Growthport.com

Safety Risk Assessment
This Self-Assessment has been completed and forwarded to you by the person identified below on behalf of the company also identified below for purposes of receiving your professional analysis of the responses it contains and your legal advice based upon that analysis.

Contact Name:
Company Name:
Address:
City:
State:
Zip:
eMail Address:
Years in Business:
Industry:
Numer of Employees:
Phone Number:
Percent of workforce Salaried/Hourly (e.g. 70%/30%) :

Safety Practices	Yes	No	Legal and HR Justification
Justifications in Red are mandated by federal and/or state laws.
1. Does your company have a written Injury and Illness Prevention Plan?	Yes	No	8 CCR Section 3203(a)(1). Enforced by Cal/OSHA and various fines are imposes for noncompliance.
2. Do you have a safety committee?	Yes	No	Required to meet on a quarterly basis to review safety issues at hand. Minutes from said meetings are to be posted in a conspicuous place for employee viewing.
3. Have you conducted a written Personal Protective Equipment (“PPE”) Assessment?	Yes	No	8CCR Section 8414. Employers in violation of not providing employees with personal protective equipment will receive fines for each violation.
4. If a medical practice, do you have a Written Exposure Plan in place?	Yes	No	Bloodborne Pathogens Standard (29CFR 1910.1030). Enforced by Cal/OSHA and OSHA various vines imposed for noncompliance.
5. Are independent contractors ever utilized? If so, do they work under written guidelines contained in your Injury and Illness Prevention Plan?	Yes	No	Reduces risk of third party lawsuits if an independent contractor is injured on your jobsite. IC’s acknowledge receipt of safety training and agree to comply with company-specified regulations.
6. Do you conduct formal and frequent safety training for employees?	Yes	No	8 CCR Section 3203(a)(7) and strictly enforced by Cal/OSHA. Various fines imposed for noncompliance.
7. Do you test your employees following training sessions to gage training efficacy?	Yes	No	Cal/OSHA and OSHA recordkeeping requirements suggest that employers give tests or quizzes to measure the knowledge gained from mandated training sessions.
8. Do you record injuries, illness and near misses on your OSHA 300 Log?	Yes	No	8CCR Section 14300. Enforced by Cal/OSHA with various fines imposed for noncompliance.
9. Are you exempt from completing an OSHA 300 Log?	Yes	No	There are certain industries (SIC codes) that are exempt from completing and posting the OSHA 300 Log. Do you qualify for the exemption?
10. Do you have/use Proposition 65 chemicals onsite? If so, have you posted proper signage?	Yes	No	Health and Safety Code Section 25249.5 et.seq. CCR, Title 22. Enforced by Cal/OSHA and other regulatory agencies such as EPA and Regional Water Quality Control Boards. Various fines imposed based upon severity of infraction/ dumping/noticing issues.
11. Do you have/use hazardous materials onsite? If so are they stored appropriately?	Yes	No	8CCR Section 5629. Enforced by Cal/OSHA and various fines imposed for noncompliance based upon severity of infraction. (This standard applies to the handling, storage and use of flammable and combustible liquids with a flash point below 200° F).
12. Have your employees been trained in Hazard Communication aka “Right to Know”?	Yes	No	29 CFR Section 1910.1200. Enforced by Cal/OSHA and OSHA. Various fines imposed for failure to comply to statutory guidelines.
13. Do you conduct housekeeping/inspections of your facilities to identify potential hazards and abate/mitigate them at any regular frequency?	Yes	No	8 CCR Section 3203 (a)(4). Enforced by Cal/OSHA with various fines based upon ability to produce recordkeeping logs if inspected.
14. Do you have a formal Emergency Action Plan?	Yes	No	8 CCR Section 3220 and applies to all employers, private and public irrespective of industry of number or employees. Enforced by Cal/OSHA with various fines imposed for noncompliance.
15. Do you have a formal medium for communicating safe work practices to all employees?	Yes	No	(8 CCR 3203(a)(3). Enforced by Cal/OSHA with various fines imposed for employers who fail to comply.
16. Do you have a formal medium for communicating fire prevention to all employees?	Yes	No	The Cal/OSHA Fire Prevention Standard, found in 8 CCR Section 3221 applies to all employers, private and public, irrespective of industry or number of employees. Noncompliance employers face fines that vary in cost based on severity of infraction.
17. Do you have a formal process by which accidents/injuries/illnesses are investigated?	Yes	No	8 CCR 3203(a)(5) California law requires that each industrially injured employee receive an Employee Claim for Workers’ Compensation Benefits within a specified time frame. Violators will receive fines imposed by Cal/OSHA.
18. Do your supervisors/managers know that it is illegal to discriminate, retaliate or terminate an employee who has claimed unsafe working conditions?	Yes	No	29 USC 652. Violations for such discrimination or retaliation commence at $5,000-$70,000 per violation.
Please briefly describe any challenge threatening your firm that requires immediate attention.

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Important Facts

Studies have determined that Employee-involvement practices generate a 66 percent higher return on sales, 20 percent higher return on assets, 20 percent higher return on investments, and a 13 percent higher return on equity.

Ed Lawler & Susan Mohrman, USC Center for Effective Organizations, Workforce, December, 2001.

Research indicates 25% of managers time is spent on conflict-related issues. Unresolved conflicts impede operations, decrease productivity and increase negative attitudes among staffers

Philip Chard, a psychologist and CEO of NEAS, Inc, 2001.

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