Download Injury and Illness Prevention Program

Injury and Illness Prevention Program
Table of Contents
New Employee Checklist………………………………………………………………………………………….1
Code of Safe Practices…………………………………………………………………………………………….2
Behavior……………………………………………………………………………………………………………3
Roles and Responsibilities & Authority and Accountability……………………………………………………4
 Supervisors
 Safety Management
 Campus Safety Manager
Injury and Illness Prevention Program…………………………………………………………………………..5
 Compliance
 Hazard Assessment and Correction
 Accident Investigations
 Departmental Safety Programs
 Communication
 Documentation
Accident Reports…………………………………………………………………………………………………..6
Witness Statement Form……………………………………………………………………….…………………7
Laboratory Employee Training Checklist & Hazardous Chemicals ………………………………………….8
Defensive Driving & Traffic Accident Reporting.………………………………………………...…...………..9
Ergonomics…………………………………………………….…………………………………………………10
 Computer Ergonomic Review Tool……………………………….…….…………………………….11
 Eye Protection………………………………………………..…………………………………………12
 Hearing Conservation Program…………………………………..………………………………...…13
Personal Protective Equipment……………………………………………….……….………………………...14
Emergency First Aid Procedures………………………………………….………….………………………….15
 Oxygen Guidelines…………………………………….………….………….………………………….16
 Bloodborne Pathogen Control…………………….…………….…………………….………………..17
 Contamination Procedures…………………………………………………………..………………....18
Glossary of Terms………………..………………………………………………………………………………...19
Safety Inspection Team…………………..………………………………………………………………………...20
Simpson University Office Safety Inspection………..……………………………………………………………21
Model Hazard Communication Program………………..……………………………………………………......22
IIPP Forms………………………………..………………….……………………………………………………...23
 Accident Investigation
 Hazard ID and Correction
 Safety Training Template
 Safety Training Log
 Safe Behavioral Reinforcement
 Safety One-on-One Checklist
 Accident Review Council Charter
 Site Inspection Team Charter
 Student Safety Council Charter
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New Employee Training Checklist
(Record new employee trainings on Safety One-on-One Checklist)
_______ Explanation of the employer’s IIP Program, Code of Safe Practices,
Emergency Action Plan, and measures for reporting any unsafe conditions, work
practices, injuries and when additional instruction is needed.
________ Use of appropriate clothing, including gloves, footwear, and personal
protective equipment.
________ Information about chemical hazards to which workers could be
exposed and other hazard communication program information.
________ Safe work practices and procedures working around or with the
following equipment and machinery:
________ Safe work practices and procedures working with the following
power tools:
________ Ergonomic risks, including workstation design, posture, and proper
techniques for lifting and carrying materials.
________ Electrical hazards.
________ Provisions for medical services and first aid including emergency
procedures.
________ Heat stress and heat exhaustion.
________ Other job-specific hazards, such as:
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CODE OF SAFE PRACTICES
SIMPSON UNIVERSITY
It is our policy that everything possible will be done to protect employees, residents,
and visitors from accidents. Safety is cooperative, and requires participation by every
employee. Failure by any employee to comply with safety rules will be grounds for
corrective discipline. Supervisors shall insist that employees observe all applicable
company, state and federal safety rules and practices and take action as is necessary to
obtain compliance: To carry out this policy employees shall comply with the following
regulations and shall report:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
All unsafe conditions and equipment to your supervisor or safety coordinator.
All incidents, injuries and illnesses to your supervisor or safety coordinator
immediately.
Anyone known to be under the influence of intoxicating liquor or drugs, shall not be
allowed on the job while in that condition.
Horseplay, scuffling, and other acts which tend to have an adverse influence on the
safety or well-being of the employees is prohibited.
Means of egress shall be kept unblocked, well-lighted and unlocked during work
hours.
In the event of fire, sound alarm and evacuate.
Upon hearing fire alarm, stop work and proceed to the nearest clear exit. Gather at
the designated location.
Only trained workers may attempt to respond to a fire or other emergency.
Exit doors must comply with fire safety regulations during business hours.
Stairways should be kept clear of items that can be tripped over, and all areas under
stairways that are egress routes should not be used to store combustibles.
Materials and equipment will not be stored against doors or exits, fire ladders or fire
extinguisher stations.
Aisles must be kept clear at all times.
Work areas should be maintained in a neat, orderly manner. Trash and refuse are to
be thrown in proper waste containers.
All spills shall be wiped up promptly.
Always use the proper lifting technique. Never attempt to lift or push an object which
is too heavy. Contact your supervisor when help is needed to move a heavy object.
Never stack material precariously on top of lockers, file cabinets or other relatively
high places.
When carrying material, caution should be exercised in watching for and avoiding
obstructions, loose material, etc.
Do not stack material in an unstable manner.
Report exposed wiring and cords that are frayed or have deteriorated insulation so
that they can be repaired promptly.
Never use a metal ladder where it could come in contact with energized parts of
equipment, fixtures or circuit conductors.
Maintain sufficient access and working space around all electrical equipment to
permit ready and safe operations and maintenance.
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22. Do not use any portable electrical tools and equipment that are not grounded or
double insulated.
23. All electrical equipment should be plugged into appropriate wall receptacles or into
an extension of only one cord of similar size and capacity. Three-pronged plugs
should be used to ensure continuity of ground.
24. All cords running into walk areas must be taped down or inserted through rubber
protectors to preclude them from becoming tripping hazards.
25. Motorized vehicles and other mechanized equipment shall be inspected daily or
prior to use.
26. Shut off engine, set brakes and block wheels prior to loading or unloading vehicles.
27. Inspect pallets and their loads for integrity and stability before loading or moving.
28. Do not use compressed air for cleaning off clothing.
29. Do not store compressed gas cylinders in areas which are exposed to heat sources,
electric arcs or high temperature lines.
30. Identify contents of pipelines prior to initiating any work that affects the integrity of
the pipe.
31. Wear hearing protection in all areas identified as having high noise exposure.
32. Goggles or face shields must be worn when grinding.
33. Do not use any faulty or worn hand tools.
34. Guard floor openings by a cover, guardrail, or equivalent.
35. Do not enter into a confined space unless tests for toxic substances, explosive
concentrations, and oxygen deficiency have been taken.
36. Always keep flammable or toxic chemicals in closed containers when not in use.
37. Do not eat in areas where hazardous chemicals are present.
38. Be aware of the potential hazards involving various chemicals stored or used in the
workplace.
39. Cleaning supplies should be stored away from edible items on kitchen shelves.
40. Cleaning solvents and flammable liquids should be stored in appropriate containers.
41. Solutions that may be poisonous or not intended for consumption should be kept in
well labeled containers.
42. When working with a VDT, have all pieces of furniture adjusted, positioned and
arranged to minimize strain on all parts of the body.
43. Never leave lower desk or cabinet drawers open that present a tripping hazard. Use
care when opening and closing drawers to avoid pinching fingers.
44. Do not open more than one upper drawer at a time, particularly the top two drawers
on tall file cabinets.
45. Appliances such as coffee pots and microwaves should be kept in working order
and inspected for signs of wear, heat or fraying of cords.
46. Fans used in work areas should be guarded. Guards must not allow fingers to be
inserted through the mesh. Newer fans are equipped with proper guards.
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Behavior
Supervisors and Directors should be actively engaged in encouraging safe work
behaviors and enforcing safety rules. Oversight and involvement should include
daily observation of work behaviors and interaction with employees:
Key behaviors include but are not
limited to:
1.
2.
3.
4.
5.
Actions regarding observed behaviors
include:
Body mechanics/lifting
Pace of work
Focus
Technique
Following safety rules
1.
2.
3.
4.
5.
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Verbal positive reinforcement
Safety One-on-One training
Verbal behavior correction
Verbal warning
Written warning
Roles and Responsibilities & Authority and Accountability
(R2A2)
Senior Management Responsibility
Senior Management Responsibility consists of:
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Allocating adequate resources
Ensuring responsibility
Reviewing and evaluating results
Department Heads
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Developing policy
Ensuring responsibility
Ensuring workplace inspections
Review supervisors, investigations of accidents and injuries
Review alleged hazardous conditions to determine the necessary corrective
actions
Review and evaluate programs and results
Campus Safety Operations Coordinator’s Responsibility
The CSOC has responsibility for:
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Ensuring that upper management is aware of all accidents which have occurred
and all hazards which have been identified.
Maintaining company’s Injury Illness Prevention Program.
Assist in the development of policies and in the coordination of required health
and safety training.
Serving as a liaison with government agencies.
Maintaining current information on local, state and federal health regulations.
Arranging safety and health inspections and following up to ensure that the
necessary corrective action is completed.
Accident investigation
Maintaining records of inspection, hazard abatement, training and OHSA
required paperwork.
Reviewing injury and illness trends
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Supervisors
Supervisors play a key role in the implementation of safety. Supervisors are responsible
for:
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Developing proper attitude toward safety and health in themselves and in those
they supervise, and for ensuring that all operations are performed with the utmost
regard for the safety and health of all personnel involved.
Ensuring periodic, documented inspections of workspaces under their authority.
Promptly correcting identified hazards.
Providing appropriate safety training and personal protective equipment.
Implementing measures to eliminate or control workplace hazards.
Stopping any employee’s work that poses an imminent hazard to either the
employee or any other individual.
Maintaining all required paperwork.
It is the responsibility of all employees to comply with all applicable health and safety
regulations, company policy and established work practices. This includes but is not
limited to:
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Maintaining a safe work environment.
Learning about the potential hazard of assigned tasks and work areas.
Following all safe operating procedures and precautions.
Using proper personal protective equipment.
Warning coworkers about defective equipment and other hazards.
Reporting unsafe conditions immediately to a supervisor, and stopping work if an
imminent hazard is present.
Participating in workplace safety inspections.
Observing health and safety related signs, posters, warning signals and
directions.
Participating in health and safety training provided by the company.
SAFETY MANAGEMENT
The Campus Safety department is the Injury and Illness Prevention Program (IIPP)
administrator and has the authority and responsibility to implement the provisions of this
program for Simpson University. All members of management are responsible for safety
and health in the workplace. All managers and supervisors are responsible for
implementing and maintaining the IIPP in their work areas and for answering employee
questions about the program. A copy of this IIPP is given to each manager and
supervisor.
Responsibilities of the Campus Safety department are:
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Set policy.
Assign responsibility and accountability to individuals.
Review and evaluate results.
Provide leadership by participation, example, and a demonstrated interest in the
program.
CAMPUS SAFETY OPERATIONS COORDINATOR
The Campus Safety Operation Coordinator’s responsibilities are:
 Work with departments to develop and maintain the Injury and Illness Prevention
Program (IIPP).
 Act in advisory capacity to Simpson staff on matters relating to the IIPP.
 Oversee investigations, losses, accidents and incidents.
 Obtain and publish University safety statistics.
 Provide leadership and direction, stimulate interest in safety, and coordinate the
Accident Review Committee (ARC) and the Safety Inspection Team (SIT)
activities.
 Establish procedures, receive and process accident and safety reports from
departments, ARC, or SIT.
 Provide assistance to departments with their safety programs and facilitate
appropriate University-wide training programs.
 Act in advisory capacity to supervisors to mitigate unsafe work conditions and
practices.
 Arrange for periodic safety inspections of University operations and facilities and
work with department directors to implement corrective action as required.
 Assist departments to inform employees of safety standards and enforce safety
rules.
 Oversee departmental safety programs.
 Ensure that all accidents are reported, investigated, and acted upon.
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SIMPSON UNIVERSITY
INJURY AND ILLNESS PREVENTION PROGRAM (IIPP)
INTRODUCTION
In order to maintain a safe and healthy work environment at Simpson University,
the Office of Campus Safety has developed this overall Injury and Illness
Prevention Program for all employees to follow. This document describes the
goals, statutory authority, and the responsibilities of all employees and students
under the Program. It addresses compliance, hazard identification, accident
investigation, hazard mitigation, training, hazard communication, and program
documentation. By making employee safety a high priority for every Simpson
employee we can reduce injuries and illnesses, increase productivity, and
promote a safer and healthier environment for all individuals at Simpson
University.
GOALS
Diligent implementation of this program will reap many benefits for Simpson
University. Most notably it will:
1.
Protect the health and safety of employees. Decrease the potential
risk of disease, illness, injury and harmful exposures to Simpson
University personnel.
2.
Reduce workers’ compensation claims and costs.
3.
Improve efficiency by reducing the time spent replacing or
reassigning injured employees, as well as reduce the need to find
and train replacement employees.
4.
Improve employee morale and efficiency as employees see that
their safety is important to management.
5.
Minimize the potential for penalties assessed by various
enforcement agencies by maintaining compliance with health and
safety codes.
STATUTORY AUTHORITY
California Labor Code Section 6401.7.
California Code of Regulations Title 8, Sections 1509 and 3203.
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RESPONSIBILITY
It is the responsibility of deans, directors, department chairs, department heads,
principal investigators, managers, and supervisors to develop procedures that
ensure effective compliance with the Injury and Illness Prevention Program
(IIPP), as well as other university health and safety policies related to operations
under their control.
Supervisors, including managers and principal investigators, are responsible
for enforcement of this program among the employees or students under their
direction by carrying out the various duties outlined herein, setting acceptable
safety policies and procedures for each employee to follow, and ensuring that
employees receive the general safety training offered by their supervisor (or
equivalent). Each manager and supervisor must also ensure that appropriate job
specific safety training is received, and that safety responsibilities are clearly
outlined in the job descriptions which govern the employees under their direction.
Supervising others also carries the responsibility for knowing how to safely
accomplish the tasks assigned each employee, for purchasing appropriate
personal protective equipment, and for evaluating employee compliance.
Immediate responsibility for workplace health and safety rests with each
individual employee and/or student. Employees and students are responsible
for following the established work procedures and safety guidelines in their area.
Employees and students are also responsible for using the personal protective
equipment issued to protect them from identified hazards, and for reporting any
unsafe conditions to their supervisors.
Campus Safety is responsible for developing and managing this Injury and
Illness Prevention Program. Additional responsibilities include providing
consultation to the Simpson community on matters of health and safety;
interpreting external regulations and recommending appropriate compliance
strategies.
COMPLIANCE
Compliance with this Injury and Illness Prevention Program will be achieved in
the following manner:

Managers and supervisors will set positive examples for working safely
and require that all staff under their direction work safely.

Managers and supervisors will use all disciplinary procedures available to
them to ensure that employees follow established safety policies and
procedures. Performance evaluations, verbal counseling, written warnings
and other forms of disciplinary action are available.
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Providing on-going safety training to assure safety compliance.
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Evaluating safety performance, including safety performance in annual
employee evaluations, and recognizing employees for safe and healthful
work practices in those evaluations
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Providing for correction and discipline of workers who fail to comply with
safe work practices. Training and correction activities will be recorded by
supervisors on the company Safety One-on-One checklist. Serious safety
violations will be handled in accordance with the university’s discipline
policy.
Simpson University has developed this comprehensive Injury and Illness
Prevention Program to enhance the health and safety of its faculty, staff, and
students. Each department is responsible for implementing the program as
outlined in the following pages.
Hazard Assessment and Hazard Correction
Effective safety requires that hazard assessment be a daily responsibility of all
personnel. All personnel, especially supervisors and managers will be trained to
be on the lookout for new and previously unidentified hazards in the workplace,
including hazards that may result from new substances, processes, procedures,
or equipment.
Hazards that are identified during the course of work will be dealt with utilizing
either one or a combination of the following: (1) Hazard reduction or abatement,
(2) safe guarding or restricting access, (3) issuance and training in use of
personal protective equipment, (4) training. Daily hazard identification and
correction events will be recorded by supervisors and managers on the Safety
One-on-One Checklist. Periodic monthly inspections will be conducted by the
safety administrator in all departments.
ACCIDENT INVESTIGATIONS
Campus Safety and the Accident Review Committee will investigate all
accidents, injuries, occupational illnesses, and near-miss incidents to identify the
causal factors or attendant hazards. Appropriate repairs or procedural changes
will be implemented promptly to mitigate the hazards implicated in these events.
The Campus Safety Manager will be available to assist in these investigations
upon request.
Use the Witness Statement form to attach information pertinent to your accident
and investigator report. Retain a copy of this completed report to serve as
accident (near-miss incidents) investigation documentation.
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Serious occupational injuries, illnesses or exposures to hazardous substances,
as defined by Cal/OSHA, must be reported to Campus Safety no later than eight
hours after they become known to the supervisor. These include injuries that
cause permanent disfigurement or require hospitalization for a period in excess
of 24 hours. Campus Safety will contact Cal/OSHA, if necessary. An accident
investigation will be conducted by Campus Safety in conjunction with a
representative from the injured employee's department.
ACCIDENT REVIEW COMMITTEE (ARC)
Campus Safety has established an Accident Review Committee (ARC) to review
and discuss safety concerns and possible solutions; accidents and their
prevention or minimization; safety training needs and priorities; methods of
reducing injuries and illness; safety incentive programs; how to promote positive
safety attitudes and commitment among all Simpson employees; federal, state,
and local safety and health regulations and the roles and responsibilities of
employees and management with regard to safety in the work place. The
Accident Review Committee shall document and report its findings and
appropriately disseminate such information. Committee members shall serve in
an advisory capacity and have educational responsibilities for the benefit of
management and employees. The goal is to ensure a safe work environment for
employees, reduce the number of illnesses and injuries, foster positive safety
attitudes, stimulate safety awareness and participation in safety activities, and to
lower costs.
The Accident Review Council will:
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Meet in the case of an accident requiring immediate attention.
Prepare, and make available to affected employees, written minutes of the
council meetings. These records must be maintained for at least one
year.
Review results of accident, illness or injury investigations.
Review investigations of any allegedly hazardous conditions brought to
the attention of any council member. The council may conduct
inspections and investigations to assist in remedial solutions.
Submit recommendations to assist in the evaluation of employee safety
suggestions.
Verify abatement actions taken by the school to abate unsafe conditions
cited by Cal/OSHA, if requested to do so.
This council is authorized to submit suggestions to the steering committee for the
prevention of future accidents or illnesses and injuries. Members will be chosen
to effectively represent both faculty and staff. Council representatives will be
appointed for at least one year. The duties of council members include:

Establish safety objectives and policies.
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Review and make recommendations on all recordable accident reports.
Analyze accidents to discover trends and make recommendations.
Investigate serious accidents.
Recommend safety-training topics.
Serve as a conduit for communication for employees, investigating
allegations of hazardous conditions brought to a member’s attention.
Submit recommendations to assist with corrective actions and report
meetings to steering committee.
SITE INSPECTION TEAM (SIT)
The Campus Safety Operations Coordinator has established a Site Inspection
Team (SIT) for the purpose of regularly inspecting all school facilities and
operations to ensure a safe work environment for school employees and the
general public. The Site Inspection Team will document and report its findings
and appropriately disseminate such information. Committee members shall
serve in an advisory capacity and have educational responsibilities for the benefit
of employees. Committee representatives will be appointed for at least one year.
Inspections shall be conducted quarterly.
The SIT team will do the following:
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Establish the schedule for Simpson facility inspections.
Notify SIT members of facilities to be inspected.
Identify the meeting location.
Inform departments of upcoming inspections.
Provide the results of the inspection to the affected department in a timely
manner if at all possible.
Depending on the facility to be inspected, the appropriate department
representative will receive notification and, if requested, provide a staff person to
accompany the SIT on any inspection. Site Inspection Team members will
document violations found and provide a written summary of their findings. A
follow-up report will be sent to the Campus Safety department. The Campus
Safety Department is responsible for correcting the violation(s).
TRAINING and INSTRUCTION
Effective dissemination of safety information lies at the very heart of a successful
Injury and Illness Prevention Program. All employees must be trained in general
safe work practices. In addition, specific instruction with respect to hazards
unique to each employee's job assignment will be provided.
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A.
General Safe Work Practices:
At a minimum, all employees will be trained in the following:
1.
2.
3.
4.
5.
B.
Fire safety, evacuation and emergency procedures
Earthquake preparedness
Campus emergency management
Safe computer workstation use (if applicable)
Hazard communication and awareness
(Use of Material Safety Data Sheets)
Specific Safe Work Practices:
In addition to this general training, each employee will be
instructed how to protect themselves from the hazards
specific to their individual job duties. At a minimum, this entails
how to use workplace equipment, safe handling of hazardous
materials, and use of personal protective equipment. Training must
be completed before beginning to work on assigned equipment,
and whenever new hazards or changes in procedures are
implemented.
Managers/Directors are responsible for providing supervisors with
the training necessary to familiarize themselves with the safety and
health hazards their employees are exposed to.
It is the responsibility of each supervisor to know the hazards
related to his/her employee's job tasks, and ensure they receive
appropriate training.
1.
Supervisors will ensure that all employees receive general
and job-specific training prior to initial or new job
assignments.
2.
Supervisors will ensure that employees are trained
whenever new substances, processes, procedures or
equipment are introduced to the workplace that may create
new hazards. Training must also be given when new or
previously unrecognized hazards are brought to a
supervisor's attention.
All training will be documented and kept in department files. The attached
Employee Training Checklist/Safety one-on-one form (or equivalent) can
be used for this purpose.
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DEPARTMENTAL SAFETY PROGRAMS
Each Division or Department, as appropriate and outlined below, shall
hold safety meetings for the purpose of reviewing accidents and
preventing their recurrence, eliminating hazardous conditions, and
familiarizing employees with safe working procedures and practices.
COMMUNICATION
Effective two-way communication that involves employee input on matters of
workplace safety is essential to maintaining an effective Injury and Illness
Prevention Program. To foster better safety communication the following
guidelines will be implemented:
Managers and supervisors will provide time at periodic staff meetings to discuss
safety topics. Status reports will be given on safety inspections, hazard mitigation
projects, and accident investigation results, as well as feedback to previous
employee suggestions. Employees will be encouraged to participate and give
suggestions without fear of reprisal. Training and daily hazard inspection and
correction activities will be recorded on the Safety One-on-One Checklist.
Periodic inspections will be recorded on forms developed by the safety
administrator.
The department will use Material Safety Data Sheets as one form of employer to
employee communication. Additional communication methods include:
Posters
Meetings
Newsletters
Bulletins
Laboratory Safety Plan
Manuals
Operator Manuals
Warning Labels
Code of Safe Practices
Standard Operating Procedures
Employees are encouraged to bring to the University's attention any potential
health or safety hazard that may exist in the work area. This can be by the
employee contacting their immediate supervisor or Campus Safety at
[email protected].
Employees are advised that there are no reprisals for expressing a concern,
comment, suggestion, or complaint about a safety matter and that adherence to
safe work practices and proper use of personal protective equipment are integral
parts of workplace safety.
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Supervisors will follow up all suggestions and investigate the concerns brought
up through these communication methods, utilizing Campus Safety assistance if
needed. Feedback to the employees is critical, and must be provided for
effective two-way communication.
Compliance will be reinforced by appropriate comments on performance
evaluations.
Non-compliance will be addressed by:


An immediate discussion between the supervisor and the employee who
is discovered working in an unsafe manner
Appropriate disciplinary action up to dismissal
The department will pursue readily understandable health and safety
communications for dissemination to all affected employees.
DOCUMENTATION
Many standards and regulations of Cal/OSHA contain requirements for the
maintenance and retention of records for occupational injuries and illnesses,
medical surveillance, exposure monitoring, inspections, and other activities
relevant to occupational health and safety. To comply with these regulations, as
well as to demonstrate that the critical elements of this Injury and Illness
Prevention Program are being implemented, the following records will be kept
on file in the department for at least the length of time indicated below:
1.
Copies of all IIPP Safety Inspection forms. Retain 1 year.
2.
Copies of all Hazard Identification forms. Retain 1 year.
3.
Copies of all Accident Investigation forms. Retain 3 years.
4.
Copies of all employee training documents. Retain for duration of each
individual's employment.
5.
Copies of all safety postings and safety meeting agendas. Retain 1 year.
6.
Copies of the Annual Accident Statistic Summaries. Retain 1 year.
The Campus Safety department will ensure that these records are kept in
their files, and present them to Cal/OSHA or other regulatory agency
representatives if requested. Review of these records will be conducted by
Campus Safety during routine inspections to measure compliance with the
Program.
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A safe and healthy workplace must be the goal of everyone at Simpson
University, with responsibility shared by management and staff alike. If you have
any questions regarding this Injury and Illness Prevention Program, please
contact the Campus Safety Manager at [email protected]
ACCIDENT REPORTS
The law requires that the university maintain a “Log of Occupational Injuries and
Illnesses”. The LOII Form is used to maintain these injury and illness records.
Human Resources is responsible for maintaining and posting this log.
Any injury or illness that occurs on the job must be reported to the employee’s
Supervisor as soon as possible. In no circumstance, except in an emergency,
should an employee leave work without reporting a work related injury or illness
that occurred while on shift.
Employees are expected to complete a Simpson University Witness Report
Form. It is the Supervisor’s responsibility to make sure these reports are
completed and sent to Human Resources within 48 hours of the time notice of an
injury or illness is received. Human Resources will maintain a file of all Witness
Reports.
Properly completed witness reports are one of the most powerful tools we have
to improve our safety program.
Focus is the difference between an effective safety program and one that is
largely a waste of time and money. This gives us the ability to quickly identify the
problem so we can manage the results. We can control accident frequency by
focusing on the most common types of accidents. We can control accident costs
by focusing on serious or costly accidents.
Witness Reports are the starting point. The goal is to separate all accidents by
type and cause of accident. Sometimes this can be done by a simple review of
accident records, other times some accident investigations may be necessary.
Once we identify the most common type of accident and those that typically are
the most costly, we can often trace these accidents directly to specific areas.
After that, it becomes a much easier job to develop and set up corrective action.
When we are focused on the problem, we can manage the results.
Keeping accident records, investigating accidents, and analyzing the results are
simple but powerful tools in our accident prevention program.
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SIMPSON UNIVERSITY
ACCIDENT INVESTIGATION FORM
An accident is an unintended occurrence that caused or could have caused personal
injury or material damage.
Person(s) involved in the accident:
Department: ____________________________ Date: _________Time: ____________
Description of accident (including nature of injury and material damage, if any)
_______________________________________________________________________________
Indicate any additional injury or material damage that could have occurred
_______________________________________________________________________________
An accident is the result of many causes. In addition, a through investigation may reveal
other conditions or acts that could have but did not cause the accident. Report each
specific condition or act and the necessary corrective action.
Causes (Specific conditions or acts that
caused or contributed to the accident.)
Recommended corrective action:
Check if
completed
_____________________________________
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_______________________________
___________________________________
___

19
_______________________________
___

_______________________________
___

_______________________________
___
Siginature of Supervisor ________________________________________ Date:
_____________
Reviewed by __________________________________________________ Date:
_____________
20
WITNESS STATEMENT FORM
Thank you for your time in filling out the Witness Statement form. The information you
supply can be of great value to us in preventing future mishaps of this nature. When
finished, please return this form to the investigator who handed it to you. Once again,
thank you for your time and understanding.
Information about the person making this statement: (Please print or write
clearly.)
First name _____________________ Middle _________ Last _________________________
Home address ________________________________________________________________
City ___________________________ State __________ Zip code ______________________
Date of birth ____________________ Age ___________ Home phone __________________
Employment (occupation and location) _____________________________________________
Work phone __________________________
Date _____________
Time ______________
Please indicate below exactly what you saw, heard, and know about the mishap you
are giving this statement about. If you’re not sure if it’s important, please put it down. At
times, the most insignificant fact can be of the greatest help. Thank you!
Date of occurrence _____________________
Time of occurrence ______________________
Location of occurrence __________________________________________________________
Statement ____________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
(Please use reverse side if additional room is needed.)
Signature of person making statement
Statement received by _____________________________
Date ___________________________________________
21
LABORATORY EMPLOYEE TRAINING CHECKLIST
Employee___________________________Department__________________________
Employee ID Number_________________ Job Title _______________________________
Document training required for all employees:
(Note: Lab Safety for Professionals/IIPP training meets this requirement)
 Basic laboratory safety
 Fire safety, evacuation, and emergency procedures
 Earthquake preparedness
 Campus emergency management plan
 Safe computer workstation use (if applicable)
 Hazard communication and awareness (Material Safety Data Sheets)
Required training? Training date:
_________
Trained by:
____________
Employee signature:
____________________
Document job-specific training for this employee:
(Note: Supervisors are responsible for determining what training each employee
needs.)

Training subject:
____________________________________________________________
Required training? Training date: Trained by:
___________ _______________
___________________________

Training subject:
____________________________________________________________
Required training? Training date:
___________

Trained by:
_______________
Employee signature:
___________________
Training subject:
____________________________________________________________
Required training? Training date:
___________

Employee signature:
Trained by:
_______________
Employee signature:
____________________
Training subject:
____________________________________________________________
Required training? Training date:
___________
Trained by:
____________
22
Employee signature:
___________________
HAZARDOUS CHEMICALS
Hazardous chemicals to which employees may be exposed during such activity:
This information will include:
1. Specific chemical hazards.
2. Protective/safety measures the employee must take.
3. Measures the company has taken to reduce the hazards, including
ventilation, respirators, presence of co-workers, and emergency
procedures.
Examples of non-routine tasks performed by employees of this university include:
(List task and hazardous chemical below.)
_________________________________
_________________________________
_________________________________
_________________________________
Informing Contractors
It is the responsibility of _____________________________ to provide outside
contractors (with employees) the following information:
1. Hazardous chemicals to which they may be exposed while on
the job site, and the procedure for obtaining MSDS’s.
2. Precautions employees may take to lessen the possibility of
exposure, by using appropriate protective measures, and an
explanation of the labeling system used. It is the responsibility of
____________________________________________ to identify
and obtain MSDS’s for the chemicals the contractor is bringing into
the workplace.
SIMPSON UNIVERSITY FACILITY SAFETY INSPECTION
Location: __________________________________ Date: ______________ Phone: ________________________
Supervisor: ________________________________ Department: ________________________________________
Inspector:
________________________________ JobTitle: ___________________________________________
23
DEFENSIVE DRIVING
This section applies to the operation of any and all University vehicles and
equipment in the performance of an employee’s job duties. Those employees
whose job duties require them to operate a University vehicle or equipment will
be included in the school’s DMV Pull Notice Program. This program allows the
school to be notified of any action by the Department of Motor Vehicles, affecting
an employee’s ability to drive, i.e., suspended license. Employees losing their
driving privileges may not be allowed to operate University vehicles or equipment
until they possess the appropriate, valid drivers’ license. Departments are
responsible for providing Defensive Driver Training Programs for their
employees. The Campus Safety Department is available to assist Departments
in obtaining/providing this type of training.
TRAFFIC ACCIDENT REPORTING
Employees who 1) have an accident in a University vehicle or equipment, 2) in a
privately owned vehicle on university business, 3) witness an accident, injury or
illness on University property, or at a university sponsored event, are to follow
this procedure – STOP and do not leave the scene until the following steps have
been completed:







If possible, help injured. Call 911.
Please give the following information: Location of accident, how many
vehicles are involved, your name and any other information requested by
911.
Do not leave the scene without making an official police report; request
that a police officer respond. Include information regarding injury or illness
or property damage.
If able to do so, exchange information with the other driver, if one is
involved. Obtain their name, address, driver’s license number and vehicle
registration.
Notify Human Resources immediately (530) 226-4941.
Secure name and address of each driver, passenger & witness.
Secure name of insurance company and policy number for each vehicle
involved.
DO NOT ADMIT FAULT. Do not discuss the accident with anyone except your
supervisor, the universities human resource delegate, or police officers.
24
ERGONOMICS
Simpson University, recognizing the need for guidelines and information on
ergonomics for its employees, has prepared this Guide to Ergonomic Standards.
The Guide was developed to provide employees of the university with:


An understanding of ergonomic principles and basic application.
An overview of ergonomic issues which may be encountered and general
methods to control or eliminate them.
PURPOSE
Work to interface employees and work environments by considering the design
of tools and equipment, and layout of the working environment. By fitting the job
to the person, we can improve both employee well-being and work place
efficiency.
ERGONOMICS FOR MANAGEMENT
Ergonomics is an approach to improving performance and reducing costs. Good
use of ergonomics in the design of tools, equipment and workplace can:





Reduce injuries, errors, defects and costs.
Reduce employee turnover and absenteeism.
Improve ease of use, morale, and satisfaction.
Improve quality, productivity, and customer service.
Stimulate innovation.
Worksite evaluations for each job, process, or operation, will be provided to
employees, supervisors, and managers upon request. The Campus Safety
department will arrange worksite evaluations. Worksite evaluations are set up to
reduce Repetitive Motion Injuries (RMI). All aspects of the job will be looked at,
including engineering, administrative, job rotation, work breaks, and fixture/tool
controls.
ERGONOMIC STANDARDS
The Campus Safety Department is targeting safety and health issues which can
be addressed through good ergonomics and injury prevention programs.
The Americans with Disabilities Act (ADA), makes reasonable accommodations
for individuals with special limitations.
25
PRINCIPLES OF ERGONOMICS
Ergonomics is a wide and diverse field of study and difficult to summarize in a
few simple rules. However, there are a number of basic design principles that
can aid in making ergonomic improvements in the work place.
The principles described in this guide are:










Keep everything within easy reach.
Work at proper heights.
Work in good posture.
Reduce excessive force.
Reduce excessive repetition.
Provide change and adjustability.
Provide clearance.
Maintain a comfortable environment.
Provide good work organization.
Note: This section of the Ergonomics Standards lists good principles of
ergonomic design, along with examples of how they might be applied.
Some applications may not be feasible, or even desirable, in specific
situations. A case-by-case review of each task is necessary. Good
judgment should be used in all cases.
The employee should feel free to report any Cumulative Trauma Disorders to
their supervisor. The Campus Safety department will provide work-site
evaluations to employees who make a request.
KEEP EVERYTHING WITHIN EASY REACH
Make layout changes to eliminate awkward and excessive reaches.
A good rule to follow is “watch where the elbow is”. If the elbow is anywhere but
at its neutral position at the side of the body, it may indicate an excessive reach.
Examples of ways to reduce reaches:



Reduce dimensions of the work surface.
Tilt the work surface.
Provide cutouts into the work surface.
26
WORK AT PROPER HEIGHTS





Adjust equipment for the height of each individual.
Adjust equipment for the nature of the work.
Allow for change.
Use properly designed chair that has a seat that curves down in front,
supports the lower back, and has a height that can be changed to suit
different users. The back should keep the spine at a 90 angle to the
thighs. Height should be adjusted to permit correct placement of the
head, hands, and knees (you should not have to hunch over to see the
screen, or bend the elbows more than 90 to reach the keys). Knees
should be at about the same level as the hips.
Generally, you should do all work at elbow height whether sitting or
standing. Contact the Facilities Department about chair information and
cost.
WORK WITH GOOD POSTURE






Keep wrists in neutral posture.
Keep elbows at your side.
Keep back with natural curve of spine intact.
Correct hand and wrist placement are important. Shoulder muscles can
become tense when arms and hands are held too high. Arms should be
held comfortably at the user’s side with the user’s upper arm and forearm
at about a right angle. Wrists should be in line with the forearm; wrist
problems (such as carpal tunnel syndrome) can develop if they are bent at
extreme angles.
Good posture which is essential for the user’s comfort and well being,
especially when sitting several hours a day. To prevent neck and back
strain, the spine and head should be kept upright, and the user should sit
well back into the chair. Placing feet on a footrest helps to take the strain
off legs and back.
Changes in workstations, tool and work methods can be made to keep the
wrist in good posture. You can easily identify the neutral wrist position for
yourself by dangling your arms relaxed at your side. Similarly, changes
can be made in a variety of ways to keep the arms low and elbows in.
REDUCE EXCESSIVE FORCE




Reduce grasping force.
Reduce loads on shoulders and lower back.
Reduce the amount of force used when using the keyboard.
Reduce the amount of weights lifted by using mechanical aids (i.e. hand
truck).
27

The amount of force needed to use a computer keyboard is less than eight
(8) pounds per square inch. That means a light touch is needed. If you
are pounding the keyboard (i.e. making a lot of noise) you are applying
over sixty (60) pounds per square inch. This adds extra stress to your
fingers and wrist.
1. To reduce loads to the lower back, make sure to minimize the
distance between a lifted object and your body. Reduce the
amount of force used by not pulling items, but by pushing them.
REDUCE EXCESSIVE REPETITIONS
Work to improve your workstation layout, eliminate many of the unnecessary
hand and arm motions. Other ways to reduce excessive repetitions:




Use power tools and equipment (i.e. electric stapler).
Improve the way you handle material.
Eliminate double handing.
Keep items on your desk within comfortable reach.
PROVIDE CLEARANCE; REDUCE PRESSURE POINTS



Make sure you have enough space to work.
Provide clearance for: Head - Arms - Torso - Knees - Feet.
Work to reduce pressure points on the body. A closely related problem is
when employees must lean against a sharp/hard edge or object. To
reduce the hard edge, use a form of padding, (i.e. keyboard pad).
PROVIDE CHANGE AND ADJUSTABILITY
There is no one “correct” posture best for an entire working day. The human
body needs changes and mobility. For example, alternate between standing and
sitting, or change work heights for variety.
MAINTAIN A COMFORTABLE ENVIRONMENT
Provide good lighting and eliminate shadows from your work. Reduce the
amount of glare on your work area.
Improvements can include:



Task lighting focused on the areas where it may be needed.
Use indirect lighting to reduce direct glare.
Use diffusers or shields to reduce direct glare.
28
Good lighting is not always bright lighting. Glare can be reduced by pulling
drapes or repositioning the VDT screen. Other options such as hoods, glare
screens and/or special lighting should be utilized for further eye comfort.
Be aware that computer tasks are best done with less room illumination and
precision tasks may require more illumination than normal.
PROVIDE GOOD WORK ORGANIZATION
Good work place design includes more than physical issues such as proper
heights and good lighting. The bottom line is to be organized, ranging from task
allocation to various administrative practices.
Ways for management and employees to improve organization:







Good Planning: anticipate, think ahead, and discuss.
Job Decision Latitude: Provide people with as much control as possible
over the daily events of work life. Employees need to keep supervisors
informed when they require assistance by another employee, another
piece of equipment, work station adjustments or tools, being provided
more time to complete an assignment, rotating duties so as not to perform
the same duty over and over until an injury occurs, etc.
Employee Involvement: Encourage employee ideas and input in decisionmaking.
Job Enlargement: Allocate more tasks and responsibilities to a job, rather
than create an extremely narrow subdivision of labor.
Communications: Provide mechanisms to share information, coordinate,
and help plan.
Team Building: Provide a sense of belonging and being valued,
particularly in a small work group.
Training: Conduct ongoing programs to train personnel on how to protect
themselves from repetitive injuries.
OFFICE ERGONOMICS
Ergonomic design in university offices has become increasingly important to all
employees. Here are several things you can do to improve your workstation.




Use a hard copy holder close to the monitor to reduce eye motions and
discomfort, and allow proper neck posture.
The top of the monitor should be placed at eye level to allow proper head
and neck position.
Use padded wrist rest to reduce arm and shoulder discomfort.
Adjust your chair to the right height.
29


Place keyboard at elbow height with a slight incline. All keyboards can be
adjusted to meet your needs.
Place both feet flat on the floor or use a footrest to provide stability.
VIDEO DISPLAY TERMINAL
The following approaches are recommended for all video display users:






Employees engaged in extended periods of usage should take a break
from the terminal for fifteen (15) minutes after two (2) hours of consecutive
work at the terminal.
An anti-glare filter will reduce the total amount of glare from lights and
outside sources.
Tilt the monitor to 35; this will reduce glare and eye and strain.
Use a well designed video display terminal (VDT) that allows the user to
make individual adjustments. For comfortable head and neck placement,
the top of the screen should be positioned at eye level. The screen should
also be 18-inches to 28-inches from the user’s eyes. To minimize tension
in the shoulder muscles, the keyboard should be low enough so that the
arms hang freely and elbows are bent at right angles. Depending on chair
height, this would put the keyboard between 25-inches to 29-inches from
the floor. Detachable keyboards and desks having a split-level design are
ideal for this. Contrast should be adjusted to a comfortable level; not so
bright as to cause flicker or be hard on the eyes.
The work being copied should be near the VDT screen, at the same height
and distance, to prevent eye and neck muscle strain from looking up and
down between the work and the VDT screen.
Good eye care can help prevent visual problems. Focusing at close range
for long periods of time can sometimes cause blurred vision or eye
soreness; common but temporary problems experienced by many people
who work on jobs requiring a high degree of detail. To lessen the strain
on eye muscles, as mentioned under design factors, the VDT screen
should be at least 18-inches to 28-inches from the user’s eyes. Also, the
user should look up and focus on something in the distance every 15
minutes or so. Itching and burning may be caused by dryness, but
blinking now and then will help keep the eyes moist.
30
RISK FACTORS:
REPETITIVE MOTION INJURIES AND CUMULATIVE TRAUMA
The risk factors associated with repetitive motion and the physical activities
which are known to contribute to RMI’s/CTD’s are:
 Continuous use of the same tool/instrument or of similar tools and
instruments in construction, agricultural, or repair activities.
 Repetitive key stroking, manually striking, or pressing a data entry device.
 Processing of agricultural products to include cutting, trimming, peeling, or
loading activities.
 Work where repeated motions or exertions are paced by a mechanical or
electrical device, such as a packaging or labeling operation.
 Repetitive manual operation of a cash register or presentation of an object
to a data-scanning or optical-coding device.
 Routine assumption of a crouched or stooped body posture.
 Routine manual lifting of objects weighing 20 pounds or more.
 Other risk factors associated with RMI’s/CTD’s are: frequent force,
duration, awkward posture, work rest intervals, poor design of tools or
equipment, presence of vibration, and exposure of toes or fingers to cold
while performing repetitive work.
RISK FACTORS FOR CUMMULATIVE TRAUMA
RISK FACTORS
PREVENTION
Repetition
The number of wrist, arm or
back motions per day.
Reduce the number of motions,
or smooth these motions
Force
The amount of exertion used,
whether grip force, exertion on
the arm, or compression on the
back.
Reduce the exertion needed to
accomplish the task.
Awkward
Posture
The degree to which the body is
in an awkward posture, or
percentage of time in that
posture i.e. bent wrist, elbows
away from the body, bent or
twisted back.
Design task, equipment and tools
to keep the wrists in neutral
position elbows at the sides and
the back with the natural curve of
the spine intact.
Direct Pressure Excess pressure on any part of
the body.
Improve tool and equipment
design to eliminate the pressure
or provide cushioning.
Vibration
Exposure to vibrating tools or
equipment.
Isolate the hand or body from the
vibration
Temperature
Exposure to temperature
extremes.
Prevent the exposure or provide
insulation.
31
CONTROL OF RISK FACTORS
The following are commonly used methods in ergonomic problem resolution:
A.
Campus Safety Department:





B.
Campus Safety works with departments to obtain training for individuals
who will conduct ergonomic work site evaluations (or utilize outside
consultants) and arrange ergonomic training.
Arrange appropriate employee training once ergonomic workstation
evaluations have been completed.
Obtain for the departments an evaluation of work-related RMI/CTD
exposures and arrange ergonomic work site evaluations, upon request.
Assist in making appropriate recommendations for control measures for
exposures to RMI’s/CTD’s.
Assist in evaluating the effectiveness of control measures for exposures to
RMI’s/CTD’s and making recommendations for continuous process
improvements as technology advances.
Department Directors:









Undertake early intervention to prevent RMI/CTD injuries.
Determine if jobs, processes, or work activities in his/her Department may
cause RMI’s/CTD’s.
Periodically perform, through observation of identified jobs and functions
using an appropriate checklist (see sample below), ergonomic work-site
evaluations.
Ensure that appropriate and effective control measures for exposures to
RMI’s/CTD’s are determined and implemented in a timely manner.
Provide and/or coordinate ergonomic training for all affected employees.
Provide and/or coordinate ergonomic training on all newly acquired tools
or equipment.
Ensure that a procedure is in place for employees to report symptoms and
perceived work-related ergonomic risk factors to supervision or
management.
Ensure that accurate records are maintained as to worksite evaluations,
training of employees as to the exposures associated with RMI’s/CTD’s,
and reporting of symptoms and injuries documentation to the Campus
Safety department.
Monitor the effectiveness of their Department’s ergonomic program on an
ongoing basis.
32
Sample Checklist:









C.
Can the work be performed without eyestrain or glare to the employees?
Does the task require prolonged raising of the arms?
Do the neck and shoulders have to be stooped to view the task?
Are there pressure points on any parts of the body (wrists, forearms, back
of thighs)?
Can the work be done using the larger muscles of the body?
Can the work be done without twisting or overly bending the lower back?
Are there sufficient rest breaks, in addition to the regular rest breaks, to
relieve stress from repetitive-motion tasks?
Are tools, instruments and machinery shaped, positioned and handled so
that tasks can be performed comfortably?
Are all pieces of furniture adjusted, positioned and arranged to minimize
strain on all parts of the body?
Supervisors:




D.
Use the appropriate tools, equipment, parts, and materials in the same
manner established by the supervisor, department safety representative,
treating physician, and/or manufacturer.
Follow established procedures to ensure equipment is properly maintained
in good condition and to report damaged or malfunctioning equipment.
Attend ergonomics training as required and applying the knowledge and
skills acquired to actual job task, processes, or work activities.
Report signs and symptoms of RMI’s and perceived work-related
ergonomic hazards to supervisor.
Employee Training:




Training on ergonomics will be provided to employees.
Extra training may be provided in tailgate/safety meetings by department
or division over the course of one year.
Training shall cover injury prevention, risk reduction, the factors which
cause RMI, RSI and cumulative trauma.
Training records shall be kept according to the IIPP.
33
COMPUTER ERGONOMIC REVIEW TOOL
This tool was designed to provide step-by-step practical guidance to perform simple
ergonomic workstation evaluations for computer users. Please use this form to
determine how computer users interact with their workstations. Log answers and actions
taken to improve employee comfort.
Person evaluated:
Date of evaluation:
Name of evaluator:
E-mail/phone # of evaluator:
E yes
Evaluation Points
Possible Solutions
Is monitor an arm’s
distance away from user?
Yes
No
Position monitor 20 to 30 inches
away from user.
Is top of monitor screen at
or slightly below eye
level?
Position top of monitor no higher
than eye level. Bifocal wearers may
need to lower monitor to desktop.
Yes
No
Is there a glare on the
screen?
Yes
No
Is the screen clean?
Yes
No
Reduce glare by re-positioning
monitor parallel to windows,
decreasing overhead lighting, using
window shades, tilting screen to a
flat position, or using an anti-glare
filter.
Remove dust and smudges from
screen.
34
Actions Taken/Date
Head, Neck & Shoulders
Evaluation Points
Possible Solutions
Are ears positioned over
shoulders when looking at
monitor (not bent up or
down)?
Yes
No
Position top of monitor no higher
than eye level. Bifocal wearers may
need to lower monitor to desktop.
Is user aligned in front of
monitor and keyboard?
Yes
No
Align monitor and keyboard directly
in front of user.
Are input documents
positioned to minimize
head movement?
Yes
No
Use a document holder that is
aligned under monitor or is next to
and near the same level as monitor.
Are frequently used work
tools within easy reach of
user?
Yes
No
Move frequently used items (phone,
calculator, etc.) within easy reach to
avoid over-reaching strains.
Are tasks and postures
shifted throughout the
workday?
Yes
No
Alternate tasks and postures as a
part of daily work plans. Give hands
periodic rest breaks when
keyboarding or mousing.
Are head and neck
aligned when using the
phone?
Hold receiver upright when using
the phone, use speakerphone, or
telephone headset. Determine the
need for a telephone headset by
user’s average call frequency,
duration, or whether multiple tasks
are being performed while using the
phone.
Yes
No
35
Actions Taken/Date
Arms, Elbow s, Wrists & Hands
Evaluation Points
Possible Solutions
Are shoulders relaxed and
elbows approximately
angled from 90o to 110o
(not stretched forward or
bent upward)?
Yes
No
Install an articulating (height &
depth adjustable) keyboard/mouse
tray or adjust chair height (if
keyboard is on desktop) in order to
achieve appropriate angles.
Is mouse/input device at
same level and close to
keyboard?
Yes
No
Align mouse/input device on same
level and as close as possible to
minimize arm extension.
Are wrists straight while
keyboarding or mousing
(not angled or drooping)?
Flatten keyboard tray angle. If
helpful to guide wrists to a flat
posture, use a gel-filled wrist/mouse
support. Use good typing/mousing
technique — float over the keys and
use wrist support only during keying
breaks. Do not deviate wrists side to
side.
Yes
No
Does mouse/input device
fit user’s hand?
Yes
No
Try out different sized/shaped
devices.
Does mouse respond
easily when in use?
Yes
No
Clean ball of mouse. Use a different
type of mousing surface.
Is right hand tired from
overuse?
Yes
No
Train left hand to use input devices.
Are hard, sharp, or cold
edges contacting arms,
wrists, or elbows?
Yes
No
Cushion surfaces. Use wrist/mouse
supports to prevent contact with
body parts.
36
Actions Taken/Date
Back, Legs, & Feet
Evaluation Points
Possible Solutions
Is curve of the lower
back supported in chair?
Yes
No
Adjust or add lumbar support to chair
to fit the lower curve of the back.
Do feet rest firmly on
floor or footrest?
Yes
No
Provide a footrest.
Are hips and knees at
comfortable angles
when seated back in
chair?
Yes
No
Adjust chair height, back tension, or
tilt in order to achieve comfort in hips
and knees. Sit back in chair to provide
full support. Minimize sitting on chair
edge.
Is there a fist distance of
space between front of
chair and back of knees
when seated back fully?
Yes
No
Adjust seat pan depth if able. If seat
pan is too deep, add a lumbar
cushion to the back. If seat pan is too
shallow, get a chair with a deeper
seat.
Does user perch toward
front of chair?
Yes
No
Provide a footrest. Raising feet will
force user’s back into the chair
backrest.
Is seat pan adequately
cushioned?
Yes
No
Add additional seat cushion or
purchase new chair if able.
Is there adequate leg
clearance under desk to
stretch legs while
seated?
Yes
No
Remove clutter from under desk.
Do thighs come in close
contact with underside
of desk or keyboard
tray?
Yes
No
Remove obstructions that contact
thighs, raise desk, or lower chair if
able.
Does user have a hard
time moving chair
around the workstation?
Yes
No
Use a chair mat on carpeted floors to
allow smooth movement and minimize
force. Replace damaged chair
casters.
37
Actions Taken/Date
EYE PROTECTION
PURPOSE
To establish operating requirements for providing proper eye protection for
University employees and to comply fully with CAL/OSHA Title 8 requirements.
RESPONSIBILITIES
It is the responsibility of the Facilities department to ensure proper protective
equipment is available for Facility Department employees and student workers
and to ensure all provisions of this program are implemented within their area of
responsibility.
It is the responsibility of every supervisor to:
 Ensure their work areas are as safe as possible by minimizing
hazards.
 Evaluate each operation in terms of potential eye hazards.
 Ensure proper eye protection is available for use.
 Ensure proper eye protection is worn by employees.
 Establish which types of eye protective equipment jobs require.
 Evaluate and authorize the use of specific brands and types of
equipment.
GENERAL REQUIREMENTS
Whenever there is a reasonable possibility of eye injury, approved eye protection
devices will be provided and their use by personnel in such areas is required.
Types of Eye Protection
Safety Glasses - Spectacle type glasses with lenses made of shatter-resistant
material. To be used as general eye protection against chips of metal and paint,
chips from trees, grass clippings, dust, liquid, etc.
Goggles - Clear plastic eye protection that provides a tight fit around the eyes to
protect from flying particles and splashing substances.
Face Shield - Clear plastic shield that covers the entire face and is worn on a
headband. The shield protects the face from flying particles and chemicals.
Welders Helmets - Used by maintenance personnel to protect the eyes and face
against ultraviolet and infrared light. The helmet has a dark lens, which filters the
light.
38
Welders Goggles - Darkened goggles used by welders when helmets are not
practical.
Eye Protection Areas
The proper eye protection is mandatory for the following processes at this
University.
Glasses -General machining work in the University shop.
Goggles -Blowing with high pressure air and spraying insecticide/herbicides.
Welders Helmet/Goggles -Welding or cutting with a torch.
Face Shield - Transferring caustic chemicals, grinding with a rotary grinder,
and/or using a weed whacker.
Personnel working in areas requiring eye protection shall wear only equipment
that is authorized by the supervisor responsible for that area.
Contact Lenses
Contact lenses are not to be considered as a substitute for required eye
protection.
Employees are responsible for wearing the appropriate eye protection, i.e. safety
glasses, goggles or a face shield.
EMERGENCY EYE WASH STATIONS
There are two eye wash stations, one in the facilities shop yard and one in the
biology lab. Each department shall regularly inspect all emergency equipment for
serviceability.
DOCUMENTATION
Records are to be kept of any equipment issued or training provided as well as
testing and maintenance records. The supervisor of each area is responsible for
keeping such records and making them available upon request.
39
HEARING CONSERVATION PROGRAM
A hearing conservation program shall be administered whenever employee noise
exposure equals or exceeds an 8-hour time-weighted average sound level of 85
decibels measured on the A scale (slow response) or equivalently, a dose of 50
percent.
A responsible hearing conservation program includes five elements:





Noise survey and analysis.
Engineering controls.
Professionally supervised hearing testing.
Personal hearing protection.
Education.
Noise can affect health in various ways. A very intense noise, such as that
caused by a discharge of a high explosive device, can damage the conductive
mechanism of the human ear. Continuous exposure to relatively loud noise over
a period of time can damage the inner ear. In either case a hearing impairment
results.
Non-hearing effects of noise can also affect health. These effects include
disturbance and annoyance, which can interfere with sleep and communication
and thus impair performance and efficiency.
It is important to protect your hearing at all times.
PURPOSE
The purpose of this standard is to establish operating procedures for the
Simpson University Hearing Conservation Program. It is to follow guidelines set
by Cal/OSHA.
RESPONSIBILITIES
It is the responsibility of the supervisor to ensure the Hearing Conservation
Program is maintained in his/her area.
It is the responsibility of the supervisor to ensure employees are supplied with
appropriate hearing protection equipment when required, to enforce the use of
such hearing protection, and to ensure employees are trained in the use of
hearing protection.
40
The Campus Safety department will assist supervisors as requested with:







Implementing a monitoring program.
Maintaining data and all records on noise measurements made within the
University.
Identifying all work areas where noise exposure may equal or exceed a
time weighted average of 80 dba.
Determining who should have audiometric examinations as needed.
Providing hearing conservation training for employees in qualifying areas.
Investigating noise controls for equipment that produces noise levels in
excess of 85 dba.
Assessing potential noise output.
PROCEDURES
Employees included in the Hearing Conservation Program are informed of the
following:







The purpose of audiometric testing.
An explanation of the procedure.
The results of the test.
Audiometric testing is performed by a licensed or certified audiologist,
otolarynogologist, or other physician, or by a technician who is certified by
the Council of Accreditation in Occupational hearing Conservation, or who
has satisfactorily demonstrated competence in administering audiometric
examining, obtaining valid audiograms, and properly using, maintain and
checking calibration and proper functioning of the audiometers being
used.
The results of all audiometric tests are maintained in the employee’s
medical files.
Employees included in the Hearing Conservation Program shall receive an
audiogram upon termination.
Management reviews audiometric test results and trends in hearing loss.
It is the responsibility of employees to wear hearing protection where required.
The Campus Safety department must approve any deviation from the
requirements of this section.
NOISE EXPOSURE
Protection against the effects of noise exposure shall be provided when the
sound levels exceed those in Table N-1 included in this Section.
41
When employees are subject to noise exposures exceeding those listed in Table
1, feasible administration or engineering controls shall be utilized. If such
controls fail to reduce noise exposures within the levels of Table N-1, personal
protective equipment shall be used to reduce noise exposures within the levels of
the table. Radio headsets shall not be used as hearing protective devices.
Exposure to impulse or impact noise shall not exceed 140 dB peak sound
pressure level. Continuous noise exposures are measured with a calibrated
standard level meter set on the A-scale at slow response or with calibrated audio
dosimeters.
TABLE N-1 PERMISSIBLE NOISE EXPOSURE 1
Permitted Duration Per Workday
Sound
Level
(dBA)
minutes
90
Permitted Duration Per Workday
hours
Sound
Level
(dBA)
minutes
hours
8-0
8.00
103
1-19
1.32
91
6-58
6.96
104
1-9
1.15
92
6-4
6.06
105
1-0.
1.00
93
5-17
5.28
106
0-52
0.86
94
4-36.
4.60
107
0-46
0.76
95
4-0
4.00
108
0-40
0.66
96.
3-29
348
109
0-34
0.56
97
3-2
3.03
110
0-30
0.50
98
2-38
2.63
111
0-26
0.43
99
2-18
2.30
112
0-23.
0.38
100
2-0
2.00
113
0-20
0.33
101
1-44
1.73
114
0-17.
0.28
102
1-31
1.52
115.
0-15
0.25
When the daily noise exposure is composed of two or more periods of noise
exposure of different levels, their combined effect should be considered, rather
than the individual effect of each. If the sum of the following fractions: C1/T1 +
C2/T2...Cn/Tn exceeds unity, then, the mixed exposure should be considered to
42
exceed the limit value. Cn indicates the total time of exposure at a specified
noise level, and Tn indicates the total time of exposure permitted at that level.
 If the variations in noise level involve maxima at intervals of 1
second or less, the noise is to be considered continuous.
 Exposure to impulsive or impact noise should not exceed 140 dB
peak sound pressure level.
Note: Authority and reference cited: Section 142.3, Labor Code.
MONITORING
Campus Safety will provide affected employees with an opportunity to observe
noise measurements conducted within the University. A sound level meter may
be used to screen noise exposures. If these exposure measurements and
estimated exposure durations, exceed a time-weighted average of 85 dBA, a
more complete evaluation of employee noise dose is required. All continuous,
intermittent, and impulsive sound levels from 85 decibels to 130 decibels shall be
integrated. Each employee exposed at or above an 8-hour TWA of 85 decibels,
or 50 percent, shall be notified of the result of the monitoring.
AUDIOMETRIC TESTING
A baseline audiogram shall be taken within 90 days for each employee who is
initially assigned, or reassigned to work in areas where the noise exposure
equals, or exceeds, an 8-hour time-weighted average, 85 dBA, or a dose of 50
percent.
An annual audiogram shall be taken for:


Each employee with noise exposure which equals or exceeds an 8-hour,
time-weighted average, 85 dBA, or a dose of 50 percent.
Employees having a detected hearing loss.
Employees shall be notified of their audiometric test results.
If the employee has suffered a standard threshold shift, as defined by Cal/OSHA
Regulations, the employee will be notified by the provider of testing.
EMPLOYEE TRAINING
Employee training on hearing conservation will be made available annually to all
employees exposed to noise at, or above, 85 decibels 8-hour TWA of 85
decibels. The Hearing Conservation Training Program will include information on
hearing protection, effects of noise on the ear, and testing information.
43
RECORD KEEPING
All records shall be maintained for a period of thirty years and shall include the
following information:











Employee name and identification number.
Date the monitoring was performed.
Employee’s job assignment and work location.
Noise levels, exposure duration and/or other appropriate measurements of
the work area.
Equipment records.
Audiometric Testing Records.
Employee name and number.
Employee job assignment and work location.
Date, time, and location of test.
Name of person performing the test.
Records information on test equipment, including model, serial number
and calibration date.
GLOSSARY
Acoustic: Containing, producing, arising from, by or associated with sound.
Audible Sound: Sound containing frequency components lying between 20 and
20,000 Hz.
Background Noise: Noise coming from sources other than the source being
monitored.
Hearing Conservation: Prevention or minimization of noise-induced deafness
through the use of hearing protection devices, engineering methods, audiometric
tests and employee training.
Hearing Level: The deviation in decibels of an individual’s threshold from the zero
reference of the audiometer.
Noise: Any unwanted sound.
Noise-induced Hearing Loss: Slowly progressive inner ear loss that results from
exposure to continuous noise over a long period of time.
Sound Level: A weighted sound pressure level, obtained by the use of metering
characteristics.
Threshold: The level where the first effects occur. Also the point where a person
begins to notice the tone is becoming audible.
44
PERSONAL PROTECTIVE EQUIPMENT
Personal Protective Equipment (PPE) shall be utilized as stated in the Injury and
Illness Prevention Program, Safety Manual, and all Departmental Safety
Manuals, Standard Operating Procedures, or General Orders. Any exceptions to
the use, type, location of use, or non-use of personal protective equipment shall
be determined by the Facilities manager. Failure to wear PPE when appropriate
can result in disciplinary action.
SAFETY FOOTWEAR
Approved foot protection shall be worn by employees who are exposed to
potential foot injuries from hot material, corrosive substances, falling objects, and
crushing or penetrating activities. All footwear shall comply with departmental
requirements to be determined by Facilities office.
Procedure


Employees purchase safety footwear at their own expense unless
otherwise indicated in a Memoranda of Understanding between Simpson
University and the employee.
Failure to wear safety footwear when required can result in disciplinary
action.
HEAD PROTECTION
All employees and visitors are required to wear approved head protection for the
following types of conditions:







Overhead hazards or ground level moving objects.
In construction zones.
Exposure to electric shock or burns
A risk of injury from hair entanglement with moving machinery,
combustible material, or toxic contaminants exist. Employees so affected
shall confine their hair to eliminate the hazard.
Utility line maintenance and installation.
Roadway repair including curbs, gutters, and sidewalks; and maintenance
of utility poles and street trees.
Interior areas of buildings requiring head protection shall be properly
posted.
EYE AND FACE PROTECTION
Eye protection is required for those employees wearing corrective lenses.
Approved eye protection devices may include safety glasses, impact goggles,
45
impact face shield, etc.
Facilities department provides safety eyewear.
Employees are responsible for wearing safety eyewear.
All employees shall wear approved eye and/or face protection at all times when
operating machinery or performing any operation where an exposure to eye or
face injury from flying particles, hazardous materials, or injurious light rays exist.
Approved impact goggles and/or face shields are required during operation of
jack hammers, chippers, chain saws, grinders, root cutters, concrete saws,
edgers, spade hammers, impact devices, and power activated tools.
Those work locations as identified by the Campus Safety department and
Facilities, where eye and/or face protection is required shall be so posted.
Facilities shall govern the conditions under which eye and face protection shall
be used.
HAND PROTECTION
Approved hand protection shall be worn by all employees exposed to hazardous
substances, burns, cuts, punctures, or other hazards that may be present in the
performance of their job duties. All hand protection shall be provided to
employees by the Facilities department.
Facilities are responsible for providing hand protection to employees that is
appropriate for the exposure. Employees are responsible for wearing such
protection.
BODY PROTECTION
Full-body protection may be necessary when exposures present a threat to the
torso. Protection of this type includes chemical suits, aprons, coveralls, and rain
gear. The appropriate clothing shall be worn for the work being performed. Loose
fitting sleeves, shirttails, and cuffs shall be confined to prevent entanglement in
moving machinery. Supervisors are responsible for ensuring that such protection
is made available to the employee and the employee is properly trained to utilize
such items. Employees are responsible for wearing such protection.
EARLY WARNING AND VISUAL PROTECTION
Any work performed in areas subject to vehicle traffic, or any activity exposing
employees to vehicular traffic, will require that an approved early-warning
clothing be worn; i.e., traffic vest, orange shirt, or orange jacket. Supervisors are
responsible for ensuring that appropriate protection is made available to the
employee and the employee is properly trained to utilize such items. Employees
are responsible for wearing such protection.
46
EMERGENCY FIRST AID PROCEDURES
Emergency situations will require the immediate activation of the Emergency
Medical System (EMS) 911.
REMEMBER: FROM UNIVERSITY BUILDINGS, Dial 911.
Urgent situations (non-life threatening but requiring medical attention within a
short time) - The patient will have the option of activating EMS. However, the
employee may be transported to a hospital, and/or medical center by taxi, or
driven to the center by a supervisor.
Routine situations - Normal first aid will be given.
Employees needing medical treatment will be sent to one of the following medical
providers:
MEDICAL CLINICS
Pulse Urgent Care 100 E. Cypress Ave
(530) 722-1111
AFTER HOURS:
SHASTA REGIONAL MEDICAL
CENTER
1100 Butte Street
Redding CA 96001
530-244-5400
MERCY MEDICAL CENTER
2175 Rosaline Avenue
Redding CA 96001
530-225-6000
UNIVERSAL PRECAUTIONS
Universal precautions shall be observed to prevent contact from body fluids.
Universal precautions are infection control techniques based on the concept that
blood and certain body fluids are presumed to be infectious. These precautions
are mandated, and include, but are not limited to, the following:



Single-use disposable gloves shall be replaced as soon as practical
if contaminated.
Mask, eye protection, and face shields are to be worn if possibility
of splashes, sprays, etc.
Gowns, aprons, and other body clothing must be worn if possibility
of occupational exposure.
47

Hands should be washed as soon as possible, even when gloves
are used OR after removing gloves; Alcare or antiseptic wipe
should be used if water is not available.
See Blood borne Pathogens for more information.
TAKING ACTION








Check the scene - Is it safe for you to enter without injury to yourself or
others?
Call, activate the EMS System. Have someone call 911 or 9-911 from
University Buildings.
Care for the Victim.
 A = AIRWAY - Open the victim’s airway. Head tilt chin lift.
 B = BREATHING - Listen for breathing five to ten
seconds.
 C = CIRCULATION - Check the victim’s pulse for five
to ten seconds.
Do a secondary survey: - Do a head-to-toe survey.
Start CPR if the victim is not breathing and does not have a pulse.
Control bleeding.
Treat for shock.
Check for other injuries.
ACTIVATE Emergency Medical Services (EMS) for the following:







Respiratory or cardiac arrest
Cerebrovascular accident (Stroke)
Advanced stages of labor
Unconscious person
Falling systolic B/P below 90
Heat stroke
Head injury with altered level of consciousness
If any injury or illness has the potential for sudden deterioration, ACTIVATE
EMS. The person can decline transport. The goal is to ensure that, if a condition
does deteriorate, a more advanced life support system is immediately available.
The decision to activate EMS is the responsibility of the responding party.
HANDLING OF VICTIMS WITH POTENTIAL CERVICAL SPINE INJURIES:
Any person who has an injury caused by force (i.e. traumatic injuries, falls, hit by
an object/person, referred herein as a Trauma Victim) is presumed to have a Cspine (Cervical Spine/Neck) injury until proven otherwise by a medical doctor.
48
The following are absolute indications for C-spine immobilization and Activation
of EMS:












Mechanism of injury suggesting acceleration/deceleration forces that
could have snapped the neck back and forth (“whiplash” injury).
Loss of consciousness.
Neck pain - Is there any pain along the spine?
Neurological deficits (unequal grip strength, sensory deficit).
Numbness or paresthesia (pins and needles feelings), tingling in hands
and or feet.
Weakness or heaviness in any of the limbs.
Difficulty breathing.
Abnormal vital signs - Be especially alert for hypotension without other
signs of shock.
Cuts and bruises over the head, face, neck, back or abdomen.
Deformity of spine.
Loss of sensation.
Weakness or paralysis, flaccidity.
FIRST AID
For any person who may have a back or neck injury:
 Stabilize the head and neck. Stop movement.
 Maintain an open airway, if needed. Use jaw thrust; not head tilt chin lift.
 Do not move the victim before EMS arrives unless life-threatening factors
are present at the site.
 Of moving the victim is mandatory, is 2 – 4 people and concentrate on
protecting the head, neck, and spine to prevent any movement.
WHAT TO DO
Abrasions: Control bleeding. Wash with germicidal cleaner. Advise injured to
watch for signs and symptoms of infection.
Allergies: Rule out potential for serious allergic reaction before giving any
medication. In case of severe allergic reaction due to bee sting or other allergen,
activate EMS immediately. Use Epi-Pen (antidote) if available.
Amputations: Control bleeding (direct pressure, elevation, pressure point) if
required. ACTIVATE EMS IMMEDIATELY, IF LIFE THREATENING
 Apply direct pressure to amputated stump to control bleeding. Apply a
saline-soaked gauze dressing followed by a bulky dressing. Keep the
extremity elevated at all times.
49


Whenever possible, retrieve the amputated body part and take it with the
victim to the hospital.
The amputated body part may be rinsed with clean water, if needed, but
do not scrub. Wrap the part in dry, steril gauze or a clean cloth and place
in a sealed plastic bag. Place bag on a bed of ice, do not bury it.
Asthma: If the patient is having obvious difficulty breathing, and has their own
medicine, assist the patient with their own medicine and see if relief is obtained.
If no relief, ACTIVATE EMS. If EMS has been activated, oxygen may be
administered in accordance with Oxygen Guidelines.
Avulsion:
Major wounds - Control bleeding (direct pressure, elevation, pressure point if
required), ACTIVATE EMS IMMEDIATELY IF LIFE THREATENING, and
apply appropriate sterile dressing.
Minor wounds - Control bleeding; apply appropriate dressing. Refer injured to
medical center if sutures are required. Advise the injured to watch for signs
and symptoms of infection.
Back and Neck Injuries: ACTIVATE EMS, if serious. Normally, DO NOT
move patient with suspected back/neck injuries. If the injured person must be
moved, stabilize the head, neck and spine and avoid movement at all costs.
If trained, make and record full neurological assessment, including evaluation of
motor and sensory functions at both hands and feet.
Blisters: Wash with germicidal. Antibiotic ointment may be applied. Cover with
sterile dressing and bandage.
Burns: Major Burns - ACTIVATE EMS. The following criteria are used to
identify critical burns:
 Burns with any RESPIRATORY INVOLVEMENT.
 Burns, other than sunburn or superficial first degree burns, involving more
than 10% of body surface.
 Third degree burns involving more than 5% of body surface.
 Burns to FACE, HANDS, FEET OR GENITALIA.
 Burns complicated by FRACTURE OR MAJOR SOFT TISSUE INJURY.
 Deep ACID, ALKALINE, OR ELECTRICAL BURNS.
 Burns occurring to PERSONS WITH SERIOUS UNDERLYING DISEASE
(i.e. heart disease, emphysema.)
 Wash all chemical burns with running water for 15 minutes or more.
50
Persons with critical burns generally will be transported to a designated burn
center. Very little first aid can be performed in the field and activation of EMS
and transport of these patients for definitive care must be expedited. Cover with
sterile dressing or sterile sheet (except chemical burns). Second degree burns
with open lesions may be wrapped with sterile towels/gauze that has been
moistened with sterile water. First and third degree burns should be covered with
dry dressings.
Minor burns: Cool by immersing the burned part in cold tap water or applying
cool wet cloths to the area for twenty minutes. Cover with dry dressing.
Advise the injured to watch for signs and symptoms of infection.
Chest Pains: ACTIVATE EMS




Oxygen may be administered in accordance with oxygen guidelines.
Record vital signs.
Check Blood Pressure.
A person with a known history of angina, may be assisted with their own
prescription medicine. If there is no relief, or the condition worsens,
ACTIVATE EMS.
Chronic Obstructive Pulmonary Disease: A person with a history of COPD
who complains of difficulty breathing requires definitive medical care. ACTIVATE
EMS.


Oxygen may be administered in accordance with oxygen guidelines.
Record vital signs - Include respirations for a full minute, check depth,
regularity, and level of consciousness.
Difficulty Breathing: ACTIVATE EMS
Fractures:
General: Fractures are splinted and ice packs applied by a person providing
first aid with transport to definitive medical care by activation of EMS. In case
of impaired circulation to an extremity distal to a fracture, ACTIVATE EMS.
Compound Fractures: Cover open wound with sterile dressing.
attempt to move broken ends of broken bone.
Do not
Femur Fractures: Normally, manual traction will be applied. A traction splint
may be applied if response times are extended, or the victim needs to be
moved in order to allow EMS access.
51
Note: Applying or making a makeshift traction splint is not allowed except
in extremely unusual conditions when a victim must be moved by the
person providing first aid.
Clavicle Fractures: Ensure the mechanism of injury precludes the possibility
of C-Spine injury or treat for C- Spine injury. Apply a sling and bind the
injured arm to the body.
Note: Shock occurs frequently with clavicle fractures. Treat for shock.
Ankles sprain:
Apply ice, elevate, wrap with ace bandage.
RICE:
R = Rest
I = Ice
C = Compression
E = Elevate
Knees: Splint in position of comfort (which probably will be bent) apply ice,
elevate.
Head Injuries: Presume C-Spine injury until ruled out. If there is a loss of
consciousness, ACTIVATE EMS.
Minor Head Injuries:
complications.
Counsel person about signs and symptoms and/or
Hypoxic Conditions: ACTIVATE EMS
 Record vital signs; be sure to include respirations for a full minute
including depth, regularity, and level of consciousness.
Infected Wounds:



Wash with germicidal cleanser.
Antibiotic ointment may be applied with patient’s permission.
Bandage with sterile dressing.
Insect Bites:



Rule out the potential for allergic reaction (anaphylaxis).
Remove stinger (if present) and wash with germicidal cleanser.
Cold compress may be applied.
52
Lacerations:
Major Wounds
 Control bleeding (direct pressure, elevation, pressure point if required).
 ACTIVATE EMS IMMEDIATELY, if life threatening, or if victim is in shock,
and apply an appropriate sterile dressing.
Minor Wounds
 Wash with germicidal cleanser.
 Antibiotic ointment may be applied with patient’s permission.
 Bandage with sterile dressing.
Particle/Foreign Body in Eye:


Wash eye with sterile normal saline or eye wash solution.
If the particle cannot be dislodged by this method, cover both eyes with
loose dressing and refer to EMS.
Seizures: ACTIVATE EMS




Prevent person with seizure from hurting themselves.
Do not place anything between patient’s teeth or try to restrain patient.
Oxygen may be administered in accordance with oxygen guidelines.
Note: There are events where participants with known history of seizures
will be assessed as to whether they need transport or can be assisted with
their own medication and released.
Slivers/Splinters:



Wash with germicidal cleanser.
If possible, remove with clean forceps or splinter forceps.
Antibiotic ointment may be applied with patient’s permission.
o Note: Do not dig, probe, or cut in an effort to
remove splinters.
Trauma/Shock: ACTIVATE EMS.



Oxygen may be administered in accordance with oxygen guidelines.
Keep patient warm.
Record vital signs, check blood pressure, check respiration for a full
minute including depth, regularity, and level of consciousness.
53
BLOODBORNE PATHOGEN CONTROL
INTRODUCTION
You may be one of several classifications of University employees who may risk
on-the-job contact with blood and body fluids. These materials may contain
pathogens, small organisms that can cause serious disease. Those who come in
contact with blood and body fluids are most at risk for exposure to blood borne
pathogens. The Cal/OSHA standards board adopted an emergency standard on
January 14, 1999 and this regulation applies to any employer who has
employees performing tasks where there is a reasonably anticipated exposure
to blood or other forms of infectious materials. This includes University
employees who would provide emergency first aid. Federal OSHA Law 29 CFR
1910.1030, California Title 8 CCR 5193.
SCOPE
This section applies to all university employees with occupational exposure to
blood, bodily fluids, or other potentially infectious materials. Occupational
exposure means reasonably anticipated skin, eye, mucous membrane, or
parenteral contact with blood or other potentially infectious materials that
may result from the performance of an employee’s duties. Parenteral
contact means piercing mucous membranes, or the skin barrier, through such
events as needle sticks, human bites, cuts, and abrasions.
REFERENCES
The Simpson University Injury and Illness Prevention Plan covers information on
Personal Protection Equipment, Eye Safety, and Respiratory protection.
BLOODBORNE PATHOGENS
Blood borne pathogens are pathogenic microorganisms that are present in
human blood or bodily fluids.
Potentially infectious materials include:
 semen, vaginal secretions.
 cerebrospinal, synovial fluid.
 pleural, pericardial, peritoneal fluid.
 amniotic fluid.
 fluid visibly contaminated with blood, such as saliva or vomit.
 all body fluids in situations where it is difficult or impossible to differentiate
between fluids.
 any unfixed tissue or organ (other than intact skin) from human (living or
dead).
54
 HIV-containing cell, tissue, organ cultures.
HIV, HBV, MHCV-containing culture medium, blood, organs, tissues from
experimental animals infected with such diseases.
KNOW THE RISK

HBV - Hepatitis-B Virus and HCV - Hepatitis-C Virus. Hepatitis starts as
an inflammation of the liver and may result in liver damage. Symptoms
include those of the flu, fatigue, nausea, and loss of appetite, stomach
pain and perhaps yellow skin.

HIV - Human Immunodeficiency Virus. May have no symptoms. May
develop AIDS “HIV disease” months or years after the exposure. The
Human Immunodeficiency Virus, which interferes with the body’s ability to
fight diseases.
These are transmitted or passed on, when disease organisms enter the body
through breaks in the skin or mucous membranes.
EXPOSURE CONTROL PLAN
The university has set up the following procedures and precautions for employee
safety for situations involving exposure to infectious disease or suspected
exposure to infectious disease. All university employees should exercise their
professional judgment and common sense as to when they believe there is a
likelihood of contact with blood or body fluids and exercise reasonable care in
those situations. As a general rule, all unprotected contact with blood or body
fluids should be avoided.
Exposure Incident: A specific eye, mouth, or other mucous membrane, non-intact
skin, or parenteral contact with blood or other potentially infectious materials that
results from the performance of an employee’s duties.
Occupational Exposure: Reasonably anticipated skin, eye, mucous membrane,
or parenteral contact with blood or other potentially infectious materials that may
result from the performance of an employee’s duties.
Universal Precautions: Shall be observed to prevent contact from body fluids.
Universal precautions are infection control techniques based on the concept that
blood and certain body fluids are presumed to be infectious. These precautions
are mandated and include, but are not limited to, the following: Single use,
disposable gloves shall be replaced as soon as practical if contaminated. Mask,
eye protection and face shields are to be worn if possibility of splashes, sprays,
etc. Gowns, aprons, and other body clothing must be worn if possibility of
55
occupational exposure. Hands should be washed as soon as possible - Alcare
or antiseptic wipe should be used if water is not available.
PERSONAL PROTECTION EQUIPMENT
Gloves - Gloves should be routinely worn at every medical emergency and when
contact with other potentially infectious materials is reasonably anticipated. As
emphasized in this policy, your intact skin is the first line of defense against
disease, virus and bacteria from the outside. Gloves are of particular importance
to you when there is any compromise of your own skin layer (such as a cut or
chapped hands).
Check the integrity of your gloves before you engage in patient care. Check
them again if you find yourself involved in an extended and/or physically
demanding incident. Change gloves when leaving one patient to provide care to
other victims. (particularly in trauma cases). Place extra gloves in first aid kits,
and carry extra gloves at all times. Avoid touching yourself or any other
uninvolved objects with your gloved hand.
Remember, the gloves will not protect you from a needle stick or punctures from
sharp objects. Use caution when working with (or around) sharp objects.
Properly dispose of contaminated gloves (in the red infectious waste plastic
bags).
Safety Glasses - Safety glasses are provided for use by personnel involved in
providing emergency medical care and/or first aid. The use of safety glasses is
recommended in cases where the patient is suspected of having a disease
transmittable by airborne droplets, or in incidents where an extensive exposure to
blood or other body fluids is anticipated.
Particle Masks/Surgical Masks - Particle masks are to be stocked in all
university first aid kits. They should be used when personnel anticipate exposure
to airborne blood or infectious fluid exposure.
Currently available particle masks do not provide protection from airborne
particulate, nor are they impervious to fluids. Personnel should not rely upon
them for protection from direct contact from blood and other infectious body fluids
or airborne particulate.
Hands/Skin - Good personal hygiene should be practiced. Wash your hands
frequently and before eating, avoid putting hands in mouth, fingernail and cuticle
biting, etc. When working with gloves, or in an area of exposure, avoid applying
makeup, lip ointments, or handling contact lenses.
56
After removing gloves, wash hands as soon as possible before touching other
objects, such as the medical kit, first aid kit, the resuscitator, fire apparatus door
latches and handles, steering wheel, etc.
Use the disinfectant that is provided, but do not rely upon it by itself – follow-up
with a thorough washing of at least 30 seconds in hot/warm water, cleanse with
soap.
When skin has been exposed to blood or other infectious body fluids, wash
immediately with any means possible. Follow-up with a 5-minute scrub with
soap.
When washing hands, create as much friction as possible for at least 30
seconds.
Clothing - Dry clean items as soon as possible, remove contaminated clothing
(using gloved hands).






Place clothing in leak-proof container - a plastic bag will suffice. Dispose
of gloves as an infectious waste.
Public safety uniforms and personal clothing should be taken to a dry
cleaner. Advise the dry cleaner not to handle the article of clothing.
Discard the bag as infectious waste.
The dry cleaning solution will “kill” virtually any infectious agent.
Machine washables - washable clothing should be handled and packaged
similarly. The articles can be pre-washed in a disinfectant solution first and
then machine-washed. Regular detergent in a regularly measured quantity
is sufficient to kill virtually all-infectious agents, when used with warm/hot
water. Air-drying or mechanical drying will further assist in
decontamination.
Boots should be scrubbed with soap and hot water to avoid contamination
to other surfaces.
Turnout clothing should be scrubbed clean with a soap-and-water solution.
A soap-and-water solution is said to be sufficient to deactivate the
HIV/HBV agents.
EQUIPMENT DECONTAMINATION



Use 1:10 solution of cold water to bleach.
Keep in mind that the germicidal effect of this solution diminishes with time
after exposure to air...do not use pre-mixed or lukewarm solutions.
Place disposable items into the red “infectious waste” bags and hand off to
paramedics.
57

Large items should be cleaned using the bleach/water solution...exercise
care in avoiding “runoff” - a spray bottle containing the solution would
serve well.
CONTAMINATION PROCEDURES
What is considered a reportable exposure?





Percutaneous contact with blood or body fluids (needle stick or through
cut on hand).
Mucous membrane contact with blood or body fluids (splash to eyes or
mouth).
Any blood or body fluid contact with chapped, abraded, or irritated skin.
Prolonged or extensive skin contact with blood or body fluids.
Respiratory exposure to airborne transmitted diseases.
If any employee is exposed to blood or other body fluids while administering first
aid or CPR, the employee must inform the ambulance crew or the receiving
hospital of the exposure. The employee should immediately complete and
submit an Incident Report Form for Risk Management.
POLICY

It is the policy of the university that employees shall be required to control
potential occupational exposures of direct and indirect contact to infectious
materials. All body fluids shall be considered potentially infectious and
universal precautions shall be taken.

The exposure determinations by classification shall be made by Risk
Management.

Departments shall establish written procedures (Standard Operation
Procedures, General Orders, Manual of Operations) for compliance
including training of employees in those procedures. Engineering and
work practice controls shall be in writing and comply with the minimum
requirements of Section 5193, (d), Title 8, California Code of Regulations.

Hepatitis-B vaccination is available at no out-of-pocket cost to employees
listed in the classifications of this policy, by contacting Campus Safety and
requesting vouchers.

Employees listed in the classifications found in this policy who decline to
accept the Hepatitis-B vaccination shall sign the federally mandated
statement of vaccine declination, see 13.16 of this Section. These
58
statements will be filed with the employee’s medical records maintained by
the approved medical providers.
COMPLIANCE
Compliance is mandatory for all employees in the classifications list. Proper
disciplinary rules, as outlined in the university’s discipline policy, shall be followed
in the event of employee non-compliance.
WORK PRACTICE CONTROLS
The following controls are in place to reduce exposures to university employees.

Eating, drinking, smoking, applying cosmetics, and handling contact
lenses are prohibited in work areas of occupational exposure. Hand
cream is not a cosmetic. Its use however, may impact the integrity of
gloves.

Food and drink shall not be kept in refrigerators, freezers, shelving, and
cabinets where infectious materials are kept.

Splashing, spraying, splattering, and generating droplets of potentially
infectious materials must be avoided.

Mouth pipetting/suctioning of blood is prohibited.

Handling, storage, and transportation of specimens are to be in containers
that prevent leakage. The container shall be labeled or color-coded. If
contamination of the container occurs, the container is to be placed in a
second container.

Contaminated equipment is to be decontaminated prior to servicing or
shipping, unless not feasible. If not feasible, a label is to be placed on the
equipment to identify what portion of the equipment remains contaminated
and that the information is conveyed prior to handling.

Contaminated university vehicles/equipment must be decontaminated
prior to being returned to service. If this is not feasible, the vehicle is to be
tagged and put out of service until it can be cleaned and decontaminated.

All work surfaces must be cleaned and decontaminated after contact.

Broken glassware, sharps, knives, etc., which may be contaminated shall
not be picked up directly with the hands. Use tongs, dust pan, brush, etc.
59
SIGNS AND WARNING LABELS
Warning Labels:
Are to be affixed to containers of regulated wastes,
refrigerators, freezers, and other containers used to store
and transport blood, or other potentially infectious materials.
Labels required include universal biohazard legend, or in the case of regulated
waste, the legend: BIOHAZARDOUS WASTE@.
EMPLOYEE TRAINING
The university will provide training to all employees in the above categories.
Such training will be provided at the time of work assignment. Thereafter,
training will be provided annually and will use material appropriate in content and
vocabulary to the educational level of employees.
Training records must include the day, date, time, and location of training and
employee’s name, trainer’s name. Training elements will include the following:















Copy of standard.
Symptoms of blood borne diseases.
Modes of Transmission.
Exposure control plan.
Tasks that may involve exposure.
Use and limitations of preventative methods for reducing exposure.
Types, proper use, location, removal of personal protective equipment.
Selection of personal protective equipment.
Information on Hepatitis B vaccine.
Appropriate actions to take in an emergency.
Post-exposure incident procedures.
Information on the post-exposure evaluation and follow-up.
Signs and labels and/or color-coding.
Questions.
All training records will be kept indefinitely.
60
HEPATITIS-B VACCINE DECLINATION
The following declination statement is mandatory for employees who decline to
accept Hepatitis-B vaccination offered by the university as required by Title 8,
California Code of Regulations, Section 5193 (f) (2) (D).
Note:
Authority cited: ........................................................................................Section 142.3, Labor Code.
Reference: ............. …Section 142.3, Labor Code and Chapter 6.1 of the Health and Safety Code.
I, ______________________________________________, understand that due
to my occupational exposure to blood or other potentially infectious materials I
may be at risk of acquiring Hepatitis-B virus (HBV) infection. I have been given
the opportunity to be vaccinated with Hepatitis-B vaccine, at no charge to myself.
However, I decline Hepatitis-B vaccination at this time. I understand that by
declining this vaccine, I continue to be at risk of acquiring Hepatitis-B, a serious
disease. If in the future I continue to have occupational exposure to blood or
other potentially infectious materials and I want to be vaccinated with Hepatitis-B
vaccine, I can receive the vaccination series at no charge to me by contacting the
Risk Management Division.
____________________________ ____________
Employee Signature
Date
___________________
Name (printed)
___________________________ ____________
Parent/Guardian Signature
Date
(for employees under 18 years of age)
___________________
Name (printed)
__________________________
Supervisor Signature/Witness
____________
Date
61
____________________
Name (printed)
POST-EXPOSURE EVALUATION AND FOLLOW-UP
Hepatitis B vaccination and Post Exposure Follow-Up: All employees who have
an occupational exposure must be offered the vaccine. The vaccine is at no cost
to university employees. Please note that First-aid providers who have
occupational exposure are not required to be offered hepatitis B vaccination if
their primary job is not rendering first aid. The vaccine must be offered after the
employee has received the required training. If the employee declines the
vaccination, the employee must sign a declination form, see the previous page.
Following the report of an exposure incident, the university will make
immediately available to the exposed employee a confidential medical
evaluation and follow-up by the university’s medical providers as listed within this
Illness and Injury Prevention Program. Documentation of the route and
circumstances, Source HBV and HIV testing as soon as possible, collection and
testing of blood for HBV and HIV serological status, post-exposure prophylaxis
when medically indicated, counseling and evaluation of reported illnesses.
Provision for full hepatitis B vaccination series to be made available as soon as
possible to all unvaccinated first aid providers who have rendered assistance in
any situation involving the presence of blood or potentially infectious material
regardless of whether or not a specific exposure incident.
The source individual’s blood must be tested as soon as feasible if consent is not
granted, the university shall establish that legally required consent cannot be
obtained.
The university must document in writing the identity of, or unfeasibility of
identifying the source individual.
The university will also make information available to the employee in compliance
with the Blood borne Pathogens Regulations Section 5193. An Incident Report
shall be completed and forwarded to the Human Resources department.
If the employee receives an obvious exposure from an individual known to
have HIV (AIDs), the employee should be taken to either Shasta Regional
Medical Center or Mercy Medical Center for immediate treatment for the
exposure to this disease. Treatment within minutes and hours counts!
62
GLOSSARY OF TERMS
Antibody: A protein that is formed in response to an antigen. Some antibodies
retain a “memory”, and can protect against future invasions by previously
defeated bacteria and virus.
Antigen: Foreign material against which antibodies are made. (microorganism
or protein, such as a vaccine.
Bacteria: A microorganism capable of causing disease. Many diseases are
caused by the presence of bacteria.
Cleaning: The removal by scrubbing or washing as with water, soap or other
cleaning agents, or by vacuum, of infectious agents and of organic matter from
surfaces on which and in which infectious agents may find a suitable
environment of survival.
Communicable Disease: An illness due to specific infectious agents, which
have been transmitted from an infected person, animal or object either directly or
indirectly (term synonymous with infectious disease).
Contamination: The presence of an infectious agent upon the human surface
also; on or in any other object.
Decontamination: A process where an object is freed of biological
contaminants and rendered safe for human manipulation (sometimes
interchangeably referred to as “disinfecting”). Also, a two step process involving:
1) Cleaning; 2) Disinfecting.
Disinfection: Killing of infectious agents outside the human body by chemical or
physical means (sometimes interchangeably referred to as “decontamination”).
Fomites: Any non-living substance that transmits infectious disease (dirty
needles, Kleenex, etc.)
HIV: The virus, which causes AIDs (acquired immune deficiency)
HBV: Hepatitis B
HCV: Hepatitis C
Infestation: The parasitic attack or subsistence on the skin as by insects, mites,
lice, etc.
Infectious Body Fluids: Depending on the nature of the disease, but most
commonly blood, semen, vaginal secretions, pleural fluid, amniotic fluid,
pericardial fluid, cerebrospinal fluid, synovial fluid, peritoneal fluid and any fluid
visibly contaminated by blood. Other potentially infectious agents are feces,
saliva, urine, vomit, sputum (material that is spit or coughed up and consists of
saliva and mucus).
Parenteral: The injection of substances into the body through the skin, usually
via hypodermic needle.
63
Phenolic: A low pH solvent-based germicidal cleaning solution preferred by
hospitals … kills most virus including the tuberculosis bacteria.
Prophylaxis: Preventative treatment.
Quaternary: Water-based germicidal cleaning solution that kills most strains of
virus and bacteria except tuberculosis.
Reservoir: A person, in which an infectious agent lives, multiplies, and depends
upon for survival.
Titer: A measured amount of antibody produced in the body by the immune
system, in response to an antigen.
Transmission: Any mechanism by which a disease is spread through the
environment or to a person. These mechanisms are:
A. Direct transmission: direct and immediate transfer of infectious agents
to a receptive portal of entry through which human infection may take
place. (This may be in the form of biting, kissing, intercourse, or direct
projection-sneezing, spitting, etc.)
B. Indirect transmission:
1. vehicle borne: contaminated materials or objects (food, toys,
biological products, etc.) serving as an intermediate means of
transporting an infectious agent.
2. vector borne: mechanical; simple mechanical carriage by
crawling or flying insect, biological; propagation or cyclic
development of the insect.
3. airborne: the dissemination of microbial aerosols to a suitable
portal or entry, usually the respiratory tract.
Vector: A living transporter and transmitter of an infectious disease. (Mosquito,
mite, lice, etc.)
64
SAFETY INSPECTION TEAM (SIT)
Y N NA
   Have all employees received General Safety Training? (Fire, earthquake,
VDTs, lifting, emergency evacuation, etc.)?
   Are all employees familiar with the use of MSDS?
   Have all employees been instructed in how to operate the equipment they are
required to use?
   Have all employees been trained in how to protect themselves from the
hazards identified in their work area?
   Are all employees current on any specialized training (lockout, confined
spaces, respirators, etc.) needed?
   Are all training records complete and current for each employee?
   Do all employees have access to the Departmental Action Plan and know
their responsibilities?
   Are the Cal/OSHA Information Poster, Workers’ Compensation Bulletin, and
Annual Injury & Illness Summaries posted?
FIRE SAFETY
   Are all fire exits clearly marked and unobstructed?
   Are all aisles cleared with at least a 44-inch pathway and building exit
corridors completely cleared?
   Are trash, debris, and oily rags removed from the shop daily? Are metal cans
available for storage of oily rags?
   Are all flammable solvents in excess of 10 one-gallon containers stored in
approved flammable storage cabinets?
   Are spray-painting operations, which employ flammable materials, conducted
inside approved spray booths?
   Are flammable and combustible materials stored at least 25 feet away from
heat or ignition sources?
   Are flammable gas cylinders stored at least 25 feet away from oxygen
cylinders or ignition sources?
   Are fire separations intact (no holes in fire walls, no doors to exit corridors
propped open, etc.)?
   Are charged, wall-mounted fire extinguishers (of the appropriate type)
available within 75 feet of all workstations?
   Is there an inspection card attached to each fire extinguisher, and are
monthly inspections properly documented?
65
ELECTRICAL SAFETY
Y N NA
   Are all plugs, cords, and receptacles in good condition (no exposed
conductors or broken insulation)?
   Are all circuit breaker and power disconnect panels accessible, with labels
identifying the function of each switch?
   Are plug adapters banned? (Install additional outlets or properly rated fused
power strips in lieu of adapters.)
   Permanent building wiring installed away from public contact (in conduit,
raceways, or walls)?
   Are Ground Fault Circuit Interrupters available for use in wet areas?
   Are extension cords in use? (These are not to be run through walls, ceilings,
or doors, and are not safe for permanent equipment. Unplug extension cords
daily or replace with fused power strips if current demand is within the strip's
rating; otherwise, install additional outlets to reach equipment. Do not link
extension cords together.)
MACHINE SAFETY
   Is defective equipment promptly repaired? (If the defects pose imminent
danger, remove equipment from service.)
   Are all machine guards for belts, gears, and points of operation in place and
adjusted properly?
   Are machine and tool switches safe (easy access to disengage and stay off if
de-energized and re-started)?
   Are gas welding torches equipped with flashback arrestors? Are arc welders
properly grounded with safe wiring?
   Are air tanks > 1.5 cubic feet (11.22 gallon) capacity inspected as evidenced
by a current posted Cal/OSHA permit?
   Do compressed air nozzles have relief ports to safely vent if the orifice is
blocked?
   Are cranes, slings, ropes, hoists, jacks, jack stands, etc., inspected prior to
each use and used safely?
GENERAL SAFETY
   Are floors maintained clean, spills wiped up promptly, and anti-slip materials
used where moisture is prevalent?
   Are cabinets, shelves, and equipment greater than 5 feet high secured to
prevent toppling during an earthquake?
   Are cutting blades disposed of in rigid containers to prevent injury to custodial
personnel?
66
Y N NA
   Are guardrails installed around floor openings and lofts, along catwalks, etc.,
to prevent employee falls?
   Are potable water, soap, and towels available for employee hand washing?
   Are all plumbing fixtures served by Industrial Water labeled to prohibit
drinking?
   Are forklifts inspected frequently for defects, equipped with proper safety
devices, and operated safely?
   Are excessive noise levels adequately controlled? (Contact Campus Safety
for monitoring.)
   Are an approved first aid kit available and its location known to all
employees?
   Are stacked and shelved items stored to prevent falling during an
earthquake? (Advise installing 2-inch shelf lips or other means of restraining
items, especially above exits end employee workstations.)
   Are cross-connections between potable water end sewer inlets promptly
abated (remove hoses which extend into sinks or down drains), and leaking
backflow protection devices promptly repaired?
HAZARDOUS MATERIALS/PERSONAL PROTECTION
   Are chemicals stored to prevent spills?
   Are carcinogens handled safely to reduce employee exposure? (Report uses
of regulated carcinogens to Campus Safety.)
   Are chemicals separated by hazard class (acids, bases, oxidizers,
flammables, etc.)?
   Are chemicals inventoried with copies provided to Campus Safety?
   Are chemical wastes properly segregated and stored with Simpson University
hazardous waste tags attached to the containers?
   Are all hazardous wastes disposed of by Facilities and not poured into the
sewer system?
   Is a plumbed emergency shower available within 100 feet of areas where
chemicals may splash on an employee?
   Are gloves suitable for the hazard warranting protection available (chemicals,
heat, friction, etc.)?
   Is eye protection suitable for the hazard warranting protection available
(welding, chemicals, particulates, etc.)?
   Is a plumbed emergency eyewash available within 100 feet of all chemical
splash or mechanical hazards (grinding operations)?
   Is hearing protection suitable for the hazards warranting protection available?
67
Y N NA
   Are safety shoes available for those employees subject to falling objects and
other foot impact hazards?
   Are hard hats available for employees subject to falling objects, low overhead
obstructions, etc.?
   Are aprons or other suitable clothing available for employees subject to
chemicals, oil, grease, etc.?
   Are lockout locks and tags available for employees who work on equipment
served by hazardous energy sources?
OTHER
   _________________________________________________________________________
   _________________________________________________________________________
   _________________________________________________________________________
   _________________________________________________________________________
   _________________________________________________________________________
COMMENTS
   _________________________________________________________________________
   _________________________________________________________________________
   _________________________________________________________________________
   _________________________________________________________________________
   _________________________________________________________________________
68
SIMPSON UNIVERSITY OFFICE SAFETY INSPECTION
Location ___________________________ Date____________ Phone ___________________________
Supervisor __________________________ Department ______________________________________
Inspector ___________________________ Job title __________________________________________
Administration and training:
1. Are all safety records maintained in a centralized file for easy
access?
Are they current?
2. Have all employees attended Injury & Illness Prevention
Program training? If not, what percentage has attended? _______
3. Does the department have a completed Emergency Action
Plan?
Are employees being trained on its contents?
4. Are chemical products used in the office being purchased in
small quantities? Are Material Safety Data Sheets needed?
5. Are the Cal/OSHA information poster, Workers’ Compensation
bulletin, annual accident summary (must be posed during
February, at a minimum), and Emergency Response Guide
flipchart posted? Is Safety Briefs newsletter being received
and posted?
6. Are annual workplace inspections being performed and
documented?
General safety:
7. Are exits, fire alarms, pull boxes, and sprinklers clearly marked
and unobstructed?
8. Are aisles and corridors unobstructed to allow unimpeded
evacuations?
9. Is a clearly identified, unobstructed, charged, currently
inspected and tagged, wall-mounted fire extinguisher available
within 75 feet of all work areas? For extinguisher service,
contact Campus Safety ext. 2967.
10. Are ergonomic issues being addressed for employees using
computers?
11. Is a fully stocked first-aid kit available? Is its location known to
all employees in the area?
12. Are cabinets, shelves, and furniture over five feet tall secured
to prevent toppling during earthquakes?
13. Are books and heavy items and equipment stored on low
shelves and secured to prevent them from falling on people
during earthquakes?
14. Is the office kept clean of trash and recyclable materials
promptly removed?
69
Electrical safety:
N/A
15. Are plugs, cords, electrical panels, and receptacles in good
condition?
No exposed conductors or broken insulation?
16. Are circuit breaker panels accessible and labeled?
17. Are fused power strips being used in lieu of receptacle
adapters?
Are additional outlets needed in some areas?
18. Is lighting adequate throughout the work environment?
19. Are extension cords being used correctly? They must not run
through walls, doors, ceiling, or prevent a trip hazard running
across aisles. Extension cords are for temporary use only.
20. Are portable electric heaters being used? If so, use a fused
power strip if necessary, and locate the heater away from
combustible materials.
21. Is the paper cutter guard in place?
RETURN COMPLETED FORM TO: CAMPUS SAFETY OFFICE
Retain one copy of the completed form in your Department Safety Manual.
70
Model Hazard Communication Program
General Information
In order to comply with Cal-OSHA Title 8 §51 94, the following written Hazard
Communication Program has been established for
______________________________________. The written program will be
available to all employees and located in the main office for review.
Procedures
Container Labeling:
________________________ will verify that all containers received for use will:
1. Clearly and legibly state the name of the chemical,
2. Note the appropriate hazard warning, and
3. List the manufacturer’s name and address.
It is the policy of ___________________________ that no container will be
released for use until the above information is verified present and adequate.
Supervisors will ensure that all secondary containers are labeled with either an
extra copy of the original manufacturer’s label or with the “central stores” generic
labels which identify the chemical and list appropriate hazard warnings.
Questions about proper labeling requirements should be addressed to your
immediate supervisor.
Material Safety Data Sheets (MSDS)
Copies of MSDSs for all hazardous chemicals to which company employees may
be exposed will be kept in ___________________________________. MSDSs
will be readily available to all employees in their work area for review during each
work shift. Hazardous chemicals will not be used until an MSDS (or appropriate
MSDS information) is available and employees are trained. If an MSDS is
missing for a hazardous chemical in use, immediately contact your supervisor.
Employee Information and Training
Prior to starting work, each new company employee will attend safety and health
training to include the following:
1. Overview of hazard communication program requirements.
2. Hazardous chemicals present in the workplace.
3. Location and availability of the written hazard communication program.
4. Physical and health effects of hazardous chemicals.
5. Methods and observation techniques used to determine the presence or
release of hazardous chemicals in the work area.
6. How to reduce or prevent exposure to these hazardous chemicals through use
of control/work practices and personal protective equipment.
71
7. Steps the company has taken to reduce or prevent exposure to these
chemicals.
8. Safety emergency procedures to follow if the employee is exposed to these
chemicals.
9. How to read labels and review MSDSs to obtain appropriate hazard
information.
Hazardous Chemicals List
The attached list is a list of known hazardous chemicals presently being used by
company employees. More information on each chemical is available by
reviewing MSDSs.
Hazardous Non-routine Tasks
Periodically, if employees must perform hazardous non-routine tasks, before
starting work on such projects, each affected employee will be given information
by their section supervisor about the Safety Training Template.
72
SIMPSON UNIVERSITY
ACCIDENT INVESTIGATION FORM
An accident is an unintended occurrence that caused or could have caused personal
injury or material damage.
Person(s) involved in the accident:
Department: ____________________________ Date: _________Time: ______
Description of accident (including nature of injury and material damage, if any)
_______________________________________________________________________________
Indicate any additional injury or material damage that could have occurred
_______________________________________________________________________________
An accident is the result of many causes. In addition, a through investigation may reveal
other conditions or acts that could have but did not cause the accident. Report each
specific condition or act and the necessary corrective action.
Causes (Specific conditions or acts that
caused or contributed to the accident.)
Recommended corrective action:
Check if
completed
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________
Signature of Supervisor ______________________________________Date: _____________
Reviewed by ________________________________________________Date: _____________
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Hazard ID and Correction
Date
Hazard
Type*
*Hazard Types
1. Housekeeping
2. Structural
3. Mechanical
4. Environmental
5. Work Tool
Detail
6. Work Process
7. Workstation Design
Assigned
To
Action(s)**
**Action(s)
1. Engineering Fix
2. Red Tag
3. Restrict Access
4. Alert/Train Affected Areas
5. Modify Work Process
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Date
Done
6. Modify Work Station
7. Require PPE –
Personal Protective
Equipment
Safety Training Template
Task/Job:
General explanation of job.
Special tools, equipment, and/or materials required.
Specific risks of job.

________________________________

________________________________

________________________________

________________________________

________________________________
Avoiding risks: Specific safety rules.

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________
---Personal protective equipment required
---Label and/or MSDS
---Special work area conditions
---Ergonomic factors
5. Demonstration of proper methods.
6. Questions and suggestions.
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Safety Training Log
Employee
Date
Training Type*
Detail
*Training Types
1. Scheduled Training
2. Safety One-on-One
3. New Employee
4. New Job Assignment
5. New Hazard
6. New Equipment/Tool
7. New Process
8. Other – Give Detail
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Trainer
Safe Behavioral Reinforcement
Date
Employee
Key Behaviors
1. Body mechanics, posture, lifting
2. Pace of work
3. Focus and attention
4. Technique
5. Following safety rules
Behavior Observed
Violation?
Recommended Actions
1. Verbal positive reinforcement
2. Safety One-on-One
3. Verbal behavior correction
4. Verbal warning
5. Written warning
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Action
Safety One-on-One Checklist
Site & Department: ___________________________
from: __________________ to: ___________________
Date: ____________
(forms should be turned in on a bi-monthly basis)
Key Safety Check-back Items –
Housekeeping (Maintain housekeeping in all work areas,
copy center areas, work stations, and trash area.)
Slips, Trips, & Falls (Watch for spills, electronic cords, open
file cabinets, etc.)
Back Safety (Lift with legs, not back; don’t move heavy
objects without having assistance.)
Safe Behaviors (Take time to observe employee work
behaviors, correct unsafe behaviors and acknowledge safe
behaviors.
Cuts, Burns, & Hand Safety (Use caution with sharp tools,
ergonomic checklist, coffee pots, etc.)
Involve all Employees (Encourage all employees to report
hazards and make suggestions for safety improvements.)
Work Area Hazard Assessment/Correction/Observation
Unsafe
Condition
Safety
Behavior
Safety Observation and Corrective Action: Positive or Negative
Date & Initial
Target
Date
Unsafe
Condition
Safety
Behavior
Safety Observation and Corrective Action: Positive or Negative
Date & Initial
Target
Date
Unsafe
Condition
Safety
Behavior
Safety Observation and Corrective Action: Positive or Negative
Date & Initial
Target
Date
Unsafe
Condition
Safety
Behavior
Safety Observation and Corrective Action: Positive or Negative
Date & Initial
Target
Date
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Safety One-on-One Discussions (cont’d)
Employee
Initials
Date
Topic Discussed
Monthly Safety Meeting
Topic: _______________________
Trainer: ___________________________
Main Points Discussed
Signatures
Suggestions
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Date: ___________
Simpson University
Accident Review Council Charter
Approved by the Simpson University President’s Cabinet,
XXXX XX , 2005
The following shall be the purpose and the scope of the Accident Review Council for Simpson University.
1. Mission Statement:
The Accident Review Council will promote positive safety attitudes through the review of current safety operations
and reported accidents or near accidents.
2. Council Membership:
The members shall include: the Campus Safety Manager, one Human Resources staff member, one Facilities staff
member, two Simpson University staff members (not from Facilities), and one Simpson University faculty member.
These members will be appointed by the Campus Safety Manager after consulting with the area Vice Presidents of
each staff/faculty member who is being considered as a member of the council.
3. Areas of responsibility of the accident review council are as follows:






Review and discuss safety concerns and possible solutions.
Analyze accidents, their prevention, and minimization.
Discuss and promote hazard identification, safety attitudes, and the role and responsibility of Simpson
University employees in work environment safety.
Recommend safety training topics.
Serve as a conduit of communication for employees.
Review and make recommendations on all recordable accident reports.
4. Meetings:
The Accident Review Council will meet quarterly. Other meetings may be required if an accident requires prompt
attention. This will be based on the judgment of the Campus Safety Manager.
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5. Organizational Linkage
Oversight of the Accident Review Council will come from the Campus Safety Manager (chair person). The
Campus Safety Manager will apprise the Vice President for Business Services, the Director of Human Resources
and the Director of Facilities of status, changes, concerns, etc., as appropriate. These personnel will also serve as
the steering committee which will meet twice yearly.
Simpson University
Site Inspection Team Charter
Approved by the Simpson University President’s Cabinet,
XXXX XX , 2005
The following shall be the purpose and the scope of the Safety Inspection Team for Simpson University.
6. Mission Statement:
The Site Inspection Team will conduct site inspection of the university facilities, and will recommend changes to
any safety hazards or potential safety hazards that are identified through the inspection.
7. Council Membership:
The members shall include: the Campus Safety Manager, one Conference Services staff member, one Facilities
staff member, and two staff or faculty members that are from departments other than Facilities or Conference
Services. These members will be appointed by the Campus Safety Manager after consulting with the area Vice
Presidents of each staff/faculty member who is being considered as a member of the council.
8. Areas of responsibility of the site inspection team are as follows:


Conduct site inspections on university owned buildings.
Recommend changes to correct any hazards identified through the site inspections
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
Conduct site inspections of university facilities prior to special events (Genesis, Celebration Weekend, Voting
Days, etc.).
9. Meetings:
The Site Inspection Team will meet quarterly. The following is a list of the buildings to be inspected and the month
each inspection will take place:




August-------Resident Halls, Modular 8
November---Dining Center, Heritage Center
February-----LaBaume/Rudat, Owen Center
May----------Modular 5, 6, 7, Grubbs Center, Maintenance Building
10. Organizational Linkage
Oversight of the Site Inspection Team will come from the Campus Safety Manager. The Campus Safety Manager
will apprise both the Vice President for Business Services and the Director of Human Resources of status,
changes, concerns, etc., as appropriate. The Campus Safety Manager will forward the findings to the Director of
Facilities and the Vice President of the area that was inspected.
11. Mission Statement:
To provide the students of Simpson University a forum and process by which their safety concerns can be
presented and addressed.
12. Council Membership:
The members shall include: the Campus Safety Manager, one Resident Director, one Growth and Development
staff member, one commuter representative, and one student senate officer.
13. Areas of responsibility of the student safety council are as follows:


Share safety concerns brought to council from the students of Simpson University.
Be pro-active in supporting the overall safety of the university community by helping disseminate safety
concerns and praises to the students of the university.
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

Provide feedback on the university facilities, lighting, and road safety.
Establish a list of potential safety improvements.
14. Meetings:
The Student Safety Council will meet once during the following months of the Academic year: October, December,
February, April.
15. Organizational Linkage
Oversight of the Student Safety Council will come from the Campus Safety Manager. The Campus Safety
Manager will apprise both the Vice President for Business Services and the Vice President for Student
Development of status, changes, concerns, etc., as appropriate. The following university staff members will
receive copies of the council’s minutes:




Dean of Students
Associate Dean for Residence Life
Director of Human Resources
Director of Facilities
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