This paper will provide the reader with a foundational understanding of the elements of an effective safety program, as outlined by the revised ANSI A10.38 Basic Elements of an Employer's Program to Provide a Safe and Healthful Work Environment. Additionally, we will briefly discuss how the other ANSI A10, OSHA and International Standards relate to the development and use of safety programs. Finally, we will consider some lessons learned from existing safety programs that the author has observed in real-world situations, asking and answering how one discards the bad, transforms the ugly, and refines the good to produce and outstanding, self-tailored, company safety program.

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