Document aB9MDQkGYdB6DXnrj7dz6yNwX
evaluation sheets
FOR SAFETY & LOSS PREVENTION PROGRAM
APPRAISAL
LOCATION
Crie loth Street
EVALUATED BY REVIEWED BY
J. Vilvchl H. L. Scsecruth
Revised 9/1/76
Date Date
12/02/76 02/07/77
GAF CORPORATION SAFETY & SECURITY DEPARTMENT
MICH08958
SALVATION OF
SAFETY S LOSS PREVENTION PROGRAM
NOTE:
In rating each program element (POOR), (FAIR), (GOOD), E_ (EXCELLENT), all of the criteria that compose the specific grade must exist and consistently be met to receive the specific rating. Unless all the criteria are met, the next lower (poorer) rating category must be assigned. Goals and any comments relative to a specific item should be included in the space provided for GOALS. Circle the appropriate rating after each item.
1 . ORGANIZATION, PLANNING AND A.Dt'4INISTRATION 1. 1 Motivation by Plant Manager GOALS: S?c-r.d r.ore time on safety.
RATING P (P) G_
E
1. 2 Participation and Motivation by All Managers and Supervisors Reporting to the Plant Manager
GOALS:
1. 3 Safety Personnel - Adequacy and Professional Development
GOALS: 25* of tine not spent on safety.
1. 4 Communications between Plant Manager and Safety Coordinator GOALS:
1. 5 Safety Coordinator's CoT.nunications and Contacts with Line and Staff GOALS:
P
-1 -
MICH08959
1. 6 Distribution of Safety Literature GOALS: Distribute more literature to all employees .
1. 7 Plant Manager's Safety Committee Organization Activity and Follow Through GOALS
GE
PF
E
1. 8 Employee and/or Union Participation in Safety Program
GOALS:
PF
1. 9 Service Groups - Organization and Training of Fire and Emergency Control Units, (Fire Brigade, Rescue Sou a d)
GCALS: !-v,nthly training nec-ced to move up
1. 10 Emergency Preparedness GOALS: Write ut> shut-ocvn nrccedures .
E
1.11 First Aid GOALS:
1. 12 Advance Planning of Overall Safety Activities
GOALS:
Wore follcv-up to get projects completed.
1. 13 Appraisal end Upgrading of Safety Program
GOALS:
E/rar.d use of accident analysis su: .varies.
P (T) G . E P (T) G_ E
-2 -
MICH08960
2. ACCi>t\'T nrvtsiioA?:c': r.EZCZIPV AMD Al'ALiSlS
2. 1 Maintaining Accident'and Injury Records and Submission of Reports
GOALS:
P F. (T) E
2. 2 Medical and Workmen's Compensation Injury and Illness Records
GOALS: Can go to "G" category by starting r.edical card file on employees .
2. 3 Accident Investigation and Reporting by Safety Coordinator
GOALS:
!0` i p. L (?) I
2. 4 Accident Investigation and Reporting by First Line Supervisors
GOALS:
Safety co-ordinator to review proper completion of Supervisor's Feporc. of Accident forms with supervisors.
2. 5 Accident Analysis
GOALS:
Annual analysis ncv race; upgrade to "G" category by naming quarterly analysis.
2. 6 Utilization of Accident Analysis Information
GOALS: To "G" category bo going to distri bution on a semi-annual analysis.
2. 7 Periodic and Special Studies - Problan Areas GOALS:
p (f) g e P (Q G E P (T) G_ E P F () `E
2. 8 Recording and Reporting Liability Cases Other Than Automobile
GOALS:
P F (?) E
2. 9 Recording and Reporting Damage to Company Property Through Fire or Other Causes
GOALS:
-3 -
P F (?) E
MICH08961
3. Cd.TttL OF HAZARDS
3. 1 Development, Use and Revision of Plant Safety Standards GOALS: Supervisors to use SPI's at depart mental safety meetings .
3. 2 Personal Protective Equipment GCALS:
P (F) G E P F_ (T) E_
3. 3
Control of Internal Envirorrnent (Ventilation, Illumination, Heat, Noise, Dust, Toxic Chemicals) and Other Industrial Hygiene Exposures
GOALS:
P F_ (jp E
3. 4 Housekeeping, Sanitation, and General Storage of Materials GOALS:
3. 5 Material Handling GOALS:
P F () E
P F (IT) E
3. 6 Storage and Use of Flammable, Explosive, Toxic and Corrosive Materials
GOALS: Material Tata Sheets not distributed.
P (T) G E
3. 7 General Maintenance of Equipment and Physical Conditions (Including Guarding)
GOALS: Institute inspect ion procedure for h&r.c and never tools.
3. 8 Inspection Activity by Supervisory Personnel GOALS:
P F () E P F (jT) E
-4 -
VIVCH08962
3. 9 Inspection and Advisory Action by Safety Coordinator
GOALS: Safety Supervisor to complete safety inspection report.
P (T) g e
3. 10 Inspection by Committee GOALS:
P F () E
TRAININC
4. 1 On-the-Job Safety Training and Observation of Foremen by Their Immediate Supervision
GOALS:
P F_ (T) E
4. 2 Safety Training and Stimulation of Foremen Newly Appointed or Transferred
GOALS: Guidlines to fee given to all super visors .
p (T) g
4. 3 Plant Kanagenent's Safety Training of Present Middle Management Personnel
GOALS:
P F () E.
4. 4 Plant Management's Training of New Middle Management Personnel
GOALS:
P EL <X> L
4. 5 Indoctrination of New Employees GOALS: Lie Safety Orientation check-off list.
p () g_ e
4. 6 Safety Training by Forsnen of Line Employees (New and Transferred)
GOALS:
Have r.ev or transferred employees given safety orientation before taking over r.ev Job.
-5-
P (T) G_ E
MICHQ8963
4. 7 Safety Training for Selected Plant Operations (Industrial
Trucks, Crane Operations, Processing and Machine
Operations, Handling of Toxic Sjbstances, etc.)
P_
__ F_ (Gj)
GOALS:
4. 8 Applicable Governmental Standards, Safety Manuals, and Reference Materials
GOALS: Hew formal reference library.
GE
4.' 9 Departmental Safety Meetings and/or Worker oriented Safety Meetings
GOALS:
PF
E
4. 10 Development, Revision and Use of Job Hazard Analysis (Including Process Instructions and Standard Practice Instruct ions)
GOALS:
FG E
.'ICTF/ATION AND CGWdUICATlON
5. 1 Conmunication Between Department Supervisors and Safety Coordinator GOALS:
PF
E
5. 2 Developing and Maintaining Favorable Departmental Safety Climate
GOALS:
P
-6-
MICH08964
5. 3 General Safety Promotion GOALS: Kore use of filr.s.
(T^L <L e
5. 4 Distribution of Safety Literature GOALS: Distribute more safety literature.
GE
5. 5 Off-the-Oob Safety Activities GOALS:
P
-7 -
MICH08965