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Injury and Illness Prevention Program

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This Injury and Illness Prevention Program can be used to inform employees of a company’s safety concerns and standards. This program outlines safety compliance, reporting unsafe conditions, safety training, and safety inspections. In addition, any additional industry specific language can be added to this program as necessary. This program is ideal for small businesses or other entities that want to establish a consistent and uniform injury and illness prevention policy.

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									Injury and Illness Prevention
Program
This Injury and Illness Prevention Program can be used to inform employees of a
company’s safety concerns and standards. This program outlines safety compliance,
reporting unsafe conditions, safety training, and safety inspections. In addition, any
additional industry specific language can be added to this program as necessary. This
program is ideal for small businesses or other entities that want to establish a consistent
and uniform injury and illness prevention policy.
                  INJURY AND ILLNESS PREVENTION PROGRAM

We at ____________________ [Instructions: Insert the Company’s name] (hereinafter
referred to as the “Company”) believe that is important that each and every employee
understands the importance of safety in the workplace. By remaining safety conscious,
employees can protect their own interests as well as those of their co-workers. Accordingly,
Company emphasizes “safety first” and expects all employees to take steps to promote safety in
the workplace. In keeping with this commitment, Company has established this Injury and
Illness Prevention Program (the “IIPP”). _________________, [Instructions: Insert the name
of the employee responsible for administering this IIPP] the __________________
[Instructions: Insert this employee’s job title] of Company has been delegated responsibility
for administering and implementing the IIPP (the “Administrator”).

1.       COMPLIANCE

Employees must understand that compliance with safety requirements is a condition of
employment and will be evaluated, together with other aspects of an employee’s performance, as
part of the performance review process. Employees who are particularly effective in following
safe and healthful work practices may receive recognition for their effectiveness. Due to the
importance of safety considerations to Company, employees who violate safety standards, who
cause hazardous or dangerous situations, or who allow such conditions to remain when they
could be effectively remedied, may be subject to disciplinary action, up to and possibly including
termination of employment. It is essential that all employees comply fully with the standards
and practices of Company that are designed to promote a safe and healthful working
environment. As part of our policy, Company has established programs to train and retrain
employees as appropriate to assist them to avoid dangerous or unhealthful conditions and to
remedy problems or hazards before they cause accidents or injuries.

2.       REPORTING UNSAFE CONDITIONS AND RISKS

Whenever an employee identifies an unsafe condition or an occupational safety and health risk,
the employee should report the matter immediately to his supervisor if he or she is unable to
remedy the situation. If the supervisor is not readily available, the employee should immediately
inform the Administrator of any dangerous condition. Employees are strongly encouraged to
report any situations of this nature and need not fear any form of retaliation as the result of their
compliance with IIPP. Employees who identify any hazards in the workplace can also choose to
report the situation anonymously if they prefer not to identify themselves.

3.       TRAINING; COMMUNICATION; INSPECTIONS; INVESTIGATIONS

The IIPP requires periodic safety meetings and training programs, the posting of safety notices
and safety tips, and providing periodic written communications to employees regarding safety
matters. Representatives of Company may also conduct periodic inspections to identify unsafe
conditions and work practices and will also investigate occupational injuries and illnesses. When
appropriate, Company may utilize the services of an outside representative to conduct
investigations where it believes that such an investigation will be helpful in our attempt to


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promote the interests of safety in the workplace. Every effort will be made to correct unsafe or
unhealthy conditions, work practices, or procedures in a timely manner. Accordingly, it is
essential that all employees cooperate in achieving these objectives and assist Company in
providing a safe workplace for everyone.

4.       COOPERATION AND QUESTIONS

Employees may occasionally be asked to assist or participate in inspections, the correction of
unsafe or unhealthful conditions, or training programs and activities. Full cooperation by all
employees is necessary to the accomplishment of our goals. Employees should direct any
questions they have regarding their obligations under the IIPP to the Administrator.




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