Template for Departments’ Injury and Illness Prevention Program at The
Template for Departments’ Injury and Illness Prevention Program at The
Template for Departments Injury and Illness Prevention Program at the University of California, Berkeley
(Note: This template was downloaded from the web site of the Office of Environment, Health & Safety at the University of California, Berkeley,
Departments at the University of California, Berkeley can use the following template to create a written Injury and Illness Prevention Program (IIPP) that meets the requirements of state law. (Each department at UC Berkeley is required to have its own IIPP.) Putting the written program into action will help to ensure a healthful and safe workplace for department employees.
To use the template, replace any italicized text with your departments specific information. Then send a copy to the Office of Environment, Health & Safety (EH&S) at 317 University Hall #1150 for review. (You may also send it as an e-mail attachment to [email protected].) EH&S will review the draft against applicable legal requirements. The next step is to put the program into action. An IIPPs benefits will be realized only through effective implementation.
University of California, Berkeley
(Department Name)
Injury and Illness Prevention Program
(Date adopted)
University of California, Berkeley
(Department Name)
Injury and Illness Prevention Program
TABLE OF CONTENTS
I. INTRODUCTION AND PURPOSE
II. RESPONSIBILITIES
III. IDENTIFYING WORKPLACE HAZARDS
IV. COMMUNICATING WORKPLACE HAZARDS
V. CORRECTING WORKPLACE HAZARDS
VI. INVESTIGATING INJURIES AND ILLNESSES
VII. EMPLOYEE HEALTH AND SAFETY TRAINING
VIII. ENSURING COMPLIANCE
IX. RECORD KEEPING
X. CAMPUS SAFETY RESOURCES
APPENDICES
University of California, Berkeley
(Department Name)