3203 (7)(c)(1) (7) to comply with the communication requirements of subsection (a)(3) of T8CCR 3203. HAZARD ASSESSMENT Periodic inspections to identify and evaluate workplace hazards shall be performed by the Safety Director, or their designee, according to the following schedule: When our Injury and Illness Prevention Program was first established; At least quarterly. Prior to beginning of the shifts in selected areas; When new substances, processes, procedures or equipment that present potential new hazards are introduced into our workplace; When new, previously unidentified hazards are recognized; When occupational injuries and illnesses occur;

When we hire and/or reassign permanent or intermittent workers to processes, operations, or tasks for which a hazard evaluation has not been previously conducted; and Whenever workplace conditions warrant an inspection. Periodic inspections consist of identification and evaluation of workplace hazards utilizing applicable sections of the attached Hazard Assessment Checklist, and any other effective methods to identify and evaluate workplace hazards. ACCIDENT/EXPOSURE INVESTIGATIONS Investigation of workplace accidents, hazardous substance exposures and near-accidents will be done by Employment Services. Accident investigation is a systematic method for collecting factual information that makes it possible to accurately reconstruct the accident and determine the underlying reasons for the cause of the accident. The investigation is fact-finding, not fault finding. Once the primary causes for the accident have been determined, preventative measures can be identified and effectively instituted. Each supervisor has a prominent role in conducting an accident investigation. The responsibility for conducting an accident investigation includes collecting the facts, determining the sequence of events that resulted in the accident, identify action to prevent recurrence, and provide follow-up to ensure that corrective action was effective. All accidents should be investigated promptly regardless of their severity. Promptness of the investigation is essential since conditions at the accident scene change. Moreover, witnesses are more likely to relate circumstances as they were, without the added conjecture that comes late from discussions of the accident with other employees. Promptness in checking the scene assures employees that management is highly concerned for their well-being. The type of investigation depends on the nature and magnitude of the accident. Each department supervisor/manager shall promptly investigate, thoroughly analyze, and report in writing to the Safety Director all accidents involving personal injury and/or property damage or the potential there for, once they occur, and will include: Visiting the scene as soon as possible; Interviewing affected workers and witnesses; Examining the workplace for factors associated with the accident/exposure/near-accident; Determining the causes of the accident/exposure/near-accident; Taking corrective action to prevent the accident/exposure/near-accident from reoccurring; and Recording the findings and corrective actions taken on the attached OSHA Form 301. HAZARD CORRECTION Unsafe or unhealthy work conditions, practices or procedures at our work facilities shall be corrected in a timely manner based on the severity of the hazards, and according to the following procedures: When observed or discovered; When an imminent hazard exists which cannot be immediately abated without endangering employee(s) and/or property, we will remove all exposed workers from the

area except those necessary to correct the existing condition. Workers necessary to correct the hazardous condition shall be provided with the necessary protection; and All such actions taken and dates they are completed shall be documented on the attached Identified Hazards and Correction Record*. TRAINING AND INSTRUCTION All workers, including management, supervisors, and lead personnel shall have training and instruction on general and job-specific safety and health practices. Training and instruction shall be provided as follows: When the IIPP is first established; To all new workers; To all workers given new job assignments for which training has not previously provided; Whenever new substances, processes, procedures or equipment are introduced to the workplace and represent a new hazard; Whenever we become aware of a new or previously unrecognized hazard; To supervisors to familiarize them with the safety and health hazards to which workers under their immediate direction and control may be exposed; and To all workers with respect to hazards specific to each employee's job assignment. This training will include (but is not limited to): Explanation of our IIPP, emergency action plan and fire prevention plan, and measures for reporting any unsafe conditions, work practices, injuries and when additional instruction is needed. Availability of toilet, hand-washing, and drinking water facilities. Provisions for medical services and first aid, including emergency procedures. Proper housekeeping, such as keeping stairways and isles clear, work areas neat and orderly, and promptly cleaning up spills. Prohibiting horseplay, scuffling, or other acts that adversely influence safety. Proper storage to prevent: o o stacking goods in an unstable manner storing materials and good against doors, exits, for extinguishing equipment and electrical panels. Where applicable our training may also include: Prevention of musculoskeletal disorders, including proper lifting techniques. Use of appropriate clothing, including gloves, footwear, and personal protective equipment. Information about chemical hazards to which employees could be exposed and other hazard communication program information. Proper food and beverage storage to prevent them from becoming contaminated.

In addition, we provide specific instructions to all workers regarding hazards unique to their job assignment, to the extent that such information was not already covered in other training. RECORDKEEPING Written IIPP and Documentation Requirements Our organization has ten or more employees and keeps records as follows: 1. Records of scheduled and periodic inspections including the person(s) conducting the inspection, the workplace hazards (i.e., unsafe conditions and work practices that have been identified) and the action(s) taken to correct the identified unsafe conditions and work practices, are recorded on the Hazard Assessment Checklist and the Identified Hazards and Correction Record and the Investigation/Corrective Action Report. These records are maintained for at least one (1) year. 2. Documentation of safety and health training for each worker, including the worker's name or other identifier, training dates, type(s) of training, and training providers are recorded on the Worker Training and Instruction Record. This documentation is maintained for at least one (1) year. This Policy was last revised January 2017