Employer’s Health and Safety Program Advisor Checklist
Employer’s Name____________________________________________________
Manager’s Name_____________________________________________________
Worker’s Representatives Name________________________________________
A—This section is part of written program, implemented effectively at all levels, including management and workers
B—This section is part of written program and communicated to management and workers
C—Important part of our program but not a priority
D—Management and employees reminded to be careful and encouraged to think about these issues but rarely discussed
E—Never thought about it before
Health and Safety Program Area
A
B
C
D
E
1. Employee Participation: Workers are equal partners in planning for and Implementing their own protection.
2. Site Specific Hazard Analysis: A proactive program includes the comprehensive survey and analysis of job hazards and changes in conditions.
3. Qualitative Assessment: An effective program will analyze records for sources, locations and jobs that result in injuries and illnesses.
4. Management Leadership: Visible management leadership provides the motivating force for an effective program.
5. Implementation: Tools provided by management that include: budget, assigned responsibility, adequate expertise and authority and accountability.
6. Safety and Health Training: Interactive training should cover the responsibilities of all employees including supervisors and managers with performance requirements and job practices.
7. Hazard Control and Maintenance: Workforce exposure to all current and potential hazards should be prevented or controlled by using engineering controls wherever feasible and appropriate, work practices and administrative controls, and personal protective equipment.
8. Inspection: Regular site inspections identify new or previously missed hazards and failures in hazard controls.
9. Hazard Reporting: Worker should be able to notify management of conditions that appear hazardous and receive timely responses without fear of reprisal.
10. Incident Investigation: Incidents and near misses are investigated to identify causes and means of prevention.
11. Medical Program: A medical program provides medical evaluation of workers by a licensed health care professional.
Based on OSHA's Program Evaluation Guide: Directive CPL 2-0.119/11-25-97
