Document 2YXjkQDJ4z4nEVkmLMJnGzmN
J-M Manufacturing Company, Inc.
To: iE>_E>-~-tfangV^Srdcktog3
Internal Correspondence
Oaie: June 22, 1983
From: W. R. Arant, Denlso
Copies:
Subject: PLANT SAFETY/ENVIRONMENTAL YOUR LETTER OF 6-17-83
Enclosed is a copy of our "Proposed" plant safety program. It is currently being reviewed and commented upon by the staff, and there probably will be some modifications made to it. Also enclosed is a copy of our 1982 Monthly Injury Data Report.
I look forward to hearing from you regarding a decision on annual or semi-annual environmental inspections.
WRA/is enclosures
JUN. 2 4 1983
D 003338
SC-JMM-2410
J-M Manufacturing Company, Inc.
Internal Correspondence
H. KOPP - Butner, NC W. Burnett - Denison, TX F. Love - Franklin, PA C. Stelchek - Green Cove Springs, FLA B. Riddle - McNary, OR E. Derichsweiler - Pueblo, CO H. Mollenkopf - Stockton, CA R. Freeman - Wilton, IA
0 003339
BASIC SAFETY PROGRAM
PURPOSE
_
.
The purpose of this program is to effectively guide J-M Manufacturing
in the pursuit of accident prevention goals. Efforts directed to
reduce accidents will succeed only to the degree that all management
personnel apply the principle that accident prevention is an operating
responsibiIity and demands the same executive direction and control
given to increasing efficiency of production.
RESPONSIBILITY The Plant Manager has overall responsibility for the safety and health of al1 employees. Certain specific responsibilities have been delegated as foilows: ^ 1. Industrial Engineer Supervisor - Responsible for environmental control
and asbestos communication. 2. Plant Engineer - Responsible for unsafe conditions requiring
fabrication or repair of equipment, buildings, etc. 3- Employee Relations Manager - Responsible for formulation of safety
program, reporting, and safety audits. k. Department Heads ~ Specific responsibility for unsafe conditions
and actions in their respective shops. They are responsible for reporting and investigations as stated in Safety Program. 5. Safety Committee - Responsible for coordination, recommendation and implementation of plant safety. Committee members will be I. E. Supervisor, Department Head, Safety Coordinator, and in case of disagreement, the Plant Manager.
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SUPERVISOR ACTIVITIES
BAS I C
Specific accident prevention functions are assigned to J-M Manufacturing
supervisors. Th'ey are designed to involve the supervisor in ail areas
of the program because it is only through their active pa'ticipation
and support that the program can be successful. These activities can
be related to the anacronym BAS 1C, Indicating they are fundamental,
but essential to the program. They are: B - Basic Training
A - Accident Investigation
S r Safety Meetings
I - Inspections
C - Counseling individual employees
BASIC TRAINING
Supervisors are required to participate in an indoctrination program
for new employees using the Supervisor Report of Safety Orientation for
New Employees. The purpose is to insure the employee receives the
necessary information to begin work. Training progress of new employees
must be closely monitored by Supervisors to insure the employee is
performing the job as instructed and doing it safely. This orientation
checklist will become a permanent part of the personnel file.
ACCIDENT INVESTIGATION
'-
Supervisors will conduct investigations of all injuries, property damage,
and near-miss accidents to their employees within the same shift on
which it occurs. The Supervisor will review accident with Safety
Coordinator-and Department Head at scene within 2k hours of the accident.
The Accident Investigation Report will be completed to include corrective
action taken, and forwarded to the Plant Manager for review within 2k
hours. The Safety Coordinator will maintain accident report files.
The responsibility to conduct an accident investigation is one which
cannot be taken lightly. The reason is obvious! It is the only way to
systematically establish all the facts concerning how and why an accident
occured, and then take action to prevent a recurrence.
This responsibility lies with the immediate supervisor of the injured
employee. His job is to gather all available information from the
injured employee, witnesses, the scene etc., then apply his experience
D 003341
ACCIDENT INVESTIGATION - (Continued)
in evaluating that information and report hi5 idea of what happened,
how it happened, why it happened and what has been done to prevent a
recurrence.
The following are some basics on how to get the facts:
1. Remind the employee of the investigation's purpose. If the employee is afraid of ridicule, reprimand, etc., he probably will not help in identifying the facts. He must understand the purpose is not to find fault.
2. When possible, let the employee tell his story at the scene. His story should include what he was doing, how he was doing it and what happened. Let him complete his story without interruption.
3. Ask questions. The supervisor must be sure he clears up any mis understandings.
A. Check understanding. The supervisor should describe the accident as he understands it, checking key points.
5. Discuss how to prevent recurrence. The supervisor must cover specifically what needs to be done to prevent recurrence. Here
the employee's opinion could be valuable. This step must be covered to conclude a useful accident investigation.
SAFETY MEETINGS
'
Supervisors are required to hold safety meetings for their employees
once each month. Safety topics will be distributed periodically. Supervisors are encouraged to present information applicable to their
employees' jobs, hazards, injury experience, etc. Employee input will
be sol ici ted.
..
.
INSPECTIONS
-
Each supervisor is expected to conduct a planned inspection on his area
of responsibility at least once a month. These inspections are to be
conducted for each shift. An hourly employee will accompany the
supervisor.
What should the supervisor's inspection include? How does one plan
an inspection? It is important that the supervisor's monthly inspections be planned,
not incidental. By incidental, we mean just keeping our eyes open for
unsafe acts or conditions. This type of inspection should be taking
place continously. The planned inspection is deliberate and thorough.
When'the supervisor sets out on the inspection, he has in mind out-
of-the-way areas to check, specific tools, machines, or processes,
specific conditions to look for, etc. Nothing is left to chance.
Supervisor's Monthly Departmental Inspection form will be used, with
copies going to Plant Manager, Department Head, Safety Coordinator,
D 003342
INSPECTIONS - (Continued) and Department Bulletin Board.
A safety inspection tour will be made each month of one department by
an . R. person, the Department Head, and the Plant Engineer or his
designate.
Unsafe conditions, equipment, and poor housekeeping will be noted.
Corrective recommendations will be made to the Shift Supervisor
immediately following the inspection. Employee Relations will put the
inspection results and recommendations in writing to the Department
Head, with a copy to the Plant Manager and Plant Engineer. A copy
of the report will be put in bring-up for a follow-up on corrective
action taken.
'
No formal schedule will be made up. Random inspections will be
scheduled one day in advance. COUNSELING OF INDIVIDUAL EMPLOYEES
From time to time it is necessary to counsel employees on an individual
basis for various reasons (unsafe acts, injury, adherence to safety
rules, etc.). The topic of discussion should always have specific application for
the individual counseled. This feature of the program helps to
reinforce with employees management's committment to safety. Each
supervisor should make at least one contact a week. A brief, hand
written note covering discussion will be written and signed by supervisor
and employee. Note will be filed in employee's safety file.
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SUPERVISOR'S MONTHLY DEPARTMENTAL INSPECTION
DEPARTMENT:________________________________
DATE:
COPIES:
PLANT MANAGER DEPARTMENT HEAD SAFETY COORDINATOR DEPARTMENT BULLETIN BOARD
INSPECTED: (LIST SPECIFIC AREAS, TOOLS, MACHINES', CONDITIONS, PROCESSES, ETC.)
CORRECT IVE ACT ION/RECOMMENDATIONS:
SIGNED:
SUPERVISOR
HOURLY EMPLOYEE D 003344
SUPERVISOR REPORT OF SAFETY ORIENTATION FOR NEW EMPLOYEES
SUPERVISORDEPARTMENTDATE
EMPLOYEE'S NAME*
_____
JOB TITLE
A new employee requires special attention before being assigned to a job. This form will be of assistance controlling injuries to inexperienced employees. Check each item as it Is completed. The completed form is to be returned to the Safety Office upon completion of the orientation.
_1. Supervisor introduction and'welcoming to department.
_2. Insure employee has personal protective equipment required for job assigned, explain its use and where required.
_3- Point out any restricted or hazardous areas.
k. Explain job requirements, procedures, and safety considerations.
5. Explain how to report emergencies and personal injury.
6. Point out washrooms, lunch areas, drinking fountains, designated
walkways, etc.
..
7. Advise employee of his safety responsibility, such as inspecting his equipment before use, keeping his work area clean, reporting unsafe conditions and remaining in his own work area.
8. Advise employee to ask questions and not to perform any job function when in doubt.
9. Instruct employee to notify supervisor immediately when anything
unusual, happens while performing his work assignment.
10. Instruct employee concerning obtaining first aid treatment.
11. Provide employee with copy of and discuss company safety policy and any written safety rules.
12. Introduce and .assign employee to an experienced employee.
I have been instructed in the above safety requirements and understand my responsibi1ity toward my own safety and that of my fellow employees.
EMPLOYEE SIGNATURE
D 003345
SUPERVISOR'S ACCIDENT INVESTIGATION REPORT
MC-JH III ____________________________________________________________________________________ __________
CMOtOYgfl s NAME
t
EMPLOYERS AODnESS INUMBER and STREETi
City
*
^*QIDEN7 LOCATION
employer $ premises'
wf'ARTMMI
. SUPERVISOR S NAME
ACCIOENT O Personal iniury CLASS
sewPlOYEE NMC If IRSI. MIOOLE. LAST!
O Occupational illness
D Properly damage
FR._L IN APPROPRIATE SECTION BELOW
PERSONAL INJURY OR ILLNESS
EMPLOYEES address (NUMBER ANO STREET!
ACE
SEX
Q Mate
EXPERIENCE IN PRESENT OCCUPATION
Q Female
^YEARS
DESCRIPTION OF JOB IN PROGRESS WHEN INJURED
C*TV
OCCUPATION (TITLE)
^MONTHS -
TIME IN DEPARTMENT
STATE O Yes
No
-- Zip CODE
O Near*mt$s incident
STATE
SOCIAL SECURIt Y NUMBER zip COOE
1 years
1 MONTHS
OATE OP INJURY (ILLNESS DIAGNOSIS)
j TIU
DATE INJURY (ILLNESS) REPQRTE0
| TO WHOM'
BRIEF DESCRIPTION OF ACCIDENT (INCLUDE SPECIFIC NATURE OF INJURYilUNESS. ETC.)
SHlPT
INJURY TYPE
Fracture
Cut
.
Amputation
O Crush
CD Bruise CD Dislocalion
O Burn (thermal)
.
O Burn (chemical)
CD Sprain
CD Strain
ED Hernia
CD Foreign body
Q Respiratory
O Skin disorder
CD Unspecified, other (describe)
BODY PART
ANALYSIS
ACCIDENT TYPE
O Finger(s) Hand Wrisl CD Elbow CD Arm CD Shoulder CD Neck CD Back CD Head CD Eye Chest O Abdomen CD Internal organs Leg _ Knee O Ankle Fool Toe(s)
D Unspecified, other (describe)
CD Struck against Struck by CD Fall same level CD Fall to below G Caught on O Caught in
D Caught between
O Overexertion CONTACT WITH:,,
D Electricity
Heat
Cold G Radiation O Noise O Caustics O Toxic/noxious
substances
AGENCY
Q Machinery Q Tools Walking surface G Stairs G Ladders G Scattolds Q Inrunning nip Q Electricity G Falling objects . O Flying objects O Handling materials G Mobile equipment Q Chemicals' G Unspecified, other (describe)
BASIC CAUSES
JOB FACTORS
PERSONAL FACTORS
^Inadequate job standards
'
' tadequate design
Ll Inadequate maintenance; '
inadequate purchasing slds.
G Existing standards not implemented
O Abnormal usage
G Normal wear and tear
O Other (describe)
O knowledge or skill inadequate
job training O Improper behavior
'
^ Other (describe)
--------------------------------------
O Physical or mental problems
LOSS SEVERITY potential
D Major
O Serious
O Minor
PROBABLE RECURRENCE RATE
O Frequent
O Occasional
O Rare
D 003346
CORRECTIVE ACTIONS to prevent recurrence
Changes in ivoQn PROCEDURES'
1. _____________ ____________________________
CORRECTION OF UNSAFE CONDITIONS'
2.
DID INJURY RESULT IN LOST TIME'
yes
No
NAME AND AOORESS OF DOCTOR
NAME ANO AOORESS OF HOSPITAL
ACCIDENT INVESTIGATED BY
WITNESSES
REPORT PREPARED BY
REVIEWED-APPROVED BY
OATE PROPERTY DESCRIPTION
J08 TRANSFER-CHANGE'
Yes
No
OIO EMPLOYEE DIE'
0 Ves 0 No
*
.'
TITLE
PROPERTY DAMAGE
TIME
/
TITLE TITLE
SHIFT
-
nature OF Damage
________________
. .f DESCRIPTION OF ACCIOENT
AGENCY {OBJECT INFLICTING DAMAGE)
'
WITNESSES
CORRECTIVE ACTIONS TO PREVENT RECURRENCE
EMPIOVEECSI INVOLVED IN ACCIOENr ESTIMATEO DAMAGE costs
actual costs
report prepared or REVIEWED APPROVED BY
OATE NATURE OF INCIDENT
NEAR-MISS INCIDENT
TIME. ' *'* *
TITLE TITLE
SHIFT
PERSON REPORTING INCIDENT CORRECTIVE aCnows TO PREVENT RECURRENCE
OCCUPATION
REPORT PREPARED 0y ^P^IEWEQ`APPROVED BY
TITLE TITLE
.
D 003347
.< MONTHLY INJURY DATA REPORT
To: K.J. Wiiiiamt - WHO 1-06Copy To:
Prepared by: V-
Afant Location:
Division: Pipe Month Reported: Oecember , 1982
T. H. Faas, WHQ 3-07 Deni son
MONTH BEING REPORTED JANUARY FEBRUARY MARCH APRIL MAY J.UNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER. DECEMBER TOTAL
INJURY DATA
NUMBER OF
INJURIES
DAYS
ALL M.T. L.T.- OSHA* LOST
6 3 2 3 9 2000 1
19 3 2 . 3 23 ?6 1 1 1 42
12 2 2 2 15 28 6 It 6 36
16 -
It
2
t 45
11 3 I 3 4o
15 1 1 1 2 9 0 0 0 21 7 0 0 0 20 11 3 2 3 21 152 26 17 26 275____
. EMPLOYEE DATA
NUMBER OF
HOURS
EMPLOYEES
WORKED
HOURLY SALAR1!
' 73.269 60.849 58,410 72,946
327 323 320 316
76 76 76 76
60,138 308 76 69.643 305 76
56,405 304 76 61.719 308 67 73,919 305 68
58,994 305 69 58,413 305 69
52.218 305 69 756.924
A. DATE OF MOST RECENT LOST TIME INJURY
J J_________________________
B. AGENCY INSPECTION DATA: Agency Name____________ ; Date of Inspection
'
Comments: ______ ._____________ ______________________________________________________ __
>.c \ on i o 11 p > i
D 003348