Safety starts with you.
Claims Reporting
Injury Action Checklist
This is your step-by-step guide for handling accidents and injuries that occur on your jobsite. Research has proven that the sooner the injured employee receives medical attention and the earlier a claim is reported, the quicker the claim can be resolved — thereby reducing the overall cost of the claim. To begin the claims process, even if you do not have all of the facts, CLICK HERE to report online or call 1-877-LHBASIF (542-2743) right away.
Post-Accident Drug & Alcohol Program
Sample Program & Acknowledgement Form
This sample Drug & Alcohol Policy promotes a safe and healthy working environment. An Acknowledgement Form is included for company signature, acknowledging that they have read and understood the Policy.
Muestra de Política de Drogas y Alcohol
Esta muestra de Política de Drogas y Alcohol promueve un ambiente de trabajo seguro y saludable. Se incluye un formulario de acuse de recibo para la firma de la empresa, reconociendo que han leído y comprendido la Política.
Drug-Free Workplace Poster
Available in both English and Spanish for indoor or outdoor use. Poster will be mailed.
Second Injury Board Knowledge Questionnaire
English Version
This questionnaire should be completed by your employees to disclose any pre-existing medical conditions or disabilities which may entitle you to reimbursement from the Louisiana Workers’ Compensation Second Injury Board if the employee suffers an on-the-job injury.
Version en Español
Sus empleados deben completar este cuestionario para divulgar cualquier afección médica o discapacidad preexistente que pueda darle derecho a recibir un reembolso de parte de la Junta de Segunda Lesión de Compensación para Trabajadores de Louisiana si el empleado sufre una lesión en el trabajo.
Safety Plan
10-Point Safety Plan
This is an example of a written safety plan created by HomeBuilders SIF. Members of the HomeBuilders SIF should adopt a formal and operational safety management plan designed to fit the needs of their operations.
Updated 9/2018
Section Descriptions
This document shall be signed by the top executive of the company acknowledging management’s responsibility and commitment to a safety plan and their intention to comply with all applicable local, state, and federal safety requirements and appropriate industry standards.
Responsibility for safety shall be defined in writing for executive and middle level operating management, supervisors, safety coordinator, and employees.
Inspections shall be made of all areas of the workplace. A written inspection checklist should be developed and used for each inspection and retained for a period of one year.
An accident investigation of any job-related injury that requires a visit to a clinic or physician shall be initiated by the injured employee’s supervisor as soon as possible on the shift the accident occurs. Corrective actions to be taken and/or recommended to prevent a recurrence of a similar accident shall be implemented.
Safety meetings shall be held with all employees on a regular basis. A record should be kept showing the topics discussed, date of meeting, and the names of the persons attending.
Management shall develop specific safety rules that apply to the operation being performed. The rules should be short, concise, simple, enforceable, and stated in a positive manner. The safety rules are to be followed and adhered to by all management personnel and all employees.
Management shall implement a training program that will provide orientation and training for each new employee, existing employees, or when new equipment, processes, or job procedures are initiated.
In addition to OSHA logs which are retained for five years (a federal requirement), each firm shall maintain other safety records for a period of one year from the end of the year which the records are maintained (a state requirement).
TManagement shall adopt and implement a first aid program which will provide for a trained first aid person and first aid kit at each job site on each shift.
Management shall develop a written emergency preparedness plan to ensure to the extent possible the safety of all employees, visitors, contractors, and vendors in the facility at the time of emergency situations.
Investigation Report Form
This is also included in the complete Safety Plan above.
Full vs. Part-time Employment
Sample Employment Status PT vs. FT Statement
If your employees customarily work less than 40 hours per week, and are classified as part time, it is important to document the employee’s file. This sample form is a good starting point.
Muestra de Estado de Empleo de Tiempo Completo vs. Tiempo Parcial
Si sus empleados trabajan habitualmente menos de 40 horas por semana y se clasifican como a tiempo parcial, es importante documentar el archivo del empleado. Esta forma de muestra es un buen punto de partida.
Toolbox Talks
Claim Checklist
Aerial Lift Safety
Correct Lifting
Confined Space Entry
Driving Safety
Electrical Extension Cords
The Elements of a Safety Culture
Eye Safety
Falls - Floor, Roof, and Ground Openings
Good Housekeeping Practices
Hand & Power Tools
Hazard Communication
Ladder Safety
Lock Out - Tag Out
Paint Safety
Personal Protective Equipment (PPE)
Pneumatic Air Nail Guns
Preventing Struck by Accidents
Respiratory Protection
Safety Data Sheet
Summer Heat
Trenching
Tubular Scaffolding
Woodworking Machines
Working Safely with Silica
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