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S1 OSHA 300 Log Template Injury / Illness Recording / Classification / Days Away
U.S. Department of Labor — OSHA
Log of Work-Related Injuries and Illnesses (Form 300)
Calendar Year: 2026
Establishment: Global Food Solutions, Inc.
Company: Global Food Solutions, Inc.
Address: 131 Heartland Blvd, Edgewood, NY 11717
NAICS: 424490 — Grocery & Related Products
Case# Employee Name Job Title Date of Injury Where Description Death Days Away Restricted Other Days Away # Restricted #
26-001 Carlos Mendez Forklift Operator 02/14/2026 Dry Storage 2 Strained lower back lifting 50 lb bag
3 0
26-002 Sarah Kim Warehouse Associate 03/22/2026 Refrigerated A Slip on wet floor, bruised knee
0 5
26-003 James Rodriguez Dock Supervisor 05/04/2026 Shipping Dock 3 Laceration on hand from pallet strap
0 0
Total Cases
3
Deaths
0
Days Away Cases
1
Total Days Away
3
TRIR
2.4
Below industry avg 3.8

OSHA 300 Log maintained for 5 years. Summary (Form 300A) posted Feb 1 – Apr 30 annually. TRIR = (Cases x 200,000) / Employee Hours.

S2 Safety Training Certificate Employee / Topic / Trainer / Expiry
Employee Safety Training Certificates
Global Food Solutions, Inc.
Certificate of Training
This certifies that
Carlos Mendez
has successfully completed
Powered Industrial Truck (Forklift) Operation
OSHA 29 CFR 1910.178 Compliant · 8 Hours Classroom + Practical
Date Completed
01/15/2026
Expires
01/15/2029
Cert #
FLT-2026-0012
Trainer
SafeOps Training LLC
Trainer Signature
Michael Levine, CEO
Global Food Solutions, Inc.
Certificate of Training
This certifies that
Sarah Kim
has successfully completed
Hazard Communication (GHS/SDS)
OSHA 29 CFR 1910.1200 Compliant · 4 Hours Classroom
Date Completed
03/10/2026
Expires
03/10/2027
Cert #
HCS-2026-0034
Trainer
James Rodriguez
Trainer Signature
Michael Levine, CEO

Training records retained for duration of employment + 3 years. Forklift recertification every 3 years per OSHA. Annual refresher for HazCom/GHS.

S3 SDS Template Page 16-Section GHS Format / Identification / Hazards / PPE
SAFETY DATA SHEET
GHS Compliant — OSHA 29 CFR 1910.1200
SDS# GFS-SDS-042
Rev. Date: 01/15/2026
SECTION 1: IDENTIFICATION
Product Name:
GFS Alkaline Cleaner Concentrate
Product Code:
CLN-ALK-001
Manufacturer:
Global Food Solutions, Inc.
Address:
131 Heartland Blvd, Edgewood, NY 11717
Emergency Phone:
(800) 424-9300 (CHEMTREC)
SECTION 2: HAZARD IDENTIFICATION
Signal Word: DANGER
H314: Causes severe skin burns and eye damage. H318: Causes serious eye damage.
SECTION 3: COMPOSITION
Sodium Hydroxide (1310-73-2) 5-10% | Sodium Hypochlorite (7681-52-9) 3-5% | Water (7732-18-5) Balance
SECTION 4: FIRST AID MEASURES
Eyes: Flush with water 15 min. Skin: Remove contaminated clothing, wash with water. Inhalation: Move to fresh air. Ingestion: Do not induce vomiting. Call Poison Control.
SECTION 5: FIRE-FIGHTING MEASURES
Non-flammable. Use water spray, dry chemical, or CO2 for surrounding fires. Avoid chlorine gas from thermal decomposition.
SECTION 6: ACCIDENTAL RELEASE
Contain spill. Neutralize with dilute acid. Absorb with inert material. Dispose per Section 13.
SECTION 7: HANDLING & STORAGE
Use with adequate ventilation. Store in original container, tightly closed. Keep below 100 F. Do not mix with acids.
SECTION 8: EXPOSURE CONTROLS / PPE
PPE Required: Chemical splash goggles, neoprene gloves, chemical-resistant apron, face shield when pouring.
PEL: NaOH 2 mg/m3 (OSHA) | NaOCl: Not established. Ventilation: Local exhaust recommended.
SECTIONS 9-16: ADDITIONAL INFORMATION
9. Physical: Liquid, clear to pale yellow, pH 12-13
10. Stability: Stable under normal conditions
11. Toxicology: LD50 (oral, rat) > 2000 mg/kg
12. Ecological: Harmful to aquatic life
13. Disposal: Hazardous waste, per local regulations
14. Transport: UN 1824, Class 8, PG II
15. Regulatory: SARA 311/312, CERCLA RQ
16. Revised 01/15/2026. Supersedes 07/2024

SDS binder located at Dock Office, Break Room, and digitally on GFS intranet. All employees trained on SDS access per HazCom 2012.

S4 PPE Tracking Matrix Employee / Equipment / Issued / Expiry / Status
Personal Protective Equipment Tracking
Edgewood Facility — Updated 05/17/2026
Employee Department Hard Hat Safety Vest Gloves Eye Protection Hearing Steel Toes Cold Gear
Carlos Mendez Warehouse
Sarah Kim Warehouse
James Rodriguez Dock
Maria Santos Operations
Angela Torres QA Lab
✓ Current & compliant
⚠ Expiring within 30 days
✗ Overdue / needs replacement
— Not required for role

PPE inventory checked monthly. Replacement gloves issued quarterly. Steel toe boots replaced annually or upon visible wear.

S5 Monthly Safety Report Incidents / Near Misses / Training / Inspection Score
Global Food Solutions, Inc.
Monthly Safety Report
May 2026 — Edgewood Facility
Prepared by: James Rodriguez, Safety Manager
Date: 05/17/2026
Recordable Incidents
0
0 incidents this month
Near Misses Reported
2
Both addressed within 24 hrs
Training Hours
42
+8 vs. monthly target of 34
Inspection Score
94%
+2% vs. April
Days Since Last Incident
43
Last: 04/04/2026
Near Miss Log (May 2026)
NM#DateLocationDescriptionRoot CauseAction TakenStatus
NM-26-011 05/08 Dock Bay 4 Pallet jack rolled toward dock edge while unattended Brake not engaged Brake check added to SOP; dock wheel chocks installed Closed
NM-26-012 05/14 Frozen A Condensation puddle at freezer door threshold Door seal degradation Seal replaced 05/15; anti-slip mat added Closed

Safety meetings held weekly (Mondays 7:00 AM). Near miss reports encouraged — no-fault reporting policy in effect.

S6 Lockout / Tagout Procedure Card Equipment / Energy Sources / Isolation / Verification
Machine-Specific LOTO Procedure Cards — OSHA 29 CFR 1910.147
Lockout / Tagout Procedure
Roller Conveyor — Line 1
LOTO-EQ-014
Asset#: EQ-CONV-014
Location: Dry Storage 1
Energy Type: Electrical (480V 3-Phase)
Lock Required: 1 padlock
1
Notify all affected personnel that conveyor will be locked out for maintenance.
2
Shut down conveyor using the main power switch on Panel D1-P3.
3
Isolate energy: Turn breaker CB-14 to OFF position in Panel D1-P3.
4
Lock & Tag: Apply personal padlock and DANGER tag to breaker CB-14.
5
Verify: Attempt to start conveyor at main switch. Confirm zero energy state.
6
Release: Remove lock/tag. Verify all clear. Restart per SOP.
Lockout / Tagout Procedure
Refrigeration Compressor — Unit C-2
LOTO-EQ-003
Asset#: EQ-COMP-003
Location: Mechanical Room
Energy Type: Electrical (480V) + Pneumatic (150 PSI)
Locks Required: 2 padlocks
1
Notify all affected personnel. Coordinate with refrigeration team for temp monitoring.
2
Shut down compressor using control panel STOP button in Mechanical Room.
3
Isolate electrical: Turn breaker CB-03 OFF in MCC Panel. Isolate pneumatic: Close valve V-03A and bleed pressure to 0 PSI.
4
Lock & Tag: Padlock #1 on CB-03. Padlock #2 on V-03A handle. DANGER tags on both.
5
Verify: Attempt start at control panel. Check pressure gauge reads 0 PSI.
6
Release: Remove both locks/tags. Verify clear zone. Restart per SOP.
■ LOTO Protocol: Only trained, authorized employees may perform LOTO. One lock per person — never share locks.
Procedure cards posted at each machine and in LOTO binder (Maintenance Office). Annual LOTO training required per OSHA 1910.147.

24 LOTO procedure cards covering all lockable equipment. Annual procedure audit conducted by safety manager. Last audit: 04/2026 — 100% compliant.

S7 OSHA Compliance Checklist Annual Audit / 29 CFR Standards / Edgewood Facility
Global Food Solutions, Inc.
OSHA Compliance Audit Checklist
Audit Date: 05/18/2026
Auditor: James Rodriguez, Safety Manager
OSHA Standard Requirement Status Notes
1910.22 Walking-working surfaces clean, dry, free of hazards Pass Anti-slip mats at all freezer thresholds
1910.36-37 Exit routes maintained, marked, illuminated Pass All 12 exits verified. Battery backup on signs tested 05/01
1910.132 PPE hazard assessment completed, documented Pass Assessment updated 01/2026. All zones covered.
1910.147 LOTO program implemented with machine-specific procedures Pass 24 LOTO cards. Annual audit passed 04/2026
1910.157 Fire extinguishers inspected monthly, annual certification Action Needed Bay 6 extinguisher due for annual recertification 06/2026
1910.178 Forklift operators trained, evaluated, certified Pass All 6 operators current. Next recert: 01/2027
1910.1200 Hazard Communication program, SDS access, GHS labels Pass Digital SDS binder updated. 100% employee training
1910.151 First aid kits stocked, accessible, personnel trained Pass 3 stations inspected. AED batteries current.
1910.95 Hearing conservation program (if >85 dBA TWA) Pass Compressor room at 88 dBA. Hearing protection required, posted
1910.303 Electrical panels accessible (36" clearance), labeled Pass All panels labeled. Floor markings in Mech Room
Items Checked
10
Passed
9
Action Required
1

Checklist covers General Industry standards (29 CFR 1910). Construction activity uses 1926. Annual audit filed with safety records. Next scheduled: 05/2027.

S8 PPE Requirements by Zone Cold Storage / Dry Warehouse / Loading Dock / QA Lab / Mech Room
Zone-Specific PPE Matrix — Edgewood Facility
PPE Item Cold Storage
(≤0°F)
Refrigerated
(34-40°F)
Dry Warehouse Loading Dock QA Lab Mechanical Room Office
Hard Hat (ANSI Z89.1)
Safety Vest (Hi-Vis ANSI 107)
Steel-Toe Boots (ASTM F2413)
Insulated Gloves (cold rated) Required
Insulated Coveralls / Cold Suit Required
Safety Glasses (ANSI Z87.1)
Hearing Protection (NRR 25+) Required
Chemical-Resistant Gloves
Face Shield When pouring
■ Cold Storage Rule: Maximum continuous exposure at ≤ 0°F is 60 minutes. Mandatory 10-minute warm-up break after each session. Insulated coveralls, face protection, and cold-rated gloves are non-negotiable. Buddy system required for all freezer entries.

PPE requirements posted at each zone entry point. Visitors receive loaner PPE at security desk. Non-compliance results in immediate zone removal and supervisor notification.

S9 Incident Report Form Injury / Near Miss / Property Damage / Investigation
Global Food Solutions, Inc.
Workplace Incident Report
Report# IR-2026-0047
CONFIDENTIAL
Incident Type
Employee Signature
Carlos Mendez — 05/18/2026
Supervisor Signature
James Rodriguez — 05/18/2026
Safety Manager Review
Pending review

Incident reports filed within 24 hours. OSHA-reportable injuries reported within 8 hours (fatality) or 24 hours (hospitalization, amputation, eye loss). All reports retained 5 years minimum.

S10 Emergency Evacuation Map Layout Floor Plan / Assembly Points / Exit Routes / Equipment Locations
EMERGENCY EVACUATION PLAN — Edgewood Facility
131 Heartland Blvd · Updated 05/2026
COLD STORAGE ≤ 0°F REFRIGERATED 34-40°F DRY WAREHOUSE LOADING DOCK Bays 1-6 MECH ROOM QA LAB OFFICE EXIT 1 EXIT 2 EXIT 3 EXIT 4 FE FE FE FE ASSEMBLY: PARKING LOT A
Fire Extinguisher
First Aid Station
AED Location
Emergency Exit
Assembly Point

Evacuation maps posted at every exit and hallway intersection. Emergency drills conducted quarterly. Last drill: 04/22/2026 — full evacuation in 2 min 48 sec (target: under 3 min).

S11 First Aid Station Inventory ANSI Z308.1 / Station Locations / Restock Schedule
First Aid Kit Contents — ANSI Z308.1-2021 Compliant
ItemRequired QtyStation 1
(Dock Office)
Station 2
(Break Room)
Station 3
(QA Lab)
Expiry Check
Adhesive bandages (1" x 3")1620 ✓18 ✓16 ✓N/A
Sterile gauze pads (3" x 3")46 ✓4 ✓6 ✓11/2027
Roller bandage (2")12 ✓1 ✓2 ✓N/A
Triangular bandage (40")11 ✓1 ✓1 ✓N/A
Antiseptic wipes1012 ✓8 ⚠10 ✓03/2027
Burn cream packets66 ✓6 ✓6 ✓09/2027
Cold pack (instant)23 ✓2 ✓2 ✓12/2027
Eye wash (1 oz)12 ✓1 ✓2 ✓08/2027
CPR breathing barrier11 ✓1 ✓1 ✓N/A
Nitrile gloves (pairs)24 ✓4 ✓4 ✓N/A
AED (wall-mounted)1 per areaBattery: 02/2028

First aid stations inspected monthly by safety manager. AED pads replaced every 2 years or after use. 4 CPR/AED-certified employees on every shift. Restock orders through NetSuite vendor MedLine (PO auto-generated).

S12 Forklift Safety Certification Checklist OSHA 1910.178 / Pre-Operation Inspection / Operator Evaluation
OSHA 29 CFR 1910.178
Daily Pre-Operation Inspection
Unit#: FLT-003
Operator: Carlos Mendez
Date: 05/18/2026
Shift: Day (06:00-14:00)
Fluid levels (oil, coolant, hydraulic)✓ OK
Tire condition and inflation✓ OK
Forks (cracks, bends, wear)✓ OK
Mast and chains✓ OK
Brakes (service and parking)✓ OK
Horn and backup alarm✓ OK
Lights (head, tail, strobe)✓ OK
Seatbelt / operator restraint✓ OK
Fire extinguisher mounted✓ OK
LP tank / battery connections✓ OK
Certification Requirements
Operator Evaluation Criteria
CLASSROOM (4 Hours)
1. Truck types and operating principles
2. Load capacity and stability triangle
3. Pre-operation inspection procedures
4. Pedestrian safety and right-of-way rules
5. Refueling / recharging procedures
6. Workplace-specific hazards (cold storage, dock areas)
PRACTICAL (4 Hours)
1. Mount/dismount using three-point contact
2. Start-up and shut-down procedures
3. Forward/reverse travel with load
4. Stacking and de-stacking at height
5. Ramp and incline operation
6. Dock plate alignment and dock loading
7. Narrow-aisle maneuvering
EVALUATION
Written test: 80% minimum passing score
Practical evaluation: All critical items must pass
Certification valid: 3 years from date of evaluation
Re-evaluation triggers: accident, unsafe operation, new equipment

Pre-operation inspections filed daily in maintenance log. Any failed item removes the truck from service until repaired. Operator certifications tracked in NetSuite custom record (GFS-CERT-FLT).

S13 Fire Safety Protocol Extinguisher Types / Suppression Systems / Response Procedure
Fire Extinguisher Classification & Placement
ClassFire TypeExtinguisher TypeLocationInspection
AOrdinary combustibles (paper, wood, cardboard)Water / ABC Dry ChemicalAll warehouse aisles, office, break roomMonthly visual / Annual cert
BFlammable liquids (oils, fuels, solvents)CO2 / ABC Dry ChemicalForklift charging area, mechanical roomMonthly visual / Annual cert
CElectrical equipmentCO2 / ABC Dry ChemicalServer room, electrical panels, dock officeMonthly visual / Annual cert
KCooking oils / fatsWet ChemicalBreak room kitchenMonthly visual / Annual cert
Fire Response: R.A.C.E. Protocol
R
RESCUE
Remove anyone from immediate danger. Do not put yourself at risk.
A
ALARM
Pull the nearest fire alarm. Call 911. Notify supervisor.
C
CONTAIN
Close doors and windows to slow fire spread. Do not lock exit doors.
E
EVACUATE
Follow evacuation routes to assembly point. Account for all personnel.
■ Extinguisher Use: P.A.S.S. Pull the pin. Aim at the base of the fire. Squeeze the handle. Sweep side to side. Only attempt to extinguish small fires. If fire cannot be controlled in 30 seconds, evacuate immediately.

Sprinkler system tested quarterly (wet pipe in warehouse, dry pipe in freezer). Fire alarm panel: Simplex 4100U in dock office. Local fire department: Edgewood FD, 0.8 miles, avg response 4 min.

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