1. (a) A group self-insurance fund shall maintain or provide an adequate accident and illness prevention program and maintain records for this program for the 3 most current fiscal years. The program shall contain the following elements:

   1. (1) A safety policy statement.
   2. (2) A designated accident and illness prevention program coordinator.
   3. (3) An assignment of responsibilities for implementing and evaluating the accident and illness prevention program.
   4. (4) Program goals and objectives.
   5. (5) Mechanisms for employee involvement, which may include establishment of a workplace safety committee including a safety committee as described in Subchapter F (relating to workplace safety committees).
   6. (6) Employee accident and illness prevention suggestion and communications programs.
   7. (7) Methods for accident investigation, reporting and recordkeeping.

   8. (8) Methods for determining and evaluating program effectiveness. These may include:

      1. (i) Comparison of the group self-insurance fund incidence rate as derived using the OSHA/BLS formula to the current, published OSHA/BLS industry-wide rate.
      2. (ii) Comparison of the group self-insurance fund injury and illness rates determined by means of a formula prescribed by the Bureau to current, published Statewide rates by industry.
      3. (iii) Experience modification factor.
      4. (iv) Loss ratio.
      5. (v) Other methods used by group self-insurance funds deemed appropriate by the Bureau.

   9. (9) Protocols or standard operating procedures, when applicable, to the workplace and worksite environments for:

      1. (i) Electrical and machine safeguarding.
      2. (ii) Personal protective equipment.
      3. (iii) Hearing and sight conservation.
      4. (iv) Lockout/tagout procedures.
      5. (v) Hazardous materials handling, storage and disposal procedures.
      6. (vi) Confined space entry procedures.
      7. (vii) Fire prevention and control practices.
      8. (viii) Substance abuse awareness and prevention policies and programs.
      9. (ix) Control of exposure to bloodborne pathogens.
      10. (x) Preoperational process reviews.
      11. (xi) Other protocols or standard operating procedures appropriate for members’ workplace and worksite operations.

2. (b) Group self-insurance funds shall maintain records describing the comparison methods chosen from subsection (a)(8) for the most current fiscal year and 2 preceding consecutive fiscal years. Those records shall contain at a minimum:

   1. (1) The annual calculated rates for the methods chosen.
   2. (2) A copy of the calculations used to determine the annual rates.
   3. (3) A copy of the sources containing the complete data used in calculating the annual rates.

Cross References

This section cited in 34 Pa. Code § 129.454 (relating to reporting requirements for applicants for group self-insurance fund status).