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SAFETIES ROUTING SLIP A Bimonthly Publication distributed by the Workers Comp Trust P.O. Box 8070, Santa Rosa, CA 95407 (707) 5429502 www.ncbesafety.com Issue 22, Number 5 North Coast Builders Exchange
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How to Fill Out Safety Success:

01
Understand the purpose: Safety success is a form or document that aims to record and track the safety measures and protocols implemented in a particular setting, such as a workplace or organization. To fill it out effectively, it is important to first understand the purpose and importance of maintaining a safe environment.
02
Gather relevant information: Before filling out the safety success form, collect all necessary information related to safety measures, incidents, and any improvements or changes made in the safety protocols. This may include incident reports, safety training records, notes from safety meetings, and any other relevant documentation.
03
Start with basic details: Begin filling out the safety success form by providing basic details, such as the date and location of the safety assessment. Also, include information about the person or team responsible for conducting the assessment or overseeing safety measures.
04
Outline existing safety measures: List all the safety measures that are currently in place within the designated environment. This may include protocols regarding fire safety, emergency procedures, personal protective equipment (PPE), safety training programs, or any other relevant measures. Be comprehensive and ensure that all aspects of safety are covered.
05
Record incidents and near misses: Document any incidents, accidents, or near misses that have occurred since the last safety assessment. Include details such as the date, time, location, individuals involved, and a brief summary of what happened. This information can help identify areas of improvement and develop preventive measures.
06
Analyze trends and patterns: Review the recorded incidents and near misses to identify any patterns or trends. This analysis can help identify potential hazards or risks that require attention and allow for the development of targeted safety measures.
07
Evaluate the effectiveness of safety measures: Assess the effectiveness of the implemented safety measures and protocols. Consider any feedback or suggestions received from employees or safety personnel. Determine whether the existing measures are sufficient or if additional measures need to be implemented.
08
Set goals and plan improvements: Based on the assessment and analysis, set realistic and achievable safety goals for the future. Develop a plan to address any identified gaps or areas for improvement. This may involve revising existing safety procedures, providing additional training, or implementing new measures altogether.

Who Needs Safety Success?

01
Organizations: Safety success is essential for organizations of all sizes and industries. It ensures the well-being of employees, creates a positive work environment, and reduces the risk of accidents or injuries. By filling out safety success, organizations can demonstrate their commitment to safety and comply with legal requirements.
02
Safety Managers/Personnel: Safety professionals or managers responsible for overseeing safety measures within an organization need safety success to monitor and track the effectiveness of safety protocols. It helps them identify areas that require attention, make informed decisions regarding safety improvements, and ensure compliance with safety regulations.
03
Employees: The safety success form also indirectly benefits employees by creating a safer work environment. Employees are directly involved in following safety procedures and reporting incidents or near misses. Filling out safety success helps the organization involve employees in maintaining a safe workplace and promotes their overall well-being.
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