Sample safety and health programs
Each employer is responsible for providing a safe workplace. Sample and template policies to support the creation of safety and health programs are listed below:
- Bloodborne Pathogens Exposure Control Plan for First Aiders
- BBP Exposure Control Plan for Healthcare Workers
- Confined Space General Overview
- Model Confined Space Entry Policy and Procedure
- Emergency Action Plan
- Fire Extinguishers Plan
- Fire Prevention Plan
- Hazard Communication Sample Program
- Heat Illness Prevention Template Program
- Hearing Conservation Program
- Hepatitis B Vaccine Log
- Lockout /Tagout
- Respiratory Program
- Personal Protective Equipment Hazard Assessment
- Worksheet for Selecting PPE
- PPE - Selection Chart Generic
- Sharps Injury Prevention Information for Vaccine Clinics
- Trench Template Program and Worksheet
- Trench Daily Inspection Checklist
Safety Programs for School Departments
- Emergency Action Plan (Required)
- Fire Prevention Plan (Required)
- Hazard Communication Sample Program (Required, formerly Right-to-Know)
- Ladder Inspection (Required to perform, but written program not required)
- Lockout Tagout Sample plan (Required)
- Machine guards on equipment (Required to perform, but written program is not required)
- Personal Protective Equipment Assessment - Schools 2016 (Required)
- Power tools and equipment (i.e., saws, chainsaws, mowers, woodchippers. Written program not required)
- Pre-trip Vehicle Inspections (Required to perform, but written program not required)
- Preventive Maintenance (Recommended)
Safety Programs for Fire Departments and EMS
M.G.L. c149 §6-1/2 requires compliance with OSHA regulations, and does not require compliance with NFPA consensus standards. The OSHA standard 29 CFR 1910.156(c) requires that employees are trained commensurate with their duties and functions.
- Bloodborne Pathogen Plan for Police, Fire, and EMS (Required)
- Emergency Action Plan (Required for Fire Station)
- Fire Prevention Plan (Required for Fire Station)
- Hazard Communication Sample Program (Required, formerly Right-to-Know)
- Hepatitis B Vaccine Log
- Ladder Inspection (Required to perform, but written program not required)
- Lockout Tagout Sample Plan (Required for fire station)
- Medical clearance for respirator use (Required, but contained in Respirator Program)
- Personal Protective Equipment Plan (Required)
- Pre-trip Vehicle Inspections (Required to perform, but written program not required)
- Respirator Program for Fire/EMS (Required)
- Respirator Protection Program template for Firefighters
- Technical Rescue: Confined Space, Trench, Diving (Required for employees assigned to these tasks)
Sample Safety and Health Programs for Public Works
- Aerial Lift Template
- Bloodborne Pathogen Plan for Syringe Pickup (Required if employees assigned to this task)
- Emergency Action Plan
- Fire Prevention Plan (Required)
- Hazard Communication Sample Program (Required, formerly Right-to-Know)
- Ladder Inspection (Required to perform, but written program not required)
- Lockout Tagout Sample Plan (Required)
- Machine guarding (Required to perform, but written program not required)
- Personal Protective Equipment Hazard Assessment (Required)
- Power tools and equipment (i.e., saws, chainsaws, mowers, woodchippers. Written program not required)
- Pre-trip Vehicle Inspections (Required to perform, but written program not required)
- Preventive Maintenance (Recommended)
- Trench Safety Template and Worksheet (Required for departments that conduct excavation)
Safety Programs for Police
- Bloodborne Pathogen Plan for Police, Fire, and EMS
- Emergency Action Plan (Required for Police Station building)
- Firearm Safety (Required)
- Firearm Range Safety Program (Required if employer operates a range)
- Hazard Communication Sample Program (Required, formerly Right-to-Know)
- Ladder Inspection (Required to perform, but written program not required)
- Lockout Tagout Sample Plan (Required for station facility maintenance staff)
- Personal Protective Equipment Plan (Required)
- Pre-trip Vehicle Inspections (Required to perform, but written program not required)
- Respirator Program for Police (Required if employees are issued respirators)