IIPP Form

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Form IIPP-1
WRITTEN INJURY AND ILLNESS PREVENTION PROGRAM
I. Completion of this form indicates that it is the policy of CSUSM to fully comply with
Labor Code Sec 6401.7 (SB 198) and General Industry Safety Order Title 8, Sec 3203,
Injury and Illness Prevention Program (IIPP).
Organization:
CALIFORNIA STATE UNIVERSITY SAN MARCOS
Address:
SAN MARCOS CA 92096-0001
Telephone Number:
(760) 750-4000
Type of Business:
EDUCATION
II. PERSON(S) WITH AUTHORITY AND RESPONSIBILITY FOR IMPLEMENTING
CSUSM'S INJURY AND ILLNESS PREVENTION PROGRAM:
Name, Title:
ALEXANDER GONZALEZ, PRESIDENT
Description of Authority and Responsibility: Establishes University policy
Name, Title:
ERNEST E. ZOMALT, EXECUTIVE VICE PRESIDENT
Description of Authority and Responsibility: Implements policy and allocates funds
III. CSUSM'S SYSTEM FOR IDENTIFYING, EVALUATING AND PREVENTING
OCCUPATIONAL SAFETY AND HEALTH HAZARDS INCLUDES THE FOLLOWING:
1.
Review of applicable General Industry Safety Orders and other Safety Orders that
apply to the operation.
2.
Review of industry and general information (including Material Safety Data Sheets
for chemicals used) concerning potential occupational safety and health hazards.
3.
Investigation of all accidents, injuries, illnesses, and unusual events that have
occurred at this location (see IV below).
4.
Periodic and scheduled inspections of general work areas and specific work
stations (see IV below).
5.
Evaluation of information provided by employees (see IV below).
6.
Employee input to IIPP Advisory Committee.
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IV. INSPECTIONS ARE CONDUCTED TO VERIFY COMPLIANCE WITH SAFETY
REQUIREMENTS, TO IDENTIFY ANY ADDITIONAL HAZARDS AND TO
INVESTIGATE ACCIDENTS, INJURY AND ILLNESS CASES AND UNUSUAL
OCCURRENCES.
Frequency and Responsibility for Inspections
EH&OS will conduct periodic inspections of worksites based upon hazard
evaluation (proactive) and injury/illness frequencies (retroactive).
Documentation of Inspections
Periodic scheduled inspections are documented methods for correction of hazards
identified. Copies of the inspections will be reviewed by the IIPP Advisory Committee
with recommendations to the University President.
Accident and Injury/Illness Investigation
Inspections (investigations) are conducted as soon as possible after an accident or
occupational injury or illness is reported. These investigations are documented on Form
IIPP-5. These forms are maintained at Human Resources Management by the Benefits
Manager.
V. EMPLOYEE SAFETY TRAINING IS PROVIDED INITIALLY UPON HIRE AND IN
THE FOLLOWING CIRCUMSTANCES:
1.
Initial training for all new employees upon hiring and prior to assignment or
reassignment. This training is documented on the Form IIPP-6 and maintained by
EH&OS. Training includes general area safety, specific assignment or job safety
training and potential occupational safety and health
hazards. This training is to be provided by the supervisor.
2.
Supervisors are trained regarding hazards and safe practices in their area of
responsibility by personnel who can provide this special training, i.e. EH&OS for
MSDS training, factory representatives for specific equipment training.
VI. EFFECTIVE COMMUNICATIONS WITH EMPLOYEES HAVE BEEN
ESTABLISHED WHICH INCLUDE THE FOLLOWING METHODS:
1.
Communication of safe working conditions, work practices, and required personal
protective equipment is included in initial and all subsequent training.
2.
Other forms of employer-to-employee communications on safety topics, include
posters, informal on-the-job instruction, safety booklets, standardized office
procedures, training provided by factory representatives, and special education
received during attendance at safety training courses.
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3.
Employees have been advised by training received from their supervisors that safe
work conditions, safe work practices, and use of required personnel protective
equipment are mandatory and will be enforced by recognition of compliance and
good safety records and by disciplinary actions for non-compliance.
4.
CSUSM solicits safety related information from employees through suggestions on
Form IIPP-8. This form may be submitted anonymously. Suggestions received
during meetings and to the work supervisor are also welcome.
5.
Employees have been advised that there will be no reprisals or other job
discrimination for expressing any concern, comment, suggestion, or complaint
about safety-related matters.
6.
Additional refresher training is provided by the supervisor every time there is a
violation of safe practices. Records of this training will be part of the Form IIPP-5,
Accident Illness Investigation Form.
VII.
RECORDKEEPING REQUIREMENTS OF 8 CCR SEC 3203 WILL BE
ADHERED TO, INCLUDING:
Maintenance of all written records by the area supervisor at the job site for three years.
VIII. REVIEW AND APPROVAL:
This Injury and Illness Prevention Program is hereby approved:
(signed)
9/5/97 ____________________________________________________________
Signature: Alexander Gonzalez
Date
President, CSUSM
Responsible Person(s): Signature indicates that a copy of the program has been
provided and responsibility to implement the program is understood.
(signed)
9/5/97 ____________________________________________________________
Signature: Ernest E. Zomalt
Date
Executive Vice President, CSUSM
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