18 Workplace Safety & Prevention Services
Closing the Loop: Setting Up a Health & Safety System in Your Small Business
Managers and Supervisors:
(Hint: include things like providing proper
personal protective equipment and training)
All Employees:
(Hint: include things like reporting hazards
and looking out for one another)
Bring Your Health & safety policy statement to Life
Use this worksheet to create the outline for your health &
safety policy statement. Answer the questions and watch
your statement come to life.
What is my health & safety promise?
(E.g. As the owner/manager of XYZ Company, I am committed to maintaining a healthy and
safe working environment for my employees, suppliers and customers… I want everyone who
works here to be able to go home safely at the end of each work day…)
how will we do this?
We will comply with all applicable laws and regulations.
Everyone has responsibility for health & safety:
sign it. Date it. Hang it up where employees will see it.
Review your policy statement annually, or more frequently if something significant changes in
your workplace.
You may also want to include a paragraph on how you will maintain a workplace free from
violence and harassment.
