3rd Quarter E-Safety Meeting 2017-18
I understand that it is my responsibility to familiarize myself with the content of the information provided by the Department of Facilities and Risk Management as an employee of Central Louisiana Technical Community College. Workplace safety is not only the responsibility of CLTCC as an organization, but also, safety is the responsibility of each employee who is a part of the organization.

I understand that I must complete this form evidencing acknowledgement of the information listed below and provided in the communication. Content coverage includes: (1) Safety Rules (2) Drivers Safety Program. Please submit your acknowledgement as soon as possible.

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Safety Rules
The following are the safety rules for all CLTCC sites. Additional guidelines should be developed for each instructional/shop/office area as needed to ensure site safety. These rules shall be posted in your assigned area(s) at all times. All new students/employees shall be immediately oriented to these general rules, as well as your specific guidelines.

• CLTCC is a tobacco-free agency. No tobacco products are permitted on site.
• Horseplay and fighting will not be tolerated anywhere on this site.
• Before beginning work, notify your supervisor of any permanent or temporary impairment that may reduce your ability to perform in a safe manner.
• Use personal protective equipment to protect yourself from potential hazards that cannot be eliminated.
• Operate equipment only if you are trained and authorized.
• Inspect your work area for potential hazards and ensure that the equipment or vehicle is in safe operating condition before using it.
• Immediately report any recognized potentially unsafe condition or act to your supervisor.
• If there is any doubt about the safe work method to be used, consult the supervisor before beginning work.
• Immediately report accidents, near misses, and property damage to a supervisor regardless of the severity.
• Supervisors should obtain special safety permits when required (e.g., hot work or confined spaces).
• Follow recommended work procedures outlined for the job including safe work methods described in the job safety analysis.
• Maintain an orderly environment and work procedure. Store all tools and equipment in a designated place. Put scrap and waste material in a designated refuse container.
• Report any smoke, fire, or unusual odors to your supervisor.
• Use proper lifting techniques. For objects exceeding 50 pounds in weight, the immediate supervisor shall determine specific methods for safe lifting.
• Do not attempt to catch a falling object.
• If your work creates a potential slip or trip hazard, correct the hazard immediately.
• Use safety tape to block the area before leaving it unattended.
• Fasten restraint belts before starting any motor vehicle.
• Obey all driver safety instructions.
• Comply with all traffic, designated parking, fire lanes and speed limit signs.
• Adhere to departmental rules regarding first aid, evacuation routes, and fire department notification.
• Adhere to departmental rules and procedures specific to departmental operations.
• Assist and cooperate with all safety investigations and inspections and assist in implementing safety procedures as requested.
• Possession of firearms, alcoholic beverages, illegal drugs, or unauthorized medical prescribed drugs will not be tolerated on CLTCC sites.
• Inform your supervisor if you are required to take medication during work hours. Written medical evidence stating that the medication will not adversely affect your decision-making or physical ability may be required.
• Do not permit unauthorized live work projects in your shop.
• Do not leave class or shop areas unsupervised.
• Properly handle, store and dispose of hazardous materials. Be certain Safety Data Sheets (SDS) are available in the work area.
• Keep all marked passage lanes/walkways clear.
• Do not block access to fire extinguishers, fire alarm pull stations, or electrical power panels.
• Wear employee/student identification badges while on site.

Drivers Safety Program
CLTCCDRIVERS SAFETY PROGRAM - Only individuals possessing a current and proper class of driver’s license may be authorized to operate their personal vehicle or a state owned or leased vehicle on state business. High risk drivers shall not be authorized to drive vehicles on state business from the date of discovery for a minimum of (12) months. High risk drivers are those individuals having three or more convictions, guilty pleas, and/or nolo contendere pleas for moving violations within the previous twelve (12) months or having a single conviction, guilty plea or nolo contendere plea for operating a vehicle while intoxicated, hit and run driving, vehicular negligent injury, reckless operation of a vehicle, or similar violation within the previous twelve (12) month period. All authorized drivers shall successfully complete an ORM recognized defensive driving course within 90 days of entering the program and shall attend a refresher course at least once every three years unless their class of license requires other training or testing. Drivers who have convictions on their motor vehicle records shall be required to retake an approved driving course within 90 days of notification of a conviction. A State Vehicle is defined as: Any licensed vehicle owned, leased and/or rented by the State of Louisiana. All employees must report receiving a ticket while on or off duty no later than the next work day after receipt, or disciplinary action may be taken. Employees shall not use a Wireless Telecommunication Device while driving in a state owned, leased, or private vehicle that is being driven on state business. This includes writing, sending, or reading a text based communication and engaging in a call. Use of a Wireless Telecommunication Device is permissible for passengers in such vehicles.Exceptions:1. Report a traffic crash, medical emergency, or serious road hazard.2. Report a situation in which the person believes his/her personal safety is in jeopardy.3. Report or avert the perpetration or potential perpetration of a criminal act against the driver or another person.4. Engage in a call or write, send or read a text-based communication while the motor vehicle is lawfully parked. All accidents while on state business shall be reported to the employee’s immediate supervisor and Drivers Safety Coordinator by the vehicle driver having the accident on the day of the accident. If the driver is not able to complete the Louisiana State Driver’s Accident Report Form (DA 2041), then the driver’s supervisor will complete the report to the best of his/her ability for the employee. The DA 2041 must be completed within 48 hours after any vehicle accident while on state business and forwarded to the Claims Unit. A copy of the Uniform Motor Vehicle Traffic Accident Report (Police Report) shall accompany the DA 2041 or should be sent to the Claims Unit as soon as it is received by the agency. Do not delay submission of the DA 2041 waiting on the police report. A DA 2041 must be maintained in all State-owned vehicles and in leased/personal vehicles when on state business. In addition to the DA 2041, Employees who drive a state-owned vehicle or a leased/ personal vehicle on state business, shall complete a Request for Travel Authorization and submit it to the approval authority “the Campus Dean” for approval.Failure of an authorized driver to report any accident may be cause for suspension of Driver Authorization. The supervisor of the individual having the accident shall review the accident report within two working days of the accident for completeness of information. Incomplete reports shall be returned for completion or corrected information. The supervisor may have to aid the individual in completing the report. If the employee is injured in the accident, the information from the DA 2041 must be entered into iCOW. E- Mail the DA2041 to ORM-DA2041@la.gov or fax it to 225-342-4470 Attn. Transportation Unit Supervisor. This must be completed within 48 hours of the accident. The Campus Administrative Assistant has been appointed the responsibility for monitoring the Drivers Safety Program. The Safety Coordinator has been designated the responsibility for reviewing the Driver Records and identifying employees authorized to drive State Vehicles. He/She is also responsible for conducting annual reviews of all drivers to determine whether they should continue to operate state-owned vehicles and to verify that each driver has a valid and properly classified driver’s license. The procedures for enrolling drivers starts upon the approval by their supervisor. The employee fills out the Authorization and Driving History Form (DA 2054). The information on this form is used to acquire the Official Driver Record (ODR) from the Department of Public Safety. The Authorization and Driving History Form and the ODR are then submitted to the CLTCC Safety Coordinator who will review the driving record and sign the Authorization and Driving History Form (DA 2054). If the employee is authorized to drive then they can be enrolled in a driving course, and upon successful completion they can be added to the Authorized to drive State-Owned Vehicles List. The CLTCC Safety Coordinator will request an Official Driver Record (ODR) of all employees from the Department of Public Safety annually (within 12 months). The Safety Coordinator will check the current Official Driving Record and will date and initial the ODR and date and sign the Authorization and Driving History Form (DA 2054) when the review is completed. A list of employees authorized to drive state-owned or leased vehicles will be prepared and signed by the Safety Coordinator. This list will be put on file with the ODR and the DA 2054. A copy of the Authorized Drivers List will be provided to each Campus Dean and the CLTCC Fleet Manager, the Campus Dean or his/her designee is allowed to deem contractors as authorized travelers for official state business only. An executed DA2055 form is required, along with the driver’s ODR, in advance of the travel. If an employee is not authorized to drive, that employee, his/her supervisor, and the Fleet Manager shall be notified in writing that the individual shall not drive on state business. Note: Employees can take the Office of Risk Management Defensive Driving Course Online, It is also offered on the Louisiana Employee Online (LEO) website. Contact the CLTCC Safety Coordinator for the procedures. All employees must be trained on this policy in addition to taking the Defensive Driving Course, this Training must be documented.2-2-18
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I acknowledge that I have read the information provided, and will implement these procedures to provide a safe workplace. *
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