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Welcome to the BWC sample policy template page! After downloading this sample, please remove the language on this page. Replace the Ohio Bureau of Workers’ Compensation (BWC) logo with your company logo and implement an effective date with management approval signature. This is a general guidance document to help your organization develop a written safety policy. Some items in this guide will not apply to your workplace. Please reference any applicable standard(s) to ensure you meet all requirements. For added convenience there is a document at the end of this template with resource links. This sample written program has example language, but you must change it so that it is site-specific and meets expectations of your organization. Delete the DSH Helper Comments after creating your policy. For ease of use, every sample provided by BWC follows this format: A. Program Administration B. Program Specific Elements C. Information and Training D. Program Evaluation and Updates Attachments How to use this template:Save this template and name it for your own reference. Make this template specific to your organization by changing all text in red throughout the template. Review with all persons involved with safety and compliance in your organization. Edit the document to add, remove, or adjust language to ensure it is specific to your organization.Review again with all persons involved with safety and compliance in your organization.Finalize the document.Prepare training based on your new or updated policy content.Conduct and document training (general and specific) as required by standard and policy.Schedule and document policy reviews and updates (if any).Retrain when there are any changes within the organization, updates to policy, deficiencies, or employee needs.For further assistance with development of this and other policies and programs, please contact your local Safety Consultant, or call 1-800-644-6292. Your workers’ compensation policy includes a wide range of services for all industries including Safety Consultations, Safety Education & Training, and the BWC Safety & Video Library at no additional cost.The Ohio Bureau of Workers’ Compensation (BWC) provides this document to assist you in your risk reduction efforts. This document may not address all the actions necessary to ensure compliance with federal, state or local laws, regulations, codes, and standards. Use of the information in this document does not guarantee you have satisfied all legal obligations.BWC does not make any representation or warranty, express or implied, that your workplace is safe, free of occupational hazards or in compliance with all applicable laws, regulations, codes, or standards. BWC encourages you to conduct periodic workplace inspections and review written programs regularly.? BWC does not endorse any specific companies or products mentioned for illustrative purposes in the document.The Ohio Bureau of Workers’ Compensation (BWC) provides this document to assist you in your risk reduction efforts. This document may not address all the actions necessary to ensure compliance with federal, state or local laws, regulations, codes, and standards. Use of the information in this document does not guarantee you have satisfied all legal obligations.BWC does not make any representation or warranty, express or implied, that your workplace is safe, free of occupational hazards or in compliance with all applicable laws, regulations, codes, or standards. BWC encourages you to conduct periodic workplace inspections and review written programs regularly.? BWC does not endorse any specific companies or products mentioned for illustrative purposes in the document.First Aid PolicyPURPOSE - 1910.151This is a written First Aid Program for Employer Name that follows the medical services and first aid Standard 29 CFR 1910.151. The program explains how we ensure understanding of the first aid process for Employer Name. SCOPE - 1910.151(b)This First Aid Program supplies information about basic first aid or emergency assistance for any injured person, and access to first aid supplies and treatment. Employer name supplies readily available first aid supplies, and personnel trained to give basic first aid.For employees working at alternative or offsite locations, Job Title completes hazard assessments, reviews the likelihood of injuries, and the distance of 911 medical response to ensure trained first aid team members are available where appropriate. Employees follow this First Aid Policy and our Incident Reporting Policy for steps to report injuries or illnesses or receive first aid/medical care. This policy applies to all employees and gives guidance on administering basic first aid to employees, contractors, vendors, or visitors and covers the following:A. Program AdministrationB.??Program Specific ElementsInjuries/Illnesses where Employee can self-treatInjuries/Illnesses where First Aid Team Members give aidSerious / Life Threatening Injuries/Illnesses/Automated External Defibrillator (AED)Eye Wash/Shower Locations OtherC. Information and TrainingD.??Program Evaluation and Updates??? ????? Attachments A.PROGRAM ADMINSTRATION & RESPONSIBILITIES The Job Title coordinates this First Aid Program for Employer Name. They ensure employees understand the program and how to request first aid; have access to first aid supplies; and confirm that employees and first aid team members receive training. Supervisors ensure employees follow the program and the training they receive. Employees immediately report all injuries, regardless of severity, to their supervisor.The Job Title assigns program duties to proper personnel. The following personnel have specific responsibilities for administering aspects of this program: (List responsible parties and program specific responsibilities here).B.PROGRAM SPECIFIC ELEMENTS Injuries/Illnesses where Employee can self-treatEmployees in need of minor, self-treatable first aid may get first aid supplies as needed. You will find clearly labeled first aid kits displayed in the following locations: List Locations/Provide Map(s) Employer Option: Employees using first aid supplies complete a first aid supply form listing any item(s) taken and the reason. The Job Title/Supervisor reviews these forms for follow up.The Job Title/Supervisor stocks first aid kits based on hazard assessments of jobs and tasks in our workplace; and refers to ANSI Z308.1 to ensure we have proper supplies on hand. The Job Title inspects and restocks kits routinely, removes any expired items, and keeps inspection records.Injuries/Illnesses where First Aid Team Members give aidFirst Aid Team Members give initial ‘on the spot’ care for minor cases that require little or no need for follow-up care. Basic first aid techniques are used by trained members of the First Aid Team who are (generally) not qualified medical professionals. Injured/ill employees may seek follow-up care from qualified medical professionals if necessary.Any employee needing first aid Insert your facility procedures for requesting first aid care here. For non-life-threatening injuries, Employer Name uses INSERT NAME of Occupational Health Care provider and procedure for getting to and from clinic.If you are injured or become ill, complete an incident form. If you are unable to complete the form, your supervisor will complete the form for you. See Incident Reporting Policy for more information and forms.Serious / Life Threatening Injuries/Illnesses/Automated External Defibrillator (AED)Insert procedures here for alerting management, the First Aid Team, and local emergency personnel including 911. Serious illness/injury may require initial care from a trained member of the First Aid Team until ambulance or other professional medical care provider arrives. Trained employees may use the AED located list location(s) If you see any person in need of medical aid, follow the procedures as outlined above and reviewed in your training to alert First Aid Team members.Eye Wash/Shower Locations 1910.151(c) We supply eye wash stations and emergency showers in areas where employees use corrosive materials. Eye wash locations are List Locations/Provide Map(s).C. INFORMATION & TRAINING *Attachment AThe Job Title/Work Area Supervisors provide employees with information and training.All employees receive information and training on the elements of this First Aid Program at the time of their hiring and initial assignment to their work area.Employee information and training includes:How to request/receive first aid treatment or supplies for all types of injuries or illnesses Location of first aid kits and suppliesLocation of eye wash/shower stationsFirst Aid Team Member trainingGood Samaritan provisionJob Title manages training for First Aid Team members. Training is a minimum of every two years and completed by XXXXX < Insert training provider here. First Aid Team members give immediate care and assessment and contact 911 or other emergency personnel when needed and are available throughout the facility on each shift.We also provide training in housekeeping, clean-up, and proper disposal for first aid incidents. Please see Employer Name Bloodborne Pathogen Exposure Control Plan (ECP).?Any employee with reasonable expectation of exposure to blood or other potential infectious materials (OPIM) receives training in universal precautions to minimize risk of exposure. We provide employee training and information through formal classroom training, handouts, and periodic safety meetings. The Job Title documents all training and keeps sign-in sheets.D.PROGRAM EVALUATION & UPDATESWe conduct [time period] reviews of the Employer Name written First Aid Program for compliance with federal regulations and our internal requirements to assure quality and effectiveness.This review includes:Employee awareness of this First Aid Program.Employee knowledge of how to report and request the need for first aid.First Aid Team member training.First Aid kit inspections.The Job Title keeps the findings of the review and the plans to improve the program.ATTACHMENTSIncluded here is a training sign in form document and resources available for additional information. Attachment A – Training Documentation Additional Resources ................
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