SAFETY MANUAL - TN · SAFETY MANUAL TABLE OF CONTENTS 1 ... • Housekeeping and Waste Handling ......

SAFETYMANUAL

SAFETY MANUAL

TABLE OF CONTENTS

1. Southwest Safety Rules .......................................................................................................................... 52. Administrative Guidelines • OSHAInspectionGuidelines ........................................................................................................... 6 • ImportantPhonenumbers ................................................................................................................ 7 Forms:SafetyComplianceCheckoffSheets ................................................................................... 8 Employee/Student/VisitorInjury/IncidentReport .............................................................. 93. HazardCommunicationProgram • ProgramProvisions .........................................................................................................................11 • MaterialSafetyDataSheets(MSDS) .............................................................................................11 • Labeling .................................................................................................................................... 12 • HousekeepingandWasteHandling ............................................................................................... 13 • Disinfecting .................................................................................................................................... 13 • SpillandCleanupProcedures ........................................................................................................ 13 • DrugsandMedications .................................................................................................................. 14 • Training .................................................................................................................................... 14 • Responsibilities .............................................................................................................................. 14 Forms: TrainingImplementationChecklist .................................................................................. 15 EmployeeTrainingRecord ............................................................................................... 16 ChemicalInventoryReport ............................................................................................... 17 SafetyAuditChecklistsforLaboratoryAreas .................................................................. 18 SafetyAuditChecklistsforNon-LaboratoryAreas .......................................................... 21 IncompatibleChemicalsList ............................................................................................ 244. BloodbornePathogensProgram • ProgramProvisions ........................................................................................................................ 26 • ExposureDetermination/JobClassifications ................................................................................. 26 • UniversalPrecautions .................................................................................................................... 28 • HepatitisBVirus ............................................................................................................................ 28 • HepatitisCVirus ............................................................................................................................ 29 • AIDS/HIV .................................................................................................................................... 29 • MethodsofCompliance ................................................................................................................. 30 • HandProtection ............................................................................................................................. 30 • EyeandFaceProtection ................................................................................................................ 31 • GownsandHeadCoverings .......................................................................................................... 31 • ResuscitationEquipment ............................................................................................................... 31 • ProtectiveClothingDisposal ......................................................................................................... 31 • Handwashing ................................................................................................................................. 31 • Sharps,NeedlesandSharpsContainers ......................................................................................... 32 • Specimens .................................................................................................................................... 32 • Equipment .................................................................................................................................... 32 • PersonalHygiene ........................................................................................................................... 32 • InfectiousWaste ............................................................................................................................. 33

• HepatitisBVaccine ........................................................................................................................ 33 • CommunicationofHazardstoEmployees .................................................................................... 34 • LabelsandSigns ............................................................................................................................ 34 • Training .................................................................................................................................... 34 • Recordkeeping ............................................................................................................................... 35 Forms:ExposureDeterminationForm--EmployeeCategoryI ................................................... 36 ExposureDeterminationForm--EmployeeCategoryII ................................................. 37 ExposureDeterminationForm--EmployeeCategoryIII ................................................ 38 ExposureDeterminationForm--JobClassifications ....................................................... 39 HepatitisBVaccinationInformedRefusal ....................................................................... 40 TrainingImplementationChecklist–BloodbornePathogensStandard (UniversalPrecautions) .............................................................................................. 41 EmployeeTrainingRecord ............................................................................................... 425. EmergencyActionPlan • ResponsibilitiesoftheSafetyOfficer ............................................................................................ 43 • ResponsibilitiesofDepartmentalManagement ............................................................................. 43 • ResponsibilitiesoftheEmployee .................................................................................................. 44 • Fire .................................................................................................................................... 45 • Procedures .................................................................................................................................... 45 • Evacuation .................................................................................................................................... 45 • Training .................................................................................................................................... 45 • Drills .................................................................................................................................... 46 • PossibleFireHazards ..................................................................................................................... 47 • HowtoFightaFire ........................................................................................................................ 48 • Earthquake .................................................................................................................................... 50 • Tornado .................................................................................................................................... 51 • EmergencyEvacuationofPersonswithDisabilities ..................................................................... 52 Forms:FireDrillEvacuationForm ............................................................................................... 54 EmployeeConfirmation .................................................................................................... 556. WorkersCompensation • GeneralPolicy ................................................................................................................................ 56 • NoticeofInjury .............................................................................................................................. 56 • InjuriesNotCovered ...................................................................................................................... 56 • WorkersBenefits ............................................................................................................................ 56 • WorkersCompensationRecordKeeping ....................................................................................... 57 • StateofTennesseeTelephoneNumbersandAddresses ................................................................. 58 Forms: Injury/AccidentReport .................................................................................................... 59 Accident/IncidentInvestigationForm .............................................................................. 617. ContractorSafetyPolicy • ContractorSafetyGuidelines ......................................................................................................... 62 • IAQConsiderationsforOccupiedBuildingsUnderConstruction ................................................ 66 • PedestrianAccessDuringConstructionProjects ........................................................................... 67 Forms: ContractorSafetyAgreementForm .................................................................................. 69

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1. AllEmployees/Studentsshallfamiliarizethemselveswiththelocationandinformationcontained intheMaterialSafetyDataSheets.

2. AllEmployees/StudentsshallfamiliarizethemselveswiththeEmergencyActionPlanandthe locationofthefireexitsandthefireextinguishers.

3. Allwork-relatedaccidentsmustbereportedtotheinjuredemployee’ssupervisorwithin24hours regardlessofwhethertheinjuryrequiresmedicalattention.

4. Eating,drinkingorapplyingcosmeticsareprohibitedinworkareaswherethereisareasonable likelihoodofoccupationalexposure.

5. Employees/StudentsshallwearPersonalProtectiveEquipment(i.e.,safetyglasses,gloves,hearing protection,gowns,etc.)atalltimeswheresafeworkpracticesanddepartmentrulesrequirethem.

6. AllEmployees/Studentsshallfamiliarizethemselveswiththeinformationcontainedinthe BloodbornePathogensProgram.

7. AllEmployees/StudentsshallfamiliarizethemselveswiththeinformationcontainedintheHazard CommunicationProgram.

8. AllEmployees/Studentsmustknowthelocationoftheirdepartmentemergencyshowersandeye wash stations.

9. Newlyhiredemployees,oremployeestransferredtoanewdepartment,willbegivensafety orientationbeforebeginningwork.

10.AllStudentswillbegivensafetyorientationbeforebeginningclassesinsciencelaboratoriesand specificclasses,suchaswelding,wherepossibleexposuremayoccur.

11.Nofoodordrinksshallbestoredinrefrigerators,freezers,shelvesorcabinets,oroncountertopsor benchtopswherebloodorotherpotentiallyinfectiousmaterialsarepresent.

12.Allsharpscontainerswillbereplacedwhentheyare75percentfull.

13.AllSouthwesthallwayswillremainclearforsafeemergencyevacuationifneeded–anydisplaysor setupsthatmayblockpassagewayinanymannerarenotpermitted.Allemergencyevacuationdoors mustremainopenandoperable.

SAFETY RULES

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What to do if an OSHA Inspector arrives at your location:

InspectorsfromOSHAmayarriveatyourfacilityatanytimetoconductasafetyandhealthinspection.Whenthishappens,thefollowingstepsshouldbecarefullyobserved:

1. TheSafetyOfficershouldbeimmediatelyinformedat(901)333-5459or(901)333-4708.

2. NotifythePublicSafetyDepartmentat(901)333-5555.

3. Departmentalleadershipshouldaskforthepropercredentialsandinquireastothereasonfor the visit.

4. Becourteousandcooperativeandmaketheinspectorascomfortableaspossible.

5. Equiptheinspectorwithanynecessarypersonalprotectiveequipment:safetyglasses,gowns, gloves,etc.

6. Theinspectorhastherighttorequestaprivateconferencewithanyemployee.

7. Iftheinspectortakesanysamples–air,material,etc.–besuretotakeduplicatesamples.

8. Ifanyphotographsorvideotapesaretobeshot,asktheofficialtowaituntiltheSafety Officerarrivestoshootduplicatephotographsand/orvideotapes.

9. Alistofalldocumentscopiedbytheinspector–OSHA300,accidentinvestigations,etc.– mustbenotedforfuturereference.

Information you may disclose • Collegenameandlocation • AlistofyourMSDSs • LocationofyourdepartmentSafetymaterials

Information you should not disclose • Purchaseorders • Finances • Personnelfiles • Employeemedicalorfirstaidrecords • Processes • Laboratoryanalyses

OSHA INSPECTION

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1. SouthwestPublicSafety UnionAvenueCampus:(901)333-5555

MaconCoveCampus:(901)333-4242

2. SouthwestSafetyDepartment (901)333-5459

3. Emergency 911

4. ShelbyCountyHealthDepartment (901)372-7581

5. NationalPoisonHelpHotline 1(800)222-1222

6. MentalHealthCrisisHotline 1(800)809-9957

7. ______________________________________ ____________________________________

8. ______________________________________ ____________________________________

9. ______________________________________ ____________________________________

10. ______________________________________ ____________________________________

11. ______________________________________ ____________________________________

12. ______________________________________ ____________________________________

13. ______________________________________ ____________________________________

IMPORTANT TELEPHONE NUMBERS

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_____________________________________________________________________________________

Date___________________ Location ___________________________________________________

NameofPersonCompletingForm________________________________________________________

Hazard Communication

1. AllemployeeshavebeentrainedregardingMaterialSafetyDataSheetcontent.2. AllemployeesknowthelocationofthewrittenHazardCommunicationprogram.3. AllemployeesknowthelocationoftheOSHA-requiredposters.4. Enterdatewhenannualtrainingwasgiven:_______________________

Bloodborne Pathogens Program

1. AllemployeesknowthelocationofthewrittenBloodbornePathogensProgram.2. AllemployeeshavereceivedtheirannualBloodbornePathogensProgramtrainingandunderstandthe principlesofUniversalPrecautions.3. AllemployeesknowthelocationofallPersonalProtectiveEquipment.4. Enterdatewhenannualtrainingwasgiven:_______________________

Emergency Action Plan

1. AllemployeesknowthelocationofthewrittenEmergencyActionPlan.2. AllemployeeshavereceivedtheirOSHAannualtrainingregardingEmergencyResponseand understandtheirroleintheeventofanactualemergency.3. Allemployeesreceiveannualemergencyresponsedrills.4. Enterdatewhenannualtrainingwasgiven:_______________________

SAFETY COMPLIANCE CHECK-OFF SHEET

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Return or fax this form to Public Safety and Health and Safety within 24 hours of incident.

DateofIncident_____________Time____________Location_________________________________

NameofInjuredPerson_________________________________________________________________

SocialSecurity#________________________Dept./Area_____________________________________

Sex o Maleo Female WorkTelephone_______________HomeTelephone________________

Age____________ MaritalStatus o Married o Single

Howdidtheinjuredpersondescribethecauseoftheinjury/disease?Bespecificanddetailed.Whatexactlywasthepersondoingatthetimeofinjury?Ifusingtoolsorhandlingmaterial(s),namethemandexplainwhatthepersonwasdoingwiththem.Pleaseattachanyadditionalcommentsifnecessary.

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Describethenatureoftheinjury/incidentyouobserved.BESPECIFIC.

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

EMPLOYEE/STUDENT/VISITORINJURY/INCIDENT REPORT

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WitnesstoInjury/Incident_____________________________WitnessTelephone___________________

WitnessStatement:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Whenandwherewastheinjuredpersonreferredfortreatment?_________________________________

_____________________________________________________________________________________

Whatdoyouthinkwouldpreventthisincidentfromhappeningagain?____________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Supervisor’ssignature_______________________________________________Date_______________

Dateincidentwasreported:______________________________

Ihavereadtheabovereportandthestatementsaretruetothebestofmyknowledge.

Student/Visitor/Employee Signature _______________________________________________________(Circleone)

Date____________________________

EMPLOYEE/STUDENT/VISITORINJURY/INCIDENT REPORT

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Purpose

ThepurposeoftheHazardCommunicationProgramistoensurethatallhazardouschemicalsusedintheworkplaceareevaluated,andthatanyhazardsarecommunicatedtoallemployees.Thiscomprehensiveprogram complies with the OSHA guidelines under the Hazard Communication Standard (29 CFR1910.1200)andtheEmployeeRighttoKnowAct.

Program Provisions

Programprovisionsinclude: • ListofHazardousMaterials • MaterialSafetyDataSheets(MSDS) • ContainerLabeling • HousekeepingandWasteHandling • Disinfecting • SpillandCleanupProcedures • DrugsandMedications • EmployeeTraining • MaintainingtheProgram

Each department shallmake an inventory of all hazardous chemicals used and forward a copy of thatinventorylisttotheSafetyOfficer,TimTyler,atfaxnumber(901)333-4822.

Material Safety Data Sheets (MSDS)

Allchemicalmanufacturersand/orimportersmustobtainordevelopMaterialSafetyDataSheetsforeachhazardouschemicaltheyproduceorimport.

AMaterialSafetyDataSheetmustalsobeobtainedandmadeavailabletoeveryemployeewhohasexposureorpotentialexposuretohazardouschemicalsusedintheworkplace.

MaterialSafetyDataSheetswillbeobtainedordevelopedforanyhazardouschemicalproducedinternally,suchascarbonmonoxide.

FornewchemicalsMaterialSafetyDataSheetswillbemadeavailablepriortouse.

MSDSInformationIncludes:1. Chemicalidentity,includingthenamelistedonthelabel,whomakesorsellsitandhowtoreachthem incaseofanemergency

2. Hazardousingredients,includinganysafe-exposurelimits;whetherornottheingredientsareatrade secret;andPermissibleExposureLimit(PEL)withoutdanger,overastandardworkweek

3. Physicalandchemicalcharacteristicsofthechemical,includingvaporpressure,flashpoint,etc.

HAZARD COMMUNICATIONPROGRAM

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4. Fireandexplosionhazarddata,includingboilingpoint,flashpoint,etc.

5. Reactivity,whetherstableorunstable,andreactionstomixingwithothersubstances

6. Healthhazarddata,includingsignsandsymptomsofexposure,targetorgans,routesofexposure

7. Precautionsforsafehandlinganduse,includinghowtocarefullyhandlethisproductincaseofaspill oraccidentalreleaseofthechemical

8. Controlmeasuresadvisinghowtoprotectoneself,whattypeofprotectiveequipmenttouse,andwhat hygienicpracticestofollow

Filing of MSDSs

TheMaterialSafetyDataSheetsarefiledbyroomlocationandaremaintainedbyDepartmentalManagementin a central file location. Indexingby the room location is done for safety reasons. In case offire, forinstance,firefighterswillknowwhatchemicalsareineachlocation.Acopyofthechemicalinventorylistisavailableateachlocation,inadditiontobeingfiledinthecentralMSDSfilebytheSafetyOfficer.

Labeling

Allcontainersthatcontainhazardousmaterialswillbelabeled.Allemployeeswillreportunlabeledcon-tainers to:

Name: TimTyler JobTitle: SafetyOfficer

DepartmentalManagementisresponsibleformonitoringallcontainersintheirdepartment,makingsureanynewproducts are labeled, andwill update thehazardous chemical substance list, ensuring that theMSDSisactuallyinthefacilitybeforereleasingtheproductforuse: • Chemicalsthatarenotintheoriginalcontainerrequirelabels(exceptmaterialsforimmediate use) • Alabelmustbeaffixedtotheoutsideofthecontainerandclearlynotethefollowingitems (examplesareillustrated):

TheBrandNameoftheMaterial_____________________________________________________CidexTheChemicalIdentity_____________________________________________________GlutaraldehydeTheNameoftheManufacturer____________________________________________Johnson&JohnsonAddress________________________________________________________________Cleveland,OhioTelephone_______________________________________________________________(800)698-9898Hazardsassociatedwithitsuse_______________Vapors,Dangertolungs,LiquidscancauseblindnessTargetorgansaffected_________________________________________________________Lungs,Eyes


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Housekeeping and Waste Handling

Ifanobstructionexiststhatmaypresentaphysicaldangertoemployees,suchasaprojectingpipe,duct,orstumblingdanger,itmustberelocatedoratleastlabeledwithawarningofthephysicaldangerandacautionarystatement.

Containersforbiohazard(infectious)wastesmustbemarkedwiththeINTERNATIONALBIOHAZARDsymbol.Thecontainersmustbelinedwithredbags.

Wastesmustbesegregatedintoinfectiousandnoninfectious(general)wastes.Bagsforinfectiouswastemustbeofhighquality,lead-proof,andredincolor.Containersmusthavetight-fittinglids.Foot-operatedopeningmechanismsarepreferred.

Tworeceptacles–oneforgeneralwaste,andoneforhazardouswaste–shouldbeprovidedineachroom,ifpossible.Iftwowastesaremixed,thewastesareconsideredinfectious,increasingwastedisposalcosts.

Medicalsuppliesmustbestoredawayfromhousekeepingitemsandunder-sinkareas.

Disinfecting

Low-gradedisinfectants,suchasbleachdiluted1:100,canbeusedtocleangeneralenvironmentandmedicalequipment.Ifagreatdealoforganicmaterialispresent,astrongerdilutionof1:10isrecommendedbyOSHA.Low-costiodophorsandphenolscanbesubstitutedforgeneralcleaning.

Hospital-leveltuberculocidaldisinfectants,includingglutaraldehyde,phenolsandiodophorsareusedforhigh-leveldisinfectingorinvasivemedicalinstruments.

TheCentersforDiseaseControl&Preventionrecommendsthatneedlesandsharpsbedisinfectedasquicklyaspossibleaftertheinfectiousbio-burdenisgenerated.Asharpscontainerwitha28-daydisinfectantisrecommendedformedicaloffices.Itreducesputrescenceanddangerfromneedlestickinfections.

Spill and Clean Up Procedures

Containthespillwithpapertowels;thenusecatlitter,acommercialabsorber,orotherabsorbentdisposablematerialtoabsorbthespill.

Wearutilityglovesforextraprotectionifexamglovesseemtoolight toprotectyoufromacidorothercorrosivematerials.

Consult theMSDSof the spilledmaterial forcleanup instructionsorwarnings. If there ispotential fordangerousfumes,evacuatepeoplefromthearea.Askassistancefromotherstokeeppersonnelaway.Putabsorberontothespilltoconverttheliquidintoamanageablesolidmaterial.


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Drugs and Medications

Certaindrugsdefinedby theFood,DrugandCosmeticsAct are considered tobehazardouschemicalsand,therefore,requireanMSDS,asdodrugsthathavebeenchangedfromtheiroriginalform(suchasbycrushing)priortopatientadministration.

Training

Trainingwillbeprovidedtoallemployeesatthetimeofinitialassignmentforexistinghazards.Additionaltrainingwillbeprovidedwheneveranewhazardisintroducedandwhennewinformationaboutthehazardsofachemicalisdiscovered.Also,annualrefreshertrainingwillbeprovidedasrequired.

HazardCommunicationEmployeeTrainingobjectiveswillincludethefollowing: • LearnhowtoreadandunderstandanMSDS • Identifyhazardouschemicalsintheworkareaandwheretheyarefound • Describewhatdifferentchemicalslooklikeandtheodorofthechemicals • Identifytasksorprocedureswhereanemployeemightbeexposed • Reviewthepurposeofdetectionormonitoringdevices • Learntheactionstobetakenwhenthereisanexposure(first-aid,etc.) • RecognizetheavailabilityofPersonalProtectiveEquipment,includingtype,useandlimitations ofPPE • IdentifythelocationofPersonalProtectiveEquipment • ReviewsampleMSDSandlabels • UsePPEeffectively–don,doff,dispose,etc.

Training Records

Recordswillinclude:Trainingdates,namesofemployees,jobtitles,socialsecuritynumbers,outlineoftraining,andinstructorandtitle.

Responsibilities

Employeeshavetherighttoknowabouthazardouschemicals.Employeesalsohaveresponsibilities:

1. Knowandfollowproperworkpracticeprocedures.

2. Reportallproblemsandhazardstothedepartmentsupervisor.

3. Readandfollowalldirectionsforproperhandlingofchemicals,includingPPE.


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Hazard Communication Standard

ResponsibilitiesofAdministration/SafetyOfficer:

________1. AdministertheTrainingProgram/TestafterHazardCommunicationtraining.

________2. ObtainacopyoftheHazardCommunicationProgramforeachemployee.

________3. RequestaHazardousChemicalSubstanceListforeachworksite.

________4. HelpensureMaterialSafetyDataSheets(MSDS)areobtainedfromthedistributoror manufacturer.

________5. Ensureallunlabeledcontainersarelabeled.

________6. Providecleanupsuppliesforblood,acidandalkalinespills.Labelthem“spillkits”and havethemaccessible.

________7. Checkthephysicallocationforworkhazards.Labelwithwarnings.

________8. Provideinfectiouswastecontainersinappropriatelocations.

________9. ReviewMSDSwithallemployeesforeachpertinentlocation.ReviewnewMSDSwith allpertinentemployeesastheyarereceived.

________10. PrepareEmployeeTrainingandAdministrationRecordsforeachexposedemployee.

TRAINING IMPLEMENTATIONCHECKLIST

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EmployeeName_______________________________________________________________________

NameandAddressofOfficeorDepartment_________________________________________________

_____________________________________________________________________________________

————DateProvided———

Initial Hazard Communication Training:

• EmployeeattendedHazardCommunicationtraining. __________________________

• EmployeewasinstructedwheretheHazardCommunication ProgramandOSHARegulationsarelocated. ________________________

• Employeewasinstructedaboutspecificchemicalhazardsinthe workplace,includingareviewoftheMSDSofthehazardous chemicals. __________________________

• EmployeereceivedannualretrainingontheHazard CommunicationStandard. __________________________

• Employeereceivedspecialtrainingregardingnewchemical substancehazards,newsafetypolicies,orotherspecifictraining. __________________________

Personconductingthetraining: _____________________________________________

Note:Maintainthisrecordforfiveyears.

EMPLOYEE TRAINING RECORD

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Page____of____

Date of Inventory _______________________ Department ___________________________________

Building ________________________________ Area _______________________________________

Person doing inventory _________________________________________________________________

CHEMICALNAME

COMMONNAME MANUFACTURER QUANTITY

ONHAND

MSDSONFILE?

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

CHEMICAL INVENTORYREPORT FORM

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DATE:_________________________________ AREA:_________________________________

Lab staff, supervisors, and faculty knowwhere theSouthwestwrittenChemicalHygienePlaniskeptfortheirarea,havereceivedrequiredtraining,knowthenameoftheirsafetychairpersonandhowtocontacttheirdepartment’ssafetychairperson?

Chemical Hygiene for Laboratories Checklist

CompletedCHPawarenesscertificatesareonfileinthedepartments?

WrittenEmergencyProceduresinplaceandunderstoodbythelabstaff?

ArechemicalsNOTstoredonthefloor?Arecontainersofliquidsstoredateyelevelorbelow?

Isglassapparatusthatisunderpressureorvacuumeithertapedorcaged?

Isunobstructedaccessavailable toeyewashesand safety showersavailablefromtheworkstations?

ArePPEandengineeringcontrols,suchasfumehoods,operatingproperly?

Aregascylinderssecured,andareincompatiblegasesstoredseparately?

Are rooms or areas designated for use of SPECIALHEALTHHAZARDSlabeled?

Iseverylaboratorydoorpostedwithnamesandphonenumbersofresponsiblepersonneltobecontactedincaseifemergency?

YES NO N/A

Doesthislocationgeneratehazardouswastes?

Chemical Waste Management Checklist

Are wastes stored in a designated area and segregated according to theircompatibilitiesandphysicalcharacteristics?

ArewastecontainerscorrectlylabeledwiththewordsHAZARDOUSWASTEandwiththecontaineringredients?

Arewastecontainersandwastecollectioncontainerstightlycappedorclosed?

Arecontainersnotleakingandsafefortransportation?

Isthevolumeofwastestoredlessthan50gallonsor1quartofacutelytoxicwaste?(Guidelines-Attachment1)

AreMSDSavailableforwastetrade/brandnameproducts?

YES NO N/A

SAFETY AUDIT CHECKLISTSFOR LABORATORY AREAS

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Areemployeesexposedtobiohazardousagents?(bacteria,fungus,parasites,toxins)

Environmental Health Checklist

HaveemployeesbeenprovidedwithacopyoftheSouthwestSafetyManualandappropriatelytrainedinthehazardsofexposure?

Have employeesbeenmade awareof signs and symptoms associatedwithexposuretoBiohazardsintheirworkarea?Doemployeesunderstandtheprinciplesofsafelabpractices?(PPE,handling,labeling,andstorageofbiohazardousagents)

Doemployeesknowwhattodointheeventofabiohazardousagentexposure,suchasapuncture,cut,splashorinhalation?

Doesthelocationgeneratebiohazardouswastes?

ArepersonnelfamiliarwithPurdue’sInfectiousWasteDisposalProgramandCompletionoftheBio-MaterialsPick-UpandTreatmentCertificationForm?

Arebiohazardouswasteschemicallyorphysicallytreatedandarebiohazardouswasteslabeledandstoredinadesignatedareainappropriatebags?

YES NO N/A

Areemployees exposed tohumanblood,humanbloodproducts,orhumantissue?

Bloodborne Pathogens

Aretheseemployeesgivenannualrequiredbloodbornepathogentraininganddotheyunderstandtheconceptofuniversalprecautions?

Are these employees given the opportunity to receive, at no cost to them,hepatitisBvaccinations?

Arebloodproductsortissuespecimensdisinfected,labeledanddisposedofproperly?

YES NO N/A

COMMENTS OR ISSUES FOR FOLLOW-UP:


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HousekeepingGeneral Safety Checklist

Aretheaislesclearandatleastthreefeetwide?Arestairswelllit?

Arefloorsfreeofoil,grease, liquids,brokenandunevensurfaces,orsharpobjects?

Isalltrashplacedinpropercontainers?Isitdisposedofproperly?(examples:sharps,usedtoner,emptychemicalcontainers,brokenglass)

Arematerialsstoredsotheydon’tstickout,andcan’tfall?

Machinery and EquipmentAremachineguardsinplaceandinuse?

Areelectricalcordsnotfrayedanddooutletsmatch?Areoutletsnotoverloaded?

YES NO N/A

Areladdersingoodconditionandsuitedforthejob?

Personal Protective Clothing and EquipmentHavehazardassessmentsbeencompletedandmadereadilyavailableforthetasks?

IsPPEreadilyavailabletoprotectagainstareahazards?

Have employees been trained on correct use, care, donning and doffing ofPPE,andaretrainingrecordsavailable?

Emergency Protection

Arefireextinguishersunobstructed?

Arethefireexitsunobstructedandidentified?

Arenon-exitdoorsidentified?

Aresprinklerheadsunobstructed?(atleast18”clearancesurroundingthehead)

COMMENTS OR ISSUES FOR FOLLOW-UP:


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IsthewrittencompliancemanualforHazardsCommunicationreadilyavailable?

Hazard Communication for Non-Laboratories Checklist

Doallcontainershavecomplete,legiblelabels?

AreMSDSavailabletoallstaffforallhazardoussubstancesused?

Isachemicalinventorycompleteandup-to-date?

IstheHazardCommunicationposterposted?

YES NO N/A

Areemployeesexposedtobiohazardousagents?(bacteria,fungus,parasites,toxins)


HaveemployeesbeenprovidedwithacopyoftheSouthwestSafetyManualandappropriatelytrainedinthehazardsofexposure?

Have employees beenmade aware of signs and symptoms associatedwithexposuretobiohazardsusedintheirworkarea?

Doemployeesunderstandtheprinciplesofsafelabpractices?(PPE,handling,labeling,andstorageofbiohazardousagents)

YES NO N/A

Doemployeesknowwhattodointheeventofabiohazardousagentexposure,suchasapuncture,cut,splashorinhalation?

Doesthelocationgeneratebiohazardouswastes?

DATE_________________________________ AREA_________________________________

Biohazards

SAFETY AUDIT CHECKLISTSFOR NON-LABORATORY AREAS

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Areemployeesexposedtohumanblood,humanbloodproducts,orhumantissue?


Aretheseemployeesgivenannualrequiredbloodbornepathogentraininganddotheyunderstandtheconceptofuniversalprecautions?

Are these employees given the opportunity to receive, at no cost to them,hepatitisBvaccinations?

Arebloodproductsortissuespecimensdisinfected,labeledanddisposedofproperly?

YES NO N/A

Arehumanbloodproductwastematerials (petriplates,needles,glassware,clean-upmaterials)disinfected,labeled,anddisposedofproperly?

Chemical Waste Management

Bloodborne Pathogens

Doesthislocationgeneratehazardouswastes?

Are wastes stored in a designated area and segregated according to theircompatibilitiesandphysicalcharacteristics?(Guidelines–Table1)

ArewastecontainerscorrectlylabeledwiththewordsHAZARDOUSWASTEandwiththecontaineringredients?

Arewastecontainersandwastecollectioncontainerstightlycappedorclosed?

Arecontainersnotleakingandsafefortransportation?

AreMSDSavailableforwastetrade/brandnameproducts?


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HousekeepingGeneral Safety Checklist

Aretheaislesclearandatleastthreefeetwide?Arestairswelllit?

Arefloorsfreeofoil,grease, liquids,brokenandunevensurfaces,orsharpobjects?

Isalltrashplacedinpropercontainers?Isitdisposedofproperly?(examples:sharps,usedtoner,emptychemicalcontainers,brokenglass)

Arematerialsstoredsotheydon’tstickout,andcan’tfall?

Machinery and EquipmentAremachineguardsinplaceandinuse?

Areelectricalcordsnotfrayedanddooutletsmatch?Areoutletsnotover-loaded?

YES NO N/A

Areladdersingoodconditionandsuitedforthejob?

Personal Protective Clothing and EquipmentHavehazardassessmentsbeencompletedandmadereadilyavailableforthetasks?

IsPPEreadilyavailabletoprotectagainstareahazards?

Have employees been trained on correct use, care, donning and doffing ofPPE,andaretrainingrecordsavailable?

Emergency ProtectionArefireextinguishersunobstructed?

Arethefireexitsunobstructedandidentified?

Arenon-exitdoorsidentified?

Aresprinklerheadsunobstructed?(atleast18”clearancesurroundingthehead)


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AIncompatiblewith B Alkaliandalkalineearth WaterCarbides AcidsHydrides HalogenatedorganiccompoundsHydroxides HalogenatingagentsMetals OxidizingagentsOxides Peroxides Azides,inorganic Acids Heavymetalsandtheirsalts Oxidizingagents Cyanides,inorganic Acids Strongbases Nitrates,inorganic Acids Reducingagents Organiccompounds Oxidizingagents•Organicacylhalides Bases Organichydroxyandaminocompounds •Organicanhydrides Bases Organichydroxyandaminocompounds Organichalogencompounds GroupIAandIIAmetals Aluminum Organicnitrocompounds Strongbases

INCOMPATIBLE CHEMICALS

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Oxidizingagents Reducingagents•Chlorates Ammonia,anhydrousand•Chromates aqueous•Chromiumtrioxide Carbon•Dichromates Metals•Halogens Metalhydrides•Hydrogenperoxide Nitrites•Nitricacid Organiccompounds•Nitrates Phosphorous•Perchlorates Silicon•Peroxides Sulfur•Permanganates •Persulfates Reducingagents Oxidizingagents Arsenates Arsenites Phosphorous Selenites Selenates Telluriumsaltsandoxides

Sulfides,inorganic Acids

INCOMPATIBLE CHEMICALS

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Purpose

The purpose of the Bloodborne Pathogens Program is to identify employees who are at high risk forexposure,andadheretosafetyandcontrolmeasurestominimizeoreliminatetheexposuretobloodbornepathogens.TocomplywiththeStandard,SouthwestTennesseeCommunityCollegehasimplementedthisBloodbornePathogensProgram.Theprogramincludes:

• DeterminingtheexposurerisksforSouthwestpersonnel • Assessmentandselectionofpersonalprotectiveequipment • OfferingtheHepatitisBvaccinationatnocosttoallemployeesoccupationallyexposed • Exposurecontrolandpost-exposureprotocols • TrainingforSouthwestpersonnel

Program Provisions

Programprovisionsinclude: • Exposuredetermination/jobclassification • UniversalPrecautions • HepatitisB • HepatitisC • HIV/AIDS • MethodsofCompliance: • Engineeringandworkpracticecontrols • PPE • HousekeepingandDisinfection • HepatitisBVaccine • Post-exposureevaluationandfollow-up • Communicationofhazardstoemployees • Training • Recordkeeping

Exposure Determination/Job Classifications

Exposure risk is established by identifying job classifications and frequency of possible exposure tobloodborne pathogens.ExposureDetermination forms assist in determiningwhich employees have thepotentialtobeexposed.Aformshouldbepreparedoneachemployeeinthedepartmentbythefollowingcategories:

Category I Employees:Tasks involvingexposure toblood,bodyfluids, or tissues. “Allproceduresorotherjob-relatedtasksthatinvolveaninherentpotentialformucousmembraneorskincontactwithblood,bodyfluidsortissues,orapotentialforspillsplashesofthem,areCategoryI tasks.UseofappropriateprotectivemeasuresshouldberequiredforeveryemployeeengagedinCategoryItasks.”Suchemployeesmayinclude,butmaynotbelimitedto,AlliedHealthfields,nursesandlaboratorytechnicians.

BLOODBORNE PATHOGENSPROGRAM

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Category II Employees:Taskswhich involve no usual exposure to blood, body fluids or tissues, butemploymentmayrequireperformingunplannedCategoryItasks.“Thenormalworkroutineinvolvesnoexposuretoblood,certainbodyfluidsortissues,butexposureorpotentialexposuremayberequiredasaconditionofemployment.”Forexample,staffwhomay,asapartoftheirduties,helpcleanup,handleinstruments,orsendoutlabworkaregenerallyconsideredCategoryIIemployees.

Category III Employees:Tasksthatinvolvenoexposuretoblood,bodyfluids,ortissues.“Thenormalworkroutineinvolvesnoexposuretoblood,bodyfluids,ortissues.Personswhoperformthesedutiesarenotcalleduponaspartoftheiremploymenttoperformorassistinemergencymedicalcareorfirstaidortobepotentiallyexposedinanyotherway.”

Southwest Tennessee Community College considers Category I and Category II employees to have potential for exposure. These employees will be offered the Hepatitis B vaccine at no charge.

TasksandProceduresWhereOccupationalExposuresMayOccurInclude: • Injectionsandimmunizations • Handlingcontaminatedsharps • Performinglabtestsonbodyfluids • Invasiveprocedures • StartingIVs • Phlebotomy • Minorsurgicalproceduresperformedwithinbiologicallabs • Cleaningupbodyfluidandwoundcare • Handlingcontaminatedlaundry • Handlingboxesorbagsofinfectiouswaste

Ithasbeendeterminedthatthefollowingprocedureshavenoreasonablelikelihoodofoccupationalexposure(wouldbeclassifiedasaCategoryIIIemployee): • Receptionists • HumanResourcepersonnel • Administrativerecordspersonnel • Appointmentpersonnel • Businessandaccountingpersonnel • Otherofficestaffwhohavenocontactwithpotentiallyinfectiousmaterial

StepsinDeterminingExposureControl:1. ReviewtheExposureDeterminationFormwitheachemployee,particularlythoseinmedium-to-high riskexposurelevels.

2. Ensurethatallmajortasksandproceduresdonebyeachemployeearenotedontheform.

3. Studytheformtofindpotentialexposureincidents.

4. Provideprotectionmaterialsandtrainingtotheexposedworkers,determinedbythetypeand frequencyofpossiblebloodbornepathogenexposure.


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5. Maintainalistofalljobclassificationsinwhichemployeesareexposedtobloodbornepathogenson regularbasis.Maintainaseparatelistofjobclassificationswithsomeexposure,andathirdlistofjob classificationsthatareneverexposedtobloodbornepathogens.

Determinationofexposureshallbemadewithoutregardtotheuseofpersonalprotectiveequipment.

Employees who have the potential to be exposed to bloodborne pathogensmust be provided trainingin bloodborne pathogen safety, offered free immunization againstHepatitisB, and provided protectiveequipmentagainstBBP.AnannualPPEhazardassessmentoftasksandexposuredeterminationisrequiredbySouthwest.Achangeinanexposureriskmayaltertheformofprotectionofferedtotheemployee.Forexample:Anofficeassistantnowperformscleanupduty in someEducational laboratories.ThisofficeassistantmayhavebeenaCategoryIIIemployee,butnowhe/sheshouldbeclassifiedasaCategoryIIemployee.

This program is intended to inform the employeesof the contents of theOSHAStandard as it appliestobloodbornepathogens.A bloodborne pathogen is defined as a “pathogenic microorganism that is present in human blood and can cause disease in humans.”Thesepathogensinclude,butarenotlimitedto,HBVandHIV.

Universal Precautions

“UniversalPrecautions”presumethatallbloodandbodyfluidsofallpatientsareconsideredpotentiallyinfected withAIDS (HIV), Hepatitis B virus (HBV), Hepatitis C virus (HCV), and other bloodbornepathogens,andmustbehandledaccordingly.

UniversalPrecautionsappliestootherpotentiallyinfectiousmaterials(OPIM)suchascerebrospinalfluid,synovial fluid, pleural fluid, peritoneal and pericardial fluid, amniotic fluid, vaginal secretions, semen,salivaindentalprocedures,anybodyfluidthatisvisiblycontaminatedwithblood,andallbodyfluidsinsituationswhereitisdifficultorimpossibletodifferentiatebetweenbodyfluids.It does not include feces, nasal secretions, sputum, sweat, tears, urine, saliva, breast milk, and vomitus, unless visible blood is present.

OSHA requires that all employeeswho have the reasonable potential to be exposed to blood or otherpotentially infectiousmaterials in theirworkplace to be trained in bloodborne pathogen safety and beofferedtheHepatitisBvaccine.

Hepatitis B Virus

TheacuteandchronicconsequencesofHepatitisvirus(HBV)infectionaremajorhealthproblemsintheUnitedStates.Thediseaseclaimsanestimated200,000–300,000casesayear.MorethanonemillionpeopleintheUnitedStatesarecarriersofthedisease.IntheUnitedStates,mostinfectionsoccuramongadultsandadolescents.HepatitisBistransmittedtoworkersviabloodandbodyfluidsorinfectedpatients,usuallythroughaccidentalneedlesticksandunprotectedcutsandsores.Otherspecificmodesoftransmissionhavebeen identified, includingsexualcontact,especiallyamonghomosexualmenandpersonswithmultipleheterosexualpartners;parenteraldruguse;householdcontactwithapersonwhohasanacuteinfectionor


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withachroniccarrier.ImmunizationwithHepatitisBvaccineisthemosteffectivemeansofpreventingHBVinfectionanditsconsequences.

Hepatitissymptomsmayincludejaundice,ayellowhuetotheskin,lossofappetite,nausea,andelevatedliverfunctiontests.AIDSandHepatitisdangerscanbepreventedorreducedby: • Usingprotectionagainstbodyfluidsduringat-riskprocedures • Usingdisinfectantstoreducepathogensintheenvironment • Washinghandsafterworkingwith/aroundpotentiallyinfectedmaterial • Usingpunctureresistantsharpscontainersforneedledisposal • Usingsafesyringes

Hepatitis C Virus

HepatitisCmayresultfromexposuretobloodorbodyfluidsthatcontaintheHepatitisCvirus.HepatitisC was traditionally transfusion-related, but persons at increased risk of acquiring Hepatitis C includeintravenousdrugusers,workerswithoccupationalexposuretoblood,andhemodialysispatients.

AIDS/HIV

AIDS(HIV)isnotascontagiousinthehealthcaresettingasHepatitis.ThereisnovaccineforHIVandthereisnocure.Itistransmittedthroughbloodandotherbodyfluids,sohealthcareworkersareexposedtoitduringtheirworkroutine.

OSHA requires that potentially exposed employeesbe trained inAIDSprevention, and are required toprotectthemselvesduringat-riskprocedures.Oncetraininghasbeengiven,andprotectiveequipmentisprovided,theemployeeisresponsibleforprotectinghim/herselffromharm.AIDS(HIV)ismainlyintheblood, semen,andvaginal secretionsofan infectedperson. It is spread throughsexualcontactwithaninfectedpersonbyneedlesharingamongintravenousdrugusers,orlesscommonlyandnowrarely,throughtransfusionsofinfectedbloodorclottingfactor.Itcanalsobetransmittedprenatallyfrommothertounbornchild.

AIDS (HIV) has never been reported to be transmitted through casual contact with a carrier. InstudiesofhundredsofhouseholdswherefamilieshavelivedwithandcaredforAIDSpatients,includingsituationswhereitwasnotknownthatahouseholdmemberwasHIVpositive,noinstancesofnonsexual,non-blood,ornon-perinataltransmissionwerefound,despitethesharingofkitchenandbathroomfacilities,meals,andeatinganddrinkingutensils.IfHIVisnottransmittedinthesesettings,itwouldbelesslikelytooccurinsocialsettings,suchasschoolsandoffices.

SymptomsofAIDS(HIV)infectionarevariedandincludefatigue,fever,nightsweats,weightloss,rashes,mouthsoresorpneumonia.

BecausethereisnovaccinationagainstAIDS(HIV),TheCentersforDiseaseControlrecommendsthatUniversalPrecautionsbeinstitutedinallsettingswherethepotentialforexposureexists.OSHAenforcesthisrequirement.


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Methods of Compliance

EngineeringandWorkPracticeControls: • Sharpscontainers • Splashshields • Self-sheathingneedles • Secondarycontainers • Infectiouswastebags • Transportboxes • Phlebotomytrays • Nofoodordrinkinpotentiallyinfectiousareas • Scheduleprocedureswithsufficienttimetoperformthemaccuratelyandsafely

Personal Protective Equipment (PPE)(incompliancewith29CFR1910.132.140):SouthwestTennesseeCommunityCollegeprovidesPersonalProtectiveEquipmentnearalllocationswherethereisexposuretohazardous substances, including physical, chemical, or biological, via inhalation, ingestion, absorption,or other physical contact.Eachdepartment is responsible for providingPersonalProtectiveEquipmentcommensurate with the exposure risks in each area. The use of Personal Protective Equipment is arequirementofOSHAandarequirementofSouthwestTennesseeCommunityCollege.

PPE Hazard Assessment: Each department is required to perform a PPE Hazard Assessment. ThisassessmentismadetodetermineifhazardsthatrequiretheuseofPPEarepresentorlikelytobepresent.Ifhazardsorthelikelihoodofhazardsaredetermined,theappropriatePPEmustbeselectedandapprovedbySouthwest.TheaffectedemployeeswillusetheproperlyfittedPersonalProtectiveEquipmentforprotectionfromexistinghazards.

Training: Employees shall be trained in the use of Personal Protective Equipment andwhen PersonalProtectiveEquipmentisnecessary;whattypeisnecessary;howitistobeworn;andwhatitslimitationsare,aswellasknowitspropercare,maintenance,usefullife,anddisposal.Certifyinwritingthenameofeachemployeetrained,jobtitle,PPEanddateoftraining.AcopyofthetrainingdocumentationshouldbesenttotheSafetyOfficer.

Different Types of PPE

Hand Protection:Theappropriatehandprotectionmustbewornwhenhandsareexposedorhave thepotential for exposure, to hazards such as absorption of harmful substances, blood and other potentialinfectiousmaterials(OPIM),cutsorlacerations,chemicals,temperatureextremes,etc.

Gloves:TwobasicglovetypesareprovidedbySouthwestTennesseeCommunityCollege:

Utility:Stronglatexglovesusedformaintenanceandscrubbingwork.Thesearereusableuntil theypuncture,tear,orcrack. Examination Gloves:Forlaboratoryproceduresnotrequiringsterileglovesandforroutine infectionprevention.


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Afterdonninggloves,examinethemforphysicaldefects.Weargloveswheneveryourhandsmighttouchblood,bodyfluids,orsurfacesthatcouldbecontaminatedbythem.Discardglovesaftereachpatient.Fitglovessotheycoverthecuffofyourclothing,ifpossible,toreducetheareaofskinexposure.

Eye and Face Protection:Eyeandfaceprotectionmustbewornwhentheeyes,nose,ormoutharelikelytobecontaminatedorinjuredfromflyingparticles,acids,orcausticliquids,gasses,orvapors,blood,otherpotentialinfectiousmaterial(OPIM)andotherhazardoussubstances.

Masks, incombinationwithchin length face shields,goggles,or safetyglasseswith solid side shields,should be worn whenever splashed and aerosolization of blood or other potential infectiousmaterials(OPIM)maybegenerated.

Eye,faceoreye-and-facewearmustmeettheminimumrequirementsoftheStandardandprovideadequateprotectionagainstaparticularhazardtowhichanemployeeisexposed.ThisshouldbedeterminedbythePPEHazardAssessment. • Theequipmentshouldbecomfortable,easytocleanandcapableofbeingdisinfected. • Thefitshouldbesnugenoughtoprotectproperlyandstillnotrestrictmovement. • Theequipmentshouldbedurableandkeptcleanandingoodrepair.

PersonsusingcorrectiveeyeglassesmaycomplytoOSHArequirementsbythefollowingtypes: • Gogglesthatfitovercorrectiveglasseswithoutdisturbingtheadjustmentorvision. • Safetyglassesthathavetheopticalcorrectionincorporatedintheprotectivelenses. • Gogglesthathaveapartofcorrectivelensesmountedbehindtheprotectivelenses.

Gowns and Head Coverings:Gownsareprimarilyworntoprotectstreetwearandthearmandneckareasfromcontamination.Gownsmaybechangeddailyunlesstheybecomesoiledorwet.

HeadcoveringsarewornwheneverproceduresinvolvesplashingoraerosolizationofBBPorchemicals.Headcoveringsshouldcoverthehair,ears,andpartsoftheneck.

Resuscitation Equipment: Pocket masks, resuscitation bags, and other equipment are provided bySouthwest,tominimizetheexposuretobodyfluidsincaseofemergencymouth-to-mouthresuscitation.

Protective Clothing Disposal:Linensandreusableprotectiveclothingwhichisheavilysoiledwithbodyfluidsshallbehandledaslittleaspossible.Suchlinensmustbebaggedat thelocationandputintoredleakproof bags. Designated areas or containers should be labeled with the BIOHAZARD SYMBOL.Contaminatedpersonalprotectiveclothingorequipmentisnottobewornorcarriedoutoftheworkarea.

Handwashing:Washhandsregularlywithasoap(preferablyantimicrobial)solution: • Beforegloving • Aftergloving • Afteryourhandshavetouchedapossiblycontaminatedsurface

Priortoperformingmedicalproceduresonapatient,theCenterforDiseaseControlsuggeststheuseofantimicrobialsoaps.


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Sharps, Needles and Sharps Containers:Employeeswillnotbend,recap,orremovecontaminatedneedlesfrom syringes. If recapping is necessary, the one-handed technique should be used. Sharp instruments,needles,andglassslidesshouldbedisposedintosharpscontainers.Thesecontainersmustbeavailableinareasthatgeneratesuchhazardouswaste(i.e.,venipuncture).

Sharpscontainerswill: • bepunctureresistant • belabeledand/orcolorcodedinregardtoitsstandard • beleakproof • bechangedwhen75percentfullatamaximum • bedisposedofentirelyintoinfectiouswastecontainers,andneveremptiedorreused

Sharpscontainersarelocated:

Location ____________________________________________________________________________

Location ____________________________________________________________________________

Specimens:Specimensofblood,bodyfluids,orOPIMwillbeplacedinadesignatedcontainerthatpreventsleakageduringcollection,handling,processing,storing,transporting,orshipping.ThiscontainerwillbelabeledwiththeBIOHAZARDSYMBOLandclosedprior tostoring, transporting,orshipping.Shouldcontaminationoftheprimarycontaineroccur, itmustbeplacedintoasecondcontainerwhichpreventsleakageandisalsolabeledaccordingtotheStandard.

Equipment:Equipmentthatbecomescontaminatedwithblood,bodyfluids,orotherpotentialinfectiousmaterials,mustbeexaminedthoroughlybeforeservicingorshipping.Suchequipment,ifcontaminated,shouldbedecontaminatedwiththeappropriatedisinfectantimmediately,orassoonasfeasible.Theprocessindicatedforanitem(disinfectingorsterilization)willdependonitsintendeduse.

Personal Hygiene:Employeeswillnoteat,drink,smoke,applycosmeticsorlipbalm,orhandlecontactlensesinworkenvironmentswhereriskofexposuremayoccur.

Employeeswillnotplacefoodordrinksinrefrigerators,freezers,shelves,cabinets,oroncountertopsorbenchtopswherebloodorotherpotentiallyinfectiousmaterialsarepresent.

Housekeeping

Theworkingenvironmentmustbekeptcleanandfreeofhealthandsafetyhazards.Allplacesofemployment,passageways,storeroomsandserviceroomsareincludedinthegeneralworkenvironment.

HousekeepingRules: • Cleananddisinfecttheworkenvironmentwithasolutionofatleast1partsodiumhypochlorite (bleach)to100partswater,orequivalentdisinfectant(youmaymix1:10). • CleanexposedequipmentandworksurfacesthathavehadrecentcontactwithbloodorOPIM with1partsodiumhypochlorite(bleach)to10partswater,orequivalentdisinfectant.


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• Sterilizecertainmedicalinstrumentswithapprovedhospitalsterilantsorinautoclaves. • Applyhospitalleveltuberculocidaldisinfectantonbloodspills.Thesedisinfectantsshouldbe madeavailableinallworksettingswherebloodandinfectiousmaterialsarehandled. • PlaceBIOHAZARDlabelsonsharpscontainers,infectiouswastecontainers,refrigeratorsand holdingmediacontainingbloodandotherpotentiallyinfectiousmaterials. • Refreshbleachsolutionseveryday.Oncediluted,bleachsolutionslosetheirdisinfectingstrength rapidly.

Infectious Waste

Materialsthatareconsideredtobeinfectiouswastemustbedisposedofasfollows: • Eachdisposalcontainermustbelabeled,leakproof,andplacedsothatitiseasilyaccessibleto employees. • Allinfectiouswastehauledawaytoincineratorsandlandfillsmustbeplacedinleakproof containerswithredbaginsertsandtightfittingbags. • BagsmustberedandBIOHAZARDlabeled.

Hepatitis B Vaccine

HepatitisBvaccineisofferedtoallemployeeswithhighriskforexposure.Thevaccineisadministeredinathree-doseseriesbeginningwithin10workingdaysofinitialassignmentforallexposedemployees,unlesstheemployeehasalreadyreceivedtheseriesviaothermeans,andhasprovidedhis/herrecordofvaccinationtoSouthwestTennesseeCommunityCollege.

An employee who refuses the Hepatitis B vaccination series must sign the Hepatitis B Vaccine Refusal Form. This is mandatory under the Standard CFR 1910.1030.

Southwest Policy on Seroconversion:SouthwestTennesseeCommunityCollegewilloffertheHepatitisBvaccination, freeofcharge, to thosepersonswhohaveanoccupational risk toHepatitisB.After thetwo-doseseries,bloodshouldbedrawntocheckforseroconversion.If theemployeehasnotreachedaconversionlevel,Southwestwillofferadditionalboostersinanattempttoreachapositiveseroconversion.Ifanemployeedoesnotconvertwithinthisreasonabletimeframeandwishestocontinuehis/herduties,awaivermustbesigned.Theemployeemaywishtocontinuewithadditionalvaccines,butmustpayfortheinoculations.TheserecommendationsarefromtheCenterforDiseaseControlandPrevention.

Post Exposure and Follow-Up:Anoccupationalexposureconsistsofcontactwithblood,tissues,orotherbodyfluidstowhichUniversalPrecautionsapply,includinglaboratoryspecimensthrough: • aneedlestickorcutwithacontaminatedinstrument • mucousmembranes • skin(especiallywhentheexposedskinischapped,abraded,orafflictedwithdermatitis,or contactisprolongedorinvolvesanextensivearea)

AFTER AN EXPOSURE, THE EMPLOYEE SHALL NOTIFY HIS OR HER SUPERVISOR IMMEDIATELY.


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Thesupervisorwillnotify theSafetyOfficer immediately.An Injury/IncidentFormmustbecompletedwithin24hoursandreturnedtotheSafetyOfficer.TheSafetyOfficerwillassistthesupervisorinmedicalfollow-upfortheinjuredemployee.

Ifthesourcepersonisknown,informthesourceoftheincident,obtainconsentforbloodtesting(ifthecurrentstatusisunknown).

Communication of Hazards to Employees

Labels and Signs:ThefollowingmusthaveaBIOHAZARDlabel: • Allcontainersofregulatedwaste • RefrigeratororfreezercontainingbloodorOPIM • Containersusedtostore,transport,orshipbloodorOPIM

Labelsrequiredshallincludethefollowinglegend:

1. Labelsshallbefluorescentorangeororange/redorpredominantlyso,withletteringandsymbolsina contrastingcolor.

2. Labelsshallbeaffixedto,orascloseto,thecontaineraspossible;withstring,wire,adhesive,ora methodwhichpreventstheirlossorunintentionalremoval.

3. Contaminatedequipmentmustalsobelabeledaccordingly.

4. Decontaminatedwastedoesnotrequirelabeling.

Training: 1. Trainingwilloccuratleastannually.

2. Trainingwillbedocumented,including: • Date • Topic • Department • NamesofthoseAttended

AcopyofthetrainingdocumentationwillbesenttotheSafetyOfficer.


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Recordkeeping

• ExposureDeterminationFormsandCategorySheetsaretobekeptforfiveyears.• Trainingrecordsaretobekeptforfiveyears.• Exposurerecordsaretobemaintainedforatleasttheperiodoftheemployee’semploymentplus30 years.• HepatitisBrecords,includinganyrefusalsorconversionwaivers,aretobekeptforfiveyears.

TheserecordsshouldbeforwardedtoandfiledbytheSafetyOfficer.

Bloodborne Pathogen Immunization Process

AllSouthwestTennesseeCommunityCollege,employeeswhoworkinahigh-riskarearelativetoBloodbornePathogensareofferedtheHepatitisBimmunizationseries.Anyemployeerefusingthisimmunizationmustbringproofthattheyhavepreviouslyhadthisimmunizationseriesorsignadeclinationstatement.

IftheemployeeacceptstheHepatitisBimmunizationseriesoffer,theirsupervisorschedulesanappointmentwithaHealthDepartmentnurse.The immunizationseries is startedandwillconsistof threeshotsandpossiblyatiter-drawntoconfirmconversion.

AftersuccessfullycompletingtheHepatitisBimmunizationseriestheemployeeisscheduledforannualBloodbornePathogenTraining.


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To be completed by Departmental Management / Safety Officer

EmployeeName________________________________________SS#___________________________

JobTitle ____________________________________________Date ofHire _____________________

Exposure Potential Tasks:

1. ___________________________________________________________________________________

2. ___________________________________________________________________________________

3. ___________________________________________________________________________________

4. ___________________________________________________________________________________

Ifmorespaceisneeded,pleaseprovideadditionalpage.

Personal Protective Equipment to be Worn:

1. ___________________________________________________________________________________

2. ___________________________________________________________________________________

3. ___________________________________________________________________________________

Category Definition:Tasksinvolvingexposuretoblood,bodyfluidsortissues.“Allproceduresorotherjob-relatedtasksthatinvolveaninherentpotentialformucousmembraneorskincontactwithblood,bodyfluids, or tissues, or a potential for spill or splashes of them, areCategory I tasks.Use of appropriateprotectivemeasuresshouldberequiredforeveryemployeeengagedinCategoryItasks.”Employeeswhofall into this category include, butmay not be limited to, physicians, nurses, physician assistants, andlaboratorytechnicians.

_________________________________________________ __________________________ EmployeeAcknowledgment Date

EXPOSURE DETERMINATION FORMEMPLOYEE CATEGORY I

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EmployeeName________________________________________SS#___________________________



1. ___________________________________________________________________________________

2. ___________________________________________________________________________________

3. ___________________________________________________________________________________

4. ___________________________________________________________________________________



1. ___________________________________________________________________________________

2. ___________________________________________________________________________________

3. ___________________________________________________________________________________

Category Definition:Tasksthatinvolvenousualexposuretoblood,body,fluidsortissues,butemploymentmay require performing unplanned Category I tasks. “The normal work routine involves no exposureto blood, bodyfluids or tissues, but exposure or potential exposuremay be required as a condition ofemployment.”Forexample:Staffwhomay,aspartoftheirduties,helpcleanup,handleinstruments,orsendoutwork,aregenerallyCategoryIIemployees.


EXPOSURE DETERMINATION FORMEMPLOYEE CATEGORY II

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EmployeeName________________________________________SS#___________________________



1. ___________________________________________________________________________________

2. ___________________________________________________________________________________

3. ___________________________________________________________________________________

4. ___________________________________________________________________________________



1. ___________________________________________________________________________________

2. ___________________________________________________________________________________

3. ___________________________________________________________________________________

Category Definition:Tasksthatinvolvenoexposuretoblood,bodyfluids,ortissues.“Thenormalworkroutineinvolvesnoexposuretoblood,bodyfluidsor tissues.Personswhoperformthesedutiesarenotcalleduponaspartoftheiremploymenttoperformorassistinemergencymedicalcareorfirst-aidortobepotentiallyexposedinanyotherway.”


EXPOSURE DETERMINATION FORMEMPLOYEE CATEGORY III

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To be completed by Departmental Management

Department_____________________________________________________Date_________________

Location_____________________________________________________________________________

Job classifications in which all employees in these job classifications have occupational exposure to bloodborne pathogens (Category I Employees).

EXPOSURE DETERMINATION FORMJOB CLASSIFICATIONS

Job classifications in which some employees have occupational exposure to bloodborne pathogens (Category II Employees).

Job Classification Tasks and/or Procedures1.2.3.4.5.6.

Job classifications in which employees have no occupational exposure to bloodborne pathogens (Category III Employees).

Job Classification Tasks and/or Procedures1.2.3.4.5.6.

Job ClassificationCategory III Employees should not be performing

occupational tasks and/or procedures.1.2.3.4.5.6.

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To be reviewed with the employee by Departmental Management / Safety Officer

______________________________________________ ________________________________EmployeeName Department

_____________________________________________________________________________________Address

_____________________________________________________________________________________City/State/ZIPCode

I, _________________________________________________, am employed by Southwest TennesseeCommunityCollege.SouthwesthasprovidedtrainingtomeregardingtheHepatitisBvaccine.Iunderstandtheeffectivenessof thevaccine, thepossible risksofcontractingHepatitisB in theworkplace,and theimportanceoftakingactivestepstoreducetherisk.IhavebeengiventheopportunitytobevaccinatedwithHepatitisBvaccine,atnochargetomyself.

However,I,ofmyownfreewillandvolition,anddespitetheurgingofSouthwest,haveelectednottobevaccinatedagainstHepatitisB.Ihavepersonalreasonsformakingthedecisionnottobevaccinated.If,inthefuture,IhaveoccupationalexposuretobloodorotherpotentiallyinfectiousmaterialsandIwanttobevaccinatedwithHepatitisBvaccine,Icanreceivethevaccineseriesatnochargetome.

Signature_______________________________________________Date _________________________

_____ IhavepreviouslyreceivedtheHepatitisB(HBV)series.(Attachofficialdocumentation, includingseriesdates)

Signature_______________________________________________ Date_________________________

HEPATITIS B VACCINATIONINFORMED REFUSAL

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Bloodborne Pathogens Standard (“Universal Precautions”)

ResponsibilitiesofDepartmentalManagement/SafetyOfficer

_____1. Determinewhoareprobable“exposedemployees”fromtheExposureIdentificationForm andtheExposureControlPlanguide.

_____2. ArrangeforpotentialexposedemployeestoviewtheBloodbornePathogensvideotape.

_____3. AdministerBBPTrainingTestandfileaftercompletionofTraining.

_____4. ProvideacopyoftheBloodbornePathogensProgramforeachemployeetoread.

_____5. DeterminefromtheExposureIdentificationFormwhichemployeeshaveactualoccupational exposure.

_____6. Provideprotectiveclothingandequipmentatkeylocationstoexposedpersonnel.

_____7. OfferHepatitisBimmunizationstoeachexposedworker.

_____8. Prepare/Procuredisinfectingsolutionsandspillkitsforclean-uptasks.

_____9. PlaceBIOHAZARDLabelsonappropriatecontainersandsites.

_____10. Reviewsafetyequipmentinstructionsandlocationofprotectiveclothingwithworkers.

_____11. PrepareEmployeeTrainingandAdministrationRecordsforeachexposedemployee.Keep theminaconfidentialarea.ForwardacopytotheSafetyOfficer.

TRAINING IMPLEMENTATION CHECKLIST

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EmployeeName_______________________________________________________________________

NameandAddressofOfficeorDepartment_________________________________________________

_____________________________________________________________________________________

———DateProvided———Initial Hazard Communication Training:

• EmployeeattendedHazardCommunicationtraining. __________________________

• EmployeewasinstructedwheretheHazardCommunication ProgramandOSHARegulationsarelocated. __________________________

• Employeewasinstructedaboutspecificchemicalhazardsinthe workplace,includingareviewoftheMSDSofthehazardous chemicals. __________________________

• EmployeereceivedannualretrainingontheHazardCommunication Standard. __________________________

• Employeereceivedspecialtrainingregardingnewchemical substancehazards,newsafetypolicies,orotherspecifictraining. __________________________

Personconductingthetraining:

__________________________________________

Note: Maintain this record for five years.

EMPLOYEE TRAINING RECORD

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Purpose

ThepurposeoftheEmergencyActionPlanistoestablishandimplementprocedurestoensurethesafetyofemployeesduringafireand/orotheremergencies.ThisplanworksinconjunctionwithSouthwest’sRAPIDREACTIONPLANinthissection.

Responsibilities of the Safety Officer

1. LeadtheexecutionanddevelopmentoftheEmergencyActionPlan.

2. Advisecollegeleadershipinthecoordinationofemergencypreparedness.

3. Investigateallreportsandemergencies.

4. Cooperatewithandassistoutsideagencypersonnelonallsurveytoursandinspections.

5. InconjunctionwithSouthwestPoliceServicesandAdministration,establish,revieworamendany proceduresrelatedtotheEmergencyActionPlan.

Responsibilities of Departmental Administration

1. Provideinitialemergencytrainingofallnewemployees.

2. Planescaperoutesforeachworkarea,includingprimaryandsecondaryescaperoutes.Escaperoutes willbepostedoneachfloorandeachreceptionarea.

3. Appointemployeestoassistinevacuationprocedures.

4. Createanemergencyactionplanthatexplainsdutiesofemployeesinemergencysituations.

5. Developamethodtoaccountforallemployeesinthedepartment(post-evacuation)andincludea designatedareaforallemployeestoassemble.

6. Listnamesofpersonstocontactforfurtherinformation.

7. Actascoordinatorforanyemergencysituationinhis/herarea.

8. Maintainanup-to-daterollofallemployeesinhis/herareaandarosterofpersonstrainedinCPR.

9. Maintainfirst-aidkits,flashlights,etc.,forthearea.

10.Keeparosterofemployeedutiestobeperformedduringafire,earthquake,tornado,etc.

11.Completeanyspecifictrainingtechniques,suchasemergencynotificationprocedures,information aboutthebuildingalarmsystem,andevacuationproceduresforthearea.

EMERGENCY ACTION PLAN

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12.Maintainalltraininglogsforthearea.

13.ServeasthecommunicationlinkbetweenthedepartmentandtheSafetyOfficerinallmatters concerningemergencypreparedness.

Responsibilities of the Employee

1. BecomefamiliarwithgeneralinformationconcerningSouthwest’sEmergencyActionPlan.Also, eachemployeeshallreadandbecomefamiliarwiththebuildingprotocolforthebuildinghe/she occupies.

2. Initiateemergencyprocedureswhenappropriate.

3. Remainathisorherworkareatoassistemergencypersonnelwhoenterthebuilding,unlessthe buildingisevacuated.

4. Learnthedutiestobeperformedduringanemergency.

5. Learntheappropriateevacuationroutesforhis/herworkarea.

6. Learnthedesignatedassemblypoint,post-evacuation.

Notification:Reportinitialemergenciesbydialing911.NotifyCampusPolice@5555/4242andSouthwest’sSafetyOfficerat(901)333-5459assoonaspossible.Refertotheprotocolforthebuildingyouoccupy.

Medical Treatment:Administerfirstaidasrequired.First-aidmaybeappropriateincertainsituations,butisnotasubstituteforprofessionalmedicalcare.

First-aidmayinclude,butisnotlimitedto: • Establishingandmaintainingairwaystopreventchoking • RescueBreathing • Establishingcirculatoryefforts–CPR,controlbreathing • Treatmentforshock • Coolingthermalburns • Irrigationofeyes/skinfromirritants • Remainingwithpersonuntilfurtherhelparrives(calmandreassure) • Avoidingmovingaseriouslyinjuredpersonunlessthatpersonisindangeroffurtherinjury.

Non-emergencyon-the-jobinjuriesshouldfollowtheWorkersCompensationClaimprocedure.

Forremotefacilities,emergencymedicaltreatmentshouldbedirectedtothenearestmedicalfacility.


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Adisasterresultinginamasscasualtysituation(e.g.,earthquake,tornado,etc.)mayfallunderthedirectionoftheShelbyCountyDisasterPlan.ThiswouldbedeterminedbythefirstrespondingemergencyunitandcoordinatedbyShelbyCounty’sEmergencyManagementAgency(EMA).AllmedicalfacilitiesinShelbyCountywill take part in a countywide disaster. Please refer to theRAPIDREACTIONPLAN in thissection,whichoutlinesspecificEmergencyproceduresandphonenumbers.

Fire

Procedures:Emergencyactionstepstobetakenwhenfireand/orsmokearedetected:

1. Rescueanyoneinimmediatedanger.

2. Remaincalm.Soundthealarm–activatethenearestfirealarmpullstation.

3. Alertothersinyourimmediateareaoftheemergency.Followthenotificationprotocolofthebuilding youarein.NotifyCampusPoliceandtheSafetyOfficerwhenpossible.

4. Neverattempttofightafire,nomatterhowsmall,unlessyouhavebeentrainedintheuseofafire extinguisher.

5. Closedoorsandwindowstopreventthespreadoffireand/orsmoke,butdonotlockdoors.Smoke– notheatorflames–isthebiggestkillerinafire.

6. Turnoffequipmentandfansintheaffectedarea.

7. Bepreparedtoevacuateifsoinstructed.Followtheevacuationprotocolforthebuildingyouarein.

8. Neverre-enteraburningbuildingonceoutside.

9. Workwiththefiredepartmentupontheirarrival.Notifyfiredepartmentpersonnelofanymissing personsaftertheinitialheadcount.

Evacuation:Everydepartmentshalldesignateanassemblypointforgatheringafteranevacuation.Oneperson ineachdepartmentwillbeappointed toconductaheadcount. Ifevacuationofaunitorarea iswarranted,itshouldbecarriedoutinasystematicorder.Theevacuationorderwillvarywithyourspecificareaandproceduresintheprotocol.

Training:Initialtrainingofemployeesinevacuationproceduresshouldtakeplaceatthetimeofhireandatleastannuallythereafter.Additionalarea-specificprotocoltrainingforemployeesshouldtakeplaceatthetime of initial hire and annually thereafter.


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Drills:FiredrillswillbeconductedeitherbythePublicSafetydepartmentorbydepartmentalAdministration.SouthwestTennesseeCommunityCollegewillusetheFireDrillEvaluationFormtodocumentdrilleventsandtocommunicateproblems,whichneedtobecorrected.Itwillbetheresponsibilityofeachdepartmentorfacilitytoensurethattheevaluationsheetforeachareaiscompleted.Reviewthedrillprotocolsforyourbuilding.

NOTE:Rehearsalofthefireplanduringdrillsmustincludefacultyandstudents.

Preparation for Evacuation in Case of Fire

1. Turnalllightson.

2. Whenthefirealarmhassounded,theexitroutesmustbequicklyinspectedtoensuretheyaresafe.

3. Refertotheevacuationmapspostedinyourarea.Iftheprimaryexitissafeandpassable,usethisexit first.

4. Iftheprimaryexitisblockedorunsafe,usethesecondaryexitroute.Makeeveryefforttoclearat leastoneoftheexits.

5. Donotevacuateuntilanorderhasbeengiventoevacuateoranemergencyconditionwarrantsthatan evacuationisnecessary.Itcouldbemoredangeroustoevacuateanareathantoremainwhereyouare.

Evacuation (Ground Level):

1. Whentheorderhasbeengiventoevacuate,begintheactualevacuationprocess.

2. Establishyourprimaryandsecondaryroutesofevacuation.

3. Evacuatepersonsnearesttodangerareafirst.

4. Trytoworkawayfromthedangerarea,ifpossible,movingpersonstowardtheassemblyareaoutside thebuilding.Trynottodeviatefromassignedescaperoutes,ifpossible.

5. Stayatthedesignatedassemblyareauntilfurtherdirected.Neverre-enterthebuildingordangerarea onceoutside.

6. Ifbothexits(primaryandsecondary)areblocked,movetoaroomfurthestawayfromthedanger. Closethedoortotheroom.Takeanobjectandbreakthewindow.Placeablanket,coat,etc.,overthe windowsilltopreventcuts,andthenusethewindowasanescaperoute.

7. Movetothedesignatedassemblyarea.Countandimmediatelyreportanymissingpersonstothe personincharge.Remember:Donotre-enterthebuildinguntilinstructedbyapprovedpersonnel.


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Multilevel Evacuation:

1. Ifyouareinamultilevelfacilityandneedtoevacuate,proceeddownthestairwell,unlessinstructed otherwise.

2. Ifboththeprimaryandsecondaryroutesareblockedandcannotbecleared,gouptothenextfloor.

3. Ifallexitsareblocked,movetoaroomasfarawayfromthedangerareaaspossible.Closethedoor totheroom.Itmaybenecessarytobreakawindow.Removetheglassfromthewindowandplacea blanketorcoatoverthesilltopreventcuts.Donotusethewindowasanexitatthispoint–serious injuryordeathcanresultfromajump.Usetheopenwindowtosignalforassistance.Waitfor emergencyrescuepersonneltoassist.

4. Donotuseelevators.

5. Donotdeviatefromanassignedescaperoute,ifpossible.

6. Onceyouhavereachedthedesignatedassemblyarea,countandimmediatelyreportanymissing personstothepersonincharge.

7. Neverre-enterthebuildingordangerareaonceinside.

Possible fire hazards:

1. Exitways.Donotblockorobstructanyaisles,doorways,orfireescapes.

2. Combustiblewaste.Allcombustiblewasteshouldbeplacedinall-metalcontainerswithtightfitting coversensuringcontainmentifafireshouldoccur.

3. Electricalhazards.Reportpromptlyanyfrayed,brokenoroverheatedextensioncordsorelectrical equipmentwithinthefacility.Donotoperatelightswitches,orconnectordisconnectanyelectrical equipmentwhereanypartofyourbodyisincontactwithmetalfixturesorisinwater.

4. SmokingisprohibitedinallSouthwestbuildingsunlesspostedotherwise.Smokingisnotpermitted inanyclassroomandLabareaandroomsorcompartmentswhereflammableliquid,combustiblegas oroxygenisbeingusedorstored.

5. Electricalheatersandfansarenotpermittedontheproperty,unlessspecificallyapprovedbythe buildingfacilitymanagerortheSafetyOfficer.

6. Holidaylightsandelectricaldecorationsarenotpermittedontheproperty.

7. Candlesorheat-producingunitssuchaspotpourriburnersarenotpermitted.


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How to Fight a Fire

Fighting a Minor Fire:

1. Fightaminorfirebypouringwateronitunlessitsoriginiselectricalorflammableliquid.

2. Inthecaseofatrashfire,donotpickupburningtrashandrunwithit.Thiswillonlyfanthefireand causeittoburnmorerapidly.

3. Staycalm.Donotpanic.Firstalertsomeoneelse.Ifsafetodoso,fightthefirewiththenearest accessiblefireextinguisher.

4. Besurethatthefireisextinguished.Removeburningarticlestoanareawheretheycannotrekindleor causeanyfurtherdamageorconfusion.

5. Assureallpersonnelthateverythingisundercontrolandthatthefirehasbeenextinguished.

6. ReporttheincidenttoPublicSafety,theSafetyOfficerordepartmentmanagement.Advisethatthe firehasbeenextinguished,andrelatethedetails.

7. Recheckthefireareatoseeifitissafetoenter.

8. Donotusethefirealarmifthefireisofaminornature.Keepactivitiesandinformationlocalized.

9. Closealldoorsandwindowsinthefirearea.

10.Sealoffthefireareabyplacingawetblanketundertheroomentrancedoortopreventsmokefrom enteringtherestofthebuilding.

Fighting a Major Fire:Remaincalm.Donotpanic.

1. Shouldamajorfire(onethatisoutofcontrol)bediscoveredoraminorfiregetoutofcontrol, immediatelyactivatethenearestfirealarmpullstationandcall911.

2. Ensurethatevacuationofallemployeesfromthedangerareaisinitiated.Workawayfromthedanger area.

3. Moveawayfromthedangertopreassignedareas.

4. Besurethatallpersonnelareaccountedfor.Reportmissingpersonsimmediately.

5. Closealldoorsandwindowsinroomsastheyareevacuated.

6. Checkexitstoensurethattheyaresafeandusable.Clearanyobstacles.


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7. Turnalllightson.

8. Donotreturntothedangerareaonceawayfromit.

9. Turnoffanyequipmentwithblowerfans(suchasheatingandcoolingsystems)andallunnecessary electricalequipment.

10.Donotletanyonereturntotheareaoncetheyhavebeenevacuated.

Fire Extinguishers

Fireextinguisherscomeinmanyvarieties.Theyarecodedtoprovideinformationastothetypeoffiretheywillextinguish.Thecodeisdeterminedbythetypeoffuelthatisburning(i.e.,wood,gas,etc.).Listedbelowarefivemaintypesofextinguishersandtheiruses:

Class APW:Airpressurizedwater(H2O),usemainlyonwood,paperandtrash.Donotuseonchemicals,grease,electricalwiringorcomputers.

Class ABC:Mono-ammoniumphosphatewithanitrogencarrierandotheringredientstokeepitflowing.Useonpaper,trash,wood,liquidgreases,andelectricalwiring–notforcomputersorradioequipment.

Class DC:DryChemical:basically,bakingsodawithnitrogencarrierandotheringredients.Useforliquidgreasesandelectrical—notforpaper,wood,orcomputers.

Class Halon:Bromochlorodifluormethane,goodforcomputersandelectronicequipment.Alsocanbeusedonpapertrash,wood,andliquidgreases.

Class CO2:CarbonDioxide,goodforchemicals,grease,electricalwiring,andcomputers–butnotforwood,paperortrash.

EACH CLASS OF FIRE EXTINGUISHER SHOULD BE USED ONLY FOR THE KIND OF FIRE FOR WHICH IT IS INTENDED.Usingthewrongfireextinguishercouldmakeafireworse–forexample,usingwater(ClassAPWextinguisher)onagreasefire.

Becomefamiliarwiththetypeoffireextinguishersusedinyourfacility.Mostfireextinguishersworkinasimilarfashion,butthereareexceptions.Readthedirections.Ifyouareusingaliveextinguisher,donotletafiregetbetweenyouandtheexit.


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LearnHowtoPASS(Pull,Aim,SqueezeandSweep.)

PULLthepin.Someunitsrequirethereleaseofalocklatch,pressingapuncturelever,orothermotion.

AIMtheextinguishernozzle(hose)atthebaseofthefire.

SQUEEZEthetrigger.

SWEEPfromsidetosideatthebaseofthefireuntilitgoesout.Shutofftheextinguisher.Watchtoseeifthefirestartsagain(reflashes)andbereadytoreactivatetheextinguisherifnecessary.Foamorwaterextinguishersrequireslightlydifferentaction—readthedirections.

Earthquake

Theactualmovementof thegroundduringanearthquakeisseldomthedirectcauseof injuryordeath.Mostcasualtiesareadirectresultofdamagedbuildingsandotherstructuresthatgeneratefallingobjectsanddebris.

Injuriescanbecausedby: • collapsingroofs,wallsandceilings,andfallinglightfixtures. • overturnedfurniture,fixturesandappliances. • fallenpowerlines. • firesresultingfrombrokengaslines,explosions,etc. • glassfrombrokenwindows. • drastichumanactionsresultingfrompanic.

Procedures During an Earthquake:

1. Remaincalm.Trytoreassureothers.

2. Ifindoors,remainindoors.Itisgenerallysafertostaywhereyouare.Donotdashforanexitbecause stairwaysmaycollapseorbejammedwithpeople.DONOTUSEELEVATORS.

3. Watchforfallingdebris(e.g.,ceiling,plaster,fixtures).Stayclearofhighbookcases,filingcabinets, shelves,andanyotherobjectsthatmayslideorfall.Keepawayfromwindowsandexteriorwalls.

4. Ifpossible,crouchunderasolidobject,suchasatableordesk.

5. Ifyouareinanelevator,stoptheelevatoratthenearestfloor,getoutandtakecover.Iftrappedinan elevator,utilizetheelevatoremergencynotificationdevice.

6. Ifinacrowdedauditorium,donotrushforthedoorway(everyoneelsemayhavethesameidea).In leavingabuilding,chooseyourexitascarefullyaspossible.


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7. Ifoutside,avoidhighbuildings,walls,powerpoles,andotherobjectsthatcouldfall.Ifpossible, movetoanopenareaawayfromallhazards.Ifinanautomobile,stopinthesafestplacepossible, preferablyanopenarea.

Procedures After an Earthquake:

1. Donotusetelephonesforoutsidecallsexceptinemergencies.

2. Bepreparedforadditionalearthquakeshocks,whicharecalled“aftershocks.”Althoughmostofthese aresmallerthanthemainshock,somemaybelargeenoughtocauseadditionaldamage.

3. Checkforinjuries.Donotmoveseriouslyinjuredpersonsunlesstheyareinimmediatedangerof furtherinjury(suchasbuildingcollapse,fire,etc.)Administerfirstaidasrequired.

4. Checkforfiresandfirehazards.

5. Checkutilitylinesforgasleaksordamage.Seethatthegasandelectricityareturnedoffatthemain valvesandswitches,ifnecessary.(Authorizedpersonnelmustdothis.)

6. Beawarethatpoweroutagesmayhaveeliminatedalllighting.Befamiliarwiththelocationofexit stairsandotherescaperoutes.

7. DONOTusematchesorcigarettelightersbecauseofthepossibilityofrupturedgaslinesorother flammablematerialsbeingpresent.

8. Ifevacuationofthebuildingisordered,quicklywalktothenearestexit.Bewareofstructuraldamage andassistboththedisabledandtheinjured.Donotleanorholdontoanythingthatwillnotsupport you.Protectyourselfasyouexitthebuilding.DONOTUSETHEELEVATORS.

9. Donotattempttore-enterabuildingonceyouareoutside.

Tornado

Tornadoesareviolentstormswithwhirlingwindsthatcanreach200-400milesperhour.Thefunnel-shapedcloudmaytravel“ontheground”inapaththatgenerallyrangesfrom200yardstoonemilewide.Thesouth-central,southeastern,andmid-westernpartsoftheUnitedStatesarethemostsusceptibleregionstodevelopthesestorms.

A tornado watchmeans that conditions are favorable for the possible development of a tornado in aspecifiedarea.

A tornado warningmeansthatatornadohasactuallybeensightedintheareaorlocatedonradar.

Tornadoesoccurwithlittleornowarningandtheremaybelittletimetoprepare.


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Procedures: If there isa tornadowatch indicatedby theNationalWeatherService, listen toa radioortelevisionforadditionalupdates.IfthereisatornadowarningindicatedbytheNationalWeatherService,bepreparedtotakeimmediatecoverforprotection.ListenforsirenssoundedbytheEmergencyManagementAgencyduringatornadowarning.Takethefollowingactions:

1. Remaincalmandseekimmediateshelter.

2. Ifinside,movetoaninteriorareaatthebottomofthebuilding.Ifyourbuildingdoesnothavea basement,movetoaninnerareaonthegroundfloorandstayawayfromwindows.

3. Stayawayfromlargeopenareassuchasanatriumorauditorium.Ifoutside,movetoashelter.If thereisnotimetomoveinside,lieflatinthenearestditchorculvertandshieldyourhead.Besureto leavetheditchorculvertafterthetornadohaspassedtoavoidthepossibilityofbeinginjuredina flashflood.

Reviewtheprotocolfor thebuildingyouarecurrentlyoccupying.Checktosee if there isadesignatedshelterinthatbuilding.

Emergency Evacuation of Persons with Disabilities

Purpose: This program establishes procedures for emergency evacuation of persons with disabilitiesfromSouthwestTennesseeCommunityCollegefacilities.TheguidelinessetforthinthisprogramareincompliancewithNFPA101LifeSafetyCode,TheAmericanswithDisabilitiesAct,andANSIA117.1.

Introduction:SouthwestTennesseeCommunityCollegepoliciesandproceduresrequirethatallpersonsinafacilitybetrainedtoevacuatethatfacilityanytimethefirealarmsystemisactivatedoranemergencynecessitates.Personswithdisabilitiesmaynotbeable to evacuateunassisted.Therefore, eachdisabledpersonshouldinformanotherpersonthatassistancemightbenecessaryduringfirealarmactivation.

The Buddy System:A“buddysystem” is thebestplan for theevacuationofpersonswithdisabilities.Tousethebuddysystem,thefacilitystaffwillassignpersonswithdisabilitiesastheir“buddies.”Whenthealarmsounds,thestaffemployeewillnotethelocationofhisorherbuddyandgooutsideandinformemergencypersonnel thataperson in that locationneedsassistance in leavingthebuilding.Emergencypersonnelwillthenenterthebuildingandevacuatethosepersonswithdisabilities.

Evacuation Options: Use these options in conjunction with the buddy system to assure the promptevacuationofanypersonwithadisability:

Horizontal Evacuation:Moveawayfromtheareaofimminentdangertoasafedistance(e.g., anotherwing,oppositeendofthecorridor,oradjoiningbuilding).

Vertical (Stairway) Evacuation:Thosewhoareabletoevacuatewithorwithoutassistancecanuse stairways.Personswhomustusecrutchesorotherdevicesaswalkingaidswillneedtousetheirown discretion,especiallywhenseveralflightsofstairsareinvolved.


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Stay in Place:Unlessdangerisimminent,remaininaroomwithanexteriorwindowandatelephone –closethedoorifpossible.Call911andgiveyourname,locationandthereasonyouarecalling.If thephonelinesfail,thepersoncansignalfromthewindowbywavingaclothorothervisibleobject.

Disability Guidelines:

Mobility Impaired (Wheelchair):Personsusingwheelchairsshouldstayinplaceunlessmovedto anotherareawiththeirbuddyawayfromdanger.Theevacuationbuddyshouldthenproceedtothe evacuationassemblypointoutsidethebuildingandinformemergencypersonnelofthelocationofthe personwiththedisability.

Mobility Impaired (Non-Wheelchair):Personswithdisabilitieswhoareabletowalkindependently maybeabletonegotiatestairsinanemergencysituationwithminorassistance.Thesepeopleneedto beincludedinthe“buddysystem”andassistedifneeded.Theyshouldwaituntilheavytraffichas clearedbeforeattemptingtonavigatestairs.

Hearing Impaired:Southwestbuildingsareequippedwithfirealarmhornsandstrobesthatsound thealarmandflashstrobelights.Thestrobelightsareforhearingimpairedpersons.

Visually Impaired:Thefirealarmhornisforsight-impairedpersons.Thebuddysystemisnecessary toensurethatallvisuallyimpairedpersonsareevacuatedsuccessfully.

Summary:MostSouthwestfacilitydoors,wallsandceilingswereconstructedasfire-ratedunits.Two-waycommunicationisavailable(telephones)andmostroomshavewindows(forfreshairortomakeasignal).Sprinklersystemshavebeeninstalled.Withproperplanningandpractice,personswithdisabilitiescanbeevacuatedsuccessfullyutilizingthepreviouslymentionedprocedures.RefertotheEmergencyEvacuationandtheRapidReactionPlansectionsofthismanualforplanningandpracticingforemergencies.


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Filloutcompletelyandasaccuratelyaspossible.Donotleaveanyspacesblank.Answerwith“N/A”or“Unknown”ifnecessary.

Department_________________________________Supervisor________________________________

Building______________________________________________________Floor__________________

Dateandtimealarmsounded_____________________________________________________________

Didalarmbell/hornfunctionproperly? Yes No

Wasanannouncementheard? Yes No

Didallfiredoorscloseproperly? Yes No

Wasaclearannouncementheard?(AllClear) Yes No

Ifanyanswersweremarked“No,”pleaseexplain____________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Pleaseevaluateyourarea’sFirePlanbyansweringthefollowing:

Doallpersonnelknowhowtomanuallyactivatethefirealarmsystem? Yes No

Doallpersonnelknowtheirrolesinthecontainmentofsmokeandfire? Yes No

Doallpersonnelknowtheappropriateescaperoutesandevacuationprocedures? Yes No

Doallpersonnelknowthedesignatedareatoassembleifanevacuationisrequired? Yes No

Whereisyourarea?____________________________________________________________________

Formcompletedby________________________________Title_________________________________

Department___________________________________________Date___________________________

FIRE DRILL EVALUATION FORM

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EMPLOYEE CONFIRMATION

Bysigningthisstatement,IamstatingthatIhavereadandunderstandtheEmergencyActionPlanandtheRapidReactionPlanofSouthwestTennesseeCommunityCollege.IfurtherstatethatIshallutilizemybesteffortstoabidebythesePlans.

__________________________________________________________ ___________________SignatureofEmployee Date

_____________________________________________________________________________________Witness

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General Policy

EverySouthwestTennesseeCommunityCollegeemployeeshallbeentitledtoreceivecompensationforpersonalinjury,deathbyaccidentoroccupationaldiseasearisingoutofandinthecourseofemploymentwithSouthwestsubjecttotheworkerscompensationlaw.Noemployeewillbediscriminatedagainstinanywaybecauseofhis/herdecisiontofileaclaimundertheworkerscompensationlaw.

Notice of Injury

Aninjuredemployeemustnotifyhis/hersupervisorimmediatelyupontheoccurrenceofaninjuryorassoonasreasonablypracticable.Anemployeemaylosetherighttoreceiveworkerscompensationifnoticeisnotgivenonatimelybasis.TheInjury/IncidentReportshouldbefilledoutandreturnedtotheSafetyOfficerwithin24hoursof the incident.Acopyof theInjury/IncidentReportshouldbe takento thedesignatedinitialtreatmentfacility.

Injuries Not Covered

Nocompensationshallbeallowedforaninjuryordeathduetoanyofthefollowingreasons:

1. Willfulmisconduct

2. Intentionalself-inflictedinjury

3. Intoxication

4. Willfulfailureorrefusalto: • UsenecessarypersonalprotectiveequipmentorSafetyDevices • Performadutyrequiredbylaw • FollowSouthwestsafetyrulesandprograms

SouthwestTennessee’sworkerscompensationcarrierdetermineswhetherornotanillnessorinjuryarisesoutofandinthecourseofemploymentwithSouthwest.

Workers Benefits

1. Theemployeewillreceiveafullday’spayforthedayonwhichheorsheincurredanaccidentor injuryarisingoutofemployment.

2. Employeeswhoareunabletoworkbecauseofdisabilityarisingoutofemploymentareeligiblefor weeklycompensationandwillbepaidaccordingtostatelaw.Workerscompensationpaymentsare 66percentofregularpay.

3. Thereisaweek’sdelaybeforeemployeesreceivecompensation.Theinjuredemployeemayelectto utilizeaccruedsickordisabilitypayforreimbursementfortheinitialperiodofdisability.

WORKERS COMPENSATION

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4. Employeesreceivingworkerscompensationbenefitpaymentsarenoteligibletoalsoreceivesickpay. Anyduplicationofpaymentsmademustbereimbursed.

5. Intheeventtheemployeeelectstouseaccruedsickpayfortheinitialperiodofdisabilityandlater receivesworkerscompensationbenefits,certaintaxliabilitiesareincurredforwhichtheemployeeis responsible.

6. Theemployeemaynotuseaccruedsickleaveforwork-relatedillnessorinjurypasttheseventhday ofdisability,unlesstheinjuryorillnessisdeterminedtobenon-workrelated.

7. Alltimeoffduetowork-relatedinjuriesorillnessmustbenotedontheemployee’stimesheet.Ifthe employeeelectstouseaccruedsickleavefordays2-7,thetimesheetshouldreflectthis.

Medical Payments

Payments for medical attention, including hospitalization, doctors’ fees etc., related to a work-relateddisability,arepaidinaccordancewithstatelaw.

Awards

Ifpartialorpermanentdisabilityresultsfromanaccidentorillnessarisingoutofemployment,afurtherawardmaybemadebytheinsurancecarrierinaccordancewithstatelaw.

Workers Compensation Record Keeping

1. TheOccupationalSafetyandHealthAdministration(OSHA)requiresthatalogbekepttorecordtime missedfromworkandotherinformationrelativetotimelostfromworkduetoemployment-related illnessorinjury.TheSafetyOfficerwillmaintainthislog.

2. Anemployeewhomissesworkduetowork-relatedinjuriesshouldrecordalltimelostinhistime sheet(s)under“Other”andshouldnote,“WorkersCompensationClaim”intheCommentssection.

3. TheOSHAlogwillbepostedduringthemonthofFebruarybytheSafetyOfficertoreflectthe previousyear’sworkerscompensationactivity.

WORKERS COMPENSATION

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1. SedgwickCMS–Knoxville P.O.Box14484 Lexington,KY40512-4484 1(800)526-2305(toll-free) (865)583-8310(fax)

2. PrimeHealthNetwork 1(866)348-3887

3. ToFileaNewClaim: 1(866)245-8588(toll-free)

Ifyouhavequestions,calltheTreasuryDepartmentDivisionofClaimsAdministrationat(615)741-2734.

Forgeneralinformation,goto:www.treasury.state.tn.us/wc

State of Tennessee Workers’ Compensation Program

Ifyouhaveanaccidentatwork: • Contactyoursupervisortoreportyourinjury. • ContacttheCallCenterat1(866)245-8588tofileyourclaim. • Ifyouneedmedicaltreatment,calltheState’sAdministration,SegdwickClaimsManagement Services,at1(800)526-2305,orPrimeHealthNetworkat1(866)348-3887,for the name of a provider who is authorized to treat you.

You must choose a provider from the state’s directory for full payment of your bills. If you use an unauthorized provider, you will be responsible for payment of your bills.Ifyouhavequestions,calltheTreasuryDepartmentDivisionofClaimsAdministrationat(615)741-2734.Forgeneralinformation,gotowww.treasury.state.tn.us/wc

IMPORTANT TELEPHONE NUMBERSAND ADDRESSES

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Return or fax this form to the Safety Department within 24 hours of incident.

DateofIncident___________Time__________Location_____________________________________

NameofInjuredEmployee______________________________________________________________

Department________________________________________SocialSecurity#_____________________

Sex____Male____Female WorkPhone_______________HomePhone_________________

DateofBirth_______________________________________MaritalStatus_____Married_____Single

JobTitle_________________________________________Hoursworkedperweek_________________

Howdid the injuredemployeedescribe thecauseof the injury/disease?Bespecificanddetailed.Whatexactlywasthepersondoingatthetimeofinjury?Ifusingtoolsorhandlingmaterial(s),namethemandexplainwhatthepersonwasdoingwiththem.Pleaseattachanyadditionalcommentsifnecessary.

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Describethenatureoftheinjury/diseaseyouobserved.Bespecific.

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

INJURY/INCIDENT REPORT

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WitnesstoInjury/Incident___________________________WitnessPhone________________________

WitnessStatement:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Whenandwherewastheinjuredpersonreferredfortreatment?_________________________________

_____________________________________________________________________________________

Whatdoyouthinkwouldpreventthisincidentfromhappeningagain?____________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Supervisor’sSignature______________________________________________Date_______________

DateIncidentwasReported______________________________

Ihavereadtheabovereportandthestatementsaretruetothebestofmyknowledge.

EmployeeSignature________________________________________________Date_______________

INJURY/INCIDENT REPORT

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The purpose of this report is to help prevent similar incidents from occurring.Complete the report as accurately and thoroughly as possible.

InjuredPerson’sName____________________________________________________Age__________

Occupation_____________________________________________________HireDate______________

Investigationconductedby____________________________________________Date______________

IncidentDate________________________________Time____________________________a.m./p.m.

o Close Call oMinorInjury oMajorInjury oIllness

Wheredidtheaccident/injuryoccur?______________________________________________________

_____________________________________________________________________________________

Howdidtheaccident/injuryhappen?_______________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Describetheinjury:____________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Whatdoyourecommendtobedone(orwhathaveyoudone)topreventthistypeofincident?

_____________________________________________________________________________________

Whatunsafeact(s)orcondition(s)contributedtotheincident?__________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Correctiveaction(s)takenanddate________________________________________________________

_____________________________________________________________________________________

ACCIDENT/INJURYINVESTIGATION FORM

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CONTRACTOR SAFETY POLICY

AllpersonnelconductingoperationsonSouthwestTennesseeCommunityCollegepropertiesaremandatedtocomplywithallapplicablelocal,state,andfederalrulesandregulationspertainingtooccupationalhealthandsafetyandtheenvironment.Personsconductingconstructionrelatedactivitiesarerequiredtoreviewandsignthedocumententitled“ContractorSafetyAgreement”prior toworkingonsite.AllcontractorsworkingonsitearesubjecttoinspectionbytheCollege’sDepartmentofEnvironmentalHealthandSafety(EH&S).

Contractor Safety Guidelines

ThisprogramestablishestherequirementswhichshallbeapplicabletoallcontractorswhoperformworkforSouthwestTennesseeCommunityCollege. It is acknowledged that the contractor is responsible forthesafetyofhisindividualemployees,butSouthwestalsorecognizesthatcontractorsafetycaninsomecasesdirectlyaffect its staff, facultyandstudents.ConsequentlySouthwest requiresacontractor safetyagreementtobesignedbyallcontractors.

The objective is to guide contractors to establish andmaintain an accident prevention programwhicheliminatesaccidentstocontractorpersonnelandproperty,andwhicheliminatescontractoraccidentsthatmayaffectSouthwestpersonnelandproperty.

A. SCOPE:ThisprogramshallbeapplicabletoallcontractorswhoperformworkforSouthwest TennesseeCommunityCollege.Theprogramcontainstheminimumsafetyrulesandproceduresfor performanceofworkbythosecontractorsandtheirsubcontractorsasrequiredbySouthwest.

Thecontractorassumesandhasthefullresponsibilityandliabilityforthesafetyofitsagents, servantsandemployeesandforthecomplianceofitssubcontractors.Anythingcontainedhereindoes notrelievethecontractorofsuchresponsibilityorliability.Contractorsunwillingtosecurepersonnel performanceinkeepingwiththeseruleswillnotbeacceptable.

Inadditiontotherulessetforthherein,contractorsmustbecognizantofandcomplywithany applicablefederal,stateandlocallaws.

B. REQUIREMENTS: 1. Training:Thecontractorshallprovidetrainingforitsemployees,andsuchtrainingshallinclude, butnotbelimitedto:

a. Disclosureofpotentiallydangerousconditionsintheworkplace; b. Provideanexplanationofhowtoperformtheworksafely; c. ProvideathoroughdemonstrationastotheproperoperationofPersonalProtective Equipment

AdequateprogramsshouldcomplywiththeOSHAHazardCommunicationStandard,Hearing ConservationStandard,ResourceConservationRecoveryAct,Lockout/Tagoutandother standardsapplicabletothecontractor’swork.

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2. Smoking:SmokingisprohibitedinallSouthwestfacilitieswhether“NoSmoking”signsare postedornot.ConsultwiththeSouthwestprojectsupervisorforauthorizedsmokinglocationsin the area.

3. ReportingAccidents/Injuries:Allaccidentsandinjuriesmustbeimmediatelyreportedtothe contractor’ssupervisorandtheSouthwestprojectsupervisor.TheSouthwestprojectsupervisor willreporttheaccident/injurytothephysicalplantdirectorandEH&S.

4. IntoxicatingBeverages,DrugsandFirearms:Possessionofillegaldrugs,drugparaphernalia, intoxicatingbeverages,firearmsorotherweaponsareunauthorizedandprohibitedonSouthwest property.ContractorsshallremovefromSouthwestpropertyanypersonfoundtobeinpossession ofanyoftheseitemsorundertheinfluenceofalcoholorotherdrugs.

5. Housekeeping:Workareasshallbemaintainedinaneatandorderlymanner.Trash,oilspills,etc., mustbecleanedupassoonaspossible.Aislesandemergencyexitsmustbekeptfreeofmaterials at all times.

6. CompressedGases:Allcylinderscontainingcompressedgasesshallbereturnedtoasuitable storageareaafteruse.Theyshallnotbepermittedtolayabouttheworksite.Protectivecaps shallbeplacedoverthecylindervalveswhennotinuseorwhenbeingtransportedandkeptaway fromheat,fire,moltenmetalorelectricallines.Theyshallnotbetransportedbymobilecranes unlessaspecialcarrier,designedforthatpurposeisused,andshouldbestoredintheupright positionandsecuredtosomestationaryobjectorstructure.

7. HazardousChemicals:MaterialSafetyDataSheets(MSDSs)mustbeavailableforallchemicals usedonthejobsiteandpersonnelworkingatthesitemustbeproperlyinstructedintheiruse. PersonalProtectiveEquipmentoutlinedintheMSDSmustbeprovidedbythecontractorand wornbytheexposedpersonnel.Thecontractorwillberesponsibleforallchemicalsusedand storedonsite.ContainersmustbeproperlylabeledandmanagedtopreventspillageonSouthwest property,includinguseofsecondarycontainment,ifnecessary.Empty,fullorpartiallyfull containersmustbeproperlyclosedatalltimestopreventanyleakage.

8. PersonalProtectiveEquipment(PPE):ThewearingofappropriatePersonalProtectiveEquipment isrequiredonSouthwestpropertyasdesignatedintheOSHAStandards29CFR1910and1926. Thisincludeseyeprotection,headprotection,footprotection,hearingprotection,respiratory protection,handprotectionandotherprotectiveequipmentasdictatedbythehazardstowhichthe personnelareexposed.

9. OverheadWork:Whenworkingoverhead,theareabelowshallberopedofforotherequivalent measuresshallbetakentoprotectworkersontheworksite.Signsreading“Danger-Work Overhead”shallbeconspicuouslypostedaroundthearea.Personnelshallneverpassundera suspendedload.

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10.ScaffoldsorWorkPlatforms:Allscaffoldsorworkplatformsusedforinstallationand maintenanceorremovalofmachineryorequipmentshallbeconstructed,maintainedandusedin compliancewiththeapplicableOSHAStandards29CFR1910and1926.

11.SafetyHarnessesandLifelines:Safetyharnessesandlifelinesshallbeprovidedbythecontractor andwornbyallworkerswhenworkingaboveten(10)feetwhereitisimpracticaltoprovide adequateworkplatformswithhandrailsandtoeboards.Thisshallbeapplicabletoallwork performedfromarticulatingboomequipment.

12.TrenchingandExcavation:Priortobeginninganyexcavations,itshallbedeterminedifany undergroundhazardsexist(gaslines,electricallines,etc.).Whenpersonnelmustenteranytrench greaterthanfive(5)feetindepthorinanylocationwherehazardousgroundmovementcanbe expected(regardlessofdepth),applicablesafetystandardsandregulationsmustbeaddressedby thecontractor(29CFR1910and1926).

13.HotWork:Ifhotwork,whichincludeswelding,cutting,grindingoranyotheractivitythat producesasparkoropenflame,istobeperformedinaSouthwestfacilitythatisoccupiedby students,facultyorstaff,thecontractormustnotifytheEH&S.ThecontractormusthaveaHot WorkPermit.

14.ConfinedSpaceEntry:ThecontractormusthaveaConfinedSpaceEntryProgrampriorto workinginconfinedspaces.Priortoentryintoaconfinedspace,theEH&Smustreviewthe contractor’sConfinedSpaceProgramtoensureitcomplieswiththeOSHAStandardand incorporatesallpotentialhazardsintheassessmentofthespace.Theprojectsupervisormust discloseallhazardandpotentialhazardinformationonaconfinedspacepriortothecontractor enteringthespace.Properatmospherictestingisrequiredpriortoentryintotheconfinedspace.

15.Lockout/Tagout:ThecontractormusthaveaLockout/TagoutProgramwhenevertheproposed workincludesinstallation,repairormaintenanceonequipmentthatcontainsormaycontain hazardousenergy(i.e.,electrical,hydraulic,steam,pressure,etc.).Theprogrammustincludea systemtopreventunauthorizedstart-upoftheequipmentaswellastheeliminationofpotential energybuild-up.Priortobeginningworkontheequipment,thecontractormustcontactthe Projectsupervisorforadditionalinformationregardinglockoutoftheequipmentonwhichthe workistobeperformed.

16.FireProtection:Fireprotectionequipmentislocatedstrategicallythroughoutcampusfacilities. Thisequipmentisforemergencyuseonly.Anyunauthorizeduseofthisequipmentforanyother purposeisforbidden.Itistheresponsibilityofthecontractortoprovidetheirownfireprotection equipmentappropriatefortheworkbeingperformed.Southwest’sfireprotectionequipmentmay beusedtosupplementthecontractor’sequipmentifconditionswarrantandtheuseisapproved bytheprojectsupervisor.AnyuseofSouthwestequipmentmustbereportedtotheproject supervisor.


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17.Asbestos:Duringmaintenanceordestruction/renovationactivitiesofSouthwestfacilities, asbestoshealthhazardsmaybeencountered.Whenthishazardhasbeenidentifiedorsuspected, thecontractorshallfollowadditionalguidelinesasoutlinedbyOSHAStandards(29CFR1910 and1926).UndernocircumstancesshoulddemolitionworkprogressonSouthwestpropertyuntil writtenapprovalisprovidedbytheProjectSupervisor. 18.RegulatedWasteDisposal:Allregulatedwaste–ResourceConservationandRecoveryAct (RCRA)hazardouswaste,ClassI,andIInon-hazardousWaste,asbestos–generatedfromthe demolitionofanySouthwestpropertyshouldbedisposedofincompliancewithanyandall applicablelocal,state,andfederalrulesandregulations.AllRCRAhazardouswastemanifests shouldbeforwardedtotheEH&S.Allothermanifestsanddisposaldocumentsshouldbemade availabletoEH&Suponrequest.

19.StormwaterProtection:Thecontractormustconductactivitiesinamannerthatwillminimize thereleaseofanycontaminantstothestormwaterorsanitarysewers.Whenapplicable,the ContractormustcomplywithpermitrequirementsmandatedundertheStateofTennessee, Memphis,TennesseePollutantDischargeEliminationSystem(TPDES)programortheEPA managedNationalPollutantDischargeEliminationSystem(NPDES). 20.ProtectionoftheGeneralPublic:Thecontractormusttakethenecessarystepstoprotectthe generalpublicfromanyhazardsassociatedwiththeworksiteincluding,butnotlimitedto,trip hazards,fallhazards,fallingobjects,releasesofcontaminantsthatmycontributetopoorindoor airquality(dusts,gasses,etc.).Theprotectionofthegeneralpubliccanbesecuredbyusing controlmethodssuchasbarriers,signagethatindicatesanypotentialhazards,orsecuringthe jobsite.Achecklistentitledisincludedinthisdocument.Thedocumententitled“Pedestrian AccessduringConstructionProjects”providesguidanceonthepropermethodsforensuring

21.IndoorAirQuality(IAQ):Thecontractormusttakethenecessarystepstoensurethattheindoor airqualityforbuildingoccupantsadjacenttoconstructionsitesarenotcompromisedbyfugitive emissions.Achecklistentitled“IAQConsiderationsforOccupiedBuildingsunderConstruction” isincludedinthisdocumenttoaidinimplementingtheproperengineering,oradministrative controlsnecessarytoensurethis.

22.Emergencies:Emergenciesinvolvinganinjury,thereleaseofanyhazardousmaterialstothe environmentoranyquestionsregardingpotentialexposuretoasbestosshallbeimmediately reportedtotheSouthwestprojectsupervisor.AnemergencycalllistforSouthwestsafety personnelisincludedinthisdocumentintheeventthattheprojectmanagercannotbereached.

C. CONTRACTORSAFETYPERFORMANCESURVEY:TheEH&Sdepartmentwillconductroutine surveillanceofconstructionactivities(seeattachedconstructionsafetyinspectionform)primarilyin thoseareasthatmayaffectemployees,studentsandvisitors.Uponcompletionofaroutineinspection, acopyoftheconstructionsafetyinspectionformwillbeforwardedtotheSouthwestProject Supervisor.TheProjectSupervisorshallbetheliaisonforcommunicatingsafetyandhealthconcerns toacontractor.


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INDOOR AIR QUALITY (IAQ)CONSIDERATIONS FOR OCCUPIED

BUILDINGS UNDER CONSTRUCTION

OCCUPANT NOTIFICATIONDescription

Will occupants be notified of upcoming construction activity to include a briefdescriptionoftheworkplanned,precautionstakenforairquality,healtheffectsoflow-levelexposurestoconstructionrelateddustandodors,andgivenanopportunitytovoiceconcerns?Have considerations been made to relocate hypersensitive individuals during thedurationoftheproject?Will renovation work be stopped until potentially significant health issues areresolved?

SCHEDULINGIfpossible,canconstructionactivitybeconductedduringoffhours(eveningsorduringweekends?)

HassourcesubstitutionusinglowerVolitileOrganicCompound(VOC)emittingproductsbeenconsidered?

YES NO

CONTROL MEASURESWhatcontrolmeasureswillbeusedtoensureoccupantsarenotadverselyexposedtoconstructionactivitydustandodors?

(Equipment)Localexhaust

(Equipment)Aircleaning

(Equipment)Coverorsealcontaminants

(Pathway)Depressurizeworkarea

(Pathway)Pressurizeoccupiedspace

(Pathway)Erectbarrierstocontainconstructionarea

(Pathway)Relocatepollutantsources

(HVAC)Supplysideairintakeswillbeblocked

(HVAC)Returnsideairintakeswillbeblocked

(HVAC)Filtrationefficiencywillbeincreased

(Housekeeping)Isthereanestablishedscheduleforcleaningupthesite?

(Housekeeping)Isitrecognizedthatallworkareasmustbedryaspossible?

For construction projects inwhich the duct system has been contaminated duringconstruction or a system with preexisting dust buildup will duct cleaning beconducted?

(checkbelow)

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PEDESTRIAN ACCESS DURINGCONSTRUCTION PROJECTS

Thepurposeofthesestandardsforconstructioninthepublicright-of-wayistoensurepedestriansafetyandaccess.Standardsapplytocontractors,andallothersworkingintheright-of-way.Eachprojectisuniqueandrequiresthoroughreviewtoensurecomplete,safe,usableandaccessiblepathsoftravel.

Maintenance of a Clear and Accessible Pedestrian Corridor

TheContractorshallmaintainanaccessiblecorridorthatprovidesatleastonesafepathoftravelforallpedestriansatalltimesforthedurationoftheproject.Temporaryclosureofdesignatedpedestrianroutesand crossings shall be allowed onlywhen flaggers are present and safely directing pedestrians aroundhazards. • Pedestriancorridorshallbeanominalwidthof6’wheneverfeasible,andshallconformto AmericansWithDisabilitiesActAccessibilityGuidelines.Itshallnotbelessthan48”wideat singlepointofcontactorobstruction. • Accessiblepedestriancorridorshallconnectwithfacilitiesthroughouttheprojectarea. • Equipment,debris,constructionmaterialsorvehiclesshallnotobstructthecorridor. • NoparkedvehiclescanobstructbluecurbparkingspacesunlesspermittedbytheCity.

Temporary Ramps Conforming to Accessibility Standards

TheContractorshallinstallandmaintaintemporaryconcrete,asphaltorwoodrampstoprovideasafepathoftravelformobility-impairedpedestriansatalllocationswhererampshavebeentemporarilyremovedORneededtoroutepedestrians. • Temporaryrampsshallbeconstructedsoinstallationandremovalwillnotdamageexisting pavement,curband/orgutter. • Rampsshallhaveaminimum4’widewalkingsurfaceandaslopenottoexceed8percent. • Rampsshallsnuglymeetexistingsurfaceswithoutgaps.Whenrequiredfordrainageschedule40 PVCpipeminimum2”diametershallbeinstalledthroughramp. • Transitionsbetweenrampsandthestreetsurfaceshallbesmoothsuchthatnolipexistsatthe baseoftheramp. • Sidesofarampshallbeprotectedwherethereisanydrop-off.

Construction of Signposts, Barricades and Fencing

Barricadesthatareimpenetrableshallbeusedtoseparatepedestriansfromhazardsonallsidesofexcavationsthatmaybeexposedtopedestrians.Usematerialsandmethodssuitabletositeconditions.Signsandfencingmaterialshallnotprotrudeintotheclearpathway. • A-framesusedfordefiningpathoftravel(notbarricadingtrenches)shallbeplacedend-to-end withoutspacing,andshallbeconnectedandmaintainedtoensurestabilitytohelpapersonwhois blindnegotiateasafepathwhileusingacane. • CautionTapeshallNOTbeusedbyitselftodelineatethepathoftravelorcreateabarricade. • Fencingmaterialrequiresaminimum3”height,solid,uninterruptedtoe-board. • Signposts,scaffoldingandfencingsupportsshallbeplacedentirelyoutsidethepedestrianpathof travel,andshallbeminimum4’wideand80”highwithoutobstruction. • Constructionbarriersshallbemaintainedinasound,neatandcleancondition.

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Identification of Safe Path of Travel

Ifaportionofthepedestrianwayisreroutedduetoconstruction,thepathoftravelshallbeclearlydefined.TrafficEngineershallreviewanypedestrianaccesslimitationsandsignagenotificationrequirementsforpedestrianswithmobilityorvisionimpairments. • PathsoftravelthatDONOTcontinuetothenextcornerortoasafecrosswalkshallbeclosedto pedestriantraffic.Signsaminimumof36”x36”mustbepostedstatingthesidewalkisclosed anddetourpedestrianstoaccessiblesidewalk. • Pedestrianaccesscorridorsshallbeclearlydelineatedwithconesorbarricades,asapprovedby theEngineer. • Ifacrosswalkisclosed,curbrampsleadingintothatcrosswalkmustbebarricadedinsucha mannerthatwalkwaysthatarenotclosedremainaccessibletouse. • CautionTapeshallNOTbeusedbyitselftodelineatethepathoftravelorcreateabarricade.

Surfacing of Pedestrian Corridors

Duringconstruction,trippinghazardsandbarriersforpeoplewithmobilityimpairmentsmustberemovedtomaintainanaccessiblepedestriancorridor. • Anychangeoflevel,whichexceeds1/4”height,mustbebeveledat45º. • Closedtrenches,temporarypavingsurfaces,walkingsurfaces,steelplates;etc.shallhavea smoothlyfinished,firmwalkingsurfacemadeevenw/surroundingwalkways. • Aisleorloadingareaadjacenttoaparkingspaceispartofthepedestriancorridor.

Restoration of Pedestrian Routes

Afterconstruction,thesiteshallbereturnedtoitsformercondition,ornewconditionasrequired. • Temporaryrampsshallberemovedassoonasconstructionandapprovalofpermanentrampis completed. • Afterworkiscompleted,surfaceofthepedestrianpathshallberestoredfreefromallridges, gaps,bumpsandroughedges. • Constructionthataffectsanyexistingcurbrampshallincludereplacementorrepairofthecurb ramptomeetcurrentCitystandards.

PEDESTRIAN ACCESS DURINGCONSTRUCTION PROJECTS

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This agreement must be reviewed and signed by all contractors/subcontractors prior to working atSouthwest.

Contractor Company Name ____________________________________________________________

Assigned Work Locations(s) ____________________________________________________________

Please initial each item.

______1. Allcontractorpersonnelmustwearappropriateworkapparelincludingpersonalprotective equipment,asrequired.

______2. HazardouschemicalsarepresentatSouthwestincertainbuildingsandoperations.Contractor personnelmustfamiliarizethemselveswithcampussafetyproceduresandemergency evacuationplansforthearea(s)theyareworkingin.

______3. NohazardousorflammablechemicalsmaybebroughtonSouthwestpropertywithout approvalfromtheEH&Soffice.MaterialSafetyDataSheetsarerequiredforanychemicals thatarepermittedoncampus.

______4. Possessionofalcohol,illegaldrugsorfirearmsonSouthwestpropertyisprohibited.

______5. Frayedordamagedextensioncords/powercordsarenotpermittedonSouthwestworksites.

______6. Thecontractorisresponsibleformaintaininggoodhousekeepinginandaroundtheirwork area.

______7. Thecontractorwillnotdischargeanychemicals,paints,oils,etc.,substancestoanydrainor SouthwestpropertywithoutapprovalfromSouthwestFacilitiesProjectManagerorthe EH&SOffice.

______8. Anycontractorpersonalorpropertyaccidentsorcasesofjob-relatedinjuries/illnessesmust beimmediatelyreportedtoSouthwestFacilitiesProjectManager.

______9. Contractors/subcontractorsshallknowthelocationofthenearestfireextinguisher,pull stationalarmandfirstaidequipment.Intheeventofafire/emergency,notifythenearest SouthwestemployeeandtheFacilitiesProjectManager.

______10.Contractorsafetymeetingsmustbeheldasneededtocommunicatejob-sitesafety informationforallcontractorsregularlyworkingonSouthwestpropertyforextendedperiods of time.

______11. ContractorworkwillbeperiodicallymonitoredbytheFacilitiesProjectManagerandthe EH&SOfficetoensureadherencetoSouthwestrequirements.

CONTRACTOR SAFETYAGREEMENT FORM

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CONTRACTOR SAFETYAGREEMENT FORM

______12.EmergencyandevacuationproceduresshallbeexplainedtothecontractorbytheFacilities ProjectManagerordesigneepriortobeginningwork.

______13.Contractorswillprovide,ifnecessary,theiremployeesLockout/Tagout,Excavation/ Trenching,andConfinedSpaceEntryTrainingbeforeworkbegins.

Allcontractorsarerequiredtosign,inagreement,thattheyhavereceivedacopyoftheContractorSafetyAgreementFormandhavereadandfullyunderstanditscontents.ThisformmustbekeptonfilebytheFacilitiesProjectManager.

TheundersignedcontractorrepresentsandwarrantsthattheyshallcomplywithallapplicableFederal,StateandLocallaws,regulationsandruleswhileengagedtoperformservicesforSouthwest.Anycontractors/subcontractors who violate these rules may be prohibited from conducting work for Southwest. Thecontractorisalsoresponsibleforensuringthatallemployeesandsubcontractorscomplywiththeserules.

Contractor/Subcontractor/Laborer

_______________________________ ______________________________________ _____________

Assigned Facilities Project Manager

_______________________________ ______________________________________ _____________

Print Name Signature Date

Print Name Signature Date

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