Accident_Prevention_Plan_Outline.pdf

ACCIDENT PREVENTION PLAN OUTLINE (APP)

U. S. ARMY COLD REGIONS RESEARCH AND ENGINEERING LABORATORY

ACCIDENT PREVENTION PLAN MINIMUM REQUIREMENTS

Accident Prevention Plans shall be job specific and shall address all unusual and unique aspects of the project or activity for which it is written. The plan shall address the how, who, when, what, where for requirements of EM 385-1-1.

GENERAL

Date:

Name of Contractor:

Contract Number:

Names and Phone Numbers of Contract Points of Contact (Contractor & Government):

Project/Work to be Performed & Location (Bldg, Floor, Room, Site Location, Etc.):

Name of Contractor’s On-site Supervisor:

EMERGENCY INFORMATION

Name of Hospital:

Name of Doctor:

Emergency Services Contact (including AMBULANCE and FIRE): Dial 911 if calling from a CRREL phone

TRAINING: State what your initial indoctrination for your employees will be, and outline any on-the-job training and continuing training such as “tool box meetings, safety meetings” etc., You must address procedures for the prevention of alcohol and drug abuse in the workplace.

REQUIRED CERTIFICATIONS: The contractor shall show proof of all certifications required for the contract.

SAFETY DOCUMENTATION: The contractor shall provide all the following information that applies to work under the contract.

Personal Protective Equipment (PPE) Used:

Emergency Plan (Including provisions for Safety Data Sheets (SDS)):

Confined Space Work Plan:

Fall Protection Work Plan:

Housekeeping: The contractor is required to perform daily job site cleanup.

ACCIDENT REPORTING: All accidents (whether injuries require lost time or not) requiring medical attention, and property damage accidents in which the property exceeds $2,000 will be reported to the Safety Office at CRREL within 48 hours of accident. Accidents shall be reported using ENG Form 3394. Contractor is also responsible for notifying the Safety Office where one or more of their employees are severely injured; a fatal injury; and when three or more persons are admitted to the hospital.

CONTRACTOR AUTHORIZED REPRESENTATIVE DATE