Berryessa Union School District 1376 Piedmont Road, San ... · 1 INJURY AND ILLNESS PREVENTION...
Transcript of Berryessa Union School District 1376 Piedmont Road, San ... · 1 INJURY AND ILLNESS PREVENTION...
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INJURYANDILLNESSPREVENTIONPROGRAM(IIPP)
BerryessaUnionSchoolDistrict1376PiedmontRoad,SanJoseCA95132
408-923-1800
UpdatedOctober2018
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TABLEOFCONTENTS
Acknowledgement 3
Responsibility 3
Compliance 5
Communication 6
HazardAssessment 7
Accident/ExposureInvestigations 8
HazardCorrection 9
TrainingandInstruction 10
ListofTrainingSubjects 11
Recordkeeping 11
GeneralSafeWorkPractices 12
WorkplaceViolence 12
BloodbornePathogenProgram 19
ErgonomicProgram 31
HeatIllnessPreventionProgram 49
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INJURYANDILLNESSPREVENTIONPROGRAM
ACKNOWLEDGEMENT
TheBerryessaUnionSchoolDistricthasdevelopedthisInjuryandIllnessPreventionProgram(IIPP),withtheobjectiveofmaintainingasafeandhealthfulworkenvironmentforallemployees.ThisprogramisincompliancewiththeCaliforniaLaborCodeSection6401.7,andtheCaliforniaCodeofRegulationsTitle8,Sections1509and3203,anditconsistsofthefollowingelements:
• Responsibility• Compliance• Communication• HazardAssessment• HazardCorrection• Accident/ExposureInvestigation• TrainingandInstruction• Recordkeeping
TheDistricthasdevelopedacomprehensiveSafeSchoolsPlan,toprovideasafelearningenvironmentforemployees,volunteersandstudents.ThesafetyofthechildrenandpersonnelistheparamountpriorityofBerryessaUnionSchoolDistrict.TheInjuryandIllnessPreventionProgram(IIPP)foremployeesandvolunteersworksconjunctivelywithsaidplans.
SafetyandaccidentpreventionareessentialtotheBerryessaUnionSchoolDistrict.Westrivetopreventinjuriestostaff,studentsandvolunteers.Bymakingsafetyahighpriorityforeveryemployeeandvolunteer,weattempttoreduceinjuriesandillnesses,increaseproductivity,andpromoteasaferandhealthierenvironmentforallindividualsattheBerryessaUnionSchoolDistrict.Wealsowanttoprotectourenvironmentandcommunity.Asitisnecessary,wewillcontractwithexpertsinspecializedfieldsofsafetyandhealthtomeetthesegoals.
TheBerryessaUnionSchoolDistrictwillprovidethetoolsandeducationnecessaryforeveryemployeeandvolunteertoworkefficientlyandsafely.Weexpecttheseindividualstowillinglyfollowandutilizetheproceduressetforth.Wealsoexpectthatemployeesandvolunteerswillprovidefeedbacktouswhenbettermethodsornewideascometotheirattention.AnyconcernedpersonmaycontacttheBerryessaUnionSchoolDistrictat(408)923-1800.
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RESPONSIBILITY
SafetyOfficial
TheultimateresponsibilityfortheBerryessaUnionSchoolDistrictInjuryandIllnessPreventionPlan(IIPP)restswiththeDirectorofFacilities.Inthisprogram,thispersonwillbereferredastheSafetyOfficial:
Name: MiguelCruzTitle: DirectorofMaintenance,OperationsandTransportationAddress: 1376PiedmontRoad,SanJose,CA95132Telephone: (408)923-1898Email: [email protected]
Responsibilitiesinclude:
• WorkingwiththeLeadershipTeamofrepresentativesatschoolsitesonhealthandsafetyissues.SeeAppendixBfortheLeadershipTeamlistofcontactsandphonenumbers
• Workingwithuppermanagementtodevelopsafetyandhealthguidelinesandpolicies• PreparinganddistributingtheDistrict’sIIPPandGeneralSafeWorkPractices• Maintainingcurrentinformationonlocal,stateandfederalsafetyandhealthregulations• Servingasliaisonwithgovernmentalagencies
• Planning,organizingandcoordinatingsafetytrainings• Developdepartmentspecificsafeworkpracticesasnecessary• Developingsafetyandhealthinspectionguidelinesandfollowupprocedurestoensurenecessary
correctiveactionistaken
• Reviewinginjuryandillnesstrends• SchedulingandparticipatingontheSafetyCommitteeanditspractices• Establishasystemformaintainingtherecordsofinspection,hazardidentification,correctionand
training
ProgramDirectorsandManagers
• Ensuringappropriatejobspecificsafetytrainingisreceived• Ensuringworkplacesafetyandworkpracticesandproceduresareclearlycommunicatedand
understoodbyemployeesandvolunteersthroughtrainingprograms• Enforcinghealthandsafetyrulesfairlyanduniformlyrelatedtojobperformances• Ensuringsafetyresponsibilitiesareoutlinedinthejobdescriptions,whichgoverntheemployeesand
volunteersundertheirdirection• Evaluatingemployeecompliancewithsafetyguidelinesandpractices• Acknowledgeemployeesandvolunteerswhomakeasignificantcontributiontomaintenanceofa
safeworkplaceanddiscipliningemployeeswhofailtofollowsafeworkpractices
• Encourageemployeesandvolunteerstoreportworkplacehazardswithoutfearandreprisal.• Ensuringperiodic,scheduledworkplaceinspectionsareconductedandthatidentifiedhealthand
safetydeficienciesarecorrectedinatimelyfashion
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• Ensuringaccidentsandinjuriesarereportedandinvestigatedpromptly.• Ensuringinspections/investigationsandemployeehealthandsafetyrecordsarekeptforthe
designatedperiodoftime
• Purchasingappropriatepersonalprotectiveequipment(PPE)• Ensuringworkplacesandequipmentaresafe,wellmaintained,andincompliancewithexternal
agencyregulationsanddistrict’spolicies,programsandpractices.
EmployeesandVolunteers
Immediateresponsibilityforworkplacehealthandsafetyrestswitheachindividualemployeeandvolunteer.Thisinvolves:
• Followingtheestablishedworkproceduresandsafetyguidelinesintheirarea,aswellasthoseidentifiedinthisprogram
• Keepingtheminformedofconditionsaffectingtheirhealthandsafety• Adheringtohealthandsafepracticesintheirworkplace• Usingpersonalprotectiveequipmentasrequiredtoprotectthemfromidentifiedhazards
• Promptreportingtotheirmanagersofpotentialhazardsintheworkplace,injuriesand/oraccidentsoranyunsafecondition.
COMPLIANCE
TheBerryessaUnionSchoolDistrictshallensurethatemployeesandvolunteerscomplywithsafeandhealthyworkpractices.TheBerryessaUnionSchoolDistrictstrivestomaintainasafeandhealthfulworkplaceforallemployees,volunteersandstudents.Ourexperienceshowsthattheefforttakentorecognizeandcorrectsafetyviolationsiscosteffectiveandhelpstoimprovethequalityofeducationalservices.
• ProgramDirectorsandManagersareresponsibleforestablishingandmaintaininggoodhealthandsafetypractices
• ProgramDirectorsandManagerswillberesponsibleforrecognizingconstructivesafetyeffortsforallemployeesandvolunteers
• Theywillencourageemployeesandvolunteerstomakesafetyrecommendations,whichcanbeimplemented
• Employeesrecognizedforfollowingsafeandhealthfulworkpractices• EveryemployeeandvolunteerisexpectedtoparticipateintheDistrict’ssafetyprogram• Overalljobperformanceevaluationswillincludeanaspectofsafetyinvolvement.Program
DirectorsandManagerswillalsorecognizethoseemployeesorvolunteersnotfollowingsafeworkpracticesthathavebeenexplainedtoemployees.Disciplinaryactionwillbeginforemployeesandvolunteers,accordingtodistrictprocedures.
• Employeesandvolunteersreceiveinitialtrainingandretraining,asnecessaryorasrequired• Healthandsafetypracticesareintegratedintonewemployeejobdescriptionsandperformance
appraisals
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• Employeesandvolunteersareencouragedtoreportsafetyandhealthconcernswithnofearofreprisal.
TheDistrict is aware occupational safety and health regulations andworkplace practices are designed toreduce or eliminate employee occupational injuries and illnesses. However, the regulations and workpractices are only effective if all employees faithfully abide by them. Therefore, theDistrict, through theSafetyCommittee,willimplementasystemorsystemstoensurethatallemployeescomplywithworkplacesafetyandhealthpractices.ThecommitteewillreviewandupdatetheIIPPannually.Inthecaseofaworkplaceinjuryorillness,employeeswhodonothaveaDesignatedPhysicianformonfileshouldobtainmedicaltreatmentat:
Alliance OccupationalMedicine1901MontereyRoad Suite #10SanJose,CA95112
or USHealthworksMedicalGroup
1893MontereyRoadSuite#200SanJose,CA95112
or KaiserOn-the-Job
275HospitalParkway,FifthFloorSanJose,Ca95119
or AccessOmniCare
39180FarwellDriveSuite#231Fremont,CA94538
*AdditionallocationavailableonBUSDinsider.
Thesystemorcombinationsofsystemswillincludeanyoneoracombinationofthefollowing:• Training• Newsletters• Intranet• Boardpoliciesandprocedures• Disciplinarylettersfornon-compliantemployees• Handbooks
COMMUNICATION
Werecognizeopen,two-waycommunicationbetweenmanagementandstaffonhealthandsafetyissuesisessentialtoaninjury-free,productiveworkplace.Thefollowingsystemofcommunicationisdesignedtofacilitateacontinuousflowofsafetyandhealthinformationbetweenmanagementandstaffinaformthatisreadilyunderstandableandconsistsofoneormoreofthefollowingitems:
• NewworkerorientationiscompletedwithHRonaoneononebasis.
• ReviewoftheDistrict’sIIPPworkplacesafetyandhealthtrainingprograms• Regularlyscheduledsafetymeetings
• Effectivecommunicationofsafetyandhealthconcernsbetweenworkers,supervisors,including
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translationwhereappropriate• Postedordistributedsafetyinformation• Asystemforworkerstoreportworkplacehazards• ADistrictSafetyCommitteewhichmeetsregularly,preparesminutesofthesafetycommittee
meetings,reviewsthemonthsinspections,accidentsandexposuresasnecessarywithagoalandobjectiveofmaintainingasafeandhealthyworkplace
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Communicationwillconsistofanyoneorcombinationofthefollowing:• Newsletters• DistrictBoardPoliciesandProcedures• Intranet• Annualandmonthlytrainings• Postings
Itistheresponsibilityoftheemployeetoreadandunderstandthematerialprovidedtothem.
NEWEMPLOYEES
MaterialsareprovidedtonewemployeesatNewEmployeeOrientationinformingthemoftheOSHAsafetyregulations,reportingprocedures,andresponsibilities.
MISCELLANEOUS
Whenappropriate,theDistrictmayusewrittencommunicationssuchasinter-districtmemos,newsletters,and workplace postings to supplement the previously described systems and further communicate toemployeesonmattersrelatingtoworkplacesafetyandhealth.Itistheresponsibilityoftheemployeetousethetoolsprovidedtostayinformedofpolicies,proceduresandchanges.
MEETINGS
MeetingswillbeapartoftheDistrict’ssafetyfunctions.Themeetingsareintendedtobebriefsessionstodiscussoneormoresafety itemsandencourageopendiscussionsbetweenemployeesandmanagement.TheDistrictmonthly safetycommitteemeetingscoveramain topiceachmonth.Thesafetycommittee isresponsibleforensuringtheDistrictprovidesallstudentsandstaffwithasafeandhealthfulworkplace.TheSafety Committee is intended to standardize various safety programs and procedures into an effective,uniform program and to ensure compliance with State and Federal Safety regulations. The SafetyCommitteemonthlyminuteswillbepostedontheIntranetinaSafetyfolder.Documentationwillincludeatminimum,thefollowing:
• Meetingtopic(s)• Recommendationswhichmayimproveworkplacesafety• Listofattendees• Dateofmeeting• Timeandlengthofmeeting• Actionitemsandcompletiondates• Reviewofanyworkaccidents/injuriesthathaveoccurredsincethelastmeeting
andrecommendationsforpreventionofsuchinjuriesinthefuture• Inspectionsandrecommendationsforcorrectionofanyhazardsidentified
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HAZARDASSESSMENT
PeriodicinspectionstoidentifyandevaluateworkplacehazardsareperformedbyprofessionalfromDSA,SCCSIG,FireDepartment,variousConsultantServicesandDistrictMaintenanceandOperationsstaff.Inspectionsinclude,butarenotlimitedtothefollowing:
• AsbestosHazardEmergencyResponseAct(AHERA).Inspections(6months/3• years)• DSADesignReviewsandInspectionsbyInspectorofRecordforConstructionProjects• FoodServiceInspections• FireDepartment,AnnualInspections• FireSystemInspectionsandTests(6months)• GroundwaterandStormDrainInspections(Annual)
• HandicappedLiftInspections(6months)• HazardousMaterialsInspectionbytheFireDepartment(Annual)• PropertyLiabilitySafetyInspections(3to5years)• PlaygroundInspections(weekly,quarterly,andallnewinstallations)• WilliamsActInspections(Annual)
Periodicinspectionsareperformedaccordingtothefollowingschedule:
• WhenweinitiallyestablishedtheIIPP• Whennewsubstances,processes,proceduresorequipmentwhichpresentpotentialnewhazards
areintroducedintotheworkplace• Whennew,previouslyunidentifiedhazardsarerecognized• Whenoccupationalinjuriesandillnessesoccur• Wheneverworkplaceconditionswarrantaninspection
PeriodicinspectionsconsistofidentificationandevaluationofworkplacehazardsutilizingapplicablesectionsoftheattachedSiteInspectionforms(availableonintranet)oranyothereffectivemethodstoidentifyandevaluateworkplacehazards.
REPORTINGPROCEDURES
Foranyoccupationalinjuryorillnesswhichresultsinlostworktimeofatleastafulldayorshiftbeyondthedateof occurrence, orwhich requiresmedical treatmentbeyond first aid, theemployeemust report theinjury or illness immediately. Jamie Garcia, Human Resources Administrative Assistant, will report theaccident to the appropriate offices according to state and federal laws. For more information regardinginjuryandillnessreporting,contact:
JamieGarcia408-923-1853
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WHERETOSEEKMEDICALATTENTION
Employeesshouldseekmedicalattentionatthefollowingcliniciftheydonothaveadesignatedphysicianonfile:
AllianceOccupationalMedicine1901MontereyRoadSanJose,CA95112408-477-8080
*AdditionallocationsareavailableonBUSDInsiderSERIOUS
INJURYORDEATH
Thefollowingactionisrequired:� Theincidentisreportedtothesupervisor� CAL/OSHAmustbenotifiedimmediatelyorwithin8hoursbytelephone.Thelocal
Cal/OSHADistrictOfficetelephonenumberis1-510-794-2521. SeriousinjuriesorfatalitiesmustbereporttothelocalCal-OSHAareaoffice.http://www.dir.ca.gov/title8/342.html
� Completionof“Employer’sReportofOccupationalInjuryorIllness”form5020within24hours
Thesupervisorshallconductaninitialinvestigationassoonaspossibleanddistributereportsaccordingtoprocedure.
LEGALLYREQUIREDREPORTS
Aseriousinjuryorillnessisonethatoccursinaplaceofemploymentorinconnectionwithanyemploymentwhichrequiresinpatienthospitalizationforaperiodinexcessof24hours,orinwhichanemployeesuffersalossofanymemberofthebodyorsuffersaseriousdegreeofpermanentdisfigurement.
ACCIDENT/EXPOSUREINVESTIGATIONS
Proceduresforinvestigatingworkplaceaccidentsandhazardoussubstanceexposuresinclude:
ProcessandAction
• Visitingtheaccidentsceneassoonaspossible• Interviewinginjuredworkersandwitnesses• Examiningtheworkplaceforfactorsassociatedwiththeaccident/exposure
• Determiningthecauseoftheaccident/exposure• Takingcorrectiveactiontopreventtheaccident/exposurefromreoccurring• Recordingfindingsandcorrectiveactionstaken
Forms
• UseforInjury,IllnessandNearMiss
• FormsarepostedontheINSIDER.CompletedformsaretobeforwardedtoJamieGarciaintheHumanResourcesDept.
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HAZARDCORRECTION
TheDistrictusesaDistrictwideWorkOrderSystemtoaddressanynecessarycorrectionsstemmingfromnearmisses,observedunsafeworkconditionsorcorrectiveactionforaccidentsorinjuries.
Unsafeorunhealthyworkconditionsshallbecorrectedinatimelymannerbasedontheseverityofthehazards.Hazardsshallbecorrectedaccordingtothefollowingprocedures:
• Whenobservedordiscovered,sitesandindividualsarerequiredtoreportnecessaryhazardcorrectionsthroughtheDistrictWorkOrderSystem.Schoolsecretaries,andDistrictOfficeAdministrativeAssistantsarekeycontactsforthissystem
• Safetyconcerns,whichrequireimmediateattention,shouldbephonedintotheMaintenanceandOperationsDepartment.408-923-1892
• TheonlineWorkOrderSystemshouldbeusedforallothercorrectiveactionswhichdonotcreateanimmediatedanger
• Whenanimminenthazardexistswhichcannotbeimmediatelyabatedwithoutendangeringemployee(s)and/orproperty,staffwillremoveallexposedworkersfromtheareaexceptthosenecessarytocorrecttheexistingcondition.Workersnecessarytocorrectthehazardousconditionshallbeprovidedwiththenecessaryprotection
• Allsuchactionstakenanddatestheyarecompletedshallbedocumented.
Unsafepracticesorproceduresthatareobservedshouldbereportedtoimmediatesupervisorstobeaddressedbytakingcorrectiveactionorprovidingnecessarytraining.
TRAININGANDINSTRUCTION
Allworkers,includingmanagersandsupervisors,shallhavetrainingandinstructionongeneralandjob-specificsafetyandhealthpracticesasappropriate.Trainingandinstructionshallbeprovidedasfollows:
• WhentheIIPPisfirstestablished• Toallnewworkers,trainingtobeappropriateasrelatedtothejobandobservationduring
theprobationaryperiod
• Toallworkersgivennewjobassignmentsforwhichtraininghasnotpreviouslybeenprovided• Whenevernewsubstances,processes,proceduresand/orequipmentareintroducedtothe
workplaceandrepresentanewhazard(jobspecific)
• Whenevertheemployerismadeawareofaneworpreviouslyunrecognizedhazard• Tosupervisorstofamiliarizethemwiththesafetyandhealthhazardstowhichworkersundertheir
immediatedirectionandcontrolmaybeexposed
• Toallworkerswithrespecttohazardsspecifictoeachemployee’sjobassignment
WorkplacesafetyandhealthpracticesarebasedonourHazardAssessmentlistanddocumentedinourlistoftrainingsubjects.
Trainingandinstructionwillbeprovidedinanyformatormedia,whichisreadilyunderstandabletoallemployees.Trainingformatsand/ormediamayincludebutarenotlimitedto:
� SeminarsandWorkshops
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Manuals � Policiesandproceduresposted� Booklets� Video,filmorothervisualmedia� Meetings� Newslettersandinter-districtmemos
District management will ensure which all training and instruction provided under the Injury and IllnessProgram are documented. Employees attending or receiving trainingmandated by this programmay berequestedtosignanattendancesheet.
LISTOFTRAININGSUBJECTS
Wetrainourworkersaboutthefollowingtrainingsubjectsasappropriate:
• GeneralSafeWorkPractices
• Goodhousekeeping,fireprevention,safepracticesforoperatinganyconstructionequipment• Safeproceduresforcleaning,repairing,servicingandadjustingequipmentandmachinery• Safeaccesstoworkingareas• HeatStress• Protectionfromfalls• Electricalhazards,includingworkingaroundhighvoltagelines• Properuseofpoweredtools• Lock-out/Tag-outprocedures
• Materialshandling• Chainsawandotherpowertooloperation• Fallprotectionfromelevatedlocations• Useofelevatedplatforms,includingcondorsandscissorlifts• Driversafety• Slips,fallsandbackinjuries• Ergonomichazards,includingproperliftingtechniquesandworkingonladdersorinastooped
postureforprolongedperiodsatonetime
• Personalprotectiveequipment• Hazardouschemicalexposures• Hazardcommunication• Physicalhazards,suchasheat/coldstress,noise• Bloodbornepathogensandotherbiologicalhazards• Emergencyevacuationplan
• Provisionsformedicalservicesandfirstaidincludingemergencyprocedures• SafetyisEveryone’sBusiness
RECORDKEEPING
WearealocalgovernmententityandwearenotrequiredtokeepwrittenrecordsofthestepstakentoimplementandmaintainourIIPP.
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WORKPLACEVIOLENCEINCALIFORNIA
ThecircumstancesassociatedwithworkplaceviolenceinCaliforniacanbedividedintothreemajortypes.TYPEI-Fatalworkplaceassaultsinvolvingapersonenteringasmalllate-nightretailestablishment;TYPEII-Workplaceviolenceeventsinvolvinganassaultorthreatbysomeonewhoiseithertherecipientofortheobjectofaserviceprovidedbytheaffectedworkplaceorthevictim;andTYPEIII-Workplaceviolenceeventconsistsofanassaultbyanindividualwhohassomeemployment-relatedinvolvementwiththeworkplace. It is importanttokeepinmindthataparticularoccupationorworkplacemaybesubjecttomorethanonetype.
TypeI-Fatalworkplaceassaultsinvolvingapersonenteringasmalllate-nightretailbusiness.InCalifornia,themajority of fatalworkplace assaults involve a person entering a small late-night retail establishment,e.g., liquorstore,gasstationoraconveniencefoodstore,tocommitarobbery.Duringthecommissionoftherobbery,aworker,ormorelikely,theproprietor,iskilledorinjured.Workersorproprietorswhohaveface-to-facecontactandexchangemoneywiththepublic,whoworklateatnightandintotheearlymorninghours,andwhooftenworkaloneorinverysmallnumbersareatgreatestriskofaTypeIevent.Whiletheassailantmayfeignbeingacustomerasapretexttoentertheestablishment,heorshehasno legitimaterelationshiptotheworkplace.
Type II - A Type II workplace violence event involves an assault or threat by someonewho is either therecipientortheobjectofaserviceprovidedbytheaffectedworkplaceorthevictim.
Type II events involve fatal or nonfatal injuries to individuals who provide services to the public. Theseeventschieflyinvolveassaultsonpublicsafetyandcorrectionalpersonnel,municipalbusorrailwaydrivers,healthcareandsocialserviceproviders,teachers,salespersonnel,andotherpublicorprivateservicesectorworkerswhoprovideprofessional,publicsafety,administrativeorbusinessservicestothepublic.
OfincreasingconcernareTypeIIeventsinvolvingassaultstothefollowingtypesofserviceproviders:
� Teaching,administrativeandsupportstaffinschoolswherestudentshaveahistoryofviolentbehavior;and
� Othertypesofserviceproviders,e.g.,justicesystempersonnel,customerservicerepresentativesanddeliverypersonnel.
Unlike Type I events which often represent irregular occurrences in the life of any particular at-riskestablishment,TypeIIeventsoccuronadailybasisinmanyserviceestablishments,andthereforerepresentamorepervasiveriskformanyserviceproviders.
Type III - A Type III workplace violence event consists of an assault by an individual who has someemployment-relatedinvolvementwiththeworkplace.ATypeIIIeventusuallyinvolvesathreatofviolence,oraphysicalactofviolenceresultinginafatalornonfatalinjury,byacurrentorformerworker,supervisorormanager;acurrentorformerspouseorlover;arelativeorfriend;orsomeotherpersonwhohasadisputeinvolvingaworkeroftheworkplace.
Available data indicates that a Type III event is not associated with a specific type of workplace oroccupation.AnyworkplacecanbeatriskofaTypeIIIevent.However,TypeIIIeventsaccountforamuchsmaller proportion of fatal workplace injuries than Types I and II. Nevertheless, Type III fatalities oftenattractsignificantmediaattentionandareperceivedasmorecommonthantheyactuallyare.
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INJURYANDILLNESSPREVENTIONPROGRAMFORWORKPLACESECURITYBerryessa Union School District’s Injury and Illness Prevention (IIP) Program for Workplace Securityaddresses the hazards known to be associatedwith the threemajor types ofworkplace violence. Type Iworkplaceviolence involvesaviolentactbyanassailantwithno legitimate relationship to theworkplacewhoenterstheworkplacetocommitarobberyorothercriminalact.
RESPONSIBILITY
Wehavedecidedtoassignresponsibilityforsecurityinourworkplace.TheIIPPAdministratorforworkplacesecurity is Miguel Cruz, Director of MOT and has the authority and responsibility for implementing theprovisionsofthisprogramforBerryessaUnionSchoolDistrict.All administrators are responsible for implementing andmaintaining this IIPP in theirwork areas and foranswering worker questions about the IIPP. A copy of this IIPP is available in the Injury and IllnessPreventionbinderinthemainofficeandisavailableonintranetintheSafetyfolder.All initial reports regarding a workplace violence concern will be reported immediately to Miguel Cruz,DirectorofMOTwhowillnotifytheSuperintendent.
COMPLIANCE
BerryessaUnionSchoolDistricthasestablishedthefollowingpolicytoensurecompliancewithourrulesonworkplacesecurity.
Management of our establishment is committed to ensuring that all safety and health policies andproceduresinvolvingworkplacesecurityareclearlycommunicatedandunderstoodbyallworkers.All workers are responsible for using safe work practices, for following all directives, policies andprocedures,and forassisting inmaintainingasafeandsecureworkenvironment.Oursystemofensuringthatallworkers,includingsupervisorsandadministrators,complywithworkpracticesthataredesignedtomake theworkplacemore secure, and do not engage in threats physical actionswhich create a securityhazardforothersintheworkplace,include:
� Informingworkers,supervisorsandadministratorsoftheprovisionsofourIIPPforWorkplaceSecurity.
� Evaluatingtheperformanceofallworkersincomplyingwithourestablishment'sworkplacesecuritymeasures.
� Recognizingworkerswhoperformworkpracticeswhichpromotesecurityintheworkplace.� Providingtrainingand/orcounselingtoworkerswhoseperformanceisdeficientin
complyingwithworkpracticesdesignedtoensureworkplacesecurity.� Discipliningworkersforfailuretocomplywithworkplacesecuritypractices.
COMMUNICATION
AtBerryessaUnionSchoolDistrict,werecognizetomaintainasafe,healthyandsecureworkplacewemusthaveopen, two-waycommunicationbetweenallworkers, includingadministratorsandsupervisors,onallworkplace safety,healthandsecurity issues.Ourestablishmenthasa communication systemdesignedtoencourage a continuous flow of safety, health and security information between management and ourworkerswithout fearof reprisaland ina formthat is readilyunderstandable.Ourcommunicationsystemconsistsofthefollowingitems:
� PeriodicreviewofourIIPPforWorkplaceSecuritywithallpersonnel� Trainingprogramsdesignedtoaddressspecificaspectsofworkplacesecurityuniquetoour
establishment� Regularlyscheduledsafetymeetingswithalldistrictpersonnelwhichincludeworkplace
securitydiscussions
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� Asystemtoensurethatallworkers,includingmanagersandsupervisors,understandtheworkplacesecuritypolicies
� Postedordistributedworkplacesecurityinformation� Asystemforworkerstoinformmanagementaboutworkplacesecurityhazardsorthreatsof
violence� Proceduresforprotectingworkerswhoreportthreatsfromretaliationbythepersonmaking
thethreats� Addressingsecurityissuesatourworkplacesecurityteammeetings
HAZARDASSESSMENT
District personnelwill be performingworkplace hazard assessment forworkplace security in the formofperiodicinspections.Periodicinspectionstoidentifyandevaluateworkplacesecurityhazardsandthreatsofworkplaceviolenceareperformedbythefollowingobserver(s)inthefollowingareasofourworkplace:
MiguelCruz DirectorofMaintenance,OperationsandTransportationDanNorris MaintenanceSupervisor
Periodicinspectionsareperformedaccordingtothefollowingschedule:
� WhentheIIPPforWorkplaceSecuritywasinitiated� Whennew,previouslyunidentifiedsecurityhazardsarerecognized� Whenoccupationalinjuriesorthreatsofinjuryoccur� Wheneverworkplacesecurityconditionswarrantaninspection� Monitorinspectiondaily
Periodic inspections for security hazards consist of identification and evaluation of workplace securityhazardsandchangesinestablishmentperforminspectionsforeachtypeofworkplaceviolencebyusingthemethodsspecifiedbelowtoidentifyandevaluateworkplacesecurityhazards.InspectionsforTypeIworkplacesecurityhazardsinclude:
� Assessingtheexteriorandinterioroftheworkplaceforitsattractivenesstorobbers� Assessingtheneedforsecuritysurveillancemeasures,suchasmirrorsorcameras� Postingofsignsnotifyingthepublicthatlimitedcashiskeptonthepremises� Assessingproceduresforworkerresponseduringarobberyorothercriminalact� Assessingproceduresforreportingsuspiciouspersonsoractivities� Postingofemergencytelephonenumbersforlawenforcement,fireandmedical
serviceswhereworkershaveaccesstoatelephonewithanoutsideline.� Limitingtheamountofcashonhandandusingtimeaccesssafesforlargebills
InspectionsforTypeIIworkplacesecurityhazardsincludeassessing:
� Accessto,andfreedomofmovementwithin,theworkplace� Adequacyofworkplacesecuritysystems,suchasdoorlocks,securitywindows,security
alarmsystem,physicalbarriersandrestraintsystems� Frequencyandseverityofthreateningorhostilesituationsthatmayleadtoviolentacts
bypersonswhoareservicerecipientsofourestablishment� Workers'skillinsafelyhandlingthreateningorhostileservicerecipients� Effectivenessofsystemsandprocedurestowarnothersofasecuritydangerortosummon
assistance,e.g.,alarmsorpanicbuttons� Theavailabilityofworkerescaperoutes� InspectionsforTypeIIIworkplacesecurityhazardsincludeassessing� HowwellBerryessaUnionSchoolDistrict’santi-violencepolicyhasbeen
communicatedtoworkers,supervisorsormanagers
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� HowwellBerryessaUnionSchoolDistrict’smanagementandworkerscommunicatewitheachother
� Ourworkers',supervisors'andmanagers'knowledgeofthewarningsignsofpotentialworkplaceviolence
� Accessto,andfreedomofmovementwithin,theworkplacebynon-workers,includingrecentlydischargedworkersorpersonswithwhomoneofourworker'sishavingadispute
� Frequencyandseverityofworkerreportsofthreatsofphysicalorverbalabusebymanagers,supervisorsorotherworkers
� Anypriorviolentacts,threatsofphysicalviolence,verbalabuse,propertydamageorothersignsofstrainorpressureintheworkplace
� Workerdisciplinaryanddischargeprocedures
INCIDENTINVESTIGATIONSBerryessaUnionSchoolDistricthasestablishedthefollowingpolicyforinvestigatingincidentsofworkplaceviolence. Our procedures for investigating incidents of workplace violence, which includes threats andphysicalinjury,include:
� Reviewingallpreviousincidents� ReportingtheincidenttotheSanJosePoliceDepartment� ReportingtheincidentasaMajorIncidentReport� Visitingthesceneofanincidentassoonaspossible� Interviewingthreatenedorinjuredworkersandwitnesses� Examiningtheworkplaceforsecurityriskfactorsassociatedwiththeincident,includingany
previousreportsofinappropriatebehaviorbytheperpetrator� Determiningthecauseoftheincident� Takingcorrectiveactiontopreventtheincidentfromrecurring� Recordingthefindingsandcorrectiveactionstaken
HAZARDCORRECTION
Hazards,whichthreatenthesecurityofworkers,shallbecorrectedinatimelymannerbasedonseveritywhentheyarefirstobservedordiscovered.CorrectivemeasuresforType11workplacesecurityhazardsinclude:
� Controllingaccesstotheworkplaceandfreedomofmovementwithinit,consistentwithbusinessnecessity.
� Ensuringtheadequacyofworkplacesecuritysystems,suchasdoorlocks,securitywindows,physicalbarriersandrestraintsystems.
� Providingworkertraininginrecognizingandhandlingthreateningorhostilesituations,whichmayleadtoviolentactsbypersonswhoareservicerecipientsofourestablishment.
� Ensuringadequateworkerescaperoutes.CorrectivemeasuresforType111workplacesecurityhazardsinclude:
� EffectivelycommunicatingourDistrict'santi-violencepolicytoallemployees,supervisorsormanagers
� ImprovingcommunicationbetweenourDistrict'smanagementandemployees� Increasingemployees’,supervisors’andmanagers’awarenessofthewarningsignsof
potentialworkplaceviolence� Controllingaccessto,andfreedomofmovementwithin,theworkplacebynon-workers,
includingrecentlydischargedworkersorpersonswithwhomoneofourworker'sishavingadispute
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� Ensurethatallreportsofviolentacts,threatsofphysicalviolence,verbalabuse,propertydamageorothersignsofstrainorpressureintheworkplacearehandledeffectivelybymanagementandthatthepersonmakingthereportisnotsubjecttoretaliationbythepersonmakingthethreat
� Ensurethatworkerdisciplinaryanddischargeproceduresaddressthepotentialforworkplaceviolence
� Ensurethatworker’splacedonadministrativeleaveturnintheirkeysandotherBerryessaUnionSchoolDistrictpropertyattimeofactiontaken
� Ensurethatworkers’onextendedleaveturnintheirkeysandotherBerryessaUnionSchoolDistrictpropertyattimeofleave
TRAININGANDINSTRUCTION
BerryessaUnionSchoolDistricthasestablishedthefollowingpolicyontrainingallworkerswithrespecttoworkplacesecurity.
Allworkers,includingadministratorsandsupervisors,shallhavetrainingandinstructionongeneralandjob-specificworkplacesecuritypractices.TrainingandinstructionshallbeprovidedwhentheIIPPforWorkplaceSecurityisfirstestablishedandperiodicallythereafter.Trainingshallalsobeprovidedtoallnewworkersandtootherworkers forwhomtraininghasnotpreviouslybeenprovidedand toallworkers, supervisorsandadministrators given new job assignments for which specific workplace security training for that jobassignment has not previously been provided. Additional training and instruction will be provided to allpersonnelwhenevertheemployerismadeawareofneworpreviouslyunrecognizedsecurityhazards.
Generalworkplacesecuritytrainingandinstructionincludes,butisnotlimitedto,thefollowing:
� ExplanationoftheIIPPforWorkplaceSecurityincludingmeasuresforreportinganyviolentactsorthreatsofviolence
� Recognitionofworkplacesecurityhazardsincludingtheriskfactorsassociatedwiththethreetypesofworkplaceviolence
� Measurestopreventworkplaceviolence,includingproceduresforreportingworkplacesecurityhazardsorthreatstomanagersandsupervisors
� Measurestosummonothersforassistance� Workerroutesofescape� Notificationoflawenforcementauthoritieswhenacriminalactmayhaveoccurred� Emergencymedicalcareintheeventofanyviolentactuponaworker
BerryessaUnionSchoolDistricthaschosenthefollowingitemsforTypeIItrainingandinstructionformanagers,supervisorsandemployees:
� Dealingwithangry,hostileorthreateningindividuals� Location,operation,care,andmaintenanceofalarmsystemsandotherprotectivedevices� Communicationprocedures� Awarenessofindicatorsthatleadtoviolentactsbyservicerecipients
BerryessaUnionSchoolDistricthaschosenthefollowingitemsforTypeIIItrainingandinstructionforadministrators,supervisorsandemployees:
� Pre-employmentscreeningpractices� Awarenessofsituationalindicatorsthatleadtoviolentacts� Managingwithrespectandconsiderationforemployeewell-being� Reviewofanti-violencepolicyandprocedures
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Cal/OSHAConsultation-AreaOffices
California Division of Occupational Safety and Health Enforcement Office in Fremont 39141 Civic Center Dr., Suite 310 Fremont, CA 94538-5818 Phone 510-794-2521 Fax 510-794-3889
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PolicyStatementItisthepolicyoftheBerryessaUnionSchoolDistricttoeliminateorminimizeoccupationalexposuretobloodbornepathogensinaccordancewithfederalandstateregulations.Allhumanbloodandotherpotentiallyinfectiousmaterialswillbetreatedasifknowntobeinfectiousforhumanimmunodeficiencyvirus(HIV),HepatitisBvirus(HBV),andotherbloodbornepathogens.
Scope:TheExposureControlPlan(ECP)appliestoallemployeeswithactualorpotentialexposuretobloodbornepathogensatallsites.
Regulation:CCR-Titlen8,Section5193
PlanAdministrationTable1providestherolesandcontactinformationfortheadministrationofthebloodbornepathogensprogram.
Table1
ProgramContactInformation
Task Name/Department Phone Plan Administrator Jamie Garcia, Human
Resources Work: 408-923-1853
Supplies (PPE, cleaning materials, other)
Dan Norris, MOT Work: 408-923-1893
Medical recordkeeping Jamie Garcia , Human Resources Work: 408-923-1853
Training Jamie Garcia , Human Resources Dan Norris, MOT
Work: 408-923-1853 Work: 408-923-1893
Exposure incident contact Jamie Garcia , Human Resources Work: 408-923-1853
TheECPadministratorisresponsibleforimplementationoftheECP,andwillmaintain,review,andupdatetheECPatleastannually,andwhenevernecessarytoincludenewormodifiedtasksandproceduresandtoreflectneworrevisedemployeepositionswithoccupationalexposure.
MaintenanceandOperationswillprovideandmaintainallnecessaryPPE,engineeringcontrols(e.g.,sharpscontainers),andlabelsasrequiredbythestandard,andwillensurethatadequatesuppliesoftheaforementionedequipmentareavailableintheappropriatesizes.
JamieGarcia,willberesponsibleforensuringallmedicalactionsrequiredbythestandardareperformedandthatappropriateemployeehealthandOSHArecordsaremaintained.
JamieGarciaandMayraWaller,siteadministratorsandprogrammanagerswillberesponsiblefortrainingasappropriate,documentationoftraining,andmakingthewrittenECPavailabletoemployees,theregulatingauthority,andrepresentativesoftheCaliforniaOccupationalSafetyandHealthAssociation(CalOSHA).
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JamieGarciawillactastheinitialcontactforreportingexposureincidentsandensuretheappropriateresponseiscarriedout.
Thoseemployeesdeterminedtohaveoccupationalexposuretobloodorotherpotentiallyinfectiousmaterials(OPIM)mustcomplywiththeproceduresandworkpracticesoutlinedinthisECP.
Annual Plan Review and Update ThisECPwillbereviewedandupdatedannually,andwhenevernewhazardsareintroducedintheworkplaceorconditionschangethatwouldresultinachangeinoccupationalexposurebyemployees.
ACCESS TO THE ECP EmployeescoveredbythebloodbornepathogensrulesandpolicieswillreceiveanexplanationofthisECPduringtheirinitialtrainingsession.Itwillalsobereviewedintheirannualrefreshertraining.AllemployeescanreviewthisplanatanytimeduringtheirworkshiftsbycontactingHumanResources.AcopyoftheECPwillbeprovidedfreeofchargetoanyemployeewhorequestsit.
DefinitionsUniversalprecaution—anapproachtoinfectioncontrolwhereasallhumanbloodandcertainhumanbodyfluidsaretreatedasifknowntobeinfectiousforHIV,HBV,andotherbloodbornepathogens.
Bloodbornepathogen—microorganismsthatarepresentinhumanbloodandcancausediseaseinhumans.Thesepathogensinclude,butarenotlimitedto,hepatitisBvirus(HBV),hepatitisCvirus(HCV),andhumanimmunodeficiencyvirus(HIV)whichcausesacquiredimmunedeficiencysyndrome(AIDS).
Exposureincident—aspecificeye,mouth,othermucousmembrane,non-intactskin,orparenteral(i.e.,needlestick)contactwithbloodorotherpotentiallyinfectiousmaterialsthatresultsfromtheperformanceofanemployee’sduties.
Occupationalexposure—reasonablyanticipatedskin,eye,mucousmembrane,orparenteralcontactwithbloodorotherpotentiallyinfectiousmaterialsthatmayresultfromtheperformanceofanemployee'sduties.“GoodSamaritan”actssuchasassistingaco-workerwithanosebleedarenotconsideredoccupationalexposure.
Otherpotentiallyinfectiousmaterials(OPIM)—bodyfluidsvisiblycontaminatedwithblood,includingsalivaindentalprocedures,semen,vaginalsecretions,amnioticfluid,andothersuchmaterialwhereitisdifficulttodifferentiatebetweenbodyfluids.
Percutaneousinjury—exposurebyinjectionorabsorptionthroughtheunbrokenskin.
Personalprotectiveequipment(PPE)—protectivecoveringforthehead,eyes,hands,feet,andbody,suchasnitrileorotherliquid-resistantgloves,afacemask,oranapron.
Sharps—anyobjectcontaminatedwithbloodorOPIMthatcanpenetratetheskin,includingneedles,scalpels,woodormetalsplinters,brokenglass,brokencapillarytubes,andexposedendsofdentalwires.
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EmployeeExposureDeterminationDeterminationsforemployeeexposurearemadeforatriskjobclassificationswhereoccupationalexposuretobloodorOPIMoccurs,islikelytooccur,orispossibletooccur.
Table2containsalistofalljobclassificationsinwhichemployeesareathighriskoforlikelytohaveoccupationalexposuretobloodbornepathogens;trainingfortheseclassificationsismandatory.
Table2
LikelyOccupationalExposure—JobClassifications
Job Classification Department/ Work Area Exposure Task/Procedure Custodian M&O Cleaning up after students, assist in first aide Health Assistant Student Services Administering first aide Nurse Student Services Administering first aide and injections Pre-school staff Student Services Student contact, toileting Para-educator I and II Special Education Student contact, toileting Special Education Teacher Special Education Student contact School Secretaries Site Administering first aide
Table3containsalistofjobclassificationsinwhichemployeesmayatsometimehaveoccupationalexposure,includingpart-time,temporary,contract,orperdiememployees.Thelistincludestasksandprocedures,orgroupsofcloselyrelatedtasksandprocedures,forwhichoccupationalexposuremayoccurfortheseindividuals;trainingfortheseclassificationsisadvisablebutnotmandatory.
Table3
PossibleOccupationalExposure—JobClassifications
Job Classification Department/ Work Area Exposure Task/Procedure Bus Driver Transportation Student contact School Office Specialists and School Office Assistants
Site Administering first aide
Ifanemployeebelievesheorshemaybeoccupationallyexposedtobloodbornepathogensandhisorherjobclassificationortasksdonotappearontheabovelists,theemployeeshouldcontactMailaNguyen.
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Implementation and Control Measures
UNIVERSAL PRECAUTIONS
AllemployeeswilluseuniversalprecautionsinordertopreventcontactwithbloodorOPIM.AllbloodandOPIMwillbeconsideredinfectiousregardlessoftheperceivedstatusofthesource.
Engineering Controls and Work Practices Engineeringcontrolsandworkpracticeswillbeimplementedtopreventorminimizeexposuretobloodbornepathogens.SchoolSiteadministratorsandRobertReyes,MaintenanceSupervisorareresponsibleforensuringthattheengineeringcontrolsandworkpracticesareimplementedandupdatedasnecessary.
Thefollowingengineeringcontrolswillorhavebeenimplemented:
• PPEsdistributed• Newemployeeorientationtraining• Annualreviewtraining• UpdateBloodbornePathogenExposureControlPlanannually• Periodicinformationarticlespublished• Postingsatallsites
Thefollowingworkpracticeswillbefollowed:
• WashhandsimmediatelyaftercontactwithbloodorOPIM• Exposedemployeeswillwashtheirhandswithrunningwaterandsoapassoonaspossibleafter
usingtheantisepticalternatives• WhenskinormucousmembranesareexposedtobloodorOPIM,thoseareasofthebodywillbe
washedorflushedwithrunningwaterassoonaspossibleaftercontact• AfterremovalofPPE(e.g.,gloves,facemask)usedduringexposuretobloodorOPIM,the
employee(s)willwashhandsorotherexposedskinareaswithrunningwaterandsoapassoonaspossible
DanNorris,MaintenanceSupervisorevaluatesnewexposurecontrolproceduresandnewproductsregularlybyreviewingtheSafetyDataSheets(SDS)andconsultingwithStudentServicesandHumanResources.
Housekeeping—Cleaning and Decontamination Allequipment,workareas,andworkingsurfaceswillbecleanedanddecontaminatedimmediatelyorassoonaspossibleafteranyspillofbloodorOPIMmaterials,aftercompletionofprocedures,andattheendoftheworkshiftifthesurfacemayhavebecomecontaminatedsincethelastcleaning.
Decontaminationofsurfaces,equipment,andworkareaswillbeaccomplishedbyusingthefollowingmaterials:
• EnviroxConcentrate118
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Blood-orOPIM-contaminatedwastewillbeplacedincontainerswhichareclosable,constructedtocontainallcontentsandpreventleakage,appropriatelylabeledorcolor-coded,andclosedpriortoremovaltopreventspillageorprotrusionofcontentsduringhandling.
Theprocedureforhandlingsharpsdisposalcontainersis:
1. NotifyM&Oforpickup2. M&OdisposesinthehazardouswastecontainerbyHealthServices3. M&OdisposessharpsatKaiserPermanente.Dropoffrequiresasignaturefromthereceivingperson
anddepartmentatKaiser.
Theprocedureforhandlingblood-orOPIM-contaminatedwasteis:
1. Disposeofhazardouswasteinadesignatedbag.2. NotifyM&Oforpickup3. M&Odisposesinthehazardouswastecontainer4. M&Ocallsforhazardouswastepickupfromadesignatedcompany
Contaminatedsharpswillbediscardedimmediatelyorassoonaspossibleincontainersthatareclosable,puncture-resistant,leakproofonsidesandbottoms,andappropriatelylabeledorcolor-coded.Cleansharpsdisposalcontainersareavailableatsitehealthoffice.
Bins,pails(e.g.,washoremesisbasins),cans,andsimilarreceptacleswillbeinspectedanddecontaminatedonaregularlyscheduledbasis,andcleanedanddecontaminatedassoonaspossibleaftervisiblecontamination.
Brokenglasswarethatmaybecontaminatedwillonlybepickedupusingmechanicalmeans,suchasabrushanddustpan.
Sharps Injury Prevention Thefollowingsharpssaferdevicesandengineeringcontrolswillbeimplemented:
• NeedlelessIVsystem• Self-sheathing
Allemployeeswillcomplywiththefollowingworkpracticecontrolstoreduceexposuretosharps:
• Contaminatedneedlesandothercontaminatedsharpswillnotbebent,recapped,orremoved• Shearingorbreakingcontaminatedneedlesisprohibited• Contaminatedreusablesharpsmustbeplacedindesignatedreusablesharpscontainers• Anybending,recapping,orneedleremovalmustbeaccomplishedbytheschoolnurse
Sharpsdisposal.Sharpsdisposalcontainersareinspectedandmaintainedorreplacedbytheschoolnursewhenevernecessarytopreventoverfilling.
Reviewandupdateprocedures.Thisfacilityidentifiestheneedforchangesinengineeringcontrolsandworkpracticesforthemanagementofsharpsthrough:
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• ReviewofOSHArecords• Interviewswithemployeesresponsiblefordirectpatientcare
HumanResourceswillevaluatenewproceduresandnewproductsregularlybyreviewingnewstateandfederalrequirementsandstudentneeds.
Bothfront-lineworkersandmanagementofficialsareinvolvedintheprocessforevaluatingnewproceduresandproductsinthefollowingmanner:
UnioninputStateandFederalguidelinesDistrictneeds
StudentServicesisresponsibleforensuringthatapprovedrecommendationsfromtheevaluationsareimplemented.
PPE PPEisprovidedtoouremployeesatnocosttothem.PPEwillbechosenbasedontheanticipatedexposuretobloodorOPIM.ThePPEwillbeconsideredappropriateonlyifitdoesnotpermitbloodorOPIMtopassthroughorreachtheemployee’sclothing,skin,eyes,mouth,orothermucousmembranesundernormalconditionsofuseandforthedurationoftimewhichitwillbeused.
Table4describesindetailhowPPEwillbeprovidedandthetypesofPPEthatwillbegiventoemployees.
Table4
ProvisionofPPEtoEmployees
How Provided PPE Distributor Procedures Requiring PPE
Type of PPE Required
M&O Department Dan Norris Cleaning Gloves, glasses, clothing Yard Duty Site Administrator
Program Managers First Aide Gloves
Health Services Site Administrator Program Managers
Cleaning and first aide Gloves
Training Site Administrator Program Managers
Cleaning and first aide Gloves
Site Staff Site Administrators Cleaning and first aide Gloves
AllPPEwillbecleaned,laundered,anddisposedofbytheemployer.Allrepairsandreplacementswillbemadebytheemployer.
AllPPEwillberemovedpriortoleavingtheworkarea.Ifvisiblycontaminated,PPEwillbeplacedinanappropriatelydesignatedareaorcontainerforstorage,washing,decontamination,ordisposal.Thedesignatedareasare:
• CustodialCloset
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PrecautionswhenusingPPE:AllemployeesusingPPEmustobservethefollowingprecautions
• WashhandsimmediatelyorassoonaspossibleafterremovalofglovesorotherPPE• RemovePPEafteritbecomescontaminated,andbeforeleavingtheworkarea• UsedPPEmaybedisposedofinthehazardouswastecontainer• Wearappropriategloveswhenitcanbereasonablyanticipatedthattheremaybehandcontactwith
bloodorOPIM,andwhenhandlingortouchingcontaminateditemsorsurfaces;replaceglovesiftorn,punctured,contaminated,oriftheirabilitytofunctionasabarrieriscompromised
• Utilityglovesmaybedecontaminatedforreuseiftheirintegrityisnotcompromised;discardutilityglovesiftheyshowsignsofcracking,peeling,tearing,puncturing,ordeterioration
• Neverwashordecontaminatedisposableglovesforreuse• Wearappropriatefaceandeyeprotectionwhensplashes,sprays,spatters,ordropletsofbloodor
OPIMposeahazardtotheeye,nose,ormouth• RemoveimmediatelyorassoonasfeasibleanygarmentcontaminatedbybloodorOPIM,insucha
wayastoavoidcontactwiththeoutersurface
Blood-contaminated PPE IfPPEorpersonalclothingissplashedorsoakedwithbloodorOPIM,thepersonwearingthePPEorclothingwillremovethecontaminatedclothingassoonaspossible.Thisclothingwillbelaunderedattheemployer’sexpense.Suchclothingwillbeidentifiedascontaminatedandanyemployeeexposedtoitwillbenotifiedandprotectedfromexposure.
Gloves Gloveswillbewornwhereitisreasonablyanticipatedthatemployeeswillhavehandcontactwithblood,OPIM,non-intactskin,andmucousmembranes.GloveswillbeavailablefromRobertReyes,MaintenanceSupervisor,healthassistants,andsiteadministrators.
Disposablegloveswillnotbewashedordecontaminatedforreuseandwillbereplacedwhentheyaretorn,punctured,orwhentheirabilitytofunctionasabarrieriscompromised.Utilityglovesmaybedecontaminatedforreuseprovidedthattheintegrityofthegloveisnotcompromised.Utilitygloveswillbediscardediftheyarecracked,peeling,torn,punctured,orexhibitothersignsofdeteriorationorwhentheirabilitytofunctionasabarrieriscompromised.
PPE Training Allemployeescoveredundertherequirementsofthisplanwillbetrainedtoproperlyuse,puton,takeoff,decontaminate,maintain,andstorePPE.TrainingintheuseoftheappropriatePPEisprovidedbyHumanResources,StudentServicesandsiteadministrators.
Disposable PPE Disposableglovesandpaperfacemasksmustnotbeusedagainoncetheyareremoved.Neverwashordecontaminatedisposableglovesforreuse.Replacethemassoonaspossibleaftertheybecomecontaminatedoriftheyaretorn,punctured,ortheirabilitytofunctionasabarrieriscompromised.
DisposablePPEmaybediscardedintheregulartrashifithasnovisiblecontaminationwithbloodorOPIM.PlacePPEwithvisiblecontaminationwithbloodorOPIMinasharpsorbiohazardcontainer.
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HEPATITIS B VACCINATION
HumanResourcesandsiteadministratorswillprovidetrainingtoemployeesonhepatitisBvaccinations,addressingsafety,benefits,efficacy,methodsofadministration,andavailability.
ThehepatitisBvaccinationseriesisavailableatnocostafterinitialemployeetraining.
Whenanemployeeelectstobevaccinated,alicensedhealthcareprofessionalwillconductamedicalevaluation.
Vaccinationisencouragedunless:
• Documentationexiststhattheemployeehaspreviouslyreceivedtheseries;• Antibodytestingrevealsthattheemployeeisimmune;or• Medicalevaluationshowsthatvaccinationiscontraindicated.
Followingthemedicalevaluation,acopyofthehealthcareprofessional’swrittenopinionwillbeobtainedandprovidedtotheemployeewithin15daysofthecompletionoftheevaluation.Theevaluationwillbelimitedtowhethertheemployeerequiresthehepatitisvaccineandwhetherthevaccinewasadministered.
VaccinationwillbeprovidedbyKaiseriftheemployeeisaKaisermemberortheDistrictappointedclinicforallotheremployees.
Declinationofthevaccine.Ifanemployeedeclinesthevaccination,theemployeemustsignadeclinationform(attachedtothisECP).Employeeswhodeclinemayrequestandobtainthevaccinationatalaterdateatnocost.SigneddeclinationformsarekeptinHumanResources.
ExposureIncidentManagement
EXPOSURE INCIDENT REPORT
AnyincidentthatresultsinoccupationalexposuretobloodorOPIMwillbereportedimmediatelytoKeenanandAssociates.AseparatereportmustbecompletedbyeachpersonexposedtobloodorOPIM.Thereportwillincludethenameofthepersonexposed,thetimeanddateoftheincident,andadeterminationofwhetheranexposurehasoccurred.Ifexposurehasoccurred,apost-exposureevaluationwillbeperformed.
POST-EXPOSURE EVALUATION AND FOLLOW-UP
Aconfidentialmedicalevaluationandfollow-upwillbeconductedbyKeenanandAssociates.Afterinitialfirstaidormedicalattention,thefollowingactivitieswillbeperformedby
AllianceOccupationalMedicine1901MontereyRoad
or KaiserOccupationalMedicineClinic275HospitalParkway,Suite565
SanJose,CA95112 SanJose,CA95119408-477-8080 408-972-6800
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• Documenttheroutesofexposureandhowtheexposureoccurred• Identifyanddocumentthesourceindividual(unlesstheemployercanestablishthatidentificationis
infeasibleorprohibitedbystateorlocallaw)• Obtainconsentandmakearrangementstohavethesourceindividualtestedassoonaspossibleto
determineHIV,HCV,andHBVinfectivity;documentthatthesourceindividual’stestresultswereconveyedtotheemployee’shealthcareprovider
• IfthesourceindividualisalreadyknowntobeHIV,HCVand/orHBVpositive,newtestingneednotbeperformed
• Assurethattheexposedemployeeisprovidedwiththesourceindividual’stestresultsandwithinformationaboutapplicabledisclosurelawsandregulationsconcerningtheidentityandinfectiousstatusofthesourceindividual(e.g.,lawsprotectingconfidentiality).
• Afterobtainingconsent,collectexposedemployee’sbloodassoonasfeasibleafterexposureincident,andtestbloodforHBVandHIVserologicalstatus
IftheemployeedoesnotgiveconsentforHIVserologicaltestingduringcollectionofbloodforbaselinetesting,preservethebaselinebloodsampleforatleast90days.Iftheexposedemployeeelectstohavethebaselinesampletestedduringthiswaitingperiod,performtestingassoonasfeasible.
ADMINISTRATION OF POST-EXPOSURE EVALUATION AND FOLLOW-UP
MailaNguyenensuresthatthehealthcareprofessional(s)responsibleforemployee’shepatitisBvaccinationandpost-exposureevaluationandfollow-uparegivenacopyofthebloodbornepathogensregulation.MailaNguyenwillensurethatthehealthcareprofessionalevaluatinganemployeeafteranexposureincidentreceives:
• Adescriptionoftheemployee’sjobdutiesrelevanttotheexposureincident• Adescriptionofroute(s)ofexposure• Circumstancesofexposure• Ifpossible,resultsofthesourceindividual’sbloodtest• Relevantemployeemedicalrecords,includingvaccinationstatus
TheDistrict’sappointedclinicwillprovidetheemployeewithacopyoftheevaluatinghealthcareprofessional’swrittenopinionwithin15daysaftercompletionoftheevaluation.
PROCEDURES FOR EVALUATING THE CIRCUMSTANCES SURROUNDING AN EXPOSURE INCIDENT
HumanResourceswillreviewthecircumstancesofallexposureincidentstodeterminethe:
• Engineeringcontrolsinuseatthetime• Workpracticesfollowed• Descriptionofthedevicebeingused(includingtypeandbrand)• Protectiveequipmentorclothingthatwasusedatthetimeoftheexposureincident(gloves,eye
shields,etc.)• Locationoftheincident• Procedureortaskbeingperformedwhentheincidentoccurred• Employee’straining
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StudentServicesDepartmentandHumanResourceswillrecordallpercutaneousinjuriesfromcontaminatedsharpsinaSharpsInjuryLog.
EmployeeTraining
AllemployeeswhohaveoccupationalexposuretobloodbornepathogenswillreceiveinitialandannualtrainingconductedbyHumanResourcesand/orsiteadministrator/ProgramManager.
Allemployeeswhohaveoccupationalexposuretobloodbornepathogenswillreceivetrainingontheepidemiology,symptoms,andtransmissionofbloodbornepathogendiseases.Inaddition,thetrainingprogramcovers,ataminimum,thefollowingelements:
• AcopyandexplanationoftheOSHAbloodbornepathogenstandard• AnexplanationofourECPandhowtoobtainacopy• Anexplanationofmethodstorecognizetasksandotheractivitiesthatmayinvolveexposureto
bloodandOPIM,includingwhatconstitutesanexposureincident• Anexplanationoftheuseandlimitationsofengineeringcontrols,workpractices,andPPE• Anexplanationofthetypes,uses,location,removal,handling,decontamination,anddisposalofPPE• AnexplanationofthebasisforPPEselection• InformationonthehepatitisBvaccine,includinginformationonitsefficacy,safety,methodof
administration,thebenefitsofbeingvaccinated,andthatthevaccinewillbeofferedfreeofcharge• Informationontheappropriateactionstotakeandpersonstocontactinanemergencyinvolving
bloodorOPIM• Anexplanationoftheproceduretofollowifanexposureincidentoccurs,includingthemethodof
reportingtheincidentandthemedicalfollow-upthatwillbemadeavailable• Informationonthepost-exposureevaluationandfollow-upthattheemployerisrequiredtoprovide
fortheemployeefollowinganexposureincident• Anexplanationofthesignsandlabelsand/orcolorcodingrequiredbythestandardandusedatthis
facility• Anopportunityforinteractivequestionsandanswerswiththepersonconductingthetraining
session
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Recordkeeping
TRAINING RECORDS
Trainingrecordsarecompletedforeachemployeeuponcompletionoftraining.Thesedocumentswillbekeptforatleast3yearsinHumanResources.
Thetrainingrecordswillincludethe:
• Datesofthetrainingsessions• Contentsorasummaryofthetrainingsessions• Namesandpersonsconductingthetraining• Namesandjobtitlesofallpersonsattendingthetrainingsessions
Employeetrainingrecordsareprovideduponrequesttotheemployeeortheemployee’sauthorizedrepresentativewithin15workingdays.SuchrequestsshouldbeaddressedtoJamieGarcia
MedicalRecords
Medicalrecordsaremaintainedforeachemployeewithoccupationalexposureinaccordancewiththeemployeeexposureandmedicalrecordsregulation.JamieGarciaisresponsibleformaintenanceoftherequiredmedicalrecords.TheseconfidentialrecordsarekeptinHumanResourcesforatleastthedurationofemploymentplus30years.
OSHA RECORDKEEPING
AnexposureincidentisevaluatedtodetermineifthecasemeetsOSHA’sRecordkeepingRequirements(29CFR1904).
InjuryLog
InadditiontotheOSHArecordkeepingrequirements,allpercutaneousinjuriesfromcontaminatedsharpsarealsorecordedinaSharpsInjuryLog.Allincidentswillincludeatleast:
• Thedateoftheinjury• Thetypeandbrandofthedeviceinvolved(syringe,sutureneedle)• Thedepartmentorworkareawheretheincidentoccurred• Anexplanationofhowtheincidentoccurred
TheSharpsInjuryLogisreviewedaspartoftheannualprogramevaluationandmaintainedforatleast5yearsfollowingtheendofthecalendaryearcovered.Ifacopyisrequestedbyanyone,itwillhaveanypersonalidentifiersremovedfromthereport.
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IntroductionBerryessaUnionSchoolDistricthaswrittenanddevelopedthisprogramtocomplywiththeprovisionsofSection5110ofTitleEightoftheCaliforniaCodeofRegulationsandtoaddresstheproblemofrepetitivemotioninjuriesthatresultfromwork-relatedactivity.
The“ErgonomicsInjury&IllnessPreventionProgram”outlinesthepoliciesandproceduresthatarebothnecessaryandrequiredtocontrolRMI’sandcomplywiththevariousprovisionsoftheergonomicssafetyregulations.AlthoughacopyofthecurrentCaliforniastandardiscontainedinthismanual,significantchangesshouldbeanticipatedoverthecomingmonthsandpossiblyyears.TheFederalOSHAhasissuedaproposedergonomicsstandardthatcouldimpactCaliforniainthenearfuture.
BerryessaUnionSchoolDistrictwillcontinuetostayinformedofthechangesinergonomicrulesandregulations,andwewillmakechangestoourprogramasregulationsevolve.Inthemeantime,thefollowingprocedureswilldefineourapproachtoworkplaceergonomicsuntilthosechangesareapprovedandadopted.
ProgramScope&Administration
STANDARD
Undercertainspecificcircumstances,employersarerequiredtodevelopafour-steppreventionprogramtocopewithrepetitivemotioninjuriesintheworkplace.
SPECIFICCRITERIA
1. Thissection(5110)appliestoajob,process,operation,orothergroupworkclassificationwherearepetitivemotioninjury(RMI)hasoccurredtotwoormoreemployees.
2. ThetwoRMI’smusthaveoccurredwithinasingleprocess,operation,orothersimilarworkgroup
classificationtoactivatetherequirementsofthissafetyregulation.3. TheRMImusthavebeenpredominatelycausedbyawork-relatedrepetitivejobactivity.
Predominatelymeansover50%causedbyworkactivity.4. ThetwoormoreemployeesincurringtheRMI’smusthavebeenperformingthesamejobprocessor
operationofidenticalworkactivity.5. TheRMI’smusthavebeenmusculoskeletalinjuriesthathavebeenobjectivelyidentifiedanddiagnosedbya
licensedphysician.6. TheRMI’smusthavebeenreportedtotheemployerbytheinvolvedemployeeswithinthelasttwelve
months,butnotpriortoJuly3,1997.7. EmployerswithnineorfeweremployeesareNOLONGERexemptedfromthisregulationasofaCalifornia
CourtofAppealsdecisioninJanuary2000.
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WorkSiteEvaluation&HazardAssessment
STANDARD
Alljobclassificationsand/orcategoriesthatarecoveredbythissectionorsafetystandardmustbeevaluatedandexaminedforexposureandhazardsthatmaycauseRMI’s.
SPECIFICCRITERIA
1. Aswithotherportionsofthisstandard,theexposureevaluationisrequiredaftertwoormoreRMI’soccurtotwoormoreemployees.
2. Theexposurefactorsthatneedtobeidentifiedwithineachseparatejobcategoryinvolverepetitionand
force.HighrepetitionwithstrongforceshasthemostseriousexposuretoRMI’s.3. Repetitionreferstothenumbertimesanidenticalactivityisrepeatedduringaspecifictimeperiod.Afew
repetitionsperhourdoesnotconstituteahighlyrepetitiveactivity.4. Forcereferstotheamountofenergyorstrengthneededtoperformanactivity.Themoreforcethatis
needed,thelesstherepetitionsneededtopotentiallycauseanRMI.
ControlofWork-RelatedRMIExposures
STANDARD
WhenaspecificworkgrouporcategoryhasdemonstratedthepotentialforRMI’s,aneffortshallbemadetocontroland/ormitigatetheworkexposures.TheRMIexposuresshallbeaddressedinatimelymannerandtotheextentfeasible.
SPECIFICCRITERIA
1. Onemethodformitigatingexposuresistheredesignofajob.Redesignmeanschangingthewaythejobisperformedsorepetitionandforceexposuresarereduced.Insomecasesredesignmayinvolvetransferringdutiestootherlessstressfuljobcategories.
2. Anothermethodinvolvesreducingforceandrepetitionstressthroughteamwork.Anexampleofbasic
teamworkincludesrequiringtwopeopletoliftaheavyobject.Otherideascanbeidentifiedduringthejobevaluationphase.
3. Anothertechniqueinvolvestheuseofrestbreaksandworkpacing.Short,frequentbreaksareusually
preferabletolongerlessfrequentbreaks.4. Jobrotationisanotherconceptthathasapracticalapplicationinsomeworksituations.Workerskilland
aptitudearerequiredforthisconcepttobepracticalandeffective.5. Engineeringcontrolsareanotherexposurereductionconceptandinvolvereducingthesizeofcontainers,
installinghandlesorgripsforliftingorpushing,increasingthesizeofwheelstoimproverolling,andotherideasidentifiedduringtheexposureevaluationprocess.
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6. Modificationstoclericalorcomputerworkstationsoradjustablefurniture,suchasstoolsorchairsshouldbeconsideredasremediestoRMIexposures.
7. Costandpracticalityareconceptsthatmustbeappliedtothephrase“totheextentfeasible.”ReducingRMI
exposuresshouldnotputabusinessatfinancialriskorprohibittheactualperformanceofthejob.Conversely,ideasknowntotheemployerbutnottakenwhichmayreduceRMIexposuretoagreaterextentwithoutimposingsignificantlyincreasedcostmustbeconsidered.
EmployeeTraining
STANDARD
WhenthissectionisactivatedbytheexistenceoftwoormoreRMI’swithaspecificjobclassification,certainspecifictrainingrequirementsareactivated.
SPECIFICCRITERIA
1. Employeeswithinoneormoreofthejobcategoriescoveredbythestandardshouldbemadeawareoftheemployer’sergonomicspreventionprogramanditsspecificprovisions.
2. EmployeesshouldbemadeawareofthevariousworkinjuryexposuresdiscoveredduringtheRMIinjury
exposureevaluationprocess.3. Thevarioussymptomsandthelong-termconsequencesoftheinjuriescausedbyRMI’sshallbe
communicatedtoemployeeswithintheaffectedworkgroups.4. Employeeswithinaffectedjobgroupsmustbemadeawareoftheimportanceofreportingofsymptomsso
interventionscanbemoreeffective.5. Trainingshallincludeanunderstandingofallexposurecontrolmethods,suchasjobredesign,workstation
modification,exercisetechniques,andotherideasdiscussedinthesectiononexposurecontrolandreduction.
Workstation Evaluation
Thepropersetupoftheworkstationisthekeytoofficeergonomics.Animproperofficearrangementwillpromotepoorposture,increasedphysicalstress,andcancauseincreasedfatigueandmayleadtosymptomsofrepetitivemotioninjuries(RSI’s).AllErgonomicevaluationsarerequestedtoJamiGarciaandmayrequireadoctor’snote.
Theevaluationmustinvolveacomprehensivereviewofallfactors,however,thechairistheplacetostart.Theseatheightshouldbeadjustablesothelegsoftheemployeecanbeproperlypositionedsothethighsareparallelwithfloorandthefeetarefirmlyrestingonthefloor.Thelegsshouldnothangnorshouldtheybebentattheanklessotheemployee’stoescantouchthefloor.Theseconditionswillleadtomuscletightening,tension,andfatigue.
Thebackofthechairshouldhaveagoodlumbarpad,whichgivessolidsupporttothesmallcurveofthelowerback.Thebackpadshouldbeadjustablesothelowerportionridesinthesmallofthebackwheresupportis
35
needed.Ifthepadistoolowitwillnotprovidetheneededsupportandtheseatpadwilltendtopushtheuser
YOU AND YOUR V D T
36
towardtheedgeofthechair.Backpadtiltisavaluableoption,butnotasnecessaryastheheightadjustments.Backpadtiltallowstheusertobringthelumbarpadforwardorbackasneeded.
Armrestsareoneofthoseaccessories,whichcanbedescribedasapersonaloption.Somepeoplelikethemandsomedon't.Theimportantthingistobesuretheheightofthearmrestislowenoughtoallowthearmstohanginanaturalpositionsotheshouldersarenotcompresseduptowardtheneck.Thisconditionwillalsoleadtomusclefatigueintheshoulderandneckarea.Armsrestsareusuallyremovableandsomehaveanadjustableheight.
Thepropersizeoftheseatpadwillvarywiththesizeoftheuser.Thebackofthelegsshouldclearthefrontoftheseatpadby2to4inches.Iftheclearanceismuchlarger,theseatisprobablytoosmallandtheusermayfeelliketheyarenotbeingadequatelysupported.Thiswillpromotemuscletighteningandwillprobablyleadtoachingmusclesandlegfatigue.
Otherchairfeaturesincludeseatpadtilt,adjustablelumbarsupports,andarotationaladjustmenttothearmrest.Allofthesefeaturesaddcostandcomfort,however,theyarenotasimportantastheotherfeatures.Oncetheproperchairhasbeenselectedwecanmovetheemployeeintotheworkareatocheckotherfactors.Thekeyboardandmouseset-uparethenexttargetsforreview.Thearmsshouldbepositionedsimilarlytothelegs.Theyshouldbeparallelwiththefloorandthewristshouldbeintheneutral(straight)position.Ifthisisonthedesktop,itmaybetoohigh.Ifanadjustabletrayisbeingused,itmaybepositionedimproperly.Theadjustablekeyboardtraywithmousesupportisprobablythemostdesirablesetupformostsituations.Theadjustmentallowstheusertopositionthekeyboardandmouseattheproperlevelandproperanglewithoutchangingthepositionofthelegsandfeet.
Themonitorshouldbeplaceddirectlyinfrontoftheworker,anditshouldbelowenoughthatthetopofthescreenisabout5degreesbeloweyelevelwhenlookingstraightout.Thedistanceisrecommendedbetween16to22inchesallowingtheheadtorestcomfortablyovertheshoulders.Glasses,personalchoiceandtheneedfordesksurfacecouldaffectthedistance.Thedistanceisaconcern,butitisnotascriticalastheheightandthelocation.Workingwithheadtiltedbackand/ortwistedtothesidewillleadtoneckcrampsandfatigue.Bifocalsarediscouragedbecauseoftherequiredheadtilt.Asingleprescriptionlensisrecommendedforthecomputeruser.
Otheraccessoriesincludetheworkholder.TheholdersthatmountonthetopofthemonitorwithVelcroareeffectivebecausetheyleavethedesksurfaceclearandtheykeeptheworkclosetothescreen.Anofficeproductscatalogcontainsavarietyofdifferentdesignsandlocatingthepropertypeshouldbenoproblem.Itisimportanttoavoidtwistingthenecktolookatcopywork,whichispositionedonareturnortableofftotheside.Keepthecopyworkinfrontoftheuserandatthesamedistanceasthescreen.
Thediagraminthenextsectiondisplaysthevariousfactorsdiscussedabove.Reviewthedrawingandreviewtheinformationincluded.Byusingthediagram,theaboveinformation,andthechecklist,whichfollows;youshouldbeabletocompleteaneffectiveworkstationreview.
37
Ingeneral,movethefrequentlyusedobjectsintoaprimaryspacethatisclosesttoyou.Becarefultotakeintoconsiderationyourleft/rightpreferencestoreducereachingandstretching.Movefreelyandworkhealth
38
ERGONOMIC EXERCISES
RELEASINGHAND,WRIST&SHOULDERTENSION
STRETCHING –Placeyourhandsoutinfrontofyou.Thenspreadyourfingersasfarapartaspossible.Holdforfivesecondsandthenrelax.Repeatthisprocessfivetimes.
ROTATIONS –Rotateyourwrists,keepingyourfingersrelaxedandyourelbowsstill.Withyourhandsextended,firstturnyourpalmsupandthenrotateyourpalmsdown.Repeattheexercisefivetimes.
HANDSHAKING –Withyourhandsextended,relaxyourmusclesandletyourhandsdangleatthe
wrists.Thenshakeyourhands.First,shakethemupanddownandthenshakethemfromsidetoside.Repeattheexerciseuntilthetensionisgone.
REACHING –Placeyourarmsoveryourhead.Withyourfingersstretched,reachtowardtheceiling.Holdthestretchforfivesecondsandthenrelax.Repeatfivetimes.
ROLLING –Usingawidecircularmotion,rollyourshouldersbackward.Repeattheexercisefivetimes.
SHIFTING –Whilesittinginyourchair,movearoundtoloosenup.Slouch,slump,lookawayfromthescreen,anddangleyourarms.Repeatasoftenasnecessary.
NECKGLIDES –Whileseated,glideyourneckforwardandhold.Thenglidethenecktotherearandhold.Keepthechinlevel.Repeattheexercisefivetimes.
DEEPBREATHING –Closeyoureyes,inhaleandholdyourbreathwhiletighteningyourentirebody.Slowlyexhaleandrelax.Repeatfivetimes.
EYERELAXATION –Usingtheindexandmiddlefingergentlymassagetheeyeareajustaboveand
belowthebrow–firstinaclockwisedirectionandthenacounter-clockwisedirection.
FINGERSTRETCHES –Withhandsatyoursidesandkeepingthewriststraight,curlthefingerstothebaseofthefingersbendingonlythejoints.Straightenthehandsandrelax.Repeatfivetimes.
39
ExercisesandRelaxationTechniques
RepetitionandforceareimportantfactorsinthestudyofergonomicsandindeterminingthecauseofRSI’s.Repetitionandforcecoupledwithanimproperworkstationsetupcaninsomecasesleadtodiscomfort,fatigue,andthesymptomsofRSI’soveralongerperiodoftime.
Repetitionreferstothenumberoftimesaworkerhastocompletehand,arm,andfingermanipulations.Forcereferstotheamountofeffortorstrainthatmustbeexertedwitheachrepetition.Ahighnumberofrepetitionswithheavyforcearethemostundesirablesituation.Thereareanumberofwaystheeffectsofforceandrepetitioncanbemitigated.
Exercisesareanexcellentwaytorelievesomeofthestressandtightnessintheneck,fingers,hands,andshoulders.Thereareseveraldifferentexercisesincludedinthissectionthatcanbeperformedatthedesk.Additionally,therearesoftwareprogramsavailablethatremindtheworkerswhentotakebreaksandshowthemhowtoexerciseproperly.
Takingrestbreaksfromthekeyboardtodocopying,filing,andothertasksisanotherwaytoreducethebuild-upoftensionandfatigue.Evenshortbreaksarebeneficialbecausetheyallowforsomerecoveryinthemusclesandtendons.Andinaddition,shortbreaksallowforamentalrest,whichcanhaveamajoreffectonreducingstressbuildup.
Schedulingisanothermethod,whichcanbeusedtoavoidprolongedperiodsatthekeyboard.Bybreakingupavarietyofdutiessuchasfiling,copying,keying,andothertasks,theemployeecanlimitkeyingtofourone-hourperiodsratherthanoneprolongedfour-hourperiod.Theshortsegmentsallowforrecoverybetweensegments.
Takingbreaks,organizingtheworksoavarietyoftaskscanbemixedoveraperiodofafewhoursispreferredratherthanspendingprolongedperiodsatonerepetitivemotiontask.
40
OFFICE ERGONOMICS
General
Location: Date:
Jobs: UsedFor:
MainTopic Yes No Comments
WORKERPOSITIONING
1. Aretheworker’sforearmsandwristsparalleltothefloorandtheupperarmsrestingathis/hersideswhenpositionedatthekeyboardortheworksurface?
ο ο
2. Aretheworker’sthighsparalleltothefloor? ο ο
3. Aretheworker’sfeetflatonthefloororafootrest?
ο ο
4. Isthereatleast2inchesofclearancebetweentheworker’sthighsandtheworkingsurface?
ο ο
5. Istherespacebetweentheedgeoftheseatpanandthebackoftheworker’sknees?
ο ο
6. Aretheworker’spalmsandwristsfreefromtouchingthekeyboardordeskedge?
ο ο
7. Isthetopoftheviewingscreenateyelevel? ο ο
8. Doesthechairbackrestsupportthecurveoftheworker’slowerback?
ο ο
WORKSTATIONSETUP
9. Doestheworkerreferprimarilytoitemsplacedinfrontofhim/her?
ο ο
10.IstheVDTmonitorpositionedperpendiculartowindowlight?
ο ο
11.Isthereglarefromoverheadlight? ο ο
12.Isthescreenbetween18-24inchesfromtheworker’seyes?
ο ο
13.Cantheworkspacebeadaptedforeitherrightorleft-handuse?
ο ο
14.Areallfrequentlyuseditemswithina6-to14-inchreachoftheworker?
ο ο
15.Arefrequentreachesbelowshoulderheightand/orabovekneeheight?
ο ο
16.Doesthearrangementoftheworkareaallowaccesstoallequipmentandjobaidswithouttwisting?
ο ο
41
OFFICE ERGONOMICS
General
Location: Date:
Jobs: UsedFor:
MainTopic Yes No Comments
17.Areallcablesroutedoutoftheworker’sway? ο ο
WORKSPACE
18.Istherespacetoperformalltasksattheworkstation(atleast24”deepand24”)?
ο ο
19.Areworksurfacesand/orequipmentcornersoredgesroundedandsmooth?
ο ο
KEYBOARD
20.Isthekeyboarddetachablefromthemonitor? ο ο
21.Canthekeyboardadjust inangle?(ANSIrecommendsadjustabilitybetween0-25degrees.)
ο ο
22.Doesthekeyboardhaveamattefinish? ο ο
23.Isthekeyboardpositionedonauseradjustableheight/tiltsupport?
ο ο
MONITOR
24.Canthemonitorheightbeadjustedbytheuser?
ο ο
25.Doesthemonitortilt?Swivel? ο ο
26.Areimagesonthescreenclear/sharpandeasytoread?
ο ο
27.Isthescreenanti-glare? ο ο
28.Ifthereisglare,isthereananti-glarefilteroraVDThood?
ο ο
29.Arethereadjustablebrightnessandcontrastcontrols?
ο ο
DOCUMENTHOLDER
30.Isthedocumentholderpositionedatasimilardistancefromtheworkers’eyestothemonitor?
ο ο
31.Isthedocumentholderpositionedtoallowneutralheadpositioning?
ο ο
CHAIR
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OFFICE ERGONOMICS
General
Location: Date:
Jobs: UsedFor:
MainTopic Yes No Comments
32.Cantheworker,whenseated,easilyadjustthechair?
ο ο
33.Isthelumbarsupportadjustableinheightandangle?Doesitlock?
ο ο
34.Isthelumbarsupportatleast12incheswideand6-9incheshigh(ANSI)?
ο ο
35.Isthetensiononthebackrestsupportadjustable?
ο ο
36.Isthecenterofthelumbarsupportbetween6-10inchesabovetheseatpan(ANSI)?
ο ο
37.Ifchairhasarmrests,aretheyadjustableinheight?
ο ο
38.Ifchairhasarmrests,dotheyallowworkertogetclosetotheworksurface?
ο ο
39.Ifchairhasarmrests,aretheyatleast18.2inchesapartfromeachother(ANSI)?
ο ο
40.Ifchairhasarmrests,aretheyatleast2incheswide?
ο ο
41.Ifchairhasarmrests,aretheedgescontouredandpadded?
ο ο
42.Isthefrontseatpanedgerounded? ο ο
43.Doestheseatpantilt?Lock? ο ο
44.Istheseatplanatleast18incheswide(ANSI)? ο ο
45.Istheseatpandepthbetween15-17inches(ANSI)?
ο ο
46.Doestheseatpanadjustinheightbetween16to20-½inches(ANSI)(excludesdraftingchairs)?
ο ο
47.Doesthechairhavea5-leggedswivelbase? ο ο
48.Doesthechairhavewheelsorcastersthatallowmobilityoncarpetedfloors?
ο ο
49.Isthechairpadded? ο ο
43
OFFICE ERGONOMICS
General
Location: Date:
Jobs: UsedFor:
MainTopic Yes No Comments
50.Doemployeesfeelthatthechairiscomfortable(ask)?
ο ο
FOOTREST
51.Ifafootrestisused,isitatleast2incheshigh(ANSI)andadjustableangle?
ο ο
52.Ifafootrestisused,doesitallowtheworkertopositionhimself/herselfcorrectlyattheworkstation?
ο ο
ENVIRONMENT
53.Arelightlevels19to46footcandles(fc)overallattheVDTworkstation(ANSI)?
ο ο
54.Istasklighting(50to100fc)providedforvisuallydemandingtasks?
ο ο
55.Dolightsshineintheworker’seyes? ο ο
56.Iftherearewindows,arewindowtreatmentsused(blinds,curtains,etc.)?
ο ο
57.Doallsurfacesattheworkstationhavenon-reflective(mattefinishes)whichreduceglare?
ο ο
58.Arecolorsattheworkstationneutral? ο ο
59.Istheworkareafreeofdrafts? ο ο
60.Istheworkareawellventilated? ο ο
61.Istheworkareanoisy? ο ο
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HeatIllnessPrevention
Scope:ThisPlancoversemployeeswhoareexposedtoheatorhotconditionsatorabovethethresholdlevelsforworkareasandactivitiesidentifiedintheheatstresshazardassessment.
Policy:Thisorganizationiscommittedtoprotectingemployeesfromthehazardsofhotconditionsandtopreventingheat-relatedillnessesattheworkplace.Wewillidentify,evaluate,andcontrolpotentialexposureofouremployeestoextremetemperature,humidity,andotherheat-relatedfactors.PlanAdministration
PlanAdministrator/DesignatedPerson(s).ThePlanAdministrators,MiguelCruz,DirectorofMaintenance,OperationsandTransportation,DanNorris,MaintenanceSupervisor,NestorCampana,ProjectCoordinator,areresponsibleforimplementingtheHeatStressPreventionProgram,monitoringworkareaheatconditionsandforensuringthatemployeesaretrainedtorecognizethesignsandsymptomsofheatstressillnessesorinjuryandwhattodoiftheseoccur.
TheAdministratormaydesignateandauthorizeotherpersonneltoimplementspecificcomponentsofthePlan.
Supervisors.Supervisorsareresponsibleforencouragingemployeestofrequentlyconsumewaterorotheracceptablebeveragestoensurehydration.
Employees.Employeesareresponsibleformonitoringtheirownpersonalfactorsforheat-relatedillnessincludingconsumptionofwaterorotheracceptablebeveragestoensurehydration.
PlanReviewandUpdateThisPlanwillbeperiodicallyreviewedandupdatedwhen:
• Newactivitiesorequipmentthatcreatesheatstressareintroducedintotheworkplace.• Evaluationsofheatstresshazards,injuries,andillnessesdemonstratethatthecurrentPlanis
outdatedornoteffective.• RegulatoryorapplicablenationalconsensusstandardschangethatrequirethisPlantobeupdated.
DEFINITIONSAcclimatizationoracclimateisthephysiological(i.e.,physical,mechanical,andbiochemical)changethatallowsthehumanbodytoadaptorgetusedtotheeffectsofanewphysicalenvironmentorclimate.Afteraperiodofacclimatization,thesamephysicalactivitywillproducefewercardiovasculardemands.Theworkerwillsweatmoreefficiently,causingbetterevaporativecooling,andthuswillmoreeasilybeabletomaintainnormalbodytemperatures.
Calorieistheamountofheatrequiredtoraise1gramofwater1°Celcius(C)(basedonastandardtemperatureof16.5to17.5°C).
46
Conductionisthetransferofheatbetweenmaterialsthatcontacteachother.Heatpassesfromthewarmermaterialtothecoolermaterial.Forexample,aworker’sskincantransferheattoacontactingsurfaceifthatsurfaceiscooler,andviceversa.
Convectionisthetransferofheatinamovingfluid.Airflowingpastthebodycancoolthebodyiftheairtemperatureiscool.Ontheotherhand,airthatexceeds85°Fahrenheit(F)canincreasetheheatloadonthebody.
Drybulb(DB)temperatureisthemeasurementoftheheatcontentoffreelyexposedairmeasuredbyathermalsensorthatisshieldedfromdirectradiantenergysources.
Evaporativecoolingtakesplacewhensweatevaporatesfromtheskin.Highhumidityreducestherateofevaporationandthusreducestheeffectivenessofthebody’sprimarycoolingmechanism.
Globetemperatureisthetemperatureinsideablackened,hollow,thincopperglobe.
Heatisameasureofenergythatistransferredbyadifferenceintemperature.
Metabolicheatisaby-productofthebody’sactivity.
Naturalwetbulb(NWB)temperatureismeasuredbyexposingawetsensor,suchasawetcottonwickfittedoverthebulbofathermometer,totheeffectsofevaporationandconvection.Theterm“natural”referstothemovementofairaroundthesensor.
Radiationisthetransferofheatenergythroughspace.Aworkerwhosebodytemperatureisgreaterthanthetemperatureofthesurroundingsurfacesradiatesheattothesesurfaces.Hotsurfacesandinfraredlightsourcesradiateheatthatcanincreasethebody’sheatload.
Heat-RelatedIllnessesIllnessasdefinedbyOSHAisgenerallynotinstantaneousandoccurssometime(hoursordays)aftertheinitialexposuretoanoccupationalhazard.Forexample,aninstantaneousreactionsuchasaburnaftertouchingahotsurfaceisconsideredaninjury;whereasadelayedreactiontoahotenvironmentsuchasheatexhaustionthatoccurshoursaftertheinitialexposureisconsideredanillness.
Heatcollapseisaconditionwherethebraindoesnotreceiveenoughoxygenbecausebloodpoolsintheextremities,resultinginalossofconsciousness(faintingorsyncope).Thisreactionissimilartothatofheatexhaustionanddoesnotaffectthebody’sheatbalance.However,theonsetofheatcollapseisrapidandunpredictable.Heatsyncopeisafaintingepisodeordizzinessthatusuallyoccurswithprolongedstandingorsuddenrisingfromasittingorlyingposition.Factorsthatmaycontributetoheatsyncopeincludedehydrationandlackofacclimatization.
Heatcrampsareusuallycausedbyperforminghardphysicallaborinahotenvironment.Thesecrampshavebeenattributedtoanelectrolyteimbalancecausedbysweating.Crampscanbecausedbybothtoomuchandtoolittlesalt.Crampsappeartobecausedbythelackofwaterreplenishment.Becausesweatisahypotonicsolution(±0.3%sodiumchloride),excesssaltcanbuildupinthebodyifthewaterlostthroughsweatingisnotreplaced.Thirstcannotbereliedonasaguidetotheneedforwater;instead,
47
watermustbetakenevery15to20minutesinhotenvironments.Underextremeconditions,suchasworkingfor6to8hoursinheavyprotectivegear,alossofsodiummayoccur.Recentstudieshaveshownthatdrinkingcommerciallyavailablecarbohydrate-electrolytereplacementliquidsiseffectiveinminimizingphysiologicaldisturbancesduringrecovery.
Heatexhaustionisaconditionwithsymptomsofheadache,nausea,vertigo,weakness,thirst,andgiddiness.Faintingassociatedwithheatexhaustioncanbedangerousbecausethevictimmaybeoperatingmachineryorcontrollinganoperationthatshouldnotbeleftunattended;moreover,thevictimmaybeinjuredwhenheorshefaints.Also,thesignsandsymptomsseeninheatexhaustionaresimilartothoseofheatstroke,amedicalemergency.
Heatfatigueisatemporarystateofdiscomfortandmentalorpsychologicalstrainarisingfromprolongedheatexposure.Itisgenerallycausedbyfluidloss.Workersunaccustomedtotheheatareparticularlysusceptibleandcansuffer,tovaryingdegrees,adeclineintaskperformance,coordination,alertness,andvigilance.Thereisnotreatmentforheatfatigueexcepttoremovetheheatstressbeforeamoreseriousheat-relatedconditiondevelops.Theseverityoftransientheatfatiguewillbelessenedbyaperiodofgradualadjustmenttothehotenvironment(heatacclimatization).
Heatrashis“prickly”heatmanifestedasredpapules(i.e.,small,inflammatory,irritatedspotsonskin)andusuallyappearsinareaswheretheclothingisrestrictive.Itisthemostcommonprobleminhotworkenvironments.Assweatingincreases,thesepapulesgiverisetoapricklingsensation.Pricklyheatoccursonskinthatispersistentlywettedbyunevaporatedsweat,andheatrashpapulesmaybecomeinfectediftheyarenottreated.Inmostcases,heatrasheswilldisappearwhentheaffectedindividualreturnstoacoolenvironment.
Heatstrokeisaconditionwhenthebody’ssystemoftemperatureregulationfailsandbodytemperaturerisestocriticallevels.Thisconditioniscausedbyacombinationofhighlyvariablefactors,anditsoccurrenceisdifficulttopredict.Heatstrokeisamedicalemergency.Theprimarysignsandsymptomsofheatstrokeareconfusion,irrationalbehavior,lossofconsciousness,convulsions,alackofsweating(usually),hotanddryskin,andanabnormallyhighbodytemperature(e.g.,arectaltemperatureof41°C(105.8°F)).Ifbodytemperatureistoohigh,itcausesdeath.Theelevatedmetabolictemperaturescausedbyacombinationofworkloadandenvironmentalheatload,bothofwhichcontributetoheatstroke,arealsohighlyvariableanddifficulttopredict.
HAZARDASSESSMENTTheAdministratorordesigneewillconductaninitialinspectionandhazardassessmentofallworkareasandenvironmentswherehotconditionsareanticipatedormayoccur.Heorshewillperiodicallyconductfollow-upinspectionstoensurecompliancewiththisPlanandtoevaluatetheeffectivenessofheatstresscontrolmeasures.
Duringtheassessmenttheinspectorwill:
• Determinebuildingandfacilityoperatingcharacteristicsthatmaycause,contributeto,oralleviatehotconditions.
48
• Determinewhetherengineeringandadministrativecontrolsarefunctioningproperly• Verifyinformationobtainedfromemployeeinterviews• Performtemperaturemeasurementsandmakeotherdeterminationstoidentifypotentialsources
ofheatstress
Investigatorswilldiscussanyoperations,whichhavethepotentialtocauseheatstresswithengineersorotherknowledgeablepersonnel.Awalk-aroundinspectionwillcoverallaffectedareas.Heatsourcessuchasfurnaces,ovens,andboilers,andrelativeheatloadperemployeewillbenoted.
HeatStressFactorsThefollowingworkplacefactorswillbeconsideredintheassessmentforheatstress:
• Airtemperature• Radiantheatsources• Conductiveheatsources• Humidity• Directphysicalcontactwithhotobjects• Workloadactivityandduration• Semi-permeableorimpermeableprotectiveclothing
Thefollowingworkerheatsensitivityfactorswillalsobeconsideredinevaluatingthepotentialforheatstress:
• Age• Weight• Degreeofphysicalfitness• Degreeofacclimatization• Metabolism• Useofalcoholordrugs• Medicalconditionssuchashypertension• Priorheatinjury(predisposesanindividualtoadditionalinjury)
HEATSTRESSPREVENTIONPROGRAMThisHeatStressPreventionProgramdescribescontrolsandworkpracticestoprotectemployeesfromheatstresswhileworkinginhotconditions.
ProgramImplementationCriteriaTheAdministratorordesigneewillimplementtheHeatStressPreventionProgramwhentheactionlevelsforhotconditionsintheWBGTareexceeded.
HeatStressEngineeringControlsThefollowingengineeringcontrolswillbeimplementedbeforeandincombinationwithworkpractices.
GeneralVentilationGeneralventilationwillbeusedwherefeasibleandpracticaltodilutehotairwithcoolerair.Portableorlocalexhaustsystemswillbeprovidedforsmallareaswheregeneralventilationisnotfeasibleorpractical.Ifthedrybulbtemperatureishigherthan85°Fandtheairisdry,evaporativecoolingmaybe
49
improvedbyairmovement.Whenthedrybulbtemperatureexceeds85°andtherelativehumidityis100%,airmovementwillmaketheworkerhotterandforcedventilationwillnotbeusedtoalleviateheatstress.
FansFanswillbeprovidedwheregeneralventilationisinsufficientorimpracticalandwhenevaporativecoolingwillbeimprovedbyairmovement.
AirCoolingorConditioningAircoolingorconditioningsystemswillbeprovidedwherefeasibleandpractical.
InsulationHeatingpipeswillbeinsulatedorotherwiseshieldedtoreduceradiantheat.
CoolRoomCoolroomswillbeusedasarecoveryareanearhotjobs.
HeatStressPreventionWorkPracticesWorkpracticeswillbeimplementedtoreducetheriskofelevatinganemployee’scorebodytemperature.Heatstresspreventionpracticesthatmaybeimplementedindividuallyorincombinationinclude:
• Employeeworkandrestintervals• Continualpersonalmonitoringofphysiologicalsignsofheatstress• Providecoolliquids• Establishandimplementacclimatizationschedules• Usewarm-weathercoolinggarments• Reducethephysicaldemandsofwork,e.g.,excessiveliftingordiggingwithheavyobjects• Providerecoveryareassuchasair-conditionedenclosuresandrooms• Useshiftssuchasearlymorning,coolpartoftheday,ornightwork• Useintermittentrestperiodswithwaterbreaks• Usereliefworkers• Useworkerpacing• Assignextraworkersandlimitworkeroccupancy,orthenumberofworkerspresent,especiallyin
confinedorenclosedspaces• Scheduleworkinhotconditionsforthecoolerpartoftheday• Scheduleroutinemaintenanceandrepairworkinhotareasforthecoolerseasonsoftheyear.
EmployeeWork/RestIntervalsTheAdministratorordesigneewilldeterminethework/restintervalsandcommunicatethemtoemployeesbymeetingwiththeminthemorning.Work/restintervalsareadjustedthroughouttheworkshiftasneededandcommunicatedtoeachemployeeattheconclusionofanapplicablerestperiod,priortoreentryintoaworkarea.
FluidReplacement
50
Sincedehydrationisaprimarycauseofheatillness,employeesoneachsitewillberemindedontheimportanceofliquidconsumption.Onecup(8oz.)every20minutesisrecommended.Amplesuppliesofliquidsareavailableateachsite.
PersonalProtectiveEquipmentTheAdministratorordesigneewilldeterminethetypesofPPEthatmaybeusedtominimizeheatstressafterengineeringcontrolsandworkpracticeshavebeenimplementedandworkersarestillexposedtoheatstresshazards.
ReflectiveClothingReflectiveclothingvariesfromapronsandjacketstosuitsthatcompletelyenclosetheworkerfromnecktofeetandcanstoptheskinfromabsorbingradiantheat.Becausemostreflectiveclothingdoesnotallowairexchangethroughthegarment,thereductionofradiantheatmustmorethanoffsetthecorrespondinglossinevaporativecooling.Forthisreason,reflectiveclothingshouldbewornaslooselyaspossible.Insituationswhereradiantheatishigh,auxiliary-coolingsystemscanbeusedunderthereflectiveclothing.
WettedClothingWettedclothingiseffectivewhenreflectiveorotherimpermeableprotectiveclothingisworn.Theclothingmaybewettedterryclothcoverallsorwettedtwo-piece,whole-bodycottonsuits.Thisapproachiseffectiveunderconditionsofhightemperatureandlowhumiditywhereevaporationfromthewettedgarmentisnotrestricted.
ACCESSTOSHADE
Shadestructures,Air-conditionedvehicles,andaccesstobuildingwillbeopenedandplaceascloseaspracticaltotheworkers,whenthetemperatureequalsorexceeds80degreesFahrenheit.Whenthetemperatureisbelow80degreesFahrenheit,accesstoshadewillbeprovidedpromptly,whenrequestedbyanemployee.
MONITORINGTHEWEATHERThesupervisorwillbetrainedandinstructedtocheckinadvancetheextendedweatherforecast.Weatherforecastscanbecheckedwiththeaidoftheinternet(http://www.nws.noaa.gov/),orbycallingtheNationalWeatherServicephonenumbers(seeCAnumberbelow)orbycheckingtheWeatherChannelTVNetwork.Theworkschedulewillbeplannedinadvance,takingintoconsiderationwhetherhightemperaturesoraheatwaveisexpected.Thistypeofadvanceplanningshouldtakeplaceallsummerlong.
CALIFORNIADial-A-Forecast
• SanFrancisco(831)656-1725(#1)
HANDLINGHEATWAVES/HIGHHEAT/ACCLIMIZATIONDuringaheatwaveorheatspike,theworkdaywillbecutshortorrescheduled(exampleconductedatnightorduringcoolerhours.
Effectivecommunicationbyvoice,directobservation(applicableforworkcrewsof20orfewer),mandatorybuddysystem,orelectronicmeanswillbemaintained,sothatemployeesattheworksite
51
cancontactasupervisorwhennecessary.Ifthesupervisorisunabletobeneartheworkers(toobservethemorcommunicatewiththem),thenanelectronicdevice,suchasacellphoneortextmessagingdevice,maybeusedforthispurposeifreceptionintheareaisreliable.
Employeeswillberemindedconstantlythroughouttheworkshifttodrinkplentyofwaterandtakepreventativecool-downbreakwhenneeded.
Employeesandsupervisorswillbetrainedontheimportanceofacclimatization,howitisdevelopedandhowthesecompanyproceduresaddressit.
Thesupervisorwillbeextravigilantwithnewemployeesandstayalerttothepresenceofheatrelatedsymptoms.
EMERGENCYRESPONSE/HANDLINGASICKEMPLOYEETheAdministrator,DesignatedPerson(s),ordesigneewillimplementthefollowingemergencyresponseproceduresforthetypeofheatstressindicated.
Allforemanandsupervisorswillcarrycellphonesorothermeansofcommunication,toensurethatemergencymedicalservicescanbecalled.Checkswillbemadetoensurethattheseelectronicdevicesarefunctionalpriortoeachshift.
Whenanemployeeisshowingsymptomsofpossibleheatillness,stepswillbetakenimmediatelytokeepthestrickenemployeecoolandcomfortableonceemergencyservicerespondershavebeencalled(toreducetheprogressiontomoreseriousillness).Undernocircumstanceswilltheaffectedemployeebeleftunattended.
Duringheatwavesorhottemperatures,workerswillberemindedandencouragedtoimmediatelyreporttotheirsupervisorsanysignsorsymptomstheyareexperiencing
Emergencyservicesproviderwillbecalledimmediatelyifanemployeedisplayssignsorsymptomsofheatillness(decreasedlevelsofconsciousness,staggering,vomiting,disorientation,irrationalbehavior,incoherentspeech,convulsions,redandhotface),doesnotlookOKordoesnotgetbetterafterdrinkingcoolwaterandrestingintheshade.Whiletheambulanceisinroute,firstaidwillbeinitiated(cooltheworker:placethworkerintheshade,removeexcesslayersofclothing,placeicepackinthearmpitsandgroinareaandfanthevictim).Donotletasickworkerleavethesite,astheycangetlostordiebeforereachingahospital.
HeatStrokeIfaworkershowssignsofpossibleheatstroke,professionalmedicaltreatmentwillbeobtainedimmediately.Thesupervisororco-workerswilltakethefollowingstepstotreataworkerwithheatstroke:
1. Call911andnotifythesupervisor.2. Movethesickworkertoacool,shadedarea.
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3. Cooltheworkerusingmethodssuchassoakinghisorherclotheswithwater,spraying,sponging,orshoweringhimorherwithwater,andfanninghisorherbody.
Theworkershouldbeplacedinashadyareaandtheouterclothingshouldberemoved.Theworker’sskinshouldbewettedandairmovementaroundtheworkershouldbeincreasedtoimproveevaporativecoolinguntilprofessionalmethodsofcoolingareinitiatedandtheseriousnessoftheconditioncanbeassessed.Fluidsshouldbereplacedassoonaspossible.Themedicaloutcomeofanepisodeofheatstrokedependsonthevictim’sphysicalfitnessandthetimingandeffectivenessoffirst-aidtreatment.Regardlessoftheworker’sprotests,noemployeesuspectedofbeingillfromheatstrokeshouldbesenthomeorleftunattendedunlessaphysicianhasspecificallyapprovedsuchanorder.
HeatExhaustionHeatexhaustionrespondsreadilytoprompttreatment.Aworkersufferingfromheatexhaustionshould:
• Restinacool,shaded,orair-conditionedarea.• Drinkplentyofwaterorothercool,nonalcoholicbeverages.• Takeacoolshower,bath,orspongebath.
Workerssufferingfromheatexhaustionwillberemovedfromthehotenvironmentandgivenfluidreplacement.Theywillalsobeencouragedtogetadequaterest.
HeatSyncope(Fainting)Workerswhoexhibitsignsofheatsymptomswillbeinstructedbyasupervisororco-workersto:
• Sitorliedowninacoolplacewhentheybegintofeelsymptoms.• Slowlydrinkwater,clearjuice,orasportsbeverage.
HeatCrampsWorkerswithheatcrampsshould:
• Stopallactivity,andsitinacoolplace.• Drinkclearjuiceorasportsbeverage.• Notreturntostrenuousworkforafewhoursafterthecrampssubside,becausefurtherexertion
mayleadtoheatexhaustionorheatstroke.• Seekmedicalattentioniftheworkerhasheartproblems,theworkerisonalow-sodiumdiet,orthe
crampsdonotsubsidewithinonehour.
HeatRashWorkersexperiencingheatrashwillbetreatedaccordingtothefollowingprocedures:
• Directedtoworkinacooler,lesshumidenvironmentwhenpossible.• Keeptheaffectedareadry.• Usedustingpowdertohelpincreasecomfort.
SUPERVISORANDEMPLOYEETRAININGAllsupervisorswillbetrainedpriortobeingassignedtosuperviseotherworkers.TrainingwillincludethewrittenproceduresforBerryessaUnionSchoolDistrictandthestepssupervisorswillfollowwhenemployeesexhibitsymptomsconsistentwithheatillness.Supervisorswillbetrainedontheir
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responsibilitytoprovidewater,shade,cool-downrests,andaccesstofirstaidaswellastheemployees’righttoexercisetheirrightsunderthisstandardwithoutretaliation.
Allemployeeswhoareexposedorpotentiallyexposedtoheatstresswillreceivetrainingregardingheatstress-relatedinjuriesandillnessesandpreventionmeasuresatthetimeofassignmenttoworkactivitiesthatinvolvehotconditions.
Supervisorswillbetrainedonhowtotracktheweatheratthejobsite(bymonitoringpredictedtemperaturehighsandperiodicallyusingathermometer).Supervisorswillbeinstructedon,howweatherinformationwillbeusedtomodifyworkschedules,toincreasenumbersofwaterandrestsbreaksorceaseworkearlyifnecessary.
Thefollowingtopicswillbecoveredduringsafetytrainingforheatstress:
• Knowledgeofthehazardsofheatstress,includingenvironmentalfactorsthatmightcontributetotheriskofheat-relatedillness(temperature,humidity,radiantheat,airmovement,conductiveheatsources,workloadactivityandduration,andpersonalprotectiveequipment)
• Recognitionofpredisposingfactors,dangersigns,andsymptoms(e.g.,age,degreeacclimatization,medicalconditions,consumingalcohol,caffeineuse,nicotineuse,anduseofmedicationsthataffectthebody’sresponsetoheat)
• Theimportanceoffrequentdrinkingofsmallquantitiesofwater
• Awarenessoffirst-aidproceduresforheatstrokeandotherheatstress-relatedillnesses• Theprocedureforreportingsignsandsymptomsofheat-relatedillnessinthemselvesandco-
workers• Employeeresponsibilitiesinavoidingheatstress• Useofprotectiveclothingandequipment,includingtheimportanceofremovingheat-retainingPPE,
suchasnon-breathablechemicalresistantclothing,duringbreaks• Firstaidandotheremergencyresponseprocedures
Initial/RefresherTrainingPersonnelcoveredbythisPlanwillreceiverefresherheatstresstrainingatleastonceperyearbyPlanAdministrator/DesignatedPerson(s)described,andwheneverthereisachangeinworkassignmentorhotconditions,orwhenanewheatsourceisintroducedtoaworkarea.InitialandrefreshertrainingwillbecompletedduringAnnualSafetyDayIn-servicesorduringdepartmentstaffmeetings.
RECORDKEEPINGHeatstress-relatedillnessesthatarerelievedbyfirstaidanddonotrequireadditionalmedicaltreatmentwillnotberecordedininjuryandillnessrecords.
Heatstress-relatedillnessesthatrequiremedicaltreatmentbeyondfirstaidwillberecordedasanillnessorinjuryandillnessrecordkeepingforms.Forexample,theadministrationoffluidsbyintravenousinjectionsisrecordableasmedicaltreatment,andmoreseriouscasesofheatdisordersinvolvingsuchinjectionswillbeenteredintotheinjuryandillnessrecords.Inaddition,anydiagnosisbyaphysicianorotherlicensedhealthcareprofessionalofheatsyncope(faintingduetoheat)willberecorded.
Updatedon10/2018andapprovedthroughBUSDSafetyCommitteeon11/2018