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PERSONAL PROTECTIVE EQUIPMENT PROGRAM › files › Sample_PPE_Written_Program_-_ehsInc.pdf · 2016-10-11 · equipment. Shall assure this equipment is maintained in a safe, sanitary

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Page 1: PERSONAL PROTECTIVE EQUIPMENT PROGRAM › files › Sample_PPE_Written_Program_-_ehsInc.pdf · 2016-10-11 · equipment. Shall assure this equipment is maintained in a safe, sanitary

PERSONAL PROTECTIVE EQUIPMENT PROGRAM [Revision Date) [Your logo here]

Page 2: PERSONAL PROTECTIVE EQUIPMENT PROGRAM › files › Sample_PPE_Written_Program_-_ehsInc.pdf · 2016-10-11 · equipment. Shall assure this equipment is maintained in a safe, sanitary

Your Company Name

Page 2 of 12 Revision Date

This document is the property of [your company name] and will not be copied, reproduced, or used for any purpose without written permission.

IF PRINTED and UNCONTROLLED, THIS DOCUMENT IS FOR REFERENCE ONLY

PERSONAL PROTECTIVE EQUIPMENT PROGRAM

Table of Contents

PERSONAL PROTECTIVE EQUIPMENT PROGRAM ................................................... 3 PURPOSE ....................................................................................................................... 3 SCOPE ............................................................................................................................ 3 REQUIREMENTS ........................................................................................................... 3 RESPONSILBILITIES ..................................................................................................... 4

Risk Manager ............................................................................................................ 4 Department Directors ................................................................................................ 4 Managers and Supervisors ....................................................................................... 4 City Employees ......................................................................................................... 5

HAZARD ASSESSMENT ................................................................................................ 5 TRAINING ....................................................................................................................... 5 GENERAL CLOTHING .................................................................................................... 6 HEAD PROTECTION ...................................................................................................... 6 FACE AND EYE PROTECTION ..................................................................................... 7 FINGER, PALM AND HAND PROTECTION ................................................................... 9 HEARING PROTECTION ............................................................................................... 9

General ................................................................................................................... 10 RESPIRATORY PROTECTION .................................................................................... 10

Equipment Selection, Maintenance and Use ........................................................... 11 Annual Medical Approval ......................................................................................... 11 Fit Testing ............................................................................................................... 11 Training and Information ......................................................................................... 11 Costs ....................................................................................................................... 12

OTHER PROTECTIVE EQUIPMENT ............................................................................ 12 SAMPLE

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Your Company Name

Page 3 of 12 Revision Date

This document is the property of [your company name] and will not be copied, reproduced, or used for any purpose without written permission.

IF PRINTED and UNCONTROLLED, THIS DOCUMENT IS FOR REFERENCE ONLY

PERSONAL PROTECTIVE EQUIPMENT PROGRAM

PURPOSE The variety of work operations performed by the municipal employees involves many industrial hazards. The tasks performed range from custodial services to heavy construction activities. In all tasks, however, there are counterparts in private industry where much research has been done to develop measures to protect employees from accidental injury. When it is impractical or impossible to engineer a hazard out then it becomes necessary to place the guard on the worker. This is done by wearing approved personal protective apparel such as hard hats, safety goggles, traffic vests, face shields, gloves, aprons, toe guards, respirators, etc.

SCOPE Supervisors shall insure that all their employees are properly protected. Dress codes may be established within a particular department, division or work area, and each employee is expected to know and follow these codes where applicable. Every possible effort will be made by management to select protective clothing and equipment that is acceptable for comfort, appearance and utility and still afford the desired protection. Safety, in this instance, is knowledge of the hazards, knowledge of the protection available, and a frame of mind that makes use of available protection a safe work habit.

REQUIREMENTS In order that safety devices or safeguards, which may include personal protective equipment, be acceptable as to proper type, design, strength and quality they shall be at least equivalent to those complying with the standards approved by The American National Standards Institute, Bureau of Standards, or other recognized authorities, except that where no authoritative standard exists for a safety device or safeguard, the use of such safeguard or safety device shall be subject to inspection and acceptance or rejection by the Risk Manager. Protective equipment shall be distinctly marked so as to facilitate identification of the

manufacturer. Exception: Employer manufactured shields, barriers, etc.

SAMPLE

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Your Company Name

Page 4 of 12 Revision Date

This document is the property of [your company name] and will not be copied, reproduced, or used for any purpose without written permission.

IF PRINTED and UNCONTROLLED, THIS DOCUMENT IS FOR REFERENCE ONLY

RESPONSILBILITIES

Risk Manager

Serves as the designated Personal Protection Equipment Program Coordinator and is responsible for compliance with these provisions.

Ensures a hazard assessment has been conducted.

Department Directors Establishes firm, internal requirements for all personnel to fully adhere to the policies

established herein; Frequently checks on compliance with this policy; Holds Managers fully accountable for any deviation from this policy and procedure.

"Fully accountable" is defined as being able to: explain why the deviation occurred; proffer recommendation(s) to prevent similar recurrences; and ensure the implementation of the prevention techniques;

Holds Managers fully accountable for preventable lockout, blockout, and tagout injuries to either employees, contractors, or the public that occurs within their area. Accountability shall include an explanation of how the exposure occurred, why the exposure occurred, and what steps have been taken since the exposure to prevent recurrence;

Requires contractors that provide services in or around energy sources to the City adhere to the policies established herein; and

Contacts Risk Management for any assistance needed to implement or maintain this program.

Managers and Supervisors Shall assure that the employee is instructed and uses protective equipment in

accordance with the manufacturer's instructions and as outlined in the PPE Program.

Shall assure that all personal protective equipment, whether employer-provided or employee-provided, complies with the applicable Title 8 standards for the equipment.

Shall assure this equipment is maintained in a safe, sanitary condition. Ensure Personal Protective Equipment (PPE) shall be of such design, fit and

durability as to provide adequate protection against the hazards for which they are designed.

Shall ensure PPE is reasonably comfortable and shall not unduly encumber the employee's movements necessary to perform his work.

Select, and have each affected employee use the types of PPE that will protect the affected employee from the hazards identified in the hazard assessment;

Communicate selection decisions to each affected employee

SAMPLE

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Your Company Name

Page 5 of 12 Revision Date

This document is the property of [your company name] and will not be copied, reproduced, or used for any purpose without written permission.

IF PRINTED and UNCONTROLLED, THIS DOCUMENT IS FOR REFERENCE ONLY

Select PPE that properly fits each affected employee. Defective or damaged personal protective equipment shall not be used.

City Employees

Shall assure that they receive instruction on the required personal protective equipment (PPE).

Shall use required PPE as required by OSHA, Bureau of Standards, or as instructed by their employer.

Use in accordance with the manufacturer's instructions. Shall assure that all personal protective equipment, whether employer-provided or

employee-provided, complies with the applicable Title 8 standards for the equipment.

Shall assure this equipment is maintained in a safe, sanitary condition. Ensure Personal Protective Equipment (PPE) shall be of such design, fit and

durability as to provide adequate protection against the hazards for which they are designed.

Shall not use defective or damaged personal protective equipment.

HAZARD ASSESSMENT

The employer shall verify that the required workplace hazard assessment has been performed through a written certification that identifies the workplace evaluated; the person certifying that the evaluation has been performed; the date(s) of the hazard assessment; and identifies the document as a certification of hazard assessment.

TRAINING The employer shall provide training to each employee who is required by this section to use PPE. Each such employee shall be trained to know at least the following: When PPE is necessary; What PPE is necessary; How to properly don, doff, adjust, and wear PPE; The limitations of the PPE, The proper care, maintenance, useful life and disposal of the PPE. Each affected employee shall demonstrate an understanding of the training specified

in this section, and the ability to use PPE properly, before being allowed to perform work requiring the use of PPE.

When the employer has reason to believe that any affected employee who has already been trained does not have the understanding and skill required the employer shall retrain each such employee.

SAMPLE

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Your Company Name

Page 6 of 12 Revision Date

This document is the property of [your company name] and will not be copied, reproduced, or used for any purpose without written permission.

IF PRINTED and UNCONTROLLED, THIS DOCUMENT IS FOR REFERENCE ONLY

Circumstances where retraining is required include, but are not limited to, situations where:

Changes in the workplace render previous training obsolete; or Changes in the types of PPE to be used render previous training obsolete; or Inadequacies in an affected employee's knowledge or use of assigned PPE

indicate that the employee has not retained the requisite understanding or skill. The employer shall verify that each affected employee has received and understood

the required training through a written certification that contains the name of each employee trained, the date(s) of training, and that identifies the subject of the certification.

GENERAL CLOTHING For safety and comfort, make sure your uniform fits well. The wearing of loose, flowing, or ragged clothing on or near moving machinery or

equipment is prohibited. Short sleeve shirts or tee shirts should be worn for operating machinery. Rolled-up

sleeves are dangerous because they have flapping ends and because the added thickness of the cloth can pull your arm into a machine before the cloth tears.

Long sleeves, buttoned at the wrist, should be worn for all work other than machine operation.

Pant legs should be cut to ankle length and cuffs sewn up. Rolled up cuffs collect dirt and are likely to come down and cause you to fall.

Steel-toe safety shoes or other appropriate foot protection must be worn when there is exposure to foot injuries from falling objects.

Shoes with run down heels or torn soles are hard on the feet and can cause falls. Keep your shoes in good repair.

The safe worker does not wear rings, medals, identification bracelets, or other jewelry. Jewelry increases the danger of electric shock and can cause fingers to be badly injured.

Work clothes should be washed frequently as a safeguard against skin infections and irritation.

Oil soaked clothes are a serious fire hazard. Keep your clothes free from oil.

HEAD PROTECTION The many construction and maintenance activities performed by municipal employees involve working above or below ground levels, movement of material overhead, or working near construction machinery. In such operations, the hazards of being struck by falling objects, machinery, or loads being moved by machinery, constantly exists.

SAMPLE

Page 7: PERSONAL PROTECTIVE EQUIPMENT PROGRAM › files › Sample_PPE_Written_Program_-_ehsInc.pdf · 2016-10-11 · equipment. Shall assure this equipment is maintained in a safe, sanitary

Your Company Name

Page 7 of 12 Revision Date

This document is the property of [your company name] and will not be copied, reproduced, or used for any purpose without written permission.

IF PRINTED and UNCONTROLLED, THIS DOCUMENT IS FOR REFERENCE ONLY

Hard hats are provided to prevent head injuries from falling objects, and bumps against objects when working in confined spaces.

The proper protection is provided when the head harness is adjusted so that there is approximately 1-1/2" clearance, plus or minus 1/8", between the skull and the inside of the hat when it is worn.

When the harness becomes worn to the extent that it no longer can be adjusted to maintain that clearance, hard hats should be turned in for repair or replacement.

Hard hats that have been repaired, reconditioned, etc., shall be sterilized and kept sterile until issued to an employee.

The construction and shape of hard hats shall not be altered in any manner by the employees. A hard hat is a personal item and shall be for the individual and exclusive use of the person to whom it is issued.

Hard hats of the type approved by the department director shall be worn in the following activities: Engineering office personnel while on the job site for any public service construction

or maintenance project. All Public Works personnel while in boom/aerial lift truck.

Public Works and Community Services Department personnel (including Park

Rangers), while in the job site for any park, median strip maintenance, and tree trimming activity.

Maintenance personnel when working below ground or below other employees. Inspection and Code Enforcement personnel when inspecting public works projects

or private developments. Any other employee when working with or near construction equipment such as

digging, hoisting or towing equipment. All personnel working with high voltage electrical hazards, class E hardhat required. All personnel engaged in climbing tasks or working from aerial lifts. Supervisors may designate additional areas where hardhat usage is required as the

need arises.

FACE AND EYE PROTECTION Hazards involving the possibility of injuries to the face and eyes exist in both indoor and outdoor tasks. They range from dust blown into eyes on a windy day to particles of steel, sand, concrete, etc., propelled into eyes with considerable force by power tools and machinery, or splashes of corrosive dust and liquid chemicals. There are many types of safety glasses, goggles, shields, etc. made of glass or plastic to protect workers from these hazards. The loss of one or both eyes can have extremely serious consequences to an employee.

SAMPLE

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Your Company Name

Page 8 of 12 Revision Date

This document is the property of [your company name] and will not be copied, reproduced, or used for any purpose without written permission.

IF PRINTED and UNCONTROLLED, THIS DOCUMENT IS FOR REFERENCE ONLY

Face and eye protection shall be provided for any task where there is any probability that an injury may occur without such protection. Employees assigned to perform tasks which require eye protection shall wear the protector provided. The City shall provide appropriate devices at no expense to the employee and shall make their use mandatory in specific tasks. Safety glasses, goggles, and other eye protective equipment offer a vital protection. If sufficient care is not exercised to maintain them properly, dirty or scratched lenses may provide another hazard from reduced visibility. In the event that eye protection equipment provided by the City is lost or damaged, and it is clearly evident that such loss or damage occurred as a result of an employee's negligence, employees shall be required to replace them at their own expense. Safety goggles or safety glasses shall be worn when: Grinding, cutting, milling or drilling with powered tools. Using impact wrenches and compressed air tools. Chipping, scraping, or scaling paint, rust, carbon or other materials. Using punches, chisels, or other impact tools. Cutting or breaking glass. Chipping or breaking concrete. Pipe cutting, threading. Using paint remover. Using power activated tools. Soldering. Cleaning dust or dirt from vehicles, machinery, etc. Sandblasting or air cleaning operations. Using metal cutting lathes, shapers, drill press, power hacksaw and other metal

working tools. Using power woodworking machinery, both fixed and portable. Tree trimming, brush chipping, or stump removal. Using bush cutters. Steam cleaning. Cleaning vehicle parts with soaps or solvents.

Working under vehicles. Using push-type rotary or riding lawnmowers.

A full plastic face shield shall be worn when handling acids, caustics, and other harmful dusts, liquids, or gases.

A face shield with the proper filter lens, or welder's lens, or welder's goggles, shall be worn in all welding and cutting operations.

Eye protection may be required on other jobs not listed, if so designated at the time by your supervisor. Beyond this, you are encouraged to wear eye protection at all times.

SAMPLE

Page 9: PERSONAL PROTECTIVE EQUIPMENT PROGRAM › files › Sample_PPE_Written_Program_-_ehsInc.pdf · 2016-10-11 · equipment. Shall assure this equipment is maintained in a safe, sanitary

Your Company Name

Page 9 of 12 Revision Date

This document is the property of [your company name] and will not be copied, reproduced, or used for any purpose without written permission.

IF PRINTED and UNCONTROLLED, THIS DOCUMENT IS FOR REFERENCE ONLY

REMEMBER-YOU HAVE BUT ONE PAIR OF EYES- THEY CANNOT BE REPLACED-PROTECT THEM!

FINGER, PALM AND HAND PROTECTION One of the most dangerous human ornamentations to wear in occupational or industrial work is a ring. Rings should be removed or not worn to work if there is the slightest chance of getting the ring caught in any hook, tool, or piece of machinery. Rings can cause serious loss of fingers or painful lacerations and frequently have to be cut off of fingers if bent in such a manner as to shut off circulation. Gloves with leather palms should be worn when handling rough edge or abrasive material or when the work subjects hands to possible lacerations, puncturing or burns. Other hand protection may be designated by authorized persons. Skin irritation should be prevented by washing with soap and water--not gasoline. Learn to recognize poison ivy and poison oak and avoid it. Rubberized gloves should be worn when handling irritating materials.

HEARING PROTECTION In the variety of activities conducted by municipal work crews, there are some machines or equipment that may produce sound levels in the frequencies which cause hearing loss. Protection against the effects of noise exposure shall be provided when the sound levels exceed those shown in Table N-1 of this section when measured on the A-scale of a standard sound level meter at slow response. When employees are subjected to sound levels exceeding those listed in Table N-1 of this section, feasible administrative or engineering controls shall be utilized. If such controls fail to reduce sound levels within the levels of the table, personal protective equipment shall be provided and used to reduce sound levels within the levels of the table. Table N-1 Permissible Noise Exposure

Permitted Duration Permitted Duration

Sound Per Workday Sound Per Workday

Level (hours- Level (hours-

(dBA) minutes) hours (dBA) minutes) hours

90........... 8-0...... 8.00 103......... 1-19.... 1.32

91........... 6-58..... 6.96 104......... 1-9.... 1.15

92........... 6-4...... 6.06 105......... 1-0.... 1.00

93........... 5-17..... 5.28 106......... 0-52.... 0.86

94........... 4-36..... 4.60 107......... 0-46.... 0.76

95........... 4-0...... 4.00 108......... 0-40.... 0.66

SAMPLE

Page 10: PERSONAL PROTECTIVE EQUIPMENT PROGRAM › files › Sample_PPE_Written_Program_-_ehsInc.pdf · 2016-10-11 · equipment. Shall assure this equipment is maintained in a safe, sanitary

Your Company Name

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This document is the property of [your company name] and will not be copied, reproduced, or used for any purpose without written permission.

IF PRINTED and UNCONTROLLED, THIS DOCUMENT IS FOR REFERENCE ONLY

96........... 3-29..... 3.48 109......... 0-34.... 0.56

97........... 3-2...... 3.03 110......... 0-30.... 0.50

98........... 2-38..... 2.63 111......... 0-26.... 0.43

99........... 2-18..... 2.30 112......... 0-23.... 0.38

100.......... 2-0...... 2.00 113......... 0-20.... 0.33

101.......... 1-44..... 1.73 114......... 0-17.... 0.28

102.......... 1-31..... 1.52 115......... 0-15.... 0.25

General The employer shall administer a continuing, effective hearing conservation program, as described in this section, whenever employee noise exposures equal or exceed an 8-hour time-weighted average sound level (TWA) of 85 decibels measured on the A-scale (slow response) or, equivalently, a dose of fifty percent.

For purposes of the hearing conservation program, employee noise exposures shall be computed in accordance with Cal-OSHA’s Subchapter 7. General Industry Safety Orders, Group 15. Occupational Noise, Article 105, Control of Noise Exposure and without regard to any attenuation provided by the use of personal protective equipment.

When employees are subjected to excessive sound levels, attempts should be made to use engineering controls. If the sound level cannot be reduced within tolerable range, then personal protective equipment shall be provided and shall be worn by employees so exposed. Ear protection may consist of earmuffs or earplugs. Cotton or waste will not be used as earplugs.

RESPIRATORY PROTECTION The following procedures should be followed by city employees exposed to hazardous atmospheres in their work.

The primary objective is to prevent excessive exposure to these contaminates. When feasible, exposure to contaminates shall be eliminated by engineering

controls (general and local ventilation, enclosure or isolation, and substitution of a less hazardous process or material).

When effective engineering controls are not feasible, administration controls and then the use of personal respiratory protective equipment may be required to achieve this goal.

The managers/supervisors will identify any operating procedures, employee training, instruction in the selection and use of equipment, program surveillance, and evaluation requirements.

To assure the adequacy monitoring should be conducted as required to provide a continuing healthful environment for employees.

SAMPLE

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Your Company Name

Page 11 of 12 Revision Date

This document is the property of [your company name] and will not be copied, reproduced, or used for any purpose without written permission.

IF PRINTED and UNCONTROLLED, THIS DOCUMENT IS FOR REFERENCE ONLY

Equipment Selection, Maintenance and Use

Proper equipment selection, including respirator and filter type, must be made for each operation.

The employer shall select and provide an appropriate NIOSH-certified respirator based on the respiratory hazard(s) to which the worker is exposed and workplace and user factors that affect respirator performance and reliability.

The employer shall ensure that all filters, cartridges and canisters used in the workplace are labeled and color coded with the NIOSH approval label and that the label is not removed and remains legible.

The employer shall identify and evaluate the respiratory hazard(s) in the workplace; this evaluation shall include a reasonable estimate of employee exposures to respiratory hazard(s) and an identification of the contaminant's chemical state and physical form.

Annual Medical Approval

Employees assigned to tasks requiring the use of respirators must have prior medical approval (via a medical exam) to document being physically able to perform the work while using the required respiratory equipment.

Fit Testing

The Cal-OSHA standard requires that, before an employee may be required to use any respirator with a negative or positive pressure tight-fitting face piece; the employee must be fit tested with the same make, model, style, and size of respirator that will be used.

Training and Information

The Cal-OSHA standard requires The City to provide effective training to employees who are required to use respirators.

The training must be comprehensive, understandable, and recur annually and more often if necessary.

This paragraph also requires the employer to provide the basic information on respirators of the Cal-OSHA section to employees who wear respirators when not required by this section or by the employer to do so.

All employees who use respiratory protection must be trained and fit tested, as required by the respiratory protection regulation. This training shall include, but not be limited to: Knowledge of respiratory hazards. Why the respirator is necessary and how improper fit, usage, or maintenance can

compromise the protective effect of the respirator; What the limitations and capabilities of the respirator are;

SAMPLE

Page 12: PERSONAL PROTECTIVE EQUIPMENT PROGRAM › files › Sample_PPE_Written_Program_-_ehsInc.pdf · 2016-10-11 · equipment. Shall assure this equipment is maintained in a safe, sanitary

Your Company Name

Page 12 of 12 Revision Date

This document is the property of [your company name] and will not be copied, reproduced, or used for any purpose without written permission.

IF PRINTED and UNCONTROLLED, THIS DOCUMENT IS FOR REFERENCE ONLY

How to use the respirator effectively in emergency situations, including situations in which the respirator malfunctions;

How to inspect, put on and remove, use, and check the seals of the respirator What the procedures are for maintenance and storage of the respirator; How to recognize medical signs and symptoms that may limit or prevent the

effective use of respirators;

Costs

The City will pay for the cost of medical exams, fit tests, training and reasonable City time associated with complying with the Respiratory Protection Program.

OTHER PROTECTIVE EQUIPMENT High visibility safety vests and/or orange shirts:

Shall be worn by all employees in and around any area where there is a danger from street traffic such as patching and maintenance of streets, in and around street excavations, a construction or maintenance area where there is moving machinery or equipment, while surveying on City streets where there is moving traffic, or in any other area designated as "safety vest" area by the supervisor.

Safety seat belts:

Shall be properly fastened whenever the motor vehicle is in motion.

SAMPLE