The Ohio DFSP 5 form serves as a vital tool for employers participating in the Drug-Free Safety Program, focusing on the development of a comprehensive Safety Action Plan. This form guides companies in assessing their safety and health processes, enabling them to identify actionable steps that can lead to significant improvements. By outlining responsibilities and timelines, the DFSP 5 form helps foster a culture of safety and accountability within the workplace.
The Ohio Drug-Free Safety Program (DFSP) 5 form serves as a crucial tool for employers aiming to enhance their workplace safety and health processes. This form is designed to guide companies in creating a comprehensive Safety Action Plan, which involves a systematic approach to identifying and prioritizing actions that will lead to meaningful improvements. Key components of the form include sections dedicated to management commitment, accountability, employee participation, and the establishment of a robust safety culture. Employers are encouraged to outline specific planned activities, assign responsibilities, and set target completion dates for each action item. Additionally, the form prompts organizations to describe how these activities will enhance their safety and health processes, ensuring a proactive approach to hazard prevention and control. By focusing on areas such as safety training, accident analysis, and workers' compensation claims management, the DFSP 5 form not only aids in compliance but also fosters a healthier, safer work environment for all employees. For those needing assistance, support is readily available through the Bureau of Workers' Compensation, reinforcing the collaborative effort to promote workplace safety.
Drug-Free Safety Program - Safety Action Plan
Company name
Policy number
The purpose of an action plan is to help employers improve their safety and health processes. Review the results from the Safety Management Self-Assessment and identify and prioritize manageable action items that will generate the desired improvements. If you would like assistance completing this action plan or with developing or implementing any of the action plan activities, please call 1-800-644-6292 and request personal assistance from your assigned BWC representative.
For each section determine:
1.What actions (if any) you will take and how they will be accomplished?
2.Who will be responsible for ensuring the completion of each action item?
3.When will each planned action item be completed?
4.What is the expected improvement to your safety and health process once the action item is completed?
1.Management commitment –The level of commitment that management demonstrates to the safety and health process
Planned activity (attach separate sheet if needed)
Person responsible
Target date
Describe how this completed activity will improve your safety and health process
2.Accountability –The process used to assign safety and health management responsibilities and to evaluate, recognize and reward performance
3.Employee participation –The extent the employees participate in and are encouraged to be involved in the safety and health of the workplace
BWC-1588 (Rev. Oct. 2, 2014)
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DFSP-5
4.Safety culture –The organizational values, management style, environment and social norms related to safety and health
5.Hazard prevention and control –The process to identify and correct unsafe acts and conditions
6.Safety and health training and education – The process of ensuring safety education and training is provided to people at all levels, and that skills are assessed to ensure understanding
7.Accident analysis – The method of gathering and analyzing accident information; determining root causes and identifying safety improvements to prevent future accidents
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8.Workers’ compensation claims management –The management process for ensuring timely filing of claims, care for injured workers, and minimizing the financial impact of claims on the organization
9.Return-to-work practices –The management process for ensuring a safe, efficient return to work by injured workers to help reduce financial burdens on the employee and employer
10.Employee health promotion (wellness) – The organization’s efforts to encourage personal health improvement and health maintenance among its employees
X
Signature of company official responsible for this action plan
Date submitted
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