Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident...

56
2011 Annual Report Presented Fumehood Awareness, Shipping Records Review, Biological Waste Management, and Surveillance and Emergency Response during a Mass Event training to CLIP team.+ Submitted 14 registration updates to the CDC in reference to laboratory operation changes.+ Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module, complying with OSHA regulatory training requirements.+ Formaldehyde online training course completed by 560 employees, complying with OSHA regulatory training requirements.+ Participated in several joint training exercises at the Cogen facility as part of the One Plan compli- ance efforts.+ Conducted Reclaimed Water training for 69 employees: Athletic Department (13), Facilities Planning (43), Design Services (6), and Construction Management (7).+Trained 1,830 students, staff and faculty in proper use of fire extinguishers, using live fire and PowerPoint presentations including videos developed by students.+ Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and Construction Services employees in asbestos awareness.+ Presented asbestos program to 28 maintenance supervisors.+ Administered radiation safety training courses to 2228 persons; non-ionizing radiation safety training administered to 304 persons.+ Provided lectures to the Chemis- try Department‘s ―Chemical 073‖ Nuclear Chemistry class.+ Assisted the UNC Dental School in meeting CDC recommendations for infection control in dental health-care settings, adding more than 1,000 faculty and staff to the University‘s Immunization Program.+ Implemented the Clinical Occupational Exposures Subcommittee for Students, to address hazards in the teaching environment.+ Trained/Number of Employees: Respiratory Protection/1,580; EHS Office, Clinic, IMAC, SS Employee Orientation/2,147; Joint Com- mission/3,053; Clinical Tuberculosis Infection Control/4,889; Clinical Bloodborne pathogens/4868; Machine Guarding/331.+Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students.+ Drafted, revised and standardized 21 standard operating procedures for containment laboratories, in order to ensure compliance across all areas of biological agent manage- ment.+ Expanded identification process within our compliance portal for DLAM personnel needing orientation, BSL-2, Zoonotic and Lab Animal Allergy training.+ Hazardous Waste Management online refresher training completed by 725 employees aiding compliance with EPA and NCDENR regulations.+ Nanotechnology Safety training completed by 64 employees.+ Sponsored a ―Plant a Rain Garden‖ at Kenan Stadium for Earth Week, with native plants suitable for rain garden conditions.+ Presented program on cross-connection mapping and methodology at a GIS Users group meeting.+ Created a microwave Safe-T-sensor magnet poster for the top of all student residence microwaves, in order to reduce microwave misuse.+ Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department.+ Trained 65 Maintenance and Design/Construction Services employees on OSHA Lead-in Construction Standard.+ Trained 209 Grounds, Public Safety, Chilled Water, Cogeneration, DLAM and Facilities Services‘ employees on hearing conservat ion.+ Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospital Police Department.+ Hosted 10 students studying nuclear medicine technology for two-week rotations through radiation safety.+ Provided UNC Housekeeping with assistance in determining proper fit for backpack vacuums.+ Provided medical clearance for the Universi ty‘s Respiratory Protection, Hazwopper, Hearing Conservation, DLAM, TEACCH, and Asbestos program meeting federal and state require- ments for a medical surveillance program.+ Provided training on the Ergontron Sit-To-Stand seed units.+ Trained 39 Athletics Football video employees and Energy Services Chilled Water employees on scissor lift safety.+ Updated Ventilated Enclosure form to make col- lection of campus fume hood data more robust.+ Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance.+ Presented program at the annual CSHEMA conference titled ―Traditional RCRA or Subpart K UNC-CH‘s Foray into the Waste Management Weeds.‖ Parallel manuscript submitted to the Journal of Chemical Safety (ACS) was accepted for publication.+ Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizi ng Re- claimed Water.‖+Conducted over 20 Life Safety Meetings with a variety of UNC personnel, focusing on fire hazards, egress and evacua- tion protocol.+ Participated in the development and implementation of a confined space drill with Energy Services, South Orange County Fire and Rescue, Chapel Hill Fire Department, UNC Public Safety and EHS.+ Trained 68 Facilities Services, HMP Team, and Energy Services‘ employees on confined space.+ Trained 41 Facilities Services, Energy Services and EHS employees on confined space a ir moni- toring protocols.+ Coordinated training sessions with hospital CT/radiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment.+ Supported the NC Science Teachers workshop by staffing an information booth giving away 35 radia- tion detectors and Understanding Radiation Resource Kits and presented a program on the use of radioactive materials in our society.+ Served 3,539 patients for the medical surveillance or workers‘ compensation program.+ Provided more than 6,200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services.+ Developed an ergonomic on-line self- assessment for laboratory researchers assisting with CAP accreditation.+ Developed on-line scaffolding training for Facilities Services and other users.+ Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps containers.+ Updated the EHS Shipping webpage to reflect changes in Federal and International regulations.+ Trained 12 HHMI schol- ars and 15 UNC PREP students starting the summer program on the topic of general laboratory safety.+ Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal.+ Staffed a stormwater education table at UNC‘s Sustainability Day event.+ Provided training on good housekeeping and pollution prevention practices to Carolina Inn engineering and managerial staff. Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team.+ Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacuation.+ Trained DLAM 51 employees on lockout/tagout requirements.+ Presented a program on HazMat SPOTS to the local Environmental Information Association confer- ence in Myrtle Beach, South Carolina.+ Hosted Remote Monitoring Station webinar for Public Safety, UNCH Police, and Facilities Ser- vices‘ employees, regarding GTRI‘s irradiator security system.+ Provided the UNC-CH x-ray equipment operator-training module to the Philadelphia Veteran‘s Administration Medical Center for their use.+ Provided first care and medical management for the workers‘ com- pensation program, ensuring that University employees have immediate access to high quality, effective health care.+ Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program.+ Seventy-six on-line ergonomic self- evaluations were completed by the University community.+ Crossed trained seven EHS staff to participate in the Hazards Management Inspection Program.+ Worked with the Histology Core and LabCorp to determine and acquire proper packaging for large-scale study that requires North Carolina clinics to ship patient samples to UNC.+ Worked with CF/Pulmonary Research Group and UNC Purchas- ing to improve their shipping processes.+ Utilized Principal Investigator listserv to quickly distribute laboratory safety news, updates, and alerts on laboratory electrical safety and PPE, and other.+Created and distributed a new laboratory specific newsletter (Avert), to support educational efforts of principal investigators.+Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollution prevention best practices.+ Provided stormwater awareness training for 10 people from the office of Waste Reduction and Management, Athletics, Town of Chapel Hill, and catering contractors.+ Provided fire safety consultations for two Haunted Houses and Playmakers‘ Ball events.+ Provided fire watches at 28 Athletic events at Smith Center and Kenan St adium.+ Presented a program on HazMat SPOTS for Cornell University personnel interested in the SPOTS application.+ Attended Scaffold Competent Person Training, provided by Facilities Services.+ Taught a three-week module on Radiation and Environmental Radioactiv- Environment, Health and Safety University of North Carolina

Transcript of Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident...

Page 1: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

2011 Annual Report

Presented Fumehood Awareness Shipping Records Review Biological Waste Management and Surveillance and Emergency Response during a Mass Event training to CLIP team+ Submitted 14 registration updates to the CDC in reference to laboratory operation changes+ Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements+ Formaldehyde online training course completed by 560 employees complying with OSHA regulatory training requirements+ Participated in several joint training exercises at the Cogen facility as part of the One Plan compli-ance efforts+ Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7)+Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations including videos developed by students+ Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety+ Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness+ Presented asbestos program to 28 maintenance supervisors+ Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons+ Provided lectures to the Chemis-try Departmentlsquos ―Chemical 073 Nuclear Chemistry class+ Assisted the UNC Dental School in meeting CDC recommendations for infection control in dental health-care settings adding more than 1000 faculty and staff to the Universitylsquos Immunization Program+ Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environment+ TrainedNumber of Employees Respiratory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Com-mission3053 Clinical Tuberculosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331+Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students+ Drafted revised and standardized 21 standard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent manage-ment+ Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training+ Hazardous Waste Management online refresher training completed by 725 employees aiding compliance with EPA and NCDENR regulations+ Nanotechnology Safety training completed by 64 employees+ Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with native plants suitable for rain garden conditions+ Presented program on cross-connection mapping and methodology at a GIS Users group meeting+ Created a microwave Safe-T-sensor magnet poster for the top of all student residence microwaves in order to reduce microwave misuse+ Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department+ Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard+ Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation+ Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospital Police Department+ Hosted 10 students studying nuclear medicine technology for two-week rotations through radiation safety+ Provided UNC Housekeeping with assistance in determining proper fit for backpack vacuums+ Provided medical clearance for the Universitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos program meeting federal and state require-

ments for a medical surveillance program+ Provided training on the Ergontron Sit-To-Stand seed units+ Trained 39 Athletics Football video employees and Energy Services Chilled Water employees on scissor lift safety+ Updated Ventilated Enclosure form to make col-lection of campus fume hood data more robust+ Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance+ Presented program at the annual CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Journal of Chemical Safety (ACS) was accepted for publication+ Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Re-claimed Water+Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacua-tion protocol+ Participated in the development and implementation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Department UNC Public Safety and EHS+ Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space+ Trained 41 Facilities Services Energy Services and EHS employees on confined space air moni-toring protocols+ Coordinated training sessions with hospital CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment+ Supported the NC Science Teachers workshop by staffing an information booth giving away 35 radia-tion detectors and Understanding Radiation Resource Kits and presented a program on the use of radioactive materials in our society+ Served 3539 patients for the medical surveillance or workerslsquo compensation program+ Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services+ Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation+ Developed on-line scaffolding training for Facilities Services and other users+ Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps containers+ Updated the EHS Shipping webpage to reflect changes in Federal and International regulations+ Trained 12 HHMI schol-ars and 15 UNC PREP students starting the summer program on the topic of general laboratory safety+ Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal+ Staffed a stormwater education table at UNClsquos Sustainability Day event+ Provided training on good housekeeping and pollution prevention practices to Carolina Inn engineering and managerial staff Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team+ Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacuation+ Trained DLAM 51 employees on lockouttagout requirements+ Presented a program on HazMat ndash SPOTS to the local Environmental Information Association confer-ence in Myrtle Beach South Carolina+ Hosted Remote Monitoring Station webinar for Public Safety UNCH Police and Facilities Ser-viceslsquo employees regarding GTRIlsquos irradiator security system+ Provided the UNC-CH x-ray equipment operator-training module to the Philadelphia Veteranlsquos Administration Medical Center for their use+ Provided first care and medical management for the workerslsquo com-pensation program ensuring that University employees have immediate access to high quality effective health care+ Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program+ Seventy-six on-line ergonomic self-evaluations were completed by the University community+ Crossed trained seven EHS staff to participate in the Hazards Management Inspection Program+ Worked with the Histology Core and LabCorp to determine and acquire proper packaging for large-scale study that requires North Carolina clinics to ship patient samples to UNC+ Worked with CFPulmonary Research Group and UNC Purchas-ing to improve their shipping processes+ Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other+Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investigators+Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollution prevention best practices+ Provided stormwater awareness training for 10 people from the office of Waste Reduction and Management Athletics Town of Chapel Hill and catering contractors+ Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events+ Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium+ Presented a program on HazMat ndash SPOTS for Cornell University personnel interested in the SPOTS application+ Attended Scaffold Competent Person Training provided by Facilities Services+ Taught a three-week module on Radiation and Environmental Radioactiv-

Environment Health and Safety

University of North Carolina

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Mary Beth Koza Director

ehsuncedu

2 3

This report also recognizes key individuals on our campus Without their

time effort and dedication to health and safety the goals of the depart-

ment in making the University a safe and healthy place would not be

achievable

The theme of this yearlsquos report is Collaboration Communications and

Customer Service Collaborating with our internal and external stake-

holders is how we accomplish our job Communications is the process of

sharing our knowledge and services and getting the important feedback

Customer service is our value to faculty and staff in helping them meet

their compliance requirements These three themes are the building

blocks of a culture of safety the mechanism of continuous improvement

and the path to compliance

We added a new section to the report this year Goals and Accomplish-

ments of our working EHS health and safety committees These commit-

tees are integral to the University as they deal with issues of governance

policy and direction and are the cornerstone of the culture of safety

2011 has been an extremely busy year working with difficult budget and

regulatory challenges but it was an extremely successful year as high-

lighted throughout this report These successes would not have been pos-

sible without the collaboration of the 37000-member campus community

Our work touches every member of that communitymdashfrom Athletics to

Zoology research and nearly every unit in between

Two events of this year emphasis the importance of the Universitylsquos com-

mitment to safety and the importance of creating an accountable EHS cul-

ture One is a celebration of our efforts the other is a reminder of the im-

portance of organizational accountability

In May of 2011 the North Carolina Department of Labor recognized the

University for its outstanding safety and health efforts with a Certificate

of Safety Achievement-First Year Gold Award This indeed was an

From the Director

Welcome to the Department of Environment Health and

Safety annual report This report is an important component

of the departmentrsquos integrated management system It pro-

vides a review of the accomplishments of the department and

serves as the introduction of the departmentrsquos 2012 goals

2 3

W ho W e A r e

W h at W e D o The Department of Environment Health amp Safety

supports the Universitylsquos core mission of teaching

research and service by providing comprehensive

environmental health and safety services to the Uni-

versity community This includes education through

training and consultation maintaining a safe environ-

ment through recognizing and controlling health and

safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Our mission is to ensure a process of compliance

minimize future potential liabilities and provide a

safe and healthy place to teach learn and serve

accomplishment and an important rec-

ognition of our promotion of safe work

practices

In October 2011 the US Chemical

Safety and Hazard Investigation Board

issued a report ―The Texas Tech Uni-

versity Laboratory Explosion This

was the first time the board had investi-

gated an academic lab incident and

stated ―[hellip] it is greatly concerned

about the frequency of academic inci-

dents in the United States This report

as well as other laboratory incidents

resulted in a review of our hazard

evaluation oversight of laboratory

safety and organizational accountability

This annual report is just one part of

that process and continues as our goal in

2012 As a leading research university

we are also participating nationally in

this effort

Overall 2011 was a good year for the

Department of Environment Health and

Safety at the University of North Caro-

lina at Chapel Hill I hope you will take

the time to review this report and learn

something new about our department

It would not be possible without the

dedication and commitment to excel-

lence of our EHS staff As a team we

take great pride in our accomplishments

and pride in contributing to the health

and safety of one of the worldlsquos leading

academic and research institutions We

also recognize and commend our fellow

Tar Heels It is their commitment to

health and safety their collaborative

spirit and their pride in being part of a

great University that makes all of our

lives better

From the Director

Communication - Collaboration - Customer Service = The Path to Compliance

EHS Functions amp Responsibilities

Each service section within EHS has unique and

specific management duties and responsibilities

that are determined by any number of compliance

requirements state and federal regulatory agen-

cies university policies industry standards and a

commitment to going beyond compliance when

possible to ensure a safe and healthy campus

community and state Biological Safety

In 2008 UNC recognized the Biological Safety section

as a separate support division within the EHS Depart-

ment Biological Safety provides guidance assistance

and surveillance over research activities involving bio-

hazardous agents recombinant DNA bloodborne

pathogens and biohazardous waste management Bio-

logical Safety monitors and reviews the performance

and maintenance of laboratory containment systems

and provides technical support to EHS incident re-

sponders Chemical Safety

The main function of the Chemical Safety section is to

manage the process of improving safety through edu-

cation compliance and the constant task of identify-

ing and evaluating potential safety hazards in order to

reach the destination of a safe research laboratory en-

vironment Because the breadth and depth of UNC

research is always expanding the process of safety

improvement is ongoing and ever-changing providing

daily challenges to support the research process

Environmental Affairs

The Environmental Affairs section was created in

1994 to proactively manage the environmental permit-

ting of the campus and to ensure compliance with the

increasing number of permits required by state and

federal agencies The section has responsibility for

oversight of undergroundabove ground storage tank

management air quality permits (Title V) water qual-

ity (NPDES) permits surface water quality storm

water management wetland issues environmental

assessments at inactive waste sites collection of radio-

active and hazardous materialswastes from campus

and operation of the Hazardous Materials Facility (a

fully permitted Treatment-Storage-Disposal facility)

and the storage-for-decay program for short-lived ra-

dioactive wastes

4 5

Communication - Collaboration - Customer Service = The Path to Compliance

EHS Functions amp Responsibilities

Fire Safety

and Emergency Response

Fire safety management includes six functions inspec-

tions enforcement education engineering fire inves-

tigation and response With 438 buildings on campus

and a wide range of potential fire safety risks EHS

personnel are constantly checking fire related equip-

ment running test alarms and assessing egress risks

The section provides as much student and employee

fire education as possible so that fire safety becomes a

collaborative effort and a fire safety culture becomes

the norm

Occupational

and Environmental Hygiene

OEH is responsible for ensuring that indoor campus

environments are conducive to good health and well-

being by recognizing evaluating and controlling health

and safety hazards using knowledge and experience in

industrial hygiene asbestos management air and wa-

ter quality and safety engineering The section as-

sesses potential safety hazards possible instances of

exposure and suitability of protective equipment

OEH works with facilities engineering and facilities

services personnel to find ways to keep historical

buildings functional while protecting employee health

and works with planning construction and startup of

new and renovated buildings to anticipate and elimi-

nate building related health issues

Workplace Safety

Workplace Safety provides services in the areas of

ergonomics respiratory protection safety training

industrial maintenance and construction safety clini-

cal safety medical surveillance Workers Compensa-

tion and the Safety Management Information Sys-

tem The diversity of services provided by the

Workplace Safety section supports the Universitylsquos

overall mission of teaching and research for both

academic and non-academic divisions

Radiation Safety

Radiation Safety integrates education oversight

compliance service and consultation to protect the

students staff faculty members of the general public

and the environment from the effects of both ionizing

and non-ionizing radiation Implicit in all aspects of

radiation safety is security Safety and security are

accomplished through training inspection licensing

registration and controlled access to certain materi-

als These are designed to supportmdashnot impedemdash

academic research

4 5

EHS makes implementation of the UNC Academic Plan possible by providing regulatory

compliance in the areas of biological safety chemical safety controlled substances envi-

ronmental permitting export shipping controls firelife safety emergency response oc-

cupational hygiene radiation safety and workplace safety

University of North Carolina at Chapel Hill EHS Management System

With the breadth and depth of UNC research always expanding the process of EHS com-

pliance management is ongoing and ever changing requiring a robust and adaptive man-

agement system In 2011 the department continued its emphasis on an integrated man-

agement system for the Universitylsquos environment health and safety compliance

PDCA

Integrated

Management

System

UNC EHS

Management System

PDCA

Integrated

Management

System

UNC EHS

Management System

Plan Objectives

Targets

Goals

Objectives

Work plans

Program development

Do

Implementation

and Operations

Training

Communications

Consultation

Outreach

Lab Safety and Hazard Man-

agement Plans

Emergency response

Act Corrective and

Preventive Actions

Policy amp procedure adoption

Strategic planning process Check Checking

CLIP inspections

HMP inspections

Monthly reports

Annual reports

Performance reviews

6 7

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Communication - Collaboration - Customer Service = The Path to Compliance

programs This effort was designed to ensure continuous improvements by incorporating a

process of ongoing monitoring reviews and revisions of procedures and policies through

the use of the Plan - Do - Check - Act (PDCA) model Just as a circle has no end the Plan -

Do - Check - Act cycle is a four-step process model for carrying out change cycling through

each step for continuous improvement

Setting goals for the department is an important part of this management system It trans-

lates purpose into action and drives continuous improvement The goals are consistent with

our mission of providing a safe place ensuring a process of compliance and minimizing fu-

ture liability

PDCA

Integrated

Management

System

UNC EHS

Management System

PDCA

Integrated

Management

System

UNC EHS

Management System

Plan Objectives

Targets

Goals

Objectives

Work plans

Program development

Do

Implementation

and Operations

Training

Communications

Consultation

Outreach

Lab Safety and Hazard Man-

agement Plans

Emergency response

Act Corrective and

Preventive Actions

Policy amp procedure adoption

Strategic planning process Check Checking

CLIP inspections

HMP inspections

Monthly reports

Annual reports

Performance reviews

6 7

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Communication - Collaboration - Customer Service = The Path to Compliance

2011 Goals amp Performance

Key to Performance Chart

Accomplished radic

In Process

Moved to 2012 12

8 9

Product iv i ty

Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment

12

Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)

radic

Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results

radic

Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support

12

Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies

radic

Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services

Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department

radic

Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine

radic

Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss

Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection

radic

Tra in ing

Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services

radic

Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern

Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator

radic

Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use

Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus

radic

2011 Goals amp Performance

8 9

Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU

Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility

Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern

Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance

radic

Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit

radic

Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011

radic

Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-

12

Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements

radic

Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)

Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building

Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab

Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance

radic

Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams

radic

Implement the University Travel Immunization pro-gram and advertise services to the campus community radic

Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects

radic

Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital

radic

2012 Goals Intrapreneurship

Utilize the Collaborative Laboratory Inspection Program

(CLIP) results to drive early identification of safety risks

and hazard prevention communications and training

across the University Implement a customer feedback

mechanism

Expand and implement the limited access lab checklist to

assist inspectors in early identification of safety risks and

to increase regulatory compliance

Continue to develop a strategy in collaboration with Fa-

cilities Services to expand air-handling unit cleaning to

improve energy savings as well as enhance indoor air

quality

Work with the Office of Waste Reduction amp Recycling

(OWRR) to increase lab recycling by identifying new

items for recycling and disseminating proper procedures

to campus researchers

Expand the Hazards Management Program (HMP) to

include an on-line HMP web application with an inven-

tory tracking process

Evaluate and implement upgrades to the Hearing Conver-

sation program to reduce costs to the affected departments

and improve audiometric testing data management result-

ing in reduced incidents of progressive hearing loss for

affected personnel

Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication

Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back

Identification and creation of an EHS GIS users group to

develop EHS tools which support compliance

Intrapreneurship

the practice of a corporate management style that

integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary

Education

Continue to develop implement and upgrade job specific

online training programs such as LockoutTag-out Re-

quirements and Confined Space Entry

Continue to improve and more broadly disseminate EHS

information via newsletters special alerts and other com-

munication vehicles to raise awareness of laboratory

safety and the importance of PPE

Complete training for Department of Public Safety per-

sonnel to use operate and respond to the Remote Moni-

toring Systems to meet enhanced security requirements

for radionuclides in quantities of concern

Complete ABT Biomarker Generator User training by

vendor including radionuclide production chemistry

QAQC and pre-clinical research applications

Expand the use of the EHS website by improving naviga-

tion search functions and new applications

Work closely with Public Safety to assure the University

is prepared for an emergency such as a hazardous materi-

als release and confined space incident by identifying and

implementing training exercises with local emergency

response agencies

Plan and coordinate six limited access drills with local

emergency response agencies

Develop and implement an online chemical fume hood

training to emphasize proper use and safe operating pro-

cedures for researchers who utilize chemical fume hoods

in their laboratories

Implement the roll out of the EHS compliance portal to

provide all supervisors and employees with the current

knowledge of their training status

10 11

Compliance

Support the construction and compliance activities of the

wastewater treatment system at the Bingham Facility

Implement the second round of GTRI funded security

enhancements to irradiators to meet the requirements of

NRC and DHS regulations The grant for this effort to-

taled approximately $143000 for both UNC and UNCH

Develop strategic plan to review and implement new re-

quirements promulgated in NRC regulation 10 CFR Part

37 These are new requirements to increase administra-

tive processes to ensure robust security clearance for per-

sonnel and robust operational testing of security systems

Implement improvements to the X-Ray safety program

to meet expectations of the NC DENR RPS X-ray

branch regulatory requirements

Establish comprehensive radiation safety program for

ABT Biomarker Generator facility to establish core re-

search program within Biomedical Research Imaging

Center)

Review and enhance the OSHA Bloodborne Pathogens

program compliance through collaboration with UNCH

LMS system and EHS and the implementation of the

EHS compliance portal

Implement process improvements to the University Em-

ployee Occupational Health Clinic Needle Stick program

Assure compliance in the areas of hot works permitting

lockouttagout requirements grinding and welding ac-

tivities and confined space requirements Update Lead

Paint policyprogram to reflect new EPA regulations for

housing and child occupied facilities

Work with Facilities Services on the development and

implementation of a campus wide oxygen monitor pro-

gram for areas that have potential for oxygen deficiency

(storage of cryogenics carbon monoxide manifold sys-

tems etc)

Receipt and implementation of the Phase II campus-wide

stormwater permit for the campus

Implementation of the Registered Environmental Con-

sultant (REC) program at Cogeneration facility

Develop an air permitting strategy which incorporates

the new requirements pertaining to modeling the boiler

MCAT standard and energy generators on campus

In partnership with Facilities Services and Energy Ser-

vices develop a mechanical room inspection process to

identify and eliminate hazards

Growth

Continue to provide technical expertise for all environ-

mental biological and ecological facets and permitting of

the Carolina North project

Support licensing design acquisition and installation of

new IRB building and research equipment including a

cyclotron new MRI and NMR devices and an irradiator

Support the Biology Department in creating and imple-

menting standard operating procedures for the new

Physical Science Building greenhouse in compliance with

NIH guidelines

Support the growth of the Kannapolis Site and continue

to provide technical expertise in the design operation

testing and commissioning of the limited access lab

10 11

Before a foreign scholar can apply for their temporary work visa to the United

States UNC must first submit an I-129 petition to US Customs and Immigration

Services (USCIS) to obtain permission to sponsor the scholar The I-129 form

requests information about the prospective employee and the job for which they

are being hired In 2011 the I-129 petition was changed to include a deemed ex-

port attestation This attestation requires the University to state whether or not

the visa applicant will require a deemed export license for their work

Deemed export licenses are required for access to or release of information per-

taining to technology having military or dual use (civilian and military) applica-

tions While strictly military technology is rare at the University dual use tech-

nology is common in any research setting The addition of the deemed export

attestation requires that each work visa applicant must be evaluated for hisher

potential access to these controlled technologies and the University must defini-

tively state whether a deemed export license is required for the applicant EHS

built upon existing relationships with various campus departments that manage

export compliance at UNC to establish a review process that minimized the added

reporting requirements for the visa applicant and their department This review

process involved collecting information about the visa applicant their work envi-

ronment and the specific projects in which they will be involved to determine if a

deemed export license would be required n 2011 139 I-129 petitions were re-

viewed for the deemed export attestation Through collaboration with ISSS Uni-

versity Counsel the Office of Sponsored Research and the departments hosting

international scholars EHS was able to address the increased compliance require-

ment of the I-129 petition while minimizing the added burden on all affected par-

ties

In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars

Biological Safety

12 13

―International Student and Scholar Services in col-

laboration with the Department of Environment

Health amp Safety has created an efficient and quick

process to comply with a deemed export attestation

required when petitioning for work authorization on

behalf of non-immigrant employees

Biological Safety

12 13

W h o W e A r e

W h at W e D o In 2008 UNC recognized the Biological Safety sec-

tion as a separate support division within the EHS

Department Biological Safety provides guidance

assistance and surveillance over research activities

involving biohazardous agents recombinant DNA

bloodborne pathogens and biohazardous waste man-

agement Biological Safety monitors and reviews the

performance and maintenance of laboratory contain-

ment systems and provides technical support to EHS

incident responders

A n d W h a t T h e y S a y

Debbie Rad International Student amp Scholar Advisor

Ronit Weingarden Assistant Director amp

Advisor to Foreign Academic Staff

International Student amp Scholar Services

Deborah Howard

Biological Safety Manager

Constance Birden

Biological Safety Specialist

Kara Milton

Assistant Biological Safety Officer

Penny Padgett

Associate Biological Safety Officer

Dan Vick

Export Control Specialist

14 15

Retrieved priceless 19th Century Recordings

The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States

Successful Unannounced Shipping Inspection

The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records

New DLAM ZoonoticLab Animal

Allergy Orientation training

The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials

Presented Overview of

Export Controls for Research

At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation

Added an Export Control chapter to the

Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added

Education Customer Service Internal Processes

Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures

Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs

Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules

Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH

Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills

With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems

Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community

Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference

Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel

Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples

Trained 159 researchers and staff members on proper use of campus autoclaves via online training module

Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs

Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection

Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals

Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures

Provided direct assistance for 212 ship-ments of equipment samples and research materials

Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes

Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions

Assisted the University of Virginia and Appalachian State University with export control and shipping requirements

Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel

Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License

Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy

Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team

Submitted 14 registration updates to the CDC in reference to laboratory operation changes

Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement

Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training

Updated Ventilated Enclosure form to make collection of campus fume hood data more robust

Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance

Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers

Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations

Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC

Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes

Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 - - Level 3

Level 2 - Level 2

Level 1

Le

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P e r f o r m a n c e L e v e l A s s e s s m e n t

COMPLIANCE 14 15

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 2: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Mary Beth Koza Director

ehsuncedu

2 3

This report also recognizes key individuals on our campus Without their

time effort and dedication to health and safety the goals of the depart-

ment in making the University a safe and healthy place would not be

achievable

The theme of this yearlsquos report is Collaboration Communications and

Customer Service Collaborating with our internal and external stake-

holders is how we accomplish our job Communications is the process of

sharing our knowledge and services and getting the important feedback

Customer service is our value to faculty and staff in helping them meet

their compliance requirements These three themes are the building

blocks of a culture of safety the mechanism of continuous improvement

and the path to compliance

We added a new section to the report this year Goals and Accomplish-

ments of our working EHS health and safety committees These commit-

tees are integral to the University as they deal with issues of governance

policy and direction and are the cornerstone of the culture of safety

2011 has been an extremely busy year working with difficult budget and

regulatory challenges but it was an extremely successful year as high-

lighted throughout this report These successes would not have been pos-

sible without the collaboration of the 37000-member campus community

Our work touches every member of that communitymdashfrom Athletics to

Zoology research and nearly every unit in between

Two events of this year emphasis the importance of the Universitylsquos com-

mitment to safety and the importance of creating an accountable EHS cul-

ture One is a celebration of our efforts the other is a reminder of the im-

portance of organizational accountability

In May of 2011 the North Carolina Department of Labor recognized the

University for its outstanding safety and health efforts with a Certificate

of Safety Achievement-First Year Gold Award This indeed was an

From the Director

Welcome to the Department of Environment Health and

Safety annual report This report is an important component

of the departmentrsquos integrated management system It pro-

vides a review of the accomplishments of the department and

serves as the introduction of the departmentrsquos 2012 goals

2 3

W ho W e A r e

W h at W e D o The Department of Environment Health amp Safety

supports the Universitylsquos core mission of teaching

research and service by providing comprehensive

environmental health and safety services to the Uni-

versity community This includes education through

training and consultation maintaining a safe environ-

ment through recognizing and controlling health and

safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Our mission is to ensure a process of compliance

minimize future potential liabilities and provide a

safe and healthy place to teach learn and serve

accomplishment and an important rec-

ognition of our promotion of safe work

practices

In October 2011 the US Chemical

Safety and Hazard Investigation Board

issued a report ―The Texas Tech Uni-

versity Laboratory Explosion This

was the first time the board had investi-

gated an academic lab incident and

stated ―[hellip] it is greatly concerned

about the frequency of academic inci-

dents in the United States This report

as well as other laboratory incidents

resulted in a review of our hazard

evaluation oversight of laboratory

safety and organizational accountability

This annual report is just one part of

that process and continues as our goal in

2012 As a leading research university

we are also participating nationally in

this effort

Overall 2011 was a good year for the

Department of Environment Health and

Safety at the University of North Caro-

lina at Chapel Hill I hope you will take

the time to review this report and learn

something new about our department

It would not be possible without the

dedication and commitment to excel-

lence of our EHS staff As a team we

take great pride in our accomplishments

and pride in contributing to the health

and safety of one of the worldlsquos leading

academic and research institutions We

also recognize and commend our fellow

Tar Heels It is their commitment to

health and safety their collaborative

spirit and their pride in being part of a

great University that makes all of our

lives better

From the Director

Communication - Collaboration - Customer Service = The Path to Compliance

EHS Functions amp Responsibilities

Each service section within EHS has unique and

specific management duties and responsibilities

that are determined by any number of compliance

requirements state and federal regulatory agen-

cies university policies industry standards and a

commitment to going beyond compliance when

possible to ensure a safe and healthy campus

community and state Biological Safety

In 2008 UNC recognized the Biological Safety section

as a separate support division within the EHS Depart-

ment Biological Safety provides guidance assistance

and surveillance over research activities involving bio-

hazardous agents recombinant DNA bloodborne

pathogens and biohazardous waste management Bio-

logical Safety monitors and reviews the performance

and maintenance of laboratory containment systems

and provides technical support to EHS incident re-

sponders Chemical Safety

The main function of the Chemical Safety section is to

manage the process of improving safety through edu-

cation compliance and the constant task of identify-

ing and evaluating potential safety hazards in order to

reach the destination of a safe research laboratory en-

vironment Because the breadth and depth of UNC

research is always expanding the process of safety

improvement is ongoing and ever-changing providing

daily challenges to support the research process

Environmental Affairs

The Environmental Affairs section was created in

1994 to proactively manage the environmental permit-

ting of the campus and to ensure compliance with the

increasing number of permits required by state and

federal agencies The section has responsibility for

oversight of undergroundabove ground storage tank

management air quality permits (Title V) water qual-

ity (NPDES) permits surface water quality storm

water management wetland issues environmental

assessments at inactive waste sites collection of radio-

active and hazardous materialswastes from campus

and operation of the Hazardous Materials Facility (a

fully permitted Treatment-Storage-Disposal facility)

and the storage-for-decay program for short-lived ra-

dioactive wastes

4 5

Communication - Collaboration - Customer Service = The Path to Compliance

EHS Functions amp Responsibilities

Fire Safety

and Emergency Response

Fire safety management includes six functions inspec-

tions enforcement education engineering fire inves-

tigation and response With 438 buildings on campus

and a wide range of potential fire safety risks EHS

personnel are constantly checking fire related equip-

ment running test alarms and assessing egress risks

The section provides as much student and employee

fire education as possible so that fire safety becomes a

collaborative effort and a fire safety culture becomes

the norm

Occupational

and Environmental Hygiene

OEH is responsible for ensuring that indoor campus

environments are conducive to good health and well-

being by recognizing evaluating and controlling health

and safety hazards using knowledge and experience in

industrial hygiene asbestos management air and wa-

ter quality and safety engineering The section as-

sesses potential safety hazards possible instances of

exposure and suitability of protective equipment

OEH works with facilities engineering and facilities

services personnel to find ways to keep historical

buildings functional while protecting employee health

and works with planning construction and startup of

new and renovated buildings to anticipate and elimi-

nate building related health issues

Workplace Safety

Workplace Safety provides services in the areas of

ergonomics respiratory protection safety training

industrial maintenance and construction safety clini-

cal safety medical surveillance Workers Compensa-

tion and the Safety Management Information Sys-

tem The diversity of services provided by the

Workplace Safety section supports the Universitylsquos

overall mission of teaching and research for both

academic and non-academic divisions

Radiation Safety

Radiation Safety integrates education oversight

compliance service and consultation to protect the

students staff faculty members of the general public

and the environment from the effects of both ionizing

and non-ionizing radiation Implicit in all aspects of

radiation safety is security Safety and security are

accomplished through training inspection licensing

registration and controlled access to certain materi-

als These are designed to supportmdashnot impedemdash

academic research

4 5

EHS makes implementation of the UNC Academic Plan possible by providing regulatory

compliance in the areas of biological safety chemical safety controlled substances envi-

ronmental permitting export shipping controls firelife safety emergency response oc-

cupational hygiene radiation safety and workplace safety

University of North Carolina at Chapel Hill EHS Management System

With the breadth and depth of UNC research always expanding the process of EHS com-

pliance management is ongoing and ever changing requiring a robust and adaptive man-

agement system In 2011 the department continued its emphasis on an integrated man-

agement system for the Universitylsquos environment health and safety compliance

PDCA

Integrated

Management

System

UNC EHS

Management System

PDCA

Integrated

Management

System

UNC EHS

Management System

Plan Objectives

Targets

Goals

Objectives

Work plans

Program development

Do

Implementation

and Operations

Training

Communications

Consultation

Outreach

Lab Safety and Hazard Man-

agement Plans

Emergency response

Act Corrective and

Preventive Actions

Policy amp procedure adoption

Strategic planning process Check Checking

CLIP inspections

HMP inspections

Monthly reports

Annual reports

Performance reviews

6 7

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Communication - Collaboration - Customer Service = The Path to Compliance

programs This effort was designed to ensure continuous improvements by incorporating a

process of ongoing monitoring reviews and revisions of procedures and policies through

the use of the Plan - Do - Check - Act (PDCA) model Just as a circle has no end the Plan -

Do - Check - Act cycle is a four-step process model for carrying out change cycling through

each step for continuous improvement

Setting goals for the department is an important part of this management system It trans-

lates purpose into action and drives continuous improvement The goals are consistent with

our mission of providing a safe place ensuring a process of compliance and minimizing fu-

ture liability

PDCA

Integrated

Management

System

UNC EHS

Management System

PDCA

Integrated

Management

System

UNC EHS

Management System

Plan Objectives

Targets

Goals

Objectives

Work plans

Program development

Do

Implementation

and Operations

Training

Communications

Consultation

Outreach

Lab Safety and Hazard Man-

agement Plans

Emergency response

Act Corrective and

Preventive Actions

Policy amp procedure adoption

Strategic planning process Check Checking

CLIP inspections

HMP inspections

Monthly reports

Annual reports

Performance reviews

6 7

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Communication - Collaboration - Customer Service = The Path to Compliance

2011 Goals amp Performance

Key to Performance Chart

Accomplished radic

In Process

Moved to 2012 12

8 9

Product iv i ty

Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment

12

Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)

radic

Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results

radic

Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support

12

Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies

radic

Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services

Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department

radic

Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine

radic

Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss

Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection

radic

Tra in ing

Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services

radic

Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern

Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator

radic

Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use

Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus

radic

2011 Goals amp Performance

8 9

Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU

Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility

Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern

Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance

radic

Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit

radic

Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011

radic

Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-

12

Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements

radic

Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)

Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building

Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab

Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance

radic

Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams

radic

Implement the University Travel Immunization pro-gram and advertise services to the campus community radic

Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects

radic

Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital

radic

2012 Goals Intrapreneurship

Utilize the Collaborative Laboratory Inspection Program

(CLIP) results to drive early identification of safety risks

and hazard prevention communications and training

across the University Implement a customer feedback

mechanism

Expand and implement the limited access lab checklist to

assist inspectors in early identification of safety risks and

to increase regulatory compliance

Continue to develop a strategy in collaboration with Fa-

cilities Services to expand air-handling unit cleaning to

improve energy savings as well as enhance indoor air

quality

Work with the Office of Waste Reduction amp Recycling

(OWRR) to increase lab recycling by identifying new

items for recycling and disseminating proper procedures

to campus researchers

Expand the Hazards Management Program (HMP) to

include an on-line HMP web application with an inven-

tory tracking process

Evaluate and implement upgrades to the Hearing Conver-

sation program to reduce costs to the affected departments

and improve audiometric testing data management result-

ing in reduced incidents of progressive hearing loss for

affected personnel

Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication

Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back

Identification and creation of an EHS GIS users group to

develop EHS tools which support compliance

Intrapreneurship

the practice of a corporate management style that

integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary

Education

Continue to develop implement and upgrade job specific

online training programs such as LockoutTag-out Re-

quirements and Confined Space Entry

Continue to improve and more broadly disseminate EHS

information via newsletters special alerts and other com-

munication vehicles to raise awareness of laboratory

safety and the importance of PPE

Complete training for Department of Public Safety per-

sonnel to use operate and respond to the Remote Moni-

toring Systems to meet enhanced security requirements

for radionuclides in quantities of concern

Complete ABT Biomarker Generator User training by

vendor including radionuclide production chemistry

QAQC and pre-clinical research applications

Expand the use of the EHS website by improving naviga-

tion search functions and new applications

Work closely with Public Safety to assure the University

is prepared for an emergency such as a hazardous materi-

als release and confined space incident by identifying and

implementing training exercises with local emergency

response agencies

Plan and coordinate six limited access drills with local

emergency response agencies

Develop and implement an online chemical fume hood

training to emphasize proper use and safe operating pro-

cedures for researchers who utilize chemical fume hoods

in their laboratories

Implement the roll out of the EHS compliance portal to

provide all supervisors and employees with the current

knowledge of their training status

10 11

Compliance

Support the construction and compliance activities of the

wastewater treatment system at the Bingham Facility

Implement the second round of GTRI funded security

enhancements to irradiators to meet the requirements of

NRC and DHS regulations The grant for this effort to-

taled approximately $143000 for both UNC and UNCH

Develop strategic plan to review and implement new re-

quirements promulgated in NRC regulation 10 CFR Part

37 These are new requirements to increase administra-

tive processes to ensure robust security clearance for per-

sonnel and robust operational testing of security systems

Implement improvements to the X-Ray safety program

to meet expectations of the NC DENR RPS X-ray

branch regulatory requirements

Establish comprehensive radiation safety program for

ABT Biomarker Generator facility to establish core re-

search program within Biomedical Research Imaging

Center)

Review and enhance the OSHA Bloodborne Pathogens

program compliance through collaboration with UNCH

LMS system and EHS and the implementation of the

EHS compliance portal

Implement process improvements to the University Em-

ployee Occupational Health Clinic Needle Stick program

Assure compliance in the areas of hot works permitting

lockouttagout requirements grinding and welding ac-

tivities and confined space requirements Update Lead

Paint policyprogram to reflect new EPA regulations for

housing and child occupied facilities

Work with Facilities Services on the development and

implementation of a campus wide oxygen monitor pro-

gram for areas that have potential for oxygen deficiency

(storage of cryogenics carbon monoxide manifold sys-

tems etc)

Receipt and implementation of the Phase II campus-wide

stormwater permit for the campus

Implementation of the Registered Environmental Con-

sultant (REC) program at Cogeneration facility

Develop an air permitting strategy which incorporates

the new requirements pertaining to modeling the boiler

MCAT standard and energy generators on campus

In partnership with Facilities Services and Energy Ser-

vices develop a mechanical room inspection process to

identify and eliminate hazards

Growth

Continue to provide technical expertise for all environ-

mental biological and ecological facets and permitting of

the Carolina North project

Support licensing design acquisition and installation of

new IRB building and research equipment including a

cyclotron new MRI and NMR devices and an irradiator

Support the Biology Department in creating and imple-

menting standard operating procedures for the new

Physical Science Building greenhouse in compliance with

NIH guidelines

Support the growth of the Kannapolis Site and continue

to provide technical expertise in the design operation

testing and commissioning of the limited access lab

10 11

Before a foreign scholar can apply for their temporary work visa to the United

States UNC must first submit an I-129 petition to US Customs and Immigration

Services (USCIS) to obtain permission to sponsor the scholar The I-129 form

requests information about the prospective employee and the job for which they

are being hired In 2011 the I-129 petition was changed to include a deemed ex-

port attestation This attestation requires the University to state whether or not

the visa applicant will require a deemed export license for their work

Deemed export licenses are required for access to or release of information per-

taining to technology having military or dual use (civilian and military) applica-

tions While strictly military technology is rare at the University dual use tech-

nology is common in any research setting The addition of the deemed export

attestation requires that each work visa applicant must be evaluated for hisher

potential access to these controlled technologies and the University must defini-

tively state whether a deemed export license is required for the applicant EHS

built upon existing relationships with various campus departments that manage

export compliance at UNC to establish a review process that minimized the added

reporting requirements for the visa applicant and their department This review

process involved collecting information about the visa applicant their work envi-

ronment and the specific projects in which they will be involved to determine if a

deemed export license would be required n 2011 139 I-129 petitions were re-

viewed for the deemed export attestation Through collaboration with ISSS Uni-

versity Counsel the Office of Sponsored Research and the departments hosting

international scholars EHS was able to address the increased compliance require-

ment of the I-129 petition while minimizing the added burden on all affected par-

ties

In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars

Biological Safety

12 13

―International Student and Scholar Services in col-

laboration with the Department of Environment

Health amp Safety has created an efficient and quick

process to comply with a deemed export attestation

required when petitioning for work authorization on

behalf of non-immigrant employees

Biological Safety

12 13

W h o W e A r e

W h at W e D o In 2008 UNC recognized the Biological Safety sec-

tion as a separate support division within the EHS

Department Biological Safety provides guidance

assistance and surveillance over research activities

involving biohazardous agents recombinant DNA

bloodborne pathogens and biohazardous waste man-

agement Biological Safety monitors and reviews the

performance and maintenance of laboratory contain-

ment systems and provides technical support to EHS

incident responders

A n d W h a t T h e y S a y

Debbie Rad International Student amp Scholar Advisor

Ronit Weingarden Assistant Director amp

Advisor to Foreign Academic Staff

International Student amp Scholar Services

Deborah Howard

Biological Safety Manager

Constance Birden

Biological Safety Specialist

Kara Milton

Assistant Biological Safety Officer

Penny Padgett

Associate Biological Safety Officer

Dan Vick

Export Control Specialist

14 15

Retrieved priceless 19th Century Recordings

The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States

Successful Unannounced Shipping Inspection

The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records

New DLAM ZoonoticLab Animal

Allergy Orientation training

The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials

Presented Overview of

Export Controls for Research

At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation

Added an Export Control chapter to the

Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added

Education Customer Service Internal Processes

Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures

Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs

Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules

Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH

Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills

With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems

Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community

Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference

Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel

Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples

Trained 159 researchers and staff members on proper use of campus autoclaves via online training module

Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs

Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection

Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals

Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures

Provided direct assistance for 212 ship-ments of equipment samples and research materials

Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes

Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions

Assisted the University of Virginia and Appalachian State University with export control and shipping requirements

Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel

Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License

Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy

Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team

Submitted 14 registration updates to the CDC in reference to laboratory operation changes

Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement

Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training

Updated Ventilated Enclosure form to make collection of campus fume hood data more robust

Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance

Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers

Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations

Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC

Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes

Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 - - Level 3

Level 2 - Level 2

Level 1

Le

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P e r f o r m a n c e L e v e l A s s e s s m e n t

COMPLIANCE 14 15

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 3: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

2 3

W ho W e A r e

W h at W e D o The Department of Environment Health amp Safety

supports the Universitylsquos core mission of teaching

research and service by providing comprehensive

environmental health and safety services to the Uni-

versity community This includes education through

training and consultation maintaining a safe environ-

ment through recognizing and controlling health and

safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Our mission is to ensure a process of compliance

minimize future potential liabilities and provide a

safe and healthy place to teach learn and serve

accomplishment and an important rec-

ognition of our promotion of safe work

practices

In October 2011 the US Chemical

Safety and Hazard Investigation Board

issued a report ―The Texas Tech Uni-

versity Laboratory Explosion This

was the first time the board had investi-

gated an academic lab incident and

stated ―[hellip] it is greatly concerned

about the frequency of academic inci-

dents in the United States This report

as well as other laboratory incidents

resulted in a review of our hazard

evaluation oversight of laboratory

safety and organizational accountability

This annual report is just one part of

that process and continues as our goal in

2012 As a leading research university

we are also participating nationally in

this effort

Overall 2011 was a good year for the

Department of Environment Health and

Safety at the University of North Caro-

lina at Chapel Hill I hope you will take

the time to review this report and learn

something new about our department

It would not be possible without the

dedication and commitment to excel-

lence of our EHS staff As a team we

take great pride in our accomplishments

and pride in contributing to the health

and safety of one of the worldlsquos leading

academic and research institutions We

also recognize and commend our fellow

Tar Heels It is their commitment to

health and safety their collaborative

spirit and their pride in being part of a

great University that makes all of our

lives better

From the Director

Communication - Collaboration - Customer Service = The Path to Compliance

EHS Functions amp Responsibilities

Each service section within EHS has unique and

specific management duties and responsibilities

that are determined by any number of compliance

requirements state and federal regulatory agen-

cies university policies industry standards and a

commitment to going beyond compliance when

possible to ensure a safe and healthy campus

community and state Biological Safety

In 2008 UNC recognized the Biological Safety section

as a separate support division within the EHS Depart-

ment Biological Safety provides guidance assistance

and surveillance over research activities involving bio-

hazardous agents recombinant DNA bloodborne

pathogens and biohazardous waste management Bio-

logical Safety monitors and reviews the performance

and maintenance of laboratory containment systems

and provides technical support to EHS incident re-

sponders Chemical Safety

The main function of the Chemical Safety section is to

manage the process of improving safety through edu-

cation compliance and the constant task of identify-

ing and evaluating potential safety hazards in order to

reach the destination of a safe research laboratory en-

vironment Because the breadth and depth of UNC

research is always expanding the process of safety

improvement is ongoing and ever-changing providing

daily challenges to support the research process

Environmental Affairs

The Environmental Affairs section was created in

1994 to proactively manage the environmental permit-

ting of the campus and to ensure compliance with the

increasing number of permits required by state and

federal agencies The section has responsibility for

oversight of undergroundabove ground storage tank

management air quality permits (Title V) water qual-

ity (NPDES) permits surface water quality storm

water management wetland issues environmental

assessments at inactive waste sites collection of radio-

active and hazardous materialswastes from campus

and operation of the Hazardous Materials Facility (a

fully permitted Treatment-Storage-Disposal facility)

and the storage-for-decay program for short-lived ra-

dioactive wastes

4 5

Communication - Collaboration - Customer Service = The Path to Compliance

EHS Functions amp Responsibilities

Fire Safety

and Emergency Response

Fire safety management includes six functions inspec-

tions enforcement education engineering fire inves-

tigation and response With 438 buildings on campus

and a wide range of potential fire safety risks EHS

personnel are constantly checking fire related equip-

ment running test alarms and assessing egress risks

The section provides as much student and employee

fire education as possible so that fire safety becomes a

collaborative effort and a fire safety culture becomes

the norm

Occupational

and Environmental Hygiene

OEH is responsible for ensuring that indoor campus

environments are conducive to good health and well-

being by recognizing evaluating and controlling health

and safety hazards using knowledge and experience in

industrial hygiene asbestos management air and wa-

ter quality and safety engineering The section as-

sesses potential safety hazards possible instances of

exposure and suitability of protective equipment

OEH works with facilities engineering and facilities

services personnel to find ways to keep historical

buildings functional while protecting employee health

and works with planning construction and startup of

new and renovated buildings to anticipate and elimi-

nate building related health issues

Workplace Safety

Workplace Safety provides services in the areas of

ergonomics respiratory protection safety training

industrial maintenance and construction safety clini-

cal safety medical surveillance Workers Compensa-

tion and the Safety Management Information Sys-

tem The diversity of services provided by the

Workplace Safety section supports the Universitylsquos

overall mission of teaching and research for both

academic and non-academic divisions

Radiation Safety

Radiation Safety integrates education oversight

compliance service and consultation to protect the

students staff faculty members of the general public

and the environment from the effects of both ionizing

and non-ionizing radiation Implicit in all aspects of

radiation safety is security Safety and security are

accomplished through training inspection licensing

registration and controlled access to certain materi-

als These are designed to supportmdashnot impedemdash

academic research

4 5

EHS makes implementation of the UNC Academic Plan possible by providing regulatory

compliance in the areas of biological safety chemical safety controlled substances envi-

ronmental permitting export shipping controls firelife safety emergency response oc-

cupational hygiene radiation safety and workplace safety

University of North Carolina at Chapel Hill EHS Management System

With the breadth and depth of UNC research always expanding the process of EHS com-

pliance management is ongoing and ever changing requiring a robust and adaptive man-

agement system In 2011 the department continued its emphasis on an integrated man-

agement system for the Universitylsquos environment health and safety compliance

PDCA

Integrated

Management

System

UNC EHS

Management System

PDCA

Integrated

Management

System

UNC EHS

Management System

Plan Objectives

Targets

Goals

Objectives

Work plans

Program development

Do

Implementation

and Operations

Training

Communications

Consultation

Outreach

Lab Safety and Hazard Man-

agement Plans

Emergency response

Act Corrective and

Preventive Actions

Policy amp procedure adoption

Strategic planning process Check Checking

CLIP inspections

HMP inspections

Monthly reports

Annual reports

Performance reviews

6 7

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Communication - Collaboration - Customer Service = The Path to Compliance

programs This effort was designed to ensure continuous improvements by incorporating a

process of ongoing monitoring reviews and revisions of procedures and policies through

the use of the Plan - Do - Check - Act (PDCA) model Just as a circle has no end the Plan -

Do - Check - Act cycle is a four-step process model for carrying out change cycling through

each step for continuous improvement

Setting goals for the department is an important part of this management system It trans-

lates purpose into action and drives continuous improvement The goals are consistent with

our mission of providing a safe place ensuring a process of compliance and minimizing fu-

ture liability

PDCA

Integrated

Management

System

UNC EHS

Management System

PDCA

Integrated

Management

System

UNC EHS

Management System

Plan Objectives

Targets

Goals

Objectives

Work plans

Program development

Do

Implementation

and Operations

Training

Communications

Consultation

Outreach

Lab Safety and Hazard Man-

agement Plans

Emergency response

Act Corrective and

Preventive Actions

Policy amp procedure adoption

Strategic planning process Check Checking

CLIP inspections

HMP inspections

Monthly reports

Annual reports

Performance reviews

6 7

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Communication - Collaboration - Customer Service = The Path to Compliance

2011 Goals amp Performance

Key to Performance Chart

Accomplished radic

In Process

Moved to 2012 12

8 9

Product iv i ty

Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment

12

Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)

radic

Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results

radic

Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support

12

Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies

radic

Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services

Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department

radic

Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine

radic

Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss

Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection

radic

Tra in ing

Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services

radic

Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern

Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator

radic

Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use

Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus

radic

2011 Goals amp Performance

8 9

Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU

Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility

Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern

Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance

radic

Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit

radic

Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011

radic

Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-

12

Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements

radic

Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)

Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building

Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab

Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance

radic

Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams

radic

Implement the University Travel Immunization pro-gram and advertise services to the campus community radic

Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects

radic

Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital

radic

2012 Goals Intrapreneurship

Utilize the Collaborative Laboratory Inspection Program

(CLIP) results to drive early identification of safety risks

and hazard prevention communications and training

across the University Implement a customer feedback

mechanism

Expand and implement the limited access lab checklist to

assist inspectors in early identification of safety risks and

to increase regulatory compliance

Continue to develop a strategy in collaboration with Fa-

cilities Services to expand air-handling unit cleaning to

improve energy savings as well as enhance indoor air

quality

Work with the Office of Waste Reduction amp Recycling

(OWRR) to increase lab recycling by identifying new

items for recycling and disseminating proper procedures

to campus researchers

Expand the Hazards Management Program (HMP) to

include an on-line HMP web application with an inven-

tory tracking process

Evaluate and implement upgrades to the Hearing Conver-

sation program to reduce costs to the affected departments

and improve audiometric testing data management result-

ing in reduced incidents of progressive hearing loss for

affected personnel

Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication

Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back

Identification and creation of an EHS GIS users group to

develop EHS tools which support compliance

Intrapreneurship

the practice of a corporate management style that

integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary

Education

Continue to develop implement and upgrade job specific

online training programs such as LockoutTag-out Re-

quirements and Confined Space Entry

Continue to improve and more broadly disseminate EHS

information via newsletters special alerts and other com-

munication vehicles to raise awareness of laboratory

safety and the importance of PPE

Complete training for Department of Public Safety per-

sonnel to use operate and respond to the Remote Moni-

toring Systems to meet enhanced security requirements

for radionuclides in quantities of concern

Complete ABT Biomarker Generator User training by

vendor including radionuclide production chemistry

QAQC and pre-clinical research applications

Expand the use of the EHS website by improving naviga-

tion search functions and new applications

Work closely with Public Safety to assure the University

is prepared for an emergency such as a hazardous materi-

als release and confined space incident by identifying and

implementing training exercises with local emergency

response agencies

Plan and coordinate six limited access drills with local

emergency response agencies

Develop and implement an online chemical fume hood

training to emphasize proper use and safe operating pro-

cedures for researchers who utilize chemical fume hoods

in their laboratories

Implement the roll out of the EHS compliance portal to

provide all supervisors and employees with the current

knowledge of their training status

10 11

Compliance

Support the construction and compliance activities of the

wastewater treatment system at the Bingham Facility

Implement the second round of GTRI funded security

enhancements to irradiators to meet the requirements of

NRC and DHS regulations The grant for this effort to-

taled approximately $143000 for both UNC and UNCH

Develop strategic plan to review and implement new re-

quirements promulgated in NRC regulation 10 CFR Part

37 These are new requirements to increase administra-

tive processes to ensure robust security clearance for per-

sonnel and robust operational testing of security systems

Implement improvements to the X-Ray safety program

to meet expectations of the NC DENR RPS X-ray

branch regulatory requirements

Establish comprehensive radiation safety program for

ABT Biomarker Generator facility to establish core re-

search program within Biomedical Research Imaging

Center)

Review and enhance the OSHA Bloodborne Pathogens

program compliance through collaboration with UNCH

LMS system and EHS and the implementation of the

EHS compliance portal

Implement process improvements to the University Em-

ployee Occupational Health Clinic Needle Stick program

Assure compliance in the areas of hot works permitting

lockouttagout requirements grinding and welding ac-

tivities and confined space requirements Update Lead

Paint policyprogram to reflect new EPA regulations for

housing and child occupied facilities

Work with Facilities Services on the development and

implementation of a campus wide oxygen monitor pro-

gram for areas that have potential for oxygen deficiency

(storage of cryogenics carbon monoxide manifold sys-

tems etc)

Receipt and implementation of the Phase II campus-wide

stormwater permit for the campus

Implementation of the Registered Environmental Con-

sultant (REC) program at Cogeneration facility

Develop an air permitting strategy which incorporates

the new requirements pertaining to modeling the boiler

MCAT standard and energy generators on campus

In partnership with Facilities Services and Energy Ser-

vices develop a mechanical room inspection process to

identify and eliminate hazards

Growth

Continue to provide technical expertise for all environ-

mental biological and ecological facets and permitting of

the Carolina North project

Support licensing design acquisition and installation of

new IRB building and research equipment including a

cyclotron new MRI and NMR devices and an irradiator

Support the Biology Department in creating and imple-

menting standard operating procedures for the new

Physical Science Building greenhouse in compliance with

NIH guidelines

Support the growth of the Kannapolis Site and continue

to provide technical expertise in the design operation

testing and commissioning of the limited access lab

10 11

Before a foreign scholar can apply for their temporary work visa to the United

States UNC must first submit an I-129 petition to US Customs and Immigration

Services (USCIS) to obtain permission to sponsor the scholar The I-129 form

requests information about the prospective employee and the job for which they

are being hired In 2011 the I-129 petition was changed to include a deemed ex-

port attestation This attestation requires the University to state whether or not

the visa applicant will require a deemed export license for their work

Deemed export licenses are required for access to or release of information per-

taining to technology having military or dual use (civilian and military) applica-

tions While strictly military technology is rare at the University dual use tech-

nology is common in any research setting The addition of the deemed export

attestation requires that each work visa applicant must be evaluated for hisher

potential access to these controlled technologies and the University must defini-

tively state whether a deemed export license is required for the applicant EHS

built upon existing relationships with various campus departments that manage

export compliance at UNC to establish a review process that minimized the added

reporting requirements for the visa applicant and their department This review

process involved collecting information about the visa applicant their work envi-

ronment and the specific projects in which they will be involved to determine if a

deemed export license would be required n 2011 139 I-129 petitions were re-

viewed for the deemed export attestation Through collaboration with ISSS Uni-

versity Counsel the Office of Sponsored Research and the departments hosting

international scholars EHS was able to address the increased compliance require-

ment of the I-129 petition while minimizing the added burden on all affected par-

ties

In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars

Biological Safety

12 13

―International Student and Scholar Services in col-

laboration with the Department of Environment

Health amp Safety has created an efficient and quick

process to comply with a deemed export attestation

required when petitioning for work authorization on

behalf of non-immigrant employees

Biological Safety

12 13

W h o W e A r e

W h at W e D o In 2008 UNC recognized the Biological Safety sec-

tion as a separate support division within the EHS

Department Biological Safety provides guidance

assistance and surveillance over research activities

involving biohazardous agents recombinant DNA

bloodborne pathogens and biohazardous waste man-

agement Biological Safety monitors and reviews the

performance and maintenance of laboratory contain-

ment systems and provides technical support to EHS

incident responders

A n d W h a t T h e y S a y

Debbie Rad International Student amp Scholar Advisor

Ronit Weingarden Assistant Director amp

Advisor to Foreign Academic Staff

International Student amp Scholar Services

Deborah Howard

Biological Safety Manager

Constance Birden

Biological Safety Specialist

Kara Milton

Assistant Biological Safety Officer

Penny Padgett

Associate Biological Safety Officer

Dan Vick

Export Control Specialist

14 15

Retrieved priceless 19th Century Recordings

The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States

Successful Unannounced Shipping Inspection

The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records

New DLAM ZoonoticLab Animal

Allergy Orientation training

The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials

Presented Overview of

Export Controls for Research

At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation

Added an Export Control chapter to the

Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added

Education Customer Service Internal Processes

Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures

Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs

Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules

Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH

Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills

With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems

Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community

Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference

Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel

Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples

Trained 159 researchers and staff members on proper use of campus autoclaves via online training module

Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs

Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection

Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals

Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures

Provided direct assistance for 212 ship-ments of equipment samples and research materials

Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes

Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions

Assisted the University of Virginia and Appalachian State University with export control and shipping requirements

Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel

Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License

Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy

Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team

Submitted 14 registration updates to the CDC in reference to laboratory operation changes

Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement

Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training

Updated Ventilated Enclosure form to make collection of campus fume hood data more robust

Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance

Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers

Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations

Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC

Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes

Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 - - Level 3

Level 2 - Level 2

Level 1

Le

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P e r f o r m a n c e L e v e l A s s e s s m e n t

COMPLIANCE 14 15

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 4: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Communication - Collaboration - Customer Service = The Path to Compliance

EHS Functions amp Responsibilities

Each service section within EHS has unique and

specific management duties and responsibilities

that are determined by any number of compliance

requirements state and federal regulatory agen-

cies university policies industry standards and a

commitment to going beyond compliance when

possible to ensure a safe and healthy campus

community and state Biological Safety

In 2008 UNC recognized the Biological Safety section

as a separate support division within the EHS Depart-

ment Biological Safety provides guidance assistance

and surveillance over research activities involving bio-

hazardous agents recombinant DNA bloodborne

pathogens and biohazardous waste management Bio-

logical Safety monitors and reviews the performance

and maintenance of laboratory containment systems

and provides technical support to EHS incident re-

sponders Chemical Safety

The main function of the Chemical Safety section is to

manage the process of improving safety through edu-

cation compliance and the constant task of identify-

ing and evaluating potential safety hazards in order to

reach the destination of a safe research laboratory en-

vironment Because the breadth and depth of UNC

research is always expanding the process of safety

improvement is ongoing and ever-changing providing

daily challenges to support the research process

Environmental Affairs

The Environmental Affairs section was created in

1994 to proactively manage the environmental permit-

ting of the campus and to ensure compliance with the

increasing number of permits required by state and

federal agencies The section has responsibility for

oversight of undergroundabove ground storage tank

management air quality permits (Title V) water qual-

ity (NPDES) permits surface water quality storm

water management wetland issues environmental

assessments at inactive waste sites collection of radio-

active and hazardous materialswastes from campus

and operation of the Hazardous Materials Facility (a

fully permitted Treatment-Storage-Disposal facility)

and the storage-for-decay program for short-lived ra-

dioactive wastes

4 5

Communication - Collaboration - Customer Service = The Path to Compliance

EHS Functions amp Responsibilities

Fire Safety

and Emergency Response

Fire safety management includes six functions inspec-

tions enforcement education engineering fire inves-

tigation and response With 438 buildings on campus

and a wide range of potential fire safety risks EHS

personnel are constantly checking fire related equip-

ment running test alarms and assessing egress risks

The section provides as much student and employee

fire education as possible so that fire safety becomes a

collaborative effort and a fire safety culture becomes

the norm

Occupational

and Environmental Hygiene

OEH is responsible for ensuring that indoor campus

environments are conducive to good health and well-

being by recognizing evaluating and controlling health

and safety hazards using knowledge and experience in

industrial hygiene asbestos management air and wa-

ter quality and safety engineering The section as-

sesses potential safety hazards possible instances of

exposure and suitability of protective equipment

OEH works with facilities engineering and facilities

services personnel to find ways to keep historical

buildings functional while protecting employee health

and works with planning construction and startup of

new and renovated buildings to anticipate and elimi-

nate building related health issues

Workplace Safety

Workplace Safety provides services in the areas of

ergonomics respiratory protection safety training

industrial maintenance and construction safety clini-

cal safety medical surveillance Workers Compensa-

tion and the Safety Management Information Sys-

tem The diversity of services provided by the

Workplace Safety section supports the Universitylsquos

overall mission of teaching and research for both

academic and non-academic divisions

Radiation Safety

Radiation Safety integrates education oversight

compliance service and consultation to protect the

students staff faculty members of the general public

and the environment from the effects of both ionizing

and non-ionizing radiation Implicit in all aspects of

radiation safety is security Safety and security are

accomplished through training inspection licensing

registration and controlled access to certain materi-

als These are designed to supportmdashnot impedemdash

academic research

4 5

EHS makes implementation of the UNC Academic Plan possible by providing regulatory

compliance in the areas of biological safety chemical safety controlled substances envi-

ronmental permitting export shipping controls firelife safety emergency response oc-

cupational hygiene radiation safety and workplace safety

University of North Carolina at Chapel Hill EHS Management System

With the breadth and depth of UNC research always expanding the process of EHS com-

pliance management is ongoing and ever changing requiring a robust and adaptive man-

agement system In 2011 the department continued its emphasis on an integrated man-

agement system for the Universitylsquos environment health and safety compliance

PDCA

Integrated

Management

System

UNC EHS

Management System

PDCA

Integrated

Management

System

UNC EHS

Management System

Plan Objectives

Targets

Goals

Objectives

Work plans

Program development

Do

Implementation

and Operations

Training

Communications

Consultation

Outreach

Lab Safety and Hazard Man-

agement Plans

Emergency response

Act Corrective and

Preventive Actions

Policy amp procedure adoption

Strategic planning process Check Checking

CLIP inspections

HMP inspections

Monthly reports

Annual reports

Performance reviews

6 7

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Communication - Collaboration - Customer Service = The Path to Compliance

programs This effort was designed to ensure continuous improvements by incorporating a

process of ongoing monitoring reviews and revisions of procedures and policies through

the use of the Plan - Do - Check - Act (PDCA) model Just as a circle has no end the Plan -

Do - Check - Act cycle is a four-step process model for carrying out change cycling through

each step for continuous improvement

Setting goals for the department is an important part of this management system It trans-

lates purpose into action and drives continuous improvement The goals are consistent with

our mission of providing a safe place ensuring a process of compliance and minimizing fu-

ture liability

PDCA

Integrated

Management

System

UNC EHS

Management System

PDCA

Integrated

Management

System

UNC EHS

Management System

Plan Objectives

Targets

Goals

Objectives

Work plans

Program development

Do

Implementation

and Operations

Training

Communications

Consultation

Outreach

Lab Safety and Hazard Man-

agement Plans

Emergency response

Act Corrective and

Preventive Actions

Policy amp procedure adoption

Strategic planning process Check Checking

CLIP inspections

HMP inspections

Monthly reports

Annual reports

Performance reviews

6 7

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Communication - Collaboration - Customer Service = The Path to Compliance

2011 Goals amp Performance

Key to Performance Chart

Accomplished radic

In Process

Moved to 2012 12

8 9

Product iv i ty

Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment

12

Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)

radic

Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results

radic

Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support

12

Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies

radic

Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services

Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department

radic

Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine

radic

Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss

Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection

radic

Tra in ing

Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services

radic

Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern

Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator

radic

Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use

Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus

radic

2011 Goals amp Performance

8 9

Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU

Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility

Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern

Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance

radic

Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit

radic

Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011

radic

Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-

12

Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements

radic

Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)

Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building

Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab

Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance

radic

Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams

radic

Implement the University Travel Immunization pro-gram and advertise services to the campus community radic

Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects

radic

Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital

radic

2012 Goals Intrapreneurship

Utilize the Collaborative Laboratory Inspection Program

(CLIP) results to drive early identification of safety risks

and hazard prevention communications and training

across the University Implement a customer feedback

mechanism

Expand and implement the limited access lab checklist to

assist inspectors in early identification of safety risks and

to increase regulatory compliance

Continue to develop a strategy in collaboration with Fa-

cilities Services to expand air-handling unit cleaning to

improve energy savings as well as enhance indoor air

quality

Work with the Office of Waste Reduction amp Recycling

(OWRR) to increase lab recycling by identifying new

items for recycling and disseminating proper procedures

to campus researchers

Expand the Hazards Management Program (HMP) to

include an on-line HMP web application with an inven-

tory tracking process

Evaluate and implement upgrades to the Hearing Conver-

sation program to reduce costs to the affected departments

and improve audiometric testing data management result-

ing in reduced incidents of progressive hearing loss for

affected personnel

Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication

Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back

Identification and creation of an EHS GIS users group to

develop EHS tools which support compliance

Intrapreneurship

the practice of a corporate management style that

integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary

Education

Continue to develop implement and upgrade job specific

online training programs such as LockoutTag-out Re-

quirements and Confined Space Entry

Continue to improve and more broadly disseminate EHS

information via newsletters special alerts and other com-

munication vehicles to raise awareness of laboratory

safety and the importance of PPE

Complete training for Department of Public Safety per-

sonnel to use operate and respond to the Remote Moni-

toring Systems to meet enhanced security requirements

for radionuclides in quantities of concern

Complete ABT Biomarker Generator User training by

vendor including radionuclide production chemistry

QAQC and pre-clinical research applications

Expand the use of the EHS website by improving naviga-

tion search functions and new applications

Work closely with Public Safety to assure the University

is prepared for an emergency such as a hazardous materi-

als release and confined space incident by identifying and

implementing training exercises with local emergency

response agencies

Plan and coordinate six limited access drills with local

emergency response agencies

Develop and implement an online chemical fume hood

training to emphasize proper use and safe operating pro-

cedures for researchers who utilize chemical fume hoods

in their laboratories

Implement the roll out of the EHS compliance portal to

provide all supervisors and employees with the current

knowledge of their training status

10 11

Compliance

Support the construction and compliance activities of the

wastewater treatment system at the Bingham Facility

Implement the second round of GTRI funded security

enhancements to irradiators to meet the requirements of

NRC and DHS regulations The grant for this effort to-

taled approximately $143000 for both UNC and UNCH

Develop strategic plan to review and implement new re-

quirements promulgated in NRC regulation 10 CFR Part

37 These are new requirements to increase administra-

tive processes to ensure robust security clearance for per-

sonnel and robust operational testing of security systems

Implement improvements to the X-Ray safety program

to meet expectations of the NC DENR RPS X-ray

branch regulatory requirements

Establish comprehensive radiation safety program for

ABT Biomarker Generator facility to establish core re-

search program within Biomedical Research Imaging

Center)

Review and enhance the OSHA Bloodborne Pathogens

program compliance through collaboration with UNCH

LMS system and EHS and the implementation of the

EHS compliance portal

Implement process improvements to the University Em-

ployee Occupational Health Clinic Needle Stick program

Assure compliance in the areas of hot works permitting

lockouttagout requirements grinding and welding ac-

tivities and confined space requirements Update Lead

Paint policyprogram to reflect new EPA regulations for

housing and child occupied facilities

Work with Facilities Services on the development and

implementation of a campus wide oxygen monitor pro-

gram for areas that have potential for oxygen deficiency

(storage of cryogenics carbon monoxide manifold sys-

tems etc)

Receipt and implementation of the Phase II campus-wide

stormwater permit for the campus

Implementation of the Registered Environmental Con-

sultant (REC) program at Cogeneration facility

Develop an air permitting strategy which incorporates

the new requirements pertaining to modeling the boiler

MCAT standard and energy generators on campus

In partnership with Facilities Services and Energy Ser-

vices develop a mechanical room inspection process to

identify and eliminate hazards

Growth

Continue to provide technical expertise for all environ-

mental biological and ecological facets and permitting of

the Carolina North project

Support licensing design acquisition and installation of

new IRB building and research equipment including a

cyclotron new MRI and NMR devices and an irradiator

Support the Biology Department in creating and imple-

menting standard operating procedures for the new

Physical Science Building greenhouse in compliance with

NIH guidelines

Support the growth of the Kannapolis Site and continue

to provide technical expertise in the design operation

testing and commissioning of the limited access lab

10 11

Before a foreign scholar can apply for their temporary work visa to the United

States UNC must first submit an I-129 petition to US Customs and Immigration

Services (USCIS) to obtain permission to sponsor the scholar The I-129 form

requests information about the prospective employee and the job for which they

are being hired In 2011 the I-129 petition was changed to include a deemed ex-

port attestation This attestation requires the University to state whether or not

the visa applicant will require a deemed export license for their work

Deemed export licenses are required for access to or release of information per-

taining to technology having military or dual use (civilian and military) applica-

tions While strictly military technology is rare at the University dual use tech-

nology is common in any research setting The addition of the deemed export

attestation requires that each work visa applicant must be evaluated for hisher

potential access to these controlled technologies and the University must defini-

tively state whether a deemed export license is required for the applicant EHS

built upon existing relationships with various campus departments that manage

export compliance at UNC to establish a review process that minimized the added

reporting requirements for the visa applicant and their department This review

process involved collecting information about the visa applicant their work envi-

ronment and the specific projects in which they will be involved to determine if a

deemed export license would be required n 2011 139 I-129 petitions were re-

viewed for the deemed export attestation Through collaboration with ISSS Uni-

versity Counsel the Office of Sponsored Research and the departments hosting

international scholars EHS was able to address the increased compliance require-

ment of the I-129 petition while minimizing the added burden on all affected par-

ties

In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars

Biological Safety

12 13

―International Student and Scholar Services in col-

laboration with the Department of Environment

Health amp Safety has created an efficient and quick

process to comply with a deemed export attestation

required when petitioning for work authorization on

behalf of non-immigrant employees

Biological Safety

12 13

W h o W e A r e

W h at W e D o In 2008 UNC recognized the Biological Safety sec-

tion as a separate support division within the EHS

Department Biological Safety provides guidance

assistance and surveillance over research activities

involving biohazardous agents recombinant DNA

bloodborne pathogens and biohazardous waste man-

agement Biological Safety monitors and reviews the

performance and maintenance of laboratory contain-

ment systems and provides technical support to EHS

incident responders

A n d W h a t T h e y S a y

Debbie Rad International Student amp Scholar Advisor

Ronit Weingarden Assistant Director amp

Advisor to Foreign Academic Staff

International Student amp Scholar Services

Deborah Howard

Biological Safety Manager

Constance Birden

Biological Safety Specialist

Kara Milton

Assistant Biological Safety Officer

Penny Padgett

Associate Biological Safety Officer

Dan Vick

Export Control Specialist

14 15

Retrieved priceless 19th Century Recordings

The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States

Successful Unannounced Shipping Inspection

The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records

New DLAM ZoonoticLab Animal

Allergy Orientation training

The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials

Presented Overview of

Export Controls for Research

At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation

Added an Export Control chapter to the

Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added

Education Customer Service Internal Processes

Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures

Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs

Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules

Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH

Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills

With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems

Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community

Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference

Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel

Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples

Trained 159 researchers and staff members on proper use of campus autoclaves via online training module

Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs

Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection

Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals

Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures

Provided direct assistance for 212 ship-ments of equipment samples and research materials

Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes

Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions

Assisted the University of Virginia and Appalachian State University with export control and shipping requirements

Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel

Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License

Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy

Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team

Submitted 14 registration updates to the CDC in reference to laboratory operation changes

Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement

Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training

Updated Ventilated Enclosure form to make collection of campus fume hood data more robust

Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance

Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers

Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations

Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC

Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes

Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 - - Level 3

Level 2 - Level 2

Level 1

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

COMPLIANCE 14 15

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 5: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Communication - Collaboration - Customer Service = The Path to Compliance

EHS Functions amp Responsibilities

Fire Safety

and Emergency Response

Fire safety management includes six functions inspec-

tions enforcement education engineering fire inves-

tigation and response With 438 buildings on campus

and a wide range of potential fire safety risks EHS

personnel are constantly checking fire related equip-

ment running test alarms and assessing egress risks

The section provides as much student and employee

fire education as possible so that fire safety becomes a

collaborative effort and a fire safety culture becomes

the norm

Occupational

and Environmental Hygiene

OEH is responsible for ensuring that indoor campus

environments are conducive to good health and well-

being by recognizing evaluating and controlling health

and safety hazards using knowledge and experience in

industrial hygiene asbestos management air and wa-

ter quality and safety engineering The section as-

sesses potential safety hazards possible instances of

exposure and suitability of protective equipment

OEH works with facilities engineering and facilities

services personnel to find ways to keep historical

buildings functional while protecting employee health

and works with planning construction and startup of

new and renovated buildings to anticipate and elimi-

nate building related health issues

Workplace Safety

Workplace Safety provides services in the areas of

ergonomics respiratory protection safety training

industrial maintenance and construction safety clini-

cal safety medical surveillance Workers Compensa-

tion and the Safety Management Information Sys-

tem The diversity of services provided by the

Workplace Safety section supports the Universitylsquos

overall mission of teaching and research for both

academic and non-academic divisions

Radiation Safety

Radiation Safety integrates education oversight

compliance service and consultation to protect the

students staff faculty members of the general public

and the environment from the effects of both ionizing

and non-ionizing radiation Implicit in all aspects of

radiation safety is security Safety and security are

accomplished through training inspection licensing

registration and controlled access to certain materi-

als These are designed to supportmdashnot impedemdash

academic research

4 5

EHS makes implementation of the UNC Academic Plan possible by providing regulatory

compliance in the areas of biological safety chemical safety controlled substances envi-

ronmental permitting export shipping controls firelife safety emergency response oc-

cupational hygiene radiation safety and workplace safety

University of North Carolina at Chapel Hill EHS Management System

With the breadth and depth of UNC research always expanding the process of EHS com-

pliance management is ongoing and ever changing requiring a robust and adaptive man-

agement system In 2011 the department continued its emphasis on an integrated man-

agement system for the Universitylsquos environment health and safety compliance

PDCA

Integrated

Management

System

UNC EHS

Management System

PDCA

Integrated

Management

System

UNC EHS

Management System

Plan Objectives

Targets

Goals

Objectives

Work plans

Program development

Do

Implementation

and Operations

Training

Communications

Consultation

Outreach

Lab Safety and Hazard Man-

agement Plans

Emergency response

Act Corrective and

Preventive Actions

Policy amp procedure adoption

Strategic planning process Check Checking

CLIP inspections

HMP inspections

Monthly reports

Annual reports

Performance reviews

6 7

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Communication - Collaboration - Customer Service = The Path to Compliance

programs This effort was designed to ensure continuous improvements by incorporating a

process of ongoing monitoring reviews and revisions of procedures and policies through

the use of the Plan - Do - Check - Act (PDCA) model Just as a circle has no end the Plan -

Do - Check - Act cycle is a four-step process model for carrying out change cycling through

each step for continuous improvement

Setting goals for the department is an important part of this management system It trans-

lates purpose into action and drives continuous improvement The goals are consistent with

our mission of providing a safe place ensuring a process of compliance and minimizing fu-

ture liability

PDCA

Integrated

Management

System

UNC EHS

Management System

PDCA

Integrated

Management

System

UNC EHS

Management System

Plan Objectives

Targets

Goals

Objectives

Work plans

Program development

Do

Implementation

and Operations

Training

Communications

Consultation

Outreach

Lab Safety and Hazard Man-

agement Plans

Emergency response

Act Corrective and

Preventive Actions

Policy amp procedure adoption

Strategic planning process Check Checking

CLIP inspections

HMP inspections

Monthly reports

Annual reports

Performance reviews

6 7

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Communication - Collaboration - Customer Service = The Path to Compliance

2011 Goals amp Performance

Key to Performance Chart

Accomplished radic

In Process

Moved to 2012 12

8 9

Product iv i ty

Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment

12

Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)

radic

Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results

radic

Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support

12

Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies

radic

Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services

Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department

radic

Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine

radic

Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss

Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection

radic

Tra in ing

Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services

radic

Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern

Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator

radic

Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use

Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus

radic

2011 Goals amp Performance

8 9

Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU

Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility

Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern

Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance

radic

Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit

radic

Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011

radic

Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-

12

Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements

radic

Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)

Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building

Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab

Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance

radic

Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams

radic

Implement the University Travel Immunization pro-gram and advertise services to the campus community radic

Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects

radic

Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital

radic

2012 Goals Intrapreneurship

Utilize the Collaborative Laboratory Inspection Program

(CLIP) results to drive early identification of safety risks

and hazard prevention communications and training

across the University Implement a customer feedback

mechanism

Expand and implement the limited access lab checklist to

assist inspectors in early identification of safety risks and

to increase regulatory compliance

Continue to develop a strategy in collaboration with Fa-

cilities Services to expand air-handling unit cleaning to

improve energy savings as well as enhance indoor air

quality

Work with the Office of Waste Reduction amp Recycling

(OWRR) to increase lab recycling by identifying new

items for recycling and disseminating proper procedures

to campus researchers

Expand the Hazards Management Program (HMP) to

include an on-line HMP web application with an inven-

tory tracking process

Evaluate and implement upgrades to the Hearing Conver-

sation program to reduce costs to the affected departments

and improve audiometric testing data management result-

ing in reduced incidents of progressive hearing loss for

affected personnel

Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication

Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back

Identification and creation of an EHS GIS users group to

develop EHS tools which support compliance

Intrapreneurship

the practice of a corporate management style that

integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary

Education

Continue to develop implement and upgrade job specific

online training programs such as LockoutTag-out Re-

quirements and Confined Space Entry

Continue to improve and more broadly disseminate EHS

information via newsletters special alerts and other com-

munication vehicles to raise awareness of laboratory

safety and the importance of PPE

Complete training for Department of Public Safety per-

sonnel to use operate and respond to the Remote Moni-

toring Systems to meet enhanced security requirements

for radionuclides in quantities of concern

Complete ABT Biomarker Generator User training by

vendor including radionuclide production chemistry

QAQC and pre-clinical research applications

Expand the use of the EHS website by improving naviga-

tion search functions and new applications

Work closely with Public Safety to assure the University

is prepared for an emergency such as a hazardous materi-

als release and confined space incident by identifying and

implementing training exercises with local emergency

response agencies

Plan and coordinate six limited access drills with local

emergency response agencies

Develop and implement an online chemical fume hood

training to emphasize proper use and safe operating pro-

cedures for researchers who utilize chemical fume hoods

in their laboratories

Implement the roll out of the EHS compliance portal to

provide all supervisors and employees with the current

knowledge of their training status

10 11

Compliance

Support the construction and compliance activities of the

wastewater treatment system at the Bingham Facility

Implement the second round of GTRI funded security

enhancements to irradiators to meet the requirements of

NRC and DHS regulations The grant for this effort to-

taled approximately $143000 for both UNC and UNCH

Develop strategic plan to review and implement new re-

quirements promulgated in NRC regulation 10 CFR Part

37 These are new requirements to increase administra-

tive processes to ensure robust security clearance for per-

sonnel and robust operational testing of security systems

Implement improvements to the X-Ray safety program

to meet expectations of the NC DENR RPS X-ray

branch regulatory requirements

Establish comprehensive radiation safety program for

ABT Biomarker Generator facility to establish core re-

search program within Biomedical Research Imaging

Center)

Review and enhance the OSHA Bloodborne Pathogens

program compliance through collaboration with UNCH

LMS system and EHS and the implementation of the

EHS compliance portal

Implement process improvements to the University Em-

ployee Occupational Health Clinic Needle Stick program

Assure compliance in the areas of hot works permitting

lockouttagout requirements grinding and welding ac-

tivities and confined space requirements Update Lead

Paint policyprogram to reflect new EPA regulations for

housing and child occupied facilities

Work with Facilities Services on the development and

implementation of a campus wide oxygen monitor pro-

gram for areas that have potential for oxygen deficiency

(storage of cryogenics carbon monoxide manifold sys-

tems etc)

Receipt and implementation of the Phase II campus-wide

stormwater permit for the campus

Implementation of the Registered Environmental Con-

sultant (REC) program at Cogeneration facility

Develop an air permitting strategy which incorporates

the new requirements pertaining to modeling the boiler

MCAT standard and energy generators on campus

In partnership with Facilities Services and Energy Ser-

vices develop a mechanical room inspection process to

identify and eliminate hazards

Growth

Continue to provide technical expertise for all environ-

mental biological and ecological facets and permitting of

the Carolina North project

Support licensing design acquisition and installation of

new IRB building and research equipment including a

cyclotron new MRI and NMR devices and an irradiator

Support the Biology Department in creating and imple-

menting standard operating procedures for the new

Physical Science Building greenhouse in compliance with

NIH guidelines

Support the growth of the Kannapolis Site and continue

to provide technical expertise in the design operation

testing and commissioning of the limited access lab

10 11

Before a foreign scholar can apply for their temporary work visa to the United

States UNC must first submit an I-129 petition to US Customs and Immigration

Services (USCIS) to obtain permission to sponsor the scholar The I-129 form

requests information about the prospective employee and the job for which they

are being hired In 2011 the I-129 petition was changed to include a deemed ex-

port attestation This attestation requires the University to state whether or not

the visa applicant will require a deemed export license for their work

Deemed export licenses are required for access to or release of information per-

taining to technology having military or dual use (civilian and military) applica-

tions While strictly military technology is rare at the University dual use tech-

nology is common in any research setting The addition of the deemed export

attestation requires that each work visa applicant must be evaluated for hisher

potential access to these controlled technologies and the University must defini-

tively state whether a deemed export license is required for the applicant EHS

built upon existing relationships with various campus departments that manage

export compliance at UNC to establish a review process that minimized the added

reporting requirements for the visa applicant and their department This review

process involved collecting information about the visa applicant their work envi-

ronment and the specific projects in which they will be involved to determine if a

deemed export license would be required n 2011 139 I-129 petitions were re-

viewed for the deemed export attestation Through collaboration with ISSS Uni-

versity Counsel the Office of Sponsored Research and the departments hosting

international scholars EHS was able to address the increased compliance require-

ment of the I-129 petition while minimizing the added burden on all affected par-

ties

In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars

Biological Safety

12 13

―International Student and Scholar Services in col-

laboration with the Department of Environment

Health amp Safety has created an efficient and quick

process to comply with a deemed export attestation

required when petitioning for work authorization on

behalf of non-immigrant employees

Biological Safety

12 13

W h o W e A r e

W h at W e D o In 2008 UNC recognized the Biological Safety sec-

tion as a separate support division within the EHS

Department Biological Safety provides guidance

assistance and surveillance over research activities

involving biohazardous agents recombinant DNA

bloodborne pathogens and biohazardous waste man-

agement Biological Safety monitors and reviews the

performance and maintenance of laboratory contain-

ment systems and provides technical support to EHS

incident responders

A n d W h a t T h e y S a y

Debbie Rad International Student amp Scholar Advisor

Ronit Weingarden Assistant Director amp

Advisor to Foreign Academic Staff

International Student amp Scholar Services

Deborah Howard

Biological Safety Manager

Constance Birden

Biological Safety Specialist

Kara Milton

Assistant Biological Safety Officer

Penny Padgett

Associate Biological Safety Officer

Dan Vick

Export Control Specialist

14 15

Retrieved priceless 19th Century Recordings

The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States

Successful Unannounced Shipping Inspection

The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records

New DLAM ZoonoticLab Animal

Allergy Orientation training

The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials

Presented Overview of

Export Controls for Research

At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation

Added an Export Control chapter to the

Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added

Education Customer Service Internal Processes

Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures

Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs

Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules

Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH

Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills

With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems

Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community

Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference

Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel

Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples

Trained 159 researchers and staff members on proper use of campus autoclaves via online training module

Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs

Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection

Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals

Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures

Provided direct assistance for 212 ship-ments of equipment samples and research materials

Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes

Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions

Assisted the University of Virginia and Appalachian State University with export control and shipping requirements

Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel

Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License

Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy

Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team

Submitted 14 registration updates to the CDC in reference to laboratory operation changes

Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement

Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training

Updated Ventilated Enclosure form to make collection of campus fume hood data more robust

Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance

Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers

Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations

Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC

Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes

Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 - - Level 3

Level 2 - Level 2

Level 1

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

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re

e

Le

ve

l Fo

ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

COMPLIANCE 14 15

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 6: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

EHS makes implementation of the UNC Academic Plan possible by providing regulatory

compliance in the areas of biological safety chemical safety controlled substances envi-

ronmental permitting export shipping controls firelife safety emergency response oc-

cupational hygiene radiation safety and workplace safety

University of North Carolina at Chapel Hill EHS Management System

With the breadth and depth of UNC research always expanding the process of EHS com-

pliance management is ongoing and ever changing requiring a robust and adaptive man-

agement system In 2011 the department continued its emphasis on an integrated man-

agement system for the Universitylsquos environment health and safety compliance

PDCA

Integrated

Management

System

UNC EHS

Management System

PDCA

Integrated

Management

System

UNC EHS

Management System

Plan Objectives

Targets

Goals

Objectives

Work plans

Program development

Do

Implementation

and Operations

Training

Communications

Consultation

Outreach

Lab Safety and Hazard Man-

agement Plans

Emergency response

Act Corrective and

Preventive Actions

Policy amp procedure adoption

Strategic planning process Check Checking

CLIP inspections

HMP inspections

Monthly reports

Annual reports

Performance reviews

6 7

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Communication - Collaboration - Customer Service = The Path to Compliance

programs This effort was designed to ensure continuous improvements by incorporating a

process of ongoing monitoring reviews and revisions of procedures and policies through

the use of the Plan - Do - Check - Act (PDCA) model Just as a circle has no end the Plan -

Do - Check - Act cycle is a four-step process model for carrying out change cycling through

each step for continuous improvement

Setting goals for the department is an important part of this management system It trans-

lates purpose into action and drives continuous improvement The goals are consistent with

our mission of providing a safe place ensuring a process of compliance and minimizing fu-

ture liability

PDCA

Integrated

Management

System

UNC EHS

Management System

PDCA

Integrated

Management

System

UNC EHS

Management System

Plan Objectives

Targets

Goals

Objectives

Work plans

Program development

Do

Implementation

and Operations

Training

Communications

Consultation

Outreach

Lab Safety and Hazard Man-

agement Plans

Emergency response

Act Corrective and

Preventive Actions

Policy amp procedure adoption

Strategic planning process Check Checking

CLIP inspections

HMP inspections

Monthly reports

Annual reports

Performance reviews

6 7

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Communication - Collaboration - Customer Service = The Path to Compliance

2011 Goals amp Performance

Key to Performance Chart

Accomplished radic

In Process

Moved to 2012 12

8 9

Product iv i ty

Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment

12

Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)

radic

Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results

radic

Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support

12

Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies

radic

Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services

Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department

radic

Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine

radic

Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss

Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection

radic

Tra in ing

Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services

radic

Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern

Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator

radic

Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use

Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus

radic

2011 Goals amp Performance

8 9

Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU

Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility

Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern

Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance

radic

Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit

radic

Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011

radic

Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-

12

Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements

radic

Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)

Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building

Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab

Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance

radic

Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams

radic

Implement the University Travel Immunization pro-gram and advertise services to the campus community radic

Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects

radic

Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital

radic

2012 Goals Intrapreneurship

Utilize the Collaborative Laboratory Inspection Program

(CLIP) results to drive early identification of safety risks

and hazard prevention communications and training

across the University Implement a customer feedback

mechanism

Expand and implement the limited access lab checklist to

assist inspectors in early identification of safety risks and

to increase regulatory compliance

Continue to develop a strategy in collaboration with Fa-

cilities Services to expand air-handling unit cleaning to

improve energy savings as well as enhance indoor air

quality

Work with the Office of Waste Reduction amp Recycling

(OWRR) to increase lab recycling by identifying new

items for recycling and disseminating proper procedures

to campus researchers

Expand the Hazards Management Program (HMP) to

include an on-line HMP web application with an inven-

tory tracking process

Evaluate and implement upgrades to the Hearing Conver-

sation program to reduce costs to the affected departments

and improve audiometric testing data management result-

ing in reduced incidents of progressive hearing loss for

affected personnel

Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication

Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back

Identification and creation of an EHS GIS users group to

develop EHS tools which support compliance

Intrapreneurship

the practice of a corporate management style that

integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary

Education

Continue to develop implement and upgrade job specific

online training programs such as LockoutTag-out Re-

quirements and Confined Space Entry

Continue to improve and more broadly disseminate EHS

information via newsletters special alerts and other com-

munication vehicles to raise awareness of laboratory

safety and the importance of PPE

Complete training for Department of Public Safety per-

sonnel to use operate and respond to the Remote Moni-

toring Systems to meet enhanced security requirements

for radionuclides in quantities of concern

Complete ABT Biomarker Generator User training by

vendor including radionuclide production chemistry

QAQC and pre-clinical research applications

Expand the use of the EHS website by improving naviga-

tion search functions and new applications

Work closely with Public Safety to assure the University

is prepared for an emergency such as a hazardous materi-

als release and confined space incident by identifying and

implementing training exercises with local emergency

response agencies

Plan and coordinate six limited access drills with local

emergency response agencies

Develop and implement an online chemical fume hood

training to emphasize proper use and safe operating pro-

cedures for researchers who utilize chemical fume hoods

in their laboratories

Implement the roll out of the EHS compliance portal to

provide all supervisors and employees with the current

knowledge of their training status

10 11

Compliance

Support the construction and compliance activities of the

wastewater treatment system at the Bingham Facility

Implement the second round of GTRI funded security

enhancements to irradiators to meet the requirements of

NRC and DHS regulations The grant for this effort to-

taled approximately $143000 for both UNC and UNCH

Develop strategic plan to review and implement new re-

quirements promulgated in NRC regulation 10 CFR Part

37 These are new requirements to increase administra-

tive processes to ensure robust security clearance for per-

sonnel and robust operational testing of security systems

Implement improvements to the X-Ray safety program

to meet expectations of the NC DENR RPS X-ray

branch regulatory requirements

Establish comprehensive radiation safety program for

ABT Biomarker Generator facility to establish core re-

search program within Biomedical Research Imaging

Center)

Review and enhance the OSHA Bloodborne Pathogens

program compliance through collaboration with UNCH

LMS system and EHS and the implementation of the

EHS compliance portal

Implement process improvements to the University Em-

ployee Occupational Health Clinic Needle Stick program

Assure compliance in the areas of hot works permitting

lockouttagout requirements grinding and welding ac-

tivities and confined space requirements Update Lead

Paint policyprogram to reflect new EPA regulations for

housing and child occupied facilities

Work with Facilities Services on the development and

implementation of a campus wide oxygen monitor pro-

gram for areas that have potential for oxygen deficiency

(storage of cryogenics carbon monoxide manifold sys-

tems etc)

Receipt and implementation of the Phase II campus-wide

stormwater permit for the campus

Implementation of the Registered Environmental Con-

sultant (REC) program at Cogeneration facility

Develop an air permitting strategy which incorporates

the new requirements pertaining to modeling the boiler

MCAT standard and energy generators on campus

In partnership with Facilities Services and Energy Ser-

vices develop a mechanical room inspection process to

identify and eliminate hazards

Growth

Continue to provide technical expertise for all environ-

mental biological and ecological facets and permitting of

the Carolina North project

Support licensing design acquisition and installation of

new IRB building and research equipment including a

cyclotron new MRI and NMR devices and an irradiator

Support the Biology Department in creating and imple-

menting standard operating procedures for the new

Physical Science Building greenhouse in compliance with

NIH guidelines

Support the growth of the Kannapolis Site and continue

to provide technical expertise in the design operation

testing and commissioning of the limited access lab

10 11

Before a foreign scholar can apply for their temporary work visa to the United

States UNC must first submit an I-129 petition to US Customs and Immigration

Services (USCIS) to obtain permission to sponsor the scholar The I-129 form

requests information about the prospective employee and the job for which they

are being hired In 2011 the I-129 petition was changed to include a deemed ex-

port attestation This attestation requires the University to state whether or not

the visa applicant will require a deemed export license for their work

Deemed export licenses are required for access to or release of information per-

taining to technology having military or dual use (civilian and military) applica-

tions While strictly military technology is rare at the University dual use tech-

nology is common in any research setting The addition of the deemed export

attestation requires that each work visa applicant must be evaluated for hisher

potential access to these controlled technologies and the University must defini-

tively state whether a deemed export license is required for the applicant EHS

built upon existing relationships with various campus departments that manage

export compliance at UNC to establish a review process that minimized the added

reporting requirements for the visa applicant and their department This review

process involved collecting information about the visa applicant their work envi-

ronment and the specific projects in which they will be involved to determine if a

deemed export license would be required n 2011 139 I-129 petitions were re-

viewed for the deemed export attestation Through collaboration with ISSS Uni-

versity Counsel the Office of Sponsored Research and the departments hosting

international scholars EHS was able to address the increased compliance require-

ment of the I-129 petition while minimizing the added burden on all affected par-

ties

In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars

Biological Safety

12 13

―International Student and Scholar Services in col-

laboration with the Department of Environment

Health amp Safety has created an efficient and quick

process to comply with a deemed export attestation

required when petitioning for work authorization on

behalf of non-immigrant employees

Biological Safety

12 13

W h o W e A r e

W h at W e D o In 2008 UNC recognized the Biological Safety sec-

tion as a separate support division within the EHS

Department Biological Safety provides guidance

assistance and surveillance over research activities

involving biohazardous agents recombinant DNA

bloodborne pathogens and biohazardous waste man-

agement Biological Safety monitors and reviews the

performance and maintenance of laboratory contain-

ment systems and provides technical support to EHS

incident responders

A n d W h a t T h e y S a y

Debbie Rad International Student amp Scholar Advisor

Ronit Weingarden Assistant Director amp

Advisor to Foreign Academic Staff

International Student amp Scholar Services

Deborah Howard

Biological Safety Manager

Constance Birden

Biological Safety Specialist

Kara Milton

Assistant Biological Safety Officer

Penny Padgett

Associate Biological Safety Officer

Dan Vick

Export Control Specialist

14 15

Retrieved priceless 19th Century Recordings

The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States

Successful Unannounced Shipping Inspection

The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records

New DLAM ZoonoticLab Animal

Allergy Orientation training

The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials

Presented Overview of

Export Controls for Research

At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation

Added an Export Control chapter to the

Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added

Education Customer Service Internal Processes

Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures

Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs

Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules

Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH

Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills

With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems

Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community

Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference

Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel

Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples

Trained 159 researchers and staff members on proper use of campus autoclaves via online training module

Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs

Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection

Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals

Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures

Provided direct assistance for 212 ship-ments of equipment samples and research materials

Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes

Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions

Assisted the University of Virginia and Appalachian State University with export control and shipping requirements

Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel

Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License

Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy

Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team

Submitted 14 registration updates to the CDC in reference to laboratory operation changes

Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement

Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training

Updated Ventilated Enclosure form to make collection of campus fume hood data more robust

Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance

Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers

Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations

Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC

Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes

Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 - - Level 3

Level 2 - Level 2

Level 1

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P e r f o r m a n c e L e v e l A s s e s s m e n t

COMPLIANCE 14 15

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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ur

30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 7: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

programs This effort was designed to ensure continuous improvements by incorporating a

process of ongoing monitoring reviews and revisions of procedures and policies through

the use of the Plan - Do - Check - Act (PDCA) model Just as a circle has no end the Plan -

Do - Check - Act cycle is a four-step process model for carrying out change cycling through

each step for continuous improvement

Setting goals for the department is an important part of this management system It trans-

lates purpose into action and drives continuous improvement The goals are consistent with

our mission of providing a safe place ensuring a process of compliance and minimizing fu-

ture liability

PDCA

Integrated

Management

System

UNC EHS

Management System

PDCA

Integrated

Management

System

UNC EHS

Management System

Plan Objectives

Targets

Goals

Objectives

Work plans

Program development

Do

Implementation

and Operations

Training

Communications

Consultation

Outreach

Lab Safety and Hazard Man-

agement Plans

Emergency response

Act Corrective and

Preventive Actions

Policy amp procedure adoption

Strategic planning process Check Checking

CLIP inspections

HMP inspections

Monthly reports

Annual reports

Performance reviews

6 7

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Communication - Collaboration - Customer Service = The Path to Compliance

2011 Goals amp Performance

Key to Performance Chart

Accomplished radic

In Process

Moved to 2012 12

8 9

Product iv i ty

Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment

12

Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)

radic

Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results

radic

Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support

12

Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies

radic

Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services

Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department

radic

Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine

radic

Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss

Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection

radic

Tra in ing

Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services

radic

Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern

Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator

radic

Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use

Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus

radic

2011 Goals amp Performance

8 9

Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU

Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility

Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern

Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance

radic

Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit

radic

Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011

radic

Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-

12

Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements

radic

Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)

Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building

Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab

Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance

radic

Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams

radic

Implement the University Travel Immunization pro-gram and advertise services to the campus community radic

Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects

radic

Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital

radic

2012 Goals Intrapreneurship

Utilize the Collaborative Laboratory Inspection Program

(CLIP) results to drive early identification of safety risks

and hazard prevention communications and training

across the University Implement a customer feedback

mechanism

Expand and implement the limited access lab checklist to

assist inspectors in early identification of safety risks and

to increase regulatory compliance

Continue to develop a strategy in collaboration with Fa-

cilities Services to expand air-handling unit cleaning to

improve energy savings as well as enhance indoor air

quality

Work with the Office of Waste Reduction amp Recycling

(OWRR) to increase lab recycling by identifying new

items for recycling and disseminating proper procedures

to campus researchers

Expand the Hazards Management Program (HMP) to

include an on-line HMP web application with an inven-

tory tracking process

Evaluate and implement upgrades to the Hearing Conver-

sation program to reduce costs to the affected departments

and improve audiometric testing data management result-

ing in reduced incidents of progressive hearing loss for

affected personnel

Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication

Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back

Identification and creation of an EHS GIS users group to

develop EHS tools which support compliance

Intrapreneurship

the practice of a corporate management style that

integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary

Education

Continue to develop implement and upgrade job specific

online training programs such as LockoutTag-out Re-

quirements and Confined Space Entry

Continue to improve and more broadly disseminate EHS

information via newsletters special alerts and other com-

munication vehicles to raise awareness of laboratory

safety and the importance of PPE

Complete training for Department of Public Safety per-

sonnel to use operate and respond to the Remote Moni-

toring Systems to meet enhanced security requirements

for radionuclides in quantities of concern

Complete ABT Biomarker Generator User training by

vendor including radionuclide production chemistry

QAQC and pre-clinical research applications

Expand the use of the EHS website by improving naviga-

tion search functions and new applications

Work closely with Public Safety to assure the University

is prepared for an emergency such as a hazardous materi-

als release and confined space incident by identifying and

implementing training exercises with local emergency

response agencies

Plan and coordinate six limited access drills with local

emergency response agencies

Develop and implement an online chemical fume hood

training to emphasize proper use and safe operating pro-

cedures for researchers who utilize chemical fume hoods

in their laboratories

Implement the roll out of the EHS compliance portal to

provide all supervisors and employees with the current

knowledge of their training status

10 11

Compliance

Support the construction and compliance activities of the

wastewater treatment system at the Bingham Facility

Implement the second round of GTRI funded security

enhancements to irradiators to meet the requirements of

NRC and DHS regulations The grant for this effort to-

taled approximately $143000 for both UNC and UNCH

Develop strategic plan to review and implement new re-

quirements promulgated in NRC regulation 10 CFR Part

37 These are new requirements to increase administra-

tive processes to ensure robust security clearance for per-

sonnel and robust operational testing of security systems

Implement improvements to the X-Ray safety program

to meet expectations of the NC DENR RPS X-ray

branch regulatory requirements

Establish comprehensive radiation safety program for

ABT Biomarker Generator facility to establish core re-

search program within Biomedical Research Imaging

Center)

Review and enhance the OSHA Bloodborne Pathogens

program compliance through collaboration with UNCH

LMS system and EHS and the implementation of the

EHS compliance portal

Implement process improvements to the University Em-

ployee Occupational Health Clinic Needle Stick program

Assure compliance in the areas of hot works permitting

lockouttagout requirements grinding and welding ac-

tivities and confined space requirements Update Lead

Paint policyprogram to reflect new EPA regulations for

housing and child occupied facilities

Work with Facilities Services on the development and

implementation of a campus wide oxygen monitor pro-

gram for areas that have potential for oxygen deficiency

(storage of cryogenics carbon monoxide manifold sys-

tems etc)

Receipt and implementation of the Phase II campus-wide

stormwater permit for the campus

Implementation of the Registered Environmental Con-

sultant (REC) program at Cogeneration facility

Develop an air permitting strategy which incorporates

the new requirements pertaining to modeling the boiler

MCAT standard and energy generators on campus

In partnership with Facilities Services and Energy Ser-

vices develop a mechanical room inspection process to

identify and eliminate hazards

Growth

Continue to provide technical expertise for all environ-

mental biological and ecological facets and permitting of

the Carolina North project

Support licensing design acquisition and installation of

new IRB building and research equipment including a

cyclotron new MRI and NMR devices and an irradiator

Support the Biology Department in creating and imple-

menting standard operating procedures for the new

Physical Science Building greenhouse in compliance with

NIH guidelines

Support the growth of the Kannapolis Site and continue

to provide technical expertise in the design operation

testing and commissioning of the limited access lab

10 11

Before a foreign scholar can apply for their temporary work visa to the United

States UNC must first submit an I-129 petition to US Customs and Immigration

Services (USCIS) to obtain permission to sponsor the scholar The I-129 form

requests information about the prospective employee and the job for which they

are being hired In 2011 the I-129 petition was changed to include a deemed ex-

port attestation This attestation requires the University to state whether or not

the visa applicant will require a deemed export license for their work

Deemed export licenses are required for access to or release of information per-

taining to technology having military or dual use (civilian and military) applica-

tions While strictly military technology is rare at the University dual use tech-

nology is common in any research setting The addition of the deemed export

attestation requires that each work visa applicant must be evaluated for hisher

potential access to these controlled technologies and the University must defini-

tively state whether a deemed export license is required for the applicant EHS

built upon existing relationships with various campus departments that manage

export compliance at UNC to establish a review process that minimized the added

reporting requirements for the visa applicant and their department This review

process involved collecting information about the visa applicant their work envi-

ronment and the specific projects in which they will be involved to determine if a

deemed export license would be required n 2011 139 I-129 petitions were re-

viewed for the deemed export attestation Through collaboration with ISSS Uni-

versity Counsel the Office of Sponsored Research and the departments hosting

international scholars EHS was able to address the increased compliance require-

ment of the I-129 petition while minimizing the added burden on all affected par-

ties

In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars

Biological Safety

12 13

―International Student and Scholar Services in col-

laboration with the Department of Environment

Health amp Safety has created an efficient and quick

process to comply with a deemed export attestation

required when petitioning for work authorization on

behalf of non-immigrant employees

Biological Safety

12 13

W h o W e A r e

W h at W e D o In 2008 UNC recognized the Biological Safety sec-

tion as a separate support division within the EHS

Department Biological Safety provides guidance

assistance and surveillance over research activities

involving biohazardous agents recombinant DNA

bloodborne pathogens and biohazardous waste man-

agement Biological Safety monitors and reviews the

performance and maintenance of laboratory contain-

ment systems and provides technical support to EHS

incident responders

A n d W h a t T h e y S a y

Debbie Rad International Student amp Scholar Advisor

Ronit Weingarden Assistant Director amp

Advisor to Foreign Academic Staff

International Student amp Scholar Services

Deborah Howard

Biological Safety Manager

Constance Birden

Biological Safety Specialist

Kara Milton

Assistant Biological Safety Officer

Penny Padgett

Associate Biological Safety Officer

Dan Vick

Export Control Specialist

14 15

Retrieved priceless 19th Century Recordings

The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States

Successful Unannounced Shipping Inspection

The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records

New DLAM ZoonoticLab Animal

Allergy Orientation training

The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials

Presented Overview of

Export Controls for Research

At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation

Added an Export Control chapter to the

Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added

Education Customer Service Internal Processes

Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures

Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs

Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules

Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH

Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills

With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems

Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community

Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference

Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel

Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples

Trained 159 researchers and staff members on proper use of campus autoclaves via online training module

Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs

Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection

Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals

Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures

Provided direct assistance for 212 ship-ments of equipment samples and research materials

Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes

Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions

Assisted the University of Virginia and Appalachian State University with export control and shipping requirements

Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel

Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License

Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy

Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team

Submitted 14 registration updates to the CDC in reference to laboratory operation changes

Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement

Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training

Updated Ventilated Enclosure form to make collection of campus fume hood data more robust

Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance

Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers

Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations

Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC

Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes

Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 - - Level 3

Level 2 - Level 2

Level 1

Le

ve

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o

Le

ve

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re

e

Le

ve

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ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

COMPLIANCE 14 15

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 8: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

2011 Goals amp Performance

Key to Performance Chart

Accomplished radic

In Process

Moved to 2012 12

8 9

Product iv i ty

Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment

12

Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)

radic

Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results

radic

Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support

12

Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies

radic

Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services

Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department

radic

Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine

radic

Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss

Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection

radic

Tra in ing

Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services

radic

Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern

Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator

radic

Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use

Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus

radic

2011 Goals amp Performance

8 9

Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU

Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility

Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern

Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance

radic

Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit

radic

Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011

radic

Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-

12

Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements

radic

Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)

Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building

Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab

Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance

radic

Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams

radic

Implement the University Travel Immunization pro-gram and advertise services to the campus community radic

Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects

radic

Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital

radic

2012 Goals Intrapreneurship

Utilize the Collaborative Laboratory Inspection Program

(CLIP) results to drive early identification of safety risks

and hazard prevention communications and training

across the University Implement a customer feedback

mechanism

Expand and implement the limited access lab checklist to

assist inspectors in early identification of safety risks and

to increase regulatory compliance

Continue to develop a strategy in collaboration with Fa-

cilities Services to expand air-handling unit cleaning to

improve energy savings as well as enhance indoor air

quality

Work with the Office of Waste Reduction amp Recycling

(OWRR) to increase lab recycling by identifying new

items for recycling and disseminating proper procedures

to campus researchers

Expand the Hazards Management Program (HMP) to

include an on-line HMP web application with an inven-

tory tracking process

Evaluate and implement upgrades to the Hearing Conver-

sation program to reduce costs to the affected departments

and improve audiometric testing data management result-

ing in reduced incidents of progressive hearing loss for

affected personnel

Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication

Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back

Identification and creation of an EHS GIS users group to

develop EHS tools which support compliance

Intrapreneurship

the practice of a corporate management style that

integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary

Education

Continue to develop implement and upgrade job specific

online training programs such as LockoutTag-out Re-

quirements and Confined Space Entry

Continue to improve and more broadly disseminate EHS

information via newsletters special alerts and other com-

munication vehicles to raise awareness of laboratory

safety and the importance of PPE

Complete training for Department of Public Safety per-

sonnel to use operate and respond to the Remote Moni-

toring Systems to meet enhanced security requirements

for radionuclides in quantities of concern

Complete ABT Biomarker Generator User training by

vendor including radionuclide production chemistry

QAQC and pre-clinical research applications

Expand the use of the EHS website by improving naviga-

tion search functions and new applications

Work closely with Public Safety to assure the University

is prepared for an emergency such as a hazardous materi-

als release and confined space incident by identifying and

implementing training exercises with local emergency

response agencies

Plan and coordinate six limited access drills with local

emergency response agencies

Develop and implement an online chemical fume hood

training to emphasize proper use and safe operating pro-

cedures for researchers who utilize chemical fume hoods

in their laboratories

Implement the roll out of the EHS compliance portal to

provide all supervisors and employees with the current

knowledge of their training status

10 11

Compliance

Support the construction and compliance activities of the

wastewater treatment system at the Bingham Facility

Implement the second round of GTRI funded security

enhancements to irradiators to meet the requirements of

NRC and DHS regulations The grant for this effort to-

taled approximately $143000 for both UNC and UNCH

Develop strategic plan to review and implement new re-

quirements promulgated in NRC regulation 10 CFR Part

37 These are new requirements to increase administra-

tive processes to ensure robust security clearance for per-

sonnel and robust operational testing of security systems

Implement improvements to the X-Ray safety program

to meet expectations of the NC DENR RPS X-ray

branch regulatory requirements

Establish comprehensive radiation safety program for

ABT Biomarker Generator facility to establish core re-

search program within Biomedical Research Imaging

Center)

Review and enhance the OSHA Bloodborne Pathogens

program compliance through collaboration with UNCH

LMS system and EHS and the implementation of the

EHS compliance portal

Implement process improvements to the University Em-

ployee Occupational Health Clinic Needle Stick program

Assure compliance in the areas of hot works permitting

lockouttagout requirements grinding and welding ac-

tivities and confined space requirements Update Lead

Paint policyprogram to reflect new EPA regulations for

housing and child occupied facilities

Work with Facilities Services on the development and

implementation of a campus wide oxygen monitor pro-

gram for areas that have potential for oxygen deficiency

(storage of cryogenics carbon monoxide manifold sys-

tems etc)

Receipt and implementation of the Phase II campus-wide

stormwater permit for the campus

Implementation of the Registered Environmental Con-

sultant (REC) program at Cogeneration facility

Develop an air permitting strategy which incorporates

the new requirements pertaining to modeling the boiler

MCAT standard and energy generators on campus

In partnership with Facilities Services and Energy Ser-

vices develop a mechanical room inspection process to

identify and eliminate hazards

Growth

Continue to provide technical expertise for all environ-

mental biological and ecological facets and permitting of

the Carolina North project

Support licensing design acquisition and installation of

new IRB building and research equipment including a

cyclotron new MRI and NMR devices and an irradiator

Support the Biology Department in creating and imple-

menting standard operating procedures for the new

Physical Science Building greenhouse in compliance with

NIH guidelines

Support the growth of the Kannapolis Site and continue

to provide technical expertise in the design operation

testing and commissioning of the limited access lab

10 11

Before a foreign scholar can apply for their temporary work visa to the United

States UNC must first submit an I-129 petition to US Customs and Immigration

Services (USCIS) to obtain permission to sponsor the scholar The I-129 form

requests information about the prospective employee and the job for which they

are being hired In 2011 the I-129 petition was changed to include a deemed ex-

port attestation This attestation requires the University to state whether or not

the visa applicant will require a deemed export license for their work

Deemed export licenses are required for access to or release of information per-

taining to technology having military or dual use (civilian and military) applica-

tions While strictly military technology is rare at the University dual use tech-

nology is common in any research setting The addition of the deemed export

attestation requires that each work visa applicant must be evaluated for hisher

potential access to these controlled technologies and the University must defini-

tively state whether a deemed export license is required for the applicant EHS

built upon existing relationships with various campus departments that manage

export compliance at UNC to establish a review process that minimized the added

reporting requirements for the visa applicant and their department This review

process involved collecting information about the visa applicant their work envi-

ronment and the specific projects in which they will be involved to determine if a

deemed export license would be required n 2011 139 I-129 petitions were re-

viewed for the deemed export attestation Through collaboration with ISSS Uni-

versity Counsel the Office of Sponsored Research and the departments hosting

international scholars EHS was able to address the increased compliance require-

ment of the I-129 petition while minimizing the added burden on all affected par-

ties

In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars

Biological Safety

12 13

―International Student and Scholar Services in col-

laboration with the Department of Environment

Health amp Safety has created an efficient and quick

process to comply with a deemed export attestation

required when petitioning for work authorization on

behalf of non-immigrant employees

Biological Safety

12 13

W h o W e A r e

W h at W e D o In 2008 UNC recognized the Biological Safety sec-

tion as a separate support division within the EHS

Department Biological Safety provides guidance

assistance and surveillance over research activities

involving biohazardous agents recombinant DNA

bloodborne pathogens and biohazardous waste man-

agement Biological Safety monitors and reviews the

performance and maintenance of laboratory contain-

ment systems and provides technical support to EHS

incident responders

A n d W h a t T h e y S a y

Debbie Rad International Student amp Scholar Advisor

Ronit Weingarden Assistant Director amp

Advisor to Foreign Academic Staff

International Student amp Scholar Services

Deborah Howard

Biological Safety Manager

Constance Birden

Biological Safety Specialist

Kara Milton

Assistant Biological Safety Officer

Penny Padgett

Associate Biological Safety Officer

Dan Vick

Export Control Specialist

14 15

Retrieved priceless 19th Century Recordings

The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States

Successful Unannounced Shipping Inspection

The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records

New DLAM ZoonoticLab Animal

Allergy Orientation training

The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials

Presented Overview of

Export Controls for Research

At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation

Added an Export Control chapter to the

Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added

Education Customer Service Internal Processes

Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures

Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs

Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules

Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH

Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills

With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems

Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community

Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference

Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel

Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples

Trained 159 researchers and staff members on proper use of campus autoclaves via online training module

Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs

Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection

Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals

Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures

Provided direct assistance for 212 ship-ments of equipment samples and research materials

Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes

Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions

Assisted the University of Virginia and Appalachian State University with export control and shipping requirements

Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel

Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License

Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy

Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team

Submitted 14 registration updates to the CDC in reference to laboratory operation changes

Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement

Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training

Updated Ventilated Enclosure form to make collection of campus fume hood data more robust

Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance

Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers

Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations

Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC

Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes

Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 - - Level 3

Level 2 - Level 2

Level 1

Le

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P e r f o r m a n c e L e v e l A s s e s s m e n t

COMPLIANCE 14 15

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 9: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

2011 Goals amp Performance

8 9

Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU

Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility

Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern

Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance

radic

Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit

radic

Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services

radic

Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011

radic

Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-

12

Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements

radic

Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)

Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building

Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab

Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance

radic

Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams

radic

Implement the University Travel Immunization pro-gram and advertise services to the campus community radic

Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects

radic

Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital

radic

2012 Goals Intrapreneurship

Utilize the Collaborative Laboratory Inspection Program

(CLIP) results to drive early identification of safety risks

and hazard prevention communications and training

across the University Implement a customer feedback

mechanism

Expand and implement the limited access lab checklist to

assist inspectors in early identification of safety risks and

to increase regulatory compliance

Continue to develop a strategy in collaboration with Fa-

cilities Services to expand air-handling unit cleaning to

improve energy savings as well as enhance indoor air

quality

Work with the Office of Waste Reduction amp Recycling

(OWRR) to increase lab recycling by identifying new

items for recycling and disseminating proper procedures

to campus researchers

Expand the Hazards Management Program (HMP) to

include an on-line HMP web application with an inven-

tory tracking process

Evaluate and implement upgrades to the Hearing Conver-

sation program to reduce costs to the affected departments

and improve audiometric testing data management result-

ing in reduced incidents of progressive hearing loss for

affected personnel

Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication

Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back

Identification and creation of an EHS GIS users group to

develop EHS tools which support compliance

Intrapreneurship

the practice of a corporate management style that

integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary

Education

Continue to develop implement and upgrade job specific

online training programs such as LockoutTag-out Re-

quirements and Confined Space Entry

Continue to improve and more broadly disseminate EHS

information via newsletters special alerts and other com-

munication vehicles to raise awareness of laboratory

safety and the importance of PPE

Complete training for Department of Public Safety per-

sonnel to use operate and respond to the Remote Moni-

toring Systems to meet enhanced security requirements

for radionuclides in quantities of concern

Complete ABT Biomarker Generator User training by

vendor including radionuclide production chemistry

QAQC and pre-clinical research applications

Expand the use of the EHS website by improving naviga-

tion search functions and new applications

Work closely with Public Safety to assure the University

is prepared for an emergency such as a hazardous materi-

als release and confined space incident by identifying and

implementing training exercises with local emergency

response agencies

Plan and coordinate six limited access drills with local

emergency response agencies

Develop and implement an online chemical fume hood

training to emphasize proper use and safe operating pro-

cedures for researchers who utilize chemical fume hoods

in their laboratories

Implement the roll out of the EHS compliance portal to

provide all supervisors and employees with the current

knowledge of their training status

10 11

Compliance

Support the construction and compliance activities of the

wastewater treatment system at the Bingham Facility

Implement the second round of GTRI funded security

enhancements to irradiators to meet the requirements of

NRC and DHS regulations The grant for this effort to-

taled approximately $143000 for both UNC and UNCH

Develop strategic plan to review and implement new re-

quirements promulgated in NRC regulation 10 CFR Part

37 These are new requirements to increase administra-

tive processes to ensure robust security clearance for per-

sonnel and robust operational testing of security systems

Implement improvements to the X-Ray safety program

to meet expectations of the NC DENR RPS X-ray

branch regulatory requirements

Establish comprehensive radiation safety program for

ABT Biomarker Generator facility to establish core re-

search program within Biomedical Research Imaging

Center)

Review and enhance the OSHA Bloodborne Pathogens

program compliance through collaboration with UNCH

LMS system and EHS and the implementation of the

EHS compliance portal

Implement process improvements to the University Em-

ployee Occupational Health Clinic Needle Stick program

Assure compliance in the areas of hot works permitting

lockouttagout requirements grinding and welding ac-

tivities and confined space requirements Update Lead

Paint policyprogram to reflect new EPA regulations for

housing and child occupied facilities

Work with Facilities Services on the development and

implementation of a campus wide oxygen monitor pro-

gram for areas that have potential for oxygen deficiency

(storage of cryogenics carbon monoxide manifold sys-

tems etc)

Receipt and implementation of the Phase II campus-wide

stormwater permit for the campus

Implementation of the Registered Environmental Con-

sultant (REC) program at Cogeneration facility

Develop an air permitting strategy which incorporates

the new requirements pertaining to modeling the boiler

MCAT standard and energy generators on campus

In partnership with Facilities Services and Energy Ser-

vices develop a mechanical room inspection process to

identify and eliminate hazards

Growth

Continue to provide technical expertise for all environ-

mental biological and ecological facets and permitting of

the Carolina North project

Support licensing design acquisition and installation of

new IRB building and research equipment including a

cyclotron new MRI and NMR devices and an irradiator

Support the Biology Department in creating and imple-

menting standard operating procedures for the new

Physical Science Building greenhouse in compliance with

NIH guidelines

Support the growth of the Kannapolis Site and continue

to provide technical expertise in the design operation

testing and commissioning of the limited access lab

10 11

Before a foreign scholar can apply for their temporary work visa to the United

States UNC must first submit an I-129 petition to US Customs and Immigration

Services (USCIS) to obtain permission to sponsor the scholar The I-129 form

requests information about the prospective employee and the job for which they

are being hired In 2011 the I-129 petition was changed to include a deemed ex-

port attestation This attestation requires the University to state whether or not

the visa applicant will require a deemed export license for their work

Deemed export licenses are required for access to or release of information per-

taining to technology having military or dual use (civilian and military) applica-

tions While strictly military technology is rare at the University dual use tech-

nology is common in any research setting The addition of the deemed export

attestation requires that each work visa applicant must be evaluated for hisher

potential access to these controlled technologies and the University must defini-

tively state whether a deemed export license is required for the applicant EHS

built upon existing relationships with various campus departments that manage

export compliance at UNC to establish a review process that minimized the added

reporting requirements for the visa applicant and their department This review

process involved collecting information about the visa applicant their work envi-

ronment and the specific projects in which they will be involved to determine if a

deemed export license would be required n 2011 139 I-129 petitions were re-

viewed for the deemed export attestation Through collaboration with ISSS Uni-

versity Counsel the Office of Sponsored Research and the departments hosting

international scholars EHS was able to address the increased compliance require-

ment of the I-129 petition while minimizing the added burden on all affected par-

ties

In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars

Biological Safety

12 13

―International Student and Scholar Services in col-

laboration with the Department of Environment

Health amp Safety has created an efficient and quick

process to comply with a deemed export attestation

required when petitioning for work authorization on

behalf of non-immigrant employees

Biological Safety

12 13

W h o W e A r e

W h at W e D o In 2008 UNC recognized the Biological Safety sec-

tion as a separate support division within the EHS

Department Biological Safety provides guidance

assistance and surveillance over research activities

involving biohazardous agents recombinant DNA

bloodborne pathogens and biohazardous waste man-

agement Biological Safety monitors and reviews the

performance and maintenance of laboratory contain-

ment systems and provides technical support to EHS

incident responders

A n d W h a t T h e y S a y

Debbie Rad International Student amp Scholar Advisor

Ronit Weingarden Assistant Director amp

Advisor to Foreign Academic Staff

International Student amp Scholar Services

Deborah Howard

Biological Safety Manager

Constance Birden

Biological Safety Specialist

Kara Milton

Assistant Biological Safety Officer

Penny Padgett

Associate Biological Safety Officer

Dan Vick

Export Control Specialist

14 15

Retrieved priceless 19th Century Recordings

The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States

Successful Unannounced Shipping Inspection

The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records

New DLAM ZoonoticLab Animal

Allergy Orientation training

The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials

Presented Overview of

Export Controls for Research

At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation

Added an Export Control chapter to the

Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added

Education Customer Service Internal Processes

Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures

Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs

Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules

Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH

Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills

With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems

Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community

Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference

Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel

Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples

Trained 159 researchers and staff members on proper use of campus autoclaves via online training module

Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs

Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection

Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals

Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures

Provided direct assistance for 212 ship-ments of equipment samples and research materials

Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes

Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions

Assisted the University of Virginia and Appalachian State University with export control and shipping requirements

Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel

Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License

Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy

Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team

Submitted 14 registration updates to the CDC in reference to laboratory operation changes

Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement

Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training

Updated Ventilated Enclosure form to make collection of campus fume hood data more robust

Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance

Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers

Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations

Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC

Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes

Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 - - Level 3

Level 2 - Level 2

Level 1

Le

ve

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ne

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o

Le

ve

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re

e

Le

ve

l Fo

ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

COMPLIANCE 14 15

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 10: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

2012 Goals Intrapreneurship

Utilize the Collaborative Laboratory Inspection Program

(CLIP) results to drive early identification of safety risks

and hazard prevention communications and training

across the University Implement a customer feedback

mechanism

Expand and implement the limited access lab checklist to

assist inspectors in early identification of safety risks and

to increase regulatory compliance

Continue to develop a strategy in collaboration with Fa-

cilities Services to expand air-handling unit cleaning to

improve energy savings as well as enhance indoor air

quality

Work with the Office of Waste Reduction amp Recycling

(OWRR) to increase lab recycling by identifying new

items for recycling and disseminating proper procedures

to campus researchers

Expand the Hazards Management Program (HMP) to

include an on-line HMP web application with an inven-

tory tracking process

Evaluate and implement upgrades to the Hearing Conver-

sation program to reduce costs to the affected departments

and improve audiometric testing data management result-

ing in reduced incidents of progressive hearing loss for

affected personnel

Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication

Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back

Identification and creation of an EHS GIS users group to

develop EHS tools which support compliance

Intrapreneurship

the practice of a corporate management style that

integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary

Education

Continue to develop implement and upgrade job specific

online training programs such as LockoutTag-out Re-

quirements and Confined Space Entry

Continue to improve and more broadly disseminate EHS

information via newsletters special alerts and other com-

munication vehicles to raise awareness of laboratory

safety and the importance of PPE

Complete training for Department of Public Safety per-

sonnel to use operate and respond to the Remote Moni-

toring Systems to meet enhanced security requirements

for radionuclides in quantities of concern

Complete ABT Biomarker Generator User training by

vendor including radionuclide production chemistry

QAQC and pre-clinical research applications

Expand the use of the EHS website by improving naviga-

tion search functions and new applications

Work closely with Public Safety to assure the University

is prepared for an emergency such as a hazardous materi-

als release and confined space incident by identifying and

implementing training exercises with local emergency

response agencies

Plan and coordinate six limited access drills with local

emergency response agencies

Develop and implement an online chemical fume hood

training to emphasize proper use and safe operating pro-

cedures for researchers who utilize chemical fume hoods

in their laboratories

Implement the roll out of the EHS compliance portal to

provide all supervisors and employees with the current

knowledge of their training status

10 11

Compliance

Support the construction and compliance activities of the

wastewater treatment system at the Bingham Facility

Implement the second round of GTRI funded security

enhancements to irradiators to meet the requirements of

NRC and DHS regulations The grant for this effort to-

taled approximately $143000 for both UNC and UNCH

Develop strategic plan to review and implement new re-

quirements promulgated in NRC regulation 10 CFR Part

37 These are new requirements to increase administra-

tive processes to ensure robust security clearance for per-

sonnel and robust operational testing of security systems

Implement improvements to the X-Ray safety program

to meet expectations of the NC DENR RPS X-ray

branch regulatory requirements

Establish comprehensive radiation safety program for

ABT Biomarker Generator facility to establish core re-

search program within Biomedical Research Imaging

Center)

Review and enhance the OSHA Bloodborne Pathogens

program compliance through collaboration with UNCH

LMS system and EHS and the implementation of the

EHS compliance portal

Implement process improvements to the University Em-

ployee Occupational Health Clinic Needle Stick program

Assure compliance in the areas of hot works permitting

lockouttagout requirements grinding and welding ac-

tivities and confined space requirements Update Lead

Paint policyprogram to reflect new EPA regulations for

housing and child occupied facilities

Work with Facilities Services on the development and

implementation of a campus wide oxygen monitor pro-

gram for areas that have potential for oxygen deficiency

(storage of cryogenics carbon monoxide manifold sys-

tems etc)

Receipt and implementation of the Phase II campus-wide

stormwater permit for the campus

Implementation of the Registered Environmental Con-

sultant (REC) program at Cogeneration facility

Develop an air permitting strategy which incorporates

the new requirements pertaining to modeling the boiler

MCAT standard and energy generators on campus

In partnership with Facilities Services and Energy Ser-

vices develop a mechanical room inspection process to

identify and eliminate hazards

Growth

Continue to provide technical expertise for all environ-

mental biological and ecological facets and permitting of

the Carolina North project

Support licensing design acquisition and installation of

new IRB building and research equipment including a

cyclotron new MRI and NMR devices and an irradiator

Support the Biology Department in creating and imple-

menting standard operating procedures for the new

Physical Science Building greenhouse in compliance with

NIH guidelines

Support the growth of the Kannapolis Site and continue

to provide technical expertise in the design operation

testing and commissioning of the limited access lab

10 11

Before a foreign scholar can apply for their temporary work visa to the United

States UNC must first submit an I-129 petition to US Customs and Immigration

Services (USCIS) to obtain permission to sponsor the scholar The I-129 form

requests information about the prospective employee and the job for which they

are being hired In 2011 the I-129 petition was changed to include a deemed ex-

port attestation This attestation requires the University to state whether or not

the visa applicant will require a deemed export license for their work

Deemed export licenses are required for access to or release of information per-

taining to technology having military or dual use (civilian and military) applica-

tions While strictly military technology is rare at the University dual use tech-

nology is common in any research setting The addition of the deemed export

attestation requires that each work visa applicant must be evaluated for hisher

potential access to these controlled technologies and the University must defini-

tively state whether a deemed export license is required for the applicant EHS

built upon existing relationships with various campus departments that manage

export compliance at UNC to establish a review process that minimized the added

reporting requirements for the visa applicant and their department This review

process involved collecting information about the visa applicant their work envi-

ronment and the specific projects in which they will be involved to determine if a

deemed export license would be required n 2011 139 I-129 petitions were re-

viewed for the deemed export attestation Through collaboration with ISSS Uni-

versity Counsel the Office of Sponsored Research and the departments hosting

international scholars EHS was able to address the increased compliance require-

ment of the I-129 petition while minimizing the added burden on all affected par-

ties

In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars

Biological Safety

12 13

―International Student and Scholar Services in col-

laboration with the Department of Environment

Health amp Safety has created an efficient and quick

process to comply with a deemed export attestation

required when petitioning for work authorization on

behalf of non-immigrant employees

Biological Safety

12 13

W h o W e A r e

W h at W e D o In 2008 UNC recognized the Biological Safety sec-

tion as a separate support division within the EHS

Department Biological Safety provides guidance

assistance and surveillance over research activities

involving biohazardous agents recombinant DNA

bloodborne pathogens and biohazardous waste man-

agement Biological Safety monitors and reviews the

performance and maintenance of laboratory contain-

ment systems and provides technical support to EHS

incident responders

A n d W h a t T h e y S a y

Debbie Rad International Student amp Scholar Advisor

Ronit Weingarden Assistant Director amp

Advisor to Foreign Academic Staff

International Student amp Scholar Services

Deborah Howard

Biological Safety Manager

Constance Birden

Biological Safety Specialist

Kara Milton

Assistant Biological Safety Officer

Penny Padgett

Associate Biological Safety Officer

Dan Vick

Export Control Specialist

14 15

Retrieved priceless 19th Century Recordings

The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States

Successful Unannounced Shipping Inspection

The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records

New DLAM ZoonoticLab Animal

Allergy Orientation training

The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials

Presented Overview of

Export Controls for Research

At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation

Added an Export Control chapter to the

Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added

Education Customer Service Internal Processes

Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures

Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs

Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules

Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH

Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills

With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems

Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community

Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference

Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel

Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples

Trained 159 researchers and staff members on proper use of campus autoclaves via online training module

Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs

Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection

Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals

Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures

Provided direct assistance for 212 ship-ments of equipment samples and research materials

Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes

Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions

Assisted the University of Virginia and Appalachian State University with export control and shipping requirements

Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel

Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License

Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy

Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team

Submitted 14 registration updates to the CDC in reference to laboratory operation changes

Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement

Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training

Updated Ventilated Enclosure form to make collection of campus fume hood data more robust

Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance

Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers

Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations

Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC

Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes

Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 - - Level 3

Level 2 - Level 2

Level 1

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P e r f o r m a n c e L e v e l A s s e s s m e n t

COMPLIANCE 14 15

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 11: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Compliance

Support the construction and compliance activities of the

wastewater treatment system at the Bingham Facility

Implement the second round of GTRI funded security

enhancements to irradiators to meet the requirements of

NRC and DHS regulations The grant for this effort to-

taled approximately $143000 for both UNC and UNCH

Develop strategic plan to review and implement new re-

quirements promulgated in NRC regulation 10 CFR Part

37 These are new requirements to increase administra-

tive processes to ensure robust security clearance for per-

sonnel and robust operational testing of security systems

Implement improvements to the X-Ray safety program

to meet expectations of the NC DENR RPS X-ray

branch regulatory requirements

Establish comprehensive radiation safety program for

ABT Biomarker Generator facility to establish core re-

search program within Biomedical Research Imaging

Center)

Review and enhance the OSHA Bloodborne Pathogens

program compliance through collaboration with UNCH

LMS system and EHS and the implementation of the

EHS compliance portal

Implement process improvements to the University Em-

ployee Occupational Health Clinic Needle Stick program

Assure compliance in the areas of hot works permitting

lockouttagout requirements grinding and welding ac-

tivities and confined space requirements Update Lead

Paint policyprogram to reflect new EPA regulations for

housing and child occupied facilities

Work with Facilities Services on the development and

implementation of a campus wide oxygen monitor pro-

gram for areas that have potential for oxygen deficiency

(storage of cryogenics carbon monoxide manifold sys-

tems etc)

Receipt and implementation of the Phase II campus-wide

stormwater permit for the campus

Implementation of the Registered Environmental Con-

sultant (REC) program at Cogeneration facility

Develop an air permitting strategy which incorporates

the new requirements pertaining to modeling the boiler

MCAT standard and energy generators on campus

In partnership with Facilities Services and Energy Ser-

vices develop a mechanical room inspection process to

identify and eliminate hazards

Growth

Continue to provide technical expertise for all environ-

mental biological and ecological facets and permitting of

the Carolina North project

Support licensing design acquisition and installation of

new IRB building and research equipment including a

cyclotron new MRI and NMR devices and an irradiator

Support the Biology Department in creating and imple-

menting standard operating procedures for the new

Physical Science Building greenhouse in compliance with

NIH guidelines

Support the growth of the Kannapolis Site and continue

to provide technical expertise in the design operation

testing and commissioning of the limited access lab

10 11

Before a foreign scholar can apply for their temporary work visa to the United

States UNC must first submit an I-129 petition to US Customs and Immigration

Services (USCIS) to obtain permission to sponsor the scholar The I-129 form

requests information about the prospective employee and the job for which they

are being hired In 2011 the I-129 petition was changed to include a deemed ex-

port attestation This attestation requires the University to state whether or not

the visa applicant will require a deemed export license for their work

Deemed export licenses are required for access to or release of information per-

taining to technology having military or dual use (civilian and military) applica-

tions While strictly military technology is rare at the University dual use tech-

nology is common in any research setting The addition of the deemed export

attestation requires that each work visa applicant must be evaluated for hisher

potential access to these controlled technologies and the University must defini-

tively state whether a deemed export license is required for the applicant EHS

built upon existing relationships with various campus departments that manage

export compliance at UNC to establish a review process that minimized the added

reporting requirements for the visa applicant and their department This review

process involved collecting information about the visa applicant their work envi-

ronment and the specific projects in which they will be involved to determine if a

deemed export license would be required n 2011 139 I-129 petitions were re-

viewed for the deemed export attestation Through collaboration with ISSS Uni-

versity Counsel the Office of Sponsored Research and the departments hosting

international scholars EHS was able to address the increased compliance require-

ment of the I-129 petition while minimizing the added burden on all affected par-

ties

In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars

Biological Safety

12 13

―International Student and Scholar Services in col-

laboration with the Department of Environment

Health amp Safety has created an efficient and quick

process to comply with a deemed export attestation

required when petitioning for work authorization on

behalf of non-immigrant employees

Biological Safety

12 13

W h o W e A r e

W h at W e D o In 2008 UNC recognized the Biological Safety sec-

tion as a separate support division within the EHS

Department Biological Safety provides guidance

assistance and surveillance over research activities

involving biohazardous agents recombinant DNA

bloodborne pathogens and biohazardous waste man-

agement Biological Safety monitors and reviews the

performance and maintenance of laboratory contain-

ment systems and provides technical support to EHS

incident responders

A n d W h a t T h e y S a y

Debbie Rad International Student amp Scholar Advisor

Ronit Weingarden Assistant Director amp

Advisor to Foreign Academic Staff

International Student amp Scholar Services

Deborah Howard

Biological Safety Manager

Constance Birden

Biological Safety Specialist

Kara Milton

Assistant Biological Safety Officer

Penny Padgett

Associate Biological Safety Officer

Dan Vick

Export Control Specialist

14 15

Retrieved priceless 19th Century Recordings

The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States

Successful Unannounced Shipping Inspection

The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records

New DLAM ZoonoticLab Animal

Allergy Orientation training

The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials

Presented Overview of

Export Controls for Research

At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation

Added an Export Control chapter to the

Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added

Education Customer Service Internal Processes

Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures

Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs

Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules

Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH

Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills

With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems

Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community

Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference

Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel

Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples

Trained 159 researchers and staff members on proper use of campus autoclaves via online training module

Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs

Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection

Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals

Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures

Provided direct assistance for 212 ship-ments of equipment samples and research materials

Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes

Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions

Assisted the University of Virginia and Appalachian State University with export control and shipping requirements

Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel

Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License

Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy

Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team

Submitted 14 registration updates to the CDC in reference to laboratory operation changes

Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement

Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training

Updated Ventilated Enclosure form to make collection of campus fume hood data more robust

Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance

Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers

Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations

Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC

Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes

Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 - - Level 3

Level 2 - Level 2

Level 1

Le

ve

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ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

COMPLIANCE 14 15

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 12: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Before a foreign scholar can apply for their temporary work visa to the United

States UNC must first submit an I-129 petition to US Customs and Immigration

Services (USCIS) to obtain permission to sponsor the scholar The I-129 form

requests information about the prospective employee and the job for which they

are being hired In 2011 the I-129 petition was changed to include a deemed ex-

port attestation This attestation requires the University to state whether or not

the visa applicant will require a deemed export license for their work

Deemed export licenses are required for access to or release of information per-

taining to technology having military or dual use (civilian and military) applica-

tions While strictly military technology is rare at the University dual use tech-

nology is common in any research setting The addition of the deemed export

attestation requires that each work visa applicant must be evaluated for hisher

potential access to these controlled technologies and the University must defini-

tively state whether a deemed export license is required for the applicant EHS

built upon existing relationships with various campus departments that manage

export compliance at UNC to establish a review process that minimized the added

reporting requirements for the visa applicant and their department This review

process involved collecting information about the visa applicant their work envi-

ronment and the specific projects in which they will be involved to determine if a

deemed export license would be required n 2011 139 I-129 petitions were re-

viewed for the deemed export attestation Through collaboration with ISSS Uni-

versity Counsel the Office of Sponsored Research and the departments hosting

international scholars EHS was able to address the increased compliance require-

ment of the I-129 petition while minimizing the added burden on all affected par-

ties

In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars

Biological Safety

12 13

―International Student and Scholar Services in col-

laboration with the Department of Environment

Health amp Safety has created an efficient and quick

process to comply with a deemed export attestation

required when petitioning for work authorization on

behalf of non-immigrant employees

Biological Safety

12 13

W h o W e A r e

W h at W e D o In 2008 UNC recognized the Biological Safety sec-

tion as a separate support division within the EHS

Department Biological Safety provides guidance

assistance and surveillance over research activities

involving biohazardous agents recombinant DNA

bloodborne pathogens and biohazardous waste man-

agement Biological Safety monitors and reviews the

performance and maintenance of laboratory contain-

ment systems and provides technical support to EHS

incident responders

A n d W h a t T h e y S a y

Debbie Rad International Student amp Scholar Advisor

Ronit Weingarden Assistant Director amp

Advisor to Foreign Academic Staff

International Student amp Scholar Services

Deborah Howard

Biological Safety Manager

Constance Birden

Biological Safety Specialist

Kara Milton

Assistant Biological Safety Officer

Penny Padgett

Associate Biological Safety Officer

Dan Vick

Export Control Specialist

14 15

Retrieved priceless 19th Century Recordings

The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States

Successful Unannounced Shipping Inspection

The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records

New DLAM ZoonoticLab Animal

Allergy Orientation training

The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials

Presented Overview of

Export Controls for Research

At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation

Added an Export Control chapter to the

Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added

Education Customer Service Internal Processes

Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures

Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs

Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules

Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH

Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills

With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems

Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community

Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference

Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel

Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples

Trained 159 researchers and staff members on proper use of campus autoclaves via online training module

Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs

Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection

Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals

Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures

Provided direct assistance for 212 ship-ments of equipment samples and research materials

Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes

Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions

Assisted the University of Virginia and Appalachian State University with export control and shipping requirements

Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel

Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License

Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy

Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team

Submitted 14 registration updates to the CDC in reference to laboratory operation changes

Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement

Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training

Updated Ventilated Enclosure form to make collection of campus fume hood data more robust

Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance

Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers

Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations

Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC

Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes

Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 - - Level 3

Level 2 - Level 2

Level 1

Le

ve

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e

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ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

COMPLIANCE 14 15

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 13: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

―International Student and Scholar Services in col-

laboration with the Department of Environment

Health amp Safety has created an efficient and quick

process to comply with a deemed export attestation

required when petitioning for work authorization on

behalf of non-immigrant employees

Biological Safety

12 13

W h o W e A r e

W h at W e D o In 2008 UNC recognized the Biological Safety sec-

tion as a separate support division within the EHS

Department Biological Safety provides guidance

assistance and surveillance over research activities

involving biohazardous agents recombinant DNA

bloodborne pathogens and biohazardous waste man-

agement Biological Safety monitors and reviews the

performance and maintenance of laboratory contain-

ment systems and provides technical support to EHS

incident responders

A n d W h a t T h e y S a y

Debbie Rad International Student amp Scholar Advisor

Ronit Weingarden Assistant Director amp

Advisor to Foreign Academic Staff

International Student amp Scholar Services

Deborah Howard

Biological Safety Manager

Constance Birden

Biological Safety Specialist

Kara Milton

Assistant Biological Safety Officer

Penny Padgett

Associate Biological Safety Officer

Dan Vick

Export Control Specialist

14 15

Retrieved priceless 19th Century Recordings

The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States

Successful Unannounced Shipping Inspection

The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records

New DLAM ZoonoticLab Animal

Allergy Orientation training

The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials

Presented Overview of

Export Controls for Research

At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation

Added an Export Control chapter to the

Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added

Education Customer Service Internal Processes

Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures

Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs

Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules

Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH

Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills

With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems

Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community

Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference

Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel

Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples

Trained 159 researchers and staff members on proper use of campus autoclaves via online training module

Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs

Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection

Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals

Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures

Provided direct assistance for 212 ship-ments of equipment samples and research materials

Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes

Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions

Assisted the University of Virginia and Appalachian State University with export control and shipping requirements

Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel

Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License

Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy

Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team

Submitted 14 registration updates to the CDC in reference to laboratory operation changes

Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement

Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training

Updated Ventilated Enclosure form to make collection of campus fume hood data more robust

Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance

Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers

Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations

Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC

Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes

Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 - - Level 3

Level 2 - Level 2

Level 1

Le

ve

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ne

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o

Le

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re

e

Le

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ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

COMPLIANCE 14 15

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 14: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Deborah Howard

Biological Safety Manager

Constance Birden

Biological Safety Specialist

Kara Milton

Assistant Biological Safety Officer

Penny Padgett

Associate Biological Safety Officer

Dan Vick

Export Control Specialist

14 15

Retrieved priceless 19th Century Recordings

The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States

Successful Unannounced Shipping Inspection

The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records

New DLAM ZoonoticLab Animal

Allergy Orientation training

The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials

Presented Overview of

Export Controls for Research

At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation

Added an Export Control chapter to the

Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added

Education Customer Service Internal Processes

Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures

Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs

Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules

Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH

Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills

With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems

Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community

Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference

Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel

Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples

Trained 159 researchers and staff members on proper use of campus autoclaves via online training module

Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs

Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection

Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals

Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures

Provided direct assistance for 212 ship-ments of equipment samples and research materials

Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes

Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions

Assisted the University of Virginia and Appalachian State University with export control and shipping requirements

Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel

Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License

Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy

Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team

Submitted 14 registration updates to the CDC in reference to laboratory operation changes

Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement

Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training

Updated Ventilated Enclosure form to make collection of campus fume hood data more robust

Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance

Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers

Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations

Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC

Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes

Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 - - Level 3

Level 2 - Level 2

Level 1

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

COMPLIANCE 14 15

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 15: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Education Customer Service Internal Processes

Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures

Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs

Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules

Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH

Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills

With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems

Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community

Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference

Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel

Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples

Trained 159 researchers and staff members on proper use of campus autoclaves via online training module

Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs

Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection

Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals

Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures

Provided direct assistance for 212 ship-ments of equipment samples and research materials

Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes

Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions

Assisted the University of Virginia and Appalachian State University with export control and shipping requirements

Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel

Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License

Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy

Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team

Submitted 14 registration updates to the CDC in reference to laboratory operation changes

Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement

Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training

Updated Ventilated Enclosure form to make collection of campus fume hood data more robust

Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance

Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers

Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations

Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC

Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes

Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 - - Level 3

Level 2 - Level 2

Level 1

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

COMPLIANCE 14 15

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 16: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event

One of the most significant events in the history of university lab safety occurred

in 2011 with the release of a major report on academic lab research safety by the

US Chemical Safety Board (CSB) For the very first time the CSB investigated a

university lab accident The explosion in a chemistry lab at Texas Tech Univer-

sity severely injured a graduate student and the report noted that there have been

at least 120 known university lab accidents since 2001 The report strongly urged

university research communities to make a better effort in safety communications

and to strongly promote the wearing of proper personal protective equipment To

support the reportlsquos recommendations the Chemical Safety staff created and dis-

tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory

Electrical Safety alert to the Principal Investigators and Safety Supervisors The

staff also created and distributed a new newsletter Avert The first edition focused

on procedures for working with hazardous drugs and highlighted Tamoxifen a

hazardous drug commonly used in research labs

The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-

lighting the most common injuries (cutspunctures) and the most common inci-

dents (chemical spills) The newsletter was designed so that some of the informa-

tion could be used at safety meetings and the reverse side could be hung in labora-

tories as a poster The section also began the development of a comprehensive lab

safety survey and hazardous waste poster to be rolled out in 2012

Collaboration and customer service also played a major role in guiding the activi-

ties as the staff collaborated with others on a DLAM team to assist the Division of

Lab Animal Medicine in preparing for a site visit by the accrediting agency

trained other EHS emergency response team members on the proper use of the

Emergency Response Guidebook and trained EHS inspectors to look for machin-

ery that would pose a threat to users

Building a vibrant safety culture is often not accomplished by instituting any one

major idea or process It is done by instituting many seemingly small and incre-

mental ideas or processes in the areas of collaboration communication and cus-

tomer service In 2011 the Chemical Safety section was busier than ever before

instituting many improvements on a positive path to compliance and the health

and safety of our campus community

Chemical Safety

16 17

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 17: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

―The Division of Laboratory Animal Medicine (DLAM) is

very appreciative of all the assistance that EHS Chemical

Safety has provided to us over the past year When we needed

updated strategies they collaborated with us to develop a new

SOP for handling soiled bedding contaminated with chemical

hazards and create a new room sign to help make identifica-

tion easier They continue to work with us to ensure our staff

and the researchers at this University are properly trained

Chemical Safety

16 17

Who We Are

What We Do With more than 500 laboratories on campus

UNC is one of the worldlsquos leading research

institutions The Chemical Safety section man-

ages the process of improving lab safety through

education compliance and the constant task of

identifying and evaluating potential safety haz-

ards in order to reach the destination of a safe

research laboratory environment On average

EHS conducts more than 1000 lab inspections

every year and checks 150 separate safety issues

A n d W h a t T h e y S a y

Kenneth R Muller BA RLATG

Training Coordinator

Division of Laboratory Animal Medicine

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 18: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Weapons of Mass Destruction

Training for EHS Emergency Responders

Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill

DLAM Teamrdquo Helped

Prepare for the AAALAC Visit

In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation

Database Change Improves

Formaldehyde Training Compliance

To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented

New Section on Machinery

Use Added to Lab Safety Plan

The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place

18 19

Catherine Brennan

Chemical Hygiene Officer

Michael Long

Associate Chemical Hygiene Officer

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 19: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

COMPLIANCE

Education Customer Service Internal Processes

Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course

Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals

Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan

2008 2009 2010 2008 2009 2010 2008 2009 2010

- Level 4 - - - - -

Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2

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18 19

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 20: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Recently completed renovations at Kenan Stadium included the addition of new life

safety equipment specifically a fire pump and emergency generator to be utilized

in the event of a catastrophic fire The Environmental Affairs staff working with

an air quality expert was charged with the responsibility to ensure that this equip-

ment was properly permitted in time for the opening kick-off of the 2011 football

season However the revision of the Universitylsquos Title V air permit was not a sim-

ple or routine undertaking Major changes in federal air pollution regulations were

enacted by USEPA in 2010 These new regulations resulted in significantly ex-

panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)

emissions from large sources The ever-tightening federal emissions limits in-

creased the difficulty of permitting new sources (like the Kenan emergency genera-

tor and fire pump) and contributed to growing uncertainty between USEPA and

state regulatory agencies about how the new regulations would be administered

and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-

quired UNC to perform detailed air emissions modeling associated with any pro-

posed permit revisions Because of the tightened regulatory limitations on emis-

sions the modeling effort proved to be particularly challenging

Title V operating permits administered by state regulatory agencies and the

USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-

ous air pollutants mercury and particulate matter UNC has a Title V permit for

the Cogeneration facility and Manning Drive steam plant Smaller air emissions

sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-

gency generators now must also be listed on the permit as the result changes im-

plemented by DAQ Thus UNC needed to strike a balance between needed

growth (ie the addition of critical new equipment) and maintaining its longstand-

ing commitment to environmental stewardship

Environmental Affairs Energy Services and the air quality consultant developed a

novel strategy that enabled the University to permit the new equipment based

upon the results of air emissions modeling of the proposed new sources Working

with DAQ the modeling demonstrated that the new sources would not contribute

to any exceedance of the new SO2 and NO2 national ambient air quality standards

This proactive stance fostered greater cooperation with DAQ and helped pave the

way for the permit application to be reviewed and approved within 2 monthsmdasha

pace well ahead of the typical six-month timeframe for a Title V renewal

Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality

Environmental Affairs

20 21

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 21: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

―Energy Services works closely with the Environmental Affairs

section of EHS to help ensure that our complex plants are com-

plying with an ever-changing regulatory landscape and meeting

our compliance goals A perfect example is the recent renewal of

the Universitys Title V air permit EHS coordinated with plant

personnel University Counsel our consultants as well as NC

Division of Air Quality personnel to accomplish the renewal in

near record time Environmental Affairs staff is responsive to

our needs knowledgeable professional and a pleasure to work

with

Environmental Affairs

20 21

W h o W e A r e

W h a t W e D o The Environmental Affairs section was created in 1994 to

proactively manage the environmental permitting of the

campus and to ensure compliance with the increasing

number of permits required by state and federal agencies

The section has responsibility for oversight of under-

groundabove ground storage tanks air and water quality

permits surface water quality storm water management

wetland issues environmental assessments at inactive

waste sites collection of radioactive and hazardous mate-

rialswastes and operation of the Hazardous Materials

Facility and the storage-for-decay program for short-lived

radioactive wastes

A n d W h a t T h e y S a y

Phil Barnar Interim Director Energy Services

Cogeneration Systems Manager

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 22: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

22 23

New Pole Camera Enables

Rapid Detection of Illicit Discharges

EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted

Non-potable Water

for Athletic Field Irrigation

In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources

Electronic System for Management

of Hazardous and Aqueous Radioactive

Wastestreams

Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste

Potential Alternative Fuels

for the Cogeneration Facility

EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers

Daniel Elliott

Environmental Affairs Manager

Ray Bond

Senior Hazardous Materials Specialist

Janet Clarke

Environmental Specialist

Roger Connor

Radioactive Materials Specialist

Larry Daw

Environmental Compliance Officer

Sharon Myers

Environmental amp

Stormwater Compliance Officer

Mike Novitzky

Hazardous Materials Specialist

Frank Stillo

Environmental Specialist

Steve Parker

Hazardous Materials Manager

Daryle White

Senior Radioactive Materials Specialist

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

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22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 23: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

COMPLIANCE

Education Customer Service Internal Processes

Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors

Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ

Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 - - -

Level 3 Level 3 - Level 3 Level 3 - - Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

22 23

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 24: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

24 25

Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms

The FEMA Fire Prevention and Safety Award was the work of an EHS Fire

Safety Officer who maintains on-going contact with FEMA to watch for funding

opportunities She recognized the opportunity to provide an extra margin of safety

to more than 19134 students and families in UNC residence halls by installing

various stovetop safety devices through a grant

The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have

reduced many of the 800 or more fire calls that the Chapel Hill Fire Department

(CHFD) makes to campus every year Reducing unnecessary fire calls saves the

Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-

payers of more than $600000 Additionally every false alarm run that the CHFD

does not have to make keeps fire personnel and their equipment ready and avail-

able for a real fire while removing the risk to the firefighters of unnecessary expo-

sure responding to false fire alarms

In addition to installing Safe-T-sensor microwave devices in residence halls EHS

created a magnetic poster to sit on top of the microwave to detail proper use of the

sensor and provide important safe cooking tips Fire Safety also produced a series

of podcasts that reenacted the four most problematic alarm activations in resident

halls unattended stove and microwave cooking shower steam and hairspray acti-

vations

While the overall goal of the program was to eliminate dangerous kitchen fires

and reduce unnecessary fire alarm activations EHS also saw an opportunity to let

students participate in their own fire safety education by recruiting students to

create and act in fire safety training podcasts The funding from FEMA also en-

abled the department to purchase video cameras for future training programs and

podcasts obtain a five year supply of safety brochures and poster magnets and pro-

vide fire safety training for 42000 students over a five year period using bro-

chures posters and videos

Fire Safety amp Emergency response

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

Le

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re

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ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 25: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

―The Fire Safety section staff perform an annual fire watch at all

Kenan football games to ensure personnel and visitor safety and

the continuity of all of our football games Every football event

has 105 ball players 300 employees and contractors and up to

62000 people on a sell- out day including our concessions employ-

ees Show-Pros First aid medics ushers and all of the athletic

personnel Even during regular business hours the Fire Safety

team protects us by keeping our facility safe and well maintained

We appreciate our relationship with EHS Fire Safety staff and

hope to continue to gain valuable training opportunities in the

future

24 25

Fire Safety amp Emergency response

Who We Are

What We Do Fire safety management includes six functions

inspections enforcement education engineering

fire investigation and response With 438 build-

ings on campus and a wide range of potential fire

safety risks EHS personnel are constantly

checking fire related equipment running test

alarms and assessing egress risks The section

provides as much student and employee fire edu-

cation as possible so that fire safety becomes a

collaborative effort and a fire safety culture be-

comes the norm

A n d W h a t T h e y S a y

James Spurling

Director of Kenan StadiumFootball Facility

UNC Athletics-Kenan Football

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

Le

ve

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ne

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o

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re

e

Le

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ur

26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 26: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Completion of Fire Safety

Devices in All Residence Halls

Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)

Fire Safety Supports the

Hazards Management Plans

Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit

Developing Evacuation Egress Maps

Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits

New Fire Safety Video for Podcasting

Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast

New Bar Code System for Tracking

and Inspecting 5000 Fire Extinguishers

The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently

26 27

Billy Mitchell

Fire Safety amp

Emergency Response Manager

TJ DeLuca

Fire Safety Professional

Kitty Lynn

Fire Safety Professional

Adam Swift

Fire Safety Technician

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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ur

30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 27: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

COMPLIANCE

Education Customer Service Internal Processes

Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team

Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators

Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - Level 4 - Level 4 Level 4 - - -

Level 3 Level 3 Level 3 - - Level 3

Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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26 27

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 28: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

OSHA defines confined spaces as ―spaces that are large enough that people can

enter and perform work have limited or restricted entry or exit and are not de-

signed for continuous occupancy

Some of these confined spaces contain hazards including toxic gases oxygen defi-

ciency and mechanical and electrical hazards Annually more than 15 million

workers enter confined spaces and are at risk for injury when precautions are not

taken to control or eliminate these hazards The risks are real In 2011 four peo-

ple in North Carolina died from incidents in confined spaces

OSHA requires any employer whose employees enter confined spaces to implement

a written program to ensure their safety and EHS administers the UNC policy and

program One of the key components of this program is to select a rescue provider

to respond to confined space emergencies The campus rescue provider is the South

Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA

SORS conducts annual mock rescue drills on campus The drills usually only in-

clude the department responsible for the space involved in the drill but there are

other entities that are vital in the response to confined space incidents They are

UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC

EHS Orange County Emergency Services Chapel Hill Fire Department and the

SORS Technical Rescue Team

In 2011 EHS assisted in planning and coordinating the first system-wide confined

space drill Staged at the UNC Cogeneration facility the exercise scenario began

with a call to 911 announcing a confined space emergency and ended with the re-

trieval of the victim mannequin Rescue Randy

Participating in a comprehensive drill was invaluable for all parties in providing

opportunities for collaboration and improvements to the current system From

that exercise the responders decided to conduct annual system-wide drills and

meet quarterly to discuss their response efforts EHS developed a standard operat-

ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-

ees enter confined spaces every day to keep our campus working EHS and the

other local response units are working to make sure those employees can do it

safely

The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter

Occupational amp Environmental Hygiene

28 29

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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ur

30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 29: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

―The CHFD enjoys excellent working relationships with our mutual

aid partners and UNC The opportunities to work together to en-

sure we can work under a common plan to accomplish safe and ef-

fective service delivery is taken for granted The confined space drill

with the University Orange County Emergency Services and the

South Orange Technical Rescue team demonstrated the capabilities

of the various agencies and the excellent working relationships

The lessons learned from this drill will be used to strengthen both

our emergency response abilities and our communication with our

partners

Occupational amp Environmental Hygiene

28 29

W ho W e A r e

W h at W e D o OEH is responsible for ensuring that indoor campus

environments are conducive to good health and

wellbeing using knowledge and experience in indus-

trial hygiene asbestos management air and water

quality and safety engineering The section assesses

potential safety hazards possible instances of expo-

sure and suitability of protective equipment OEH

works with facilities engineering and facilities ser-

vices personnel to find ways to keep historical build-

ings functional while protecting employee health

and works with planning construction and startup

of new and renovated buildings to anticipate and

eliminate building related health issues

A n d W h a t T h e y S a y

Robert Bosworth Deputy Chief

Emergency Management Coordinator

NC Task Force 8 USAR Team

Town of Chapel Hill

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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ur

30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 30: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

30 31

Staff Asked to Serve

on the NCDOL PEL Advisory Committee

Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries

New Database for Hearing Loss Prevention

Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift

Confined Space Program Improvements

EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies

DLAM Lockout Tagout

Standard Operating Procedures

EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers

John Murphy CIH

Occupational and Environmental

Hygiene Manager

Kim Haley CIH

Industrial Hygienist

Janet Phillips

Industrial Hygienist

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 31: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

COMPLIANCE

Education Customer Service Internal Processes

Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services

Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units

Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 - Level 3 Level 3

Level 2 Level 2 Level 2

P e r f o r m a n c e L e v e l A s s e s s m e n t

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ur

30 31

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 32: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted

There is a long history of treating various diseases with therapeutic radionuclides

This frequently involves producing a radionuclide in a nuclear reactor or charged

particle accelerator and then chemically attaching it to a biological carrier eg an

antibody or a particle Nanoparticle-based targeted radionuclide therapy in which

radionuclides contained within nano-carrier systems emit ionizing radiation that is

absorbed by target tumor cells has significant potential as a delivery system for

personalized cancer therapies

For many radionuclide therapeutic agents the process of attaching the radionu-

clide to the carrier needs to be done in specialized facilities and can be hazardous to

personnel performing the procedure as this frequently involves handling large

amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael

Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles

could be made radioactive after they had been prepared This was accomplished by

incorporating a small amount of stable (non-radioactive) isotope into the nanopar-

ticles during their preparation The nano-carriers were then irradiated in a nuclear

reactor which converted the stable isotope into a beta-emitting radioactive isotope

that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally

The UNC Radiation Safety Office was critical to the success of studies to deter-

mine the effectiveness of these radiotherapeutic nanoparticles After the stable-

isotope-containing nano-carriers were prepared they were shipped to the nuclear

reactor facility at North Carolina State University where they were irradiated

UNC Radiation Safety then transported the radioactive nanoparticles to labs at

UNC where the efficacy studies were conducted In addition some of these radio-

active nanoparticles were transferred to the UNC Biomedical Research Imaging

Center where their biodistribution was assessed in tumor-bearing animals using a

micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging

system Because the half-life of 166Ho is not long (27 hours) and the time during

which the (micro-SPECT) imaging system is limited all of these activities required

careful coordination The UNC Radiation Safety Office worked diligently and was

extremely accommodating to ensure the success of this project The data gener-

ated by these studies was used to support a research proposal to the National Insti-

tutes of Health

32 33

Radiation Safety

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 33: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

―The UNC Radiation Safety Office was critical to our research

to determine the effectiveness of radiotherapeutic nanoparti-

cles Our success depended on time-critical elements because

the half-life of the radioactive materials is short Your staff

ensured that the radioactive materials were transported safely

and in compliance with all regulatory requirements and met

all licensing requirements The UNC Radiation Safety Office

worked diligently and was extremely accommodating to en-

sure the success of our project

32 33

Who We Are

What We Do Radiation Safety integrates education over-

sight compliance service and consultation to

protect the students staff faculty members of

the general public and the environment from

the effects of both ionizing and non-ionizing

radiation Implicit in all aspects of radiation

safety is security Safety and security are ac-

complished through training inspection licens-

ing registration and controlled access to certain

materials These are designed to supportmdashnot

impedemdash academic research

A n d W h a t T h e y S a y

Dr Michael Jay

Professor of Biomedical Engineering

School of Pharmacy

Radiation Safety

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 34: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

34 35

Successful Licensing of

Two New Research Facilities

UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging

Successful Licensing of UNCH State

of the Art Tomotherapy Treatment System

UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects

Academic Accelerator and

Academic Irradiator Licenses Inspected

The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations

Appointment to Adjunct Assistant Professor

A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding

Roger Sit

Radiation Safety Officer

Mark Brueckner LSO

Health Physicist

Montego Fearrington

Health Physics Technician

Aaron Gunsalus

Health Physics Technician

Jonathan Moore

Associate Radiation Safety Officer

Mike Soles

Lead Health Physics Technician

Bradford Taylor

Associate Radiation Safety Officer

Eric Zack

Health Physics Technician

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

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re

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ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 35: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

COMPLIANCE

Education Customer Service Internal Processes

Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory

Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research

Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC

2008 2009 2010 2008 2009 2010 2008 2009 2010

- - - - Level 4 Level 4 - - -

- Level 3 Level 3 Level 3 Level 3 Level 3

Level 2

Level 1

P e r f o r m a n c e L e v e l A s s e s s m e n t

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ur

34 35

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

Le

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 36: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority

Carolina maintains active teaching and research portfolios in all corners of the

world including Africa (UNC Malawi) Asia and Latin America (Institute for the

Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-

ties to study and work internationally starting at the undergraduate level with

over a third of Carolinalsquos undergraduate students participating in study abroad

programs before graduating

The Universitylsquos commitment to the health and safety of our students faculty and

staff is the same for all employees regardless of department job title or domestic

or international work site In partnership with UNC Global EHS has streamlined

the pre-travel consultation and post-travel assessment process for University em-

ployees traveling internationally on University business One important function

of the International Travel Program is to provide the employee with up-to-date

information regarding their travel plans and recommended preventative health

measures Yellow fever vaccination is one of the specialized services available at

the UEOHC as proof of yellow fever vaccination is routinely required to enter

most countries especially if traveling to or from countries where yellow fever is

endemic At the time of this writing yellow fever is endemic in 32 African coun-

tries and ten South amp Central American countries Malaria prophylaxis is also rec-

ommended for many parts of the world including South amp Central America Af-

rica India and China

Ensuring that UNC faculty and staff have access to these types of international

travel services allows the University to carry out its global agenda while minimiz-

ing risk to employees working far from home

Employee Occupational Health Clinic

36 37

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

Le

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ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 37: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

―For the past three years the UEOHC and Campus Health Services

have partnered to provide flu fairs on campus The 2011 flu fair had

the highest participation to date and provided influenza vaccines to

more than 6200 students faculty staff and family members Cam-

pus Health Services partnership with EHS highlights our joint com-

mitment to improve the health and safety of the people who teach

learn and serve at UNC-Chapel Hill

Employee Occupational Health Clinic

36 37

Who We Are

What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection

A n d W h a t T h e y S a y

Dr Mary Covington Executive Director Campus Health Services

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 38: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

James Hill MD MPH

Medical Director

Mary Crabtree

Workplace Safety Manager

Becca Artinian PA-C

Physicians Assistant

Ann Law RN

Nurse Consultant

Sherice Love

Administrative Support Associate

Vanessa Wise

Administrative Support Associate

38 39

Fitness for Duty Evaluations

Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively

Comprehensive Bloodborne Pathogen Program

For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis

On Site Employee Health Clinics

As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations

Monitoring the Health of DLAM Employees

The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

Le

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P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

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ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 39: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

COMPLIANCE

Education Customer Service Internal Processes

Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums

Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records

Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

38 39

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 40: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

On the day of the request a team composed of Athletics EHS Faculties Services

and an outside structural engineer quickly assessed the platforms Within two

days of the analysis EHS had trained all employees on the proper operation and

recognition of hazards like inclement weather when utilizing the scissor lift The

communication procedure of inclement weather during practice was reevaluated to

ensure appropriate notifications were being made As an extra precaution Athlet-

ics purchased portable anemometers (a device that measures wind speed) for every

filming station The permanent filming towers were deemed appropriate though

some additional enhancements were identified and UNC Athletics implemented

those suggestions too Since that initial training EHS has again trained the video-

graphers during pre and post-season football practices Athletics and EHS did not

stop there in their effort to ensure safety and continued to evaluate other walking

and working surfaces for employees

Construction was well underway for the new wing of Kenan Stadium Periodically

the two groups monitored the design of the roof filming stations and made recom-

mendations to ensure that appropriate access fall protection and warning signage

recommendations were being implemented Just before opening day of the football

season the partnership performed a final walk-through looking for any possible

hazards and then mitigating them appropriately UNC Athletics then continued

the effort to ensure the safety of their employees by having EHS conduct a safety

needs assessment of other athletic programs and other venues including Boshamer

Stadium

Today the partnership between EHS and Athletics is stronger than ever Athletics

commitment to safety is extremely impressive and exemplifies that winning is not

their number one priority Safety is

Workplace Safety

40 41

After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 41: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

―In the fall of 2010 a Notre Dame student was killed when a scis-

sor-lift he was using to film football practice fell over in high

winds In response to this accident the Department of Athletics

immediately suspended use of all mechanical lifts pending a safety

protocol review One call to EHS put in motion a comprehensive

review of our policies and procedures and resulted in a new safety

training program and new written policies that govern our use of

all lifts and scaffold towers Thanks to EHS we believe that we

have the safest possible working conditions for staff

Workplace Safety

40 41

Who We Are

What We Do Workplace Safety provides services in the areas

of respiratory protection safety training indus-

trial maintenance and construction safety clini-

cal safety medical surveillance Workers Com-

pensation and the Safety Management Informa-

tion System The diversity of services provided

by the Workplace Safety section supports the

Universitylsquos overall mission of teaching and

research for both academic and non-academic

divisions In any given year more than 11000

employees will take a training course supplied

by Workplace Safety

A n d W h a t T h e y S a y

Mike Bunting Assistant Athletic DirectorFacilities

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 42: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Mary Crabtree

Workplace Safety Manager

Debra Bergman

Workers CompensationClinical

Hygienist

Neah Tucker

Occupational Field Hygienist

Rebecca Watkins

Web Applications Technician

University wins Gold Safety Award

The University received the North Carolina Department of Laborlsquos

Gold safety award The criterion for this award is based on achiev-

ing a rate of days away from work along with job transfer or restric-

tion that is below industry standard by at least 50 Receiving this

award reflects strongly on the commitment that UNC has regarding

safety and health and the success of those programs

Developing New Cross Functional Teams

EHS has not been immune to the economic downsizing The Haz-

ards Management Program which inspects academic and non-

academic areas is a vital part of the University compliance and edu-

cation process To ensure its vitality several EHS inspectors from

other disciplines were pooled together to form a cross functional

team and redistribute the work load The HMP Team went through

a three day training in which each area of specialty covered the

OSHA requirements such as Fire Life Safety Hearing Conservation

to Walkingworking surfaces and discussed ways to assist the cam-

pus community in meeting them

New On-line Ergonomic

Laboratory Self Assessment Program

To assist research labs with the CAP accreditation process EHS

developed an on-line ergonomic laboratory self assessment Though

in its infancy this laboratory self assessment will guide the employee

in the process of evaluating their position when performing labora-

tory procedures such as pipetting After completing the assessment

an ergonomic report will be generated that provides recommenda-

tions for changing the workstation or working habits

Workersrsquo Compensation Claim activity

and Return-to Work Plans

There was significant activity in 2011 in processed and managing

590 workerslsquo compensation claims with medical treatment work

status and monthly expenditures and assisting five workerslsquo com-

pensation employees with specific return-to-work plans

42 43

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 43: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

COMPLIANCE

Education Customer Service Internal Processes

TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program

Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives

Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students

Le

ve

l O

ne

Le

ve

l Tw

o

Le

ve

l Th

re

e

Le

ve

l Fo

ur

42 43

P e r f o r m a n c e L e v e l A s s e s s m e n t

Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 44: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

University Safety amp Security Committee Members

Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee

Dr Mitchell Picker

Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee

Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School

Jeff McCracken Director Public Safety

Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee

Dr John Olsen Associate Professor Chair Institutional Biosafety Committee

Carolyn Elfland Associate Vice Chancellor Campus Services

Dr Christopher Payne Associate Vice Chancellor Student Affairs

Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee

Steve Kenny

Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee

Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction

Mary Beth Koza MBA Director Environment Health amp Safety

Will Tricomi Associate University Counsel

Brenda Malone Esq Vice Chancellor Human Resources

Barbara Entwisle Vice Chancellor Research and Economic Development

State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program

University Safety and Security Committee

University Health amp Safety Committees

University Safety amp Security Committee (USSC)

The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-

place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-

dations are then forwarded to the Chancellor for approval before implementation

44 45

Radiation Safety Committee

Hazards Management

Safety Committee

Institutional Biological Safety

Committee

Laboratory amp Chemical Safety

Committee

Occupational Health

amp Clinical Safety Committee

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 45: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Laboratory and Chemical Safety Committee Members

Dr Lorraine Alexander Clinical Associate Professor Epidemiology

Karen Hogan Research Specialist Gene Therapy Center

Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine

Dr Erik Alexanian Assistant Professor Chemistry

Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center

Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy

Jacob Forstater Graduate Student Physics and Astronomy

Mike Long Associate Hygiene Officer Environment Health and Safety

Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology

Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety

Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science

Cathy Brennan Chemical Hygiene Officer Environment Health and Safety

Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety

Laboratory and Chemical Safety Committee

This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of

health and safety in the laboratory environment The Laboratory work environment consists of those work units that

are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-

tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-

ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical

safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-

cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing

chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-

cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-

ing written minutes of such meetings

University Health amp Safety Committees

2011 Committee Accomplishments

Minors in Labs Policy update

Lab Ventilation Policy update

Educating lab researchers about national lab safety incidents

Creation and production of new Avert newsletterposter

2012 Committee Goals

Committee involvement in CLIP inspections

Increasing safety awareness at the University via improved and frequent communications

Proposing safety topics based on meeting review of incident and injury data

44 45

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 46: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Institutional Biological Safety Committee Members

Dr John Olsen Associate Professor Chair IBC

Dr Ann Matthysse Professor Department of Biology

Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine

Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department

Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority

Dr Paul E Monahan MD

Associate Professor Pediatrics HematologyOncology Gene Therapy

Deborah Howard CBSP Biological Safety Officer Environment Health and Safety

Dr Penelope J Padgett MPH

Associate Biological Safety Officer Environment Health and Safety

Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine

Dr Amy C Sims Research Assistant Professor Epidemiology

Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center

Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology

Mary Beth Koza MBA Director Environment Health and Safety

Institutional Biological Safety Committee (IBC)

The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving

research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end

the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that

the biological aspects of the research are conducted in a safe manner using established biosafety standards principles

and work authorization Safe research includes worker safety public health agricultural and environmental protection

ethics and compliance with applicable biosafety standards and UNC-CH policies

2011 Committee Accomplishments

IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the

turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with

the goal of making the registration process as straightforward as possible for the investigator while being comprehen-

sive in meeting our safety goals

The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork

and packaging

2012 Committee Goals

implement the new select agent regulations

examine how the new regulations affect dual use concerns as it relates to UNC research

oversight of the new offsite Gene Therapy Vector Core

evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-

toes at Arthropod Containment Level 2

46 47

University Health amp Safety Committees (Continued)

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 47: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Hazards Management Safety Committee

This committee focuses on the emerging issues of health and safety for employees working in the office support ser-

vices and industrial maintenanceconstruction work environments The support services work environment consists

of activities that are conducted outside of the office environment usually involve public contact and may involve haz-

ardous materials These environments can include the Department of Public Safety Department of Environment

Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-

ment consists of those work units whose primary activities are performed at various locations around campus and at

fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical

Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and

academic shops such as Dramatic Art

Hazards Management Committee Members

Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee

Alana Maffessanti Safety Officer Facilities Services Division

George Devinney HVAC Supervisor Energy Services

Connie Bullock Support Services Captain

Public Safety Lisa Daley

Human Resources Manager Energy Services

Steve Kenny Director of Risk Management Services

Susan Smith Chemistry Accounting Services

Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine

Ernestine Torain Team Leader Laboratory Animal Medicine

Brian Bogie Engineering Specialist Energy Services

Mary Crabtree Workplace Safety Manager Environment Health and Safety

2011 Committee Accomplishments

Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and

industrial maintenance and construction areas

Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos

respective area

2012 Committee Goals

Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase

awareness to the campus community by launching a poster campaign

46 47

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

University Health amp Safety Committees (Continued)

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 48: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

University Health amp Safety Committees (Continued)

Occupational Health and Clinical Safety Committee Members

Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee

Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry

Michele Leigh Clark Administrative Support Specialist Radiology

Mike Proctor Facility Maintenance Supervisor Facilities Services

Karen Doran Environment of Care Manager Student Health Services

Janet Perry Workerslsquo Compensation Administrator UNC Healthcare

Dr James Hill Medical Director University Employee Occupational Health Clinic

Jennifer Rees Nurse Supervisor Clinical and Translational Research Center

Amber Kimball Human Resources Manager UNC School of Nursing

Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety

Mary Crabtree Workplace Safety Manager Environment Health and Safety

Occupational Health and Clinical Safety Committee (OHSC)

This committee focuses on Occupational Health services for University personnel and the emerging issues of health

and safety for employees working in the clinic environment The clinic work environment is primarily characterized by

activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work

environment frequently has additional health and safety requirements imposed by accreditation organizations such as

the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students

Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP

2012 Committee Goals

Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to

sharps injuries by improving training for house staff and medical students

Recruit new committee members

Review the occupational health and safety of faculty students and staff in clinical training situations

48 49

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 49: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

University Health amp Safety Committees (Continued)

Radiation Safety Committee Members

Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee

Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products

Dr Louise M Ball Professor Environmental Science amp Engineering

Dr Adrian Marchetti Assistant Professor Marine Sciences

Carolyn Elfland Associate Vice Chancellor for Campus Services

Dr Jeff Sekelsky Associate Professor Biology

Dr Beverly J Errede Professor Biochemistry amp Biophysics

Dr Roger Sit University Radiation Safety Officer Environment Health and Safety

Dr Marija Ivanovic Clinical Associate Professor Radiology

Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology

Dr Hong Yuan Director BRIC Small Animal Imaging Facility

Mary Beth Koza MBA Director Environment Health and Safety

Radiation Safety Committee

The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and

disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in

the use or application of radioactive materials and radiation devices and provides a peer review of these uses among

researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of

radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources

The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the

Vice Chancellor for Finance and Administration

2011 Committee Accomplishments

Two radioactive materials licenses were inspected with no citations

Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the

MRPET facility (4th in the country)

Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding

agency

2012 Committee Goals

Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-

maceuticals used for research

Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging

Monitor the continuing development of the new Imaging Research Building

48 49

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 50: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Compliance Report amp EHS Management

Inspection Date Agency Observations Nature of Citations

9132011 DOT-PHMSA 0 -

50 51

The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the

Universitys core mission of teaching research and service by providing comprehensive environmental health and

safety services to the University community This includes education through training and consultation maintaining a

safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-

pliance and minimizing future potential liabilities

Biological Safety

The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better

our community and world We are committed to serving principal investigators and other researchers in meeting their

responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established

biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-

tural environmental ethical and biosafety standards and University policies

Environmental Affairs

The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy

impacts all that we do including oversight of environmental permitting and compliance activities such as under-

ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits

assessing surface water quality storm water management managing wetland issues and performing environmental

assessments at inactive waste sites

Inspection Date Agency Number of Citations Nature of Citations

125 2011 NCDENR-DWQ 0 -

3232011 NCDENR-DWM 0 -

612011 NCDENR-DWQ 0 -

9022011 NCDENR-DWQ 0 -

913-142011 NCDENR DWM and USEPA Region IV 2

40 CFR 26234(c)(1)(i and ii)

and 40 CFR 265173(a)

9212011 NCDENR-DAQ 0 -

1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 51: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Compliance Report amp EHS Management

Radiation Safety

Inspection Date Agency Number of Citations Nature of Citations

711-152011 JACHO 0 -

07272011 DHHS-RPS Xray - 1 15A NCAC 111640

08152011 DHHS-RPS Licenses 0 -

09072011 DHHS-RPS Xray - 1 15A NCAC 111640

09082011 DHHS-RPS and FDA 0 -

11152011 DHHS-RPS Xray 1 15A NCAC 111104

1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603

12282011 DHHS-RPS Xray 0 -

50 51

Radiation Safety

The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material

and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy

is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission

ACT Incident Investigation

Safety Committees Grants

Research Management

UNC-CH

EHS

Management

System

PLAN Training

Lab Worker Registration

Lab Safety Plan Hazard Review

CHECK Supervisor

Self-Inspection EHS-CLIP LSP Review

Grant Compliance

DO Experiments

Lab Waste Disposal

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 52: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Employee

of the Year

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee

who met the mission of the organization and whose performance went above the norm

Former Director Peter Reinhardt initiated the award Beginning that first year a travel-

ing trophy was created and represents the past and future as the base of the trophy is the

base of a lamp in the office of the first director of the department Don Willhoit The re-

cipient is chosen by the Director and emulates the values of organization

Core Values of the Department The organization will

utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns

be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures

52 53

Ray Bond was selected 2011 EHS employee of the year because he emulates the mission

and values of the organization every day serving as the quarterback of the Universitylsquos

Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-

ing various waste chemicals and plays a critical role in maintaining compliance with appli-

cable hazardous waste regulations When a colleague left the team Ray continued to per-

form his normal duties at HMF and then took on more responsibility by helping in coor-

dinating and participating in the waste collection efforts Aided by several of his Environ-

mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the

waste management and disposal process moving as efficiently as possible Raylsquos expertise

in hazardous materials and wastes his teamwork proficiency and dedication to compli-

ance proved to be make a major difference for the Environmental Affairs section

Ray Bond-Senior Hazardous Materials Specialist

Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 53: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Innovation

Award

Burton Goldstein

UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century

In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff

Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins

2011 Innovation Award Nominees

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the Chancellorlsquos ―Innovate Carolina program ―to

make Carolina a world leader in launching university-born

ideas for the good of society the EHS department instituted

a new Innovation award for 2010

EHS core values related to innovation

The organization will

utilize time and resources efficiently

be a resource for new ideas and innovation

establish state of the art EHS protocols amp procedures

Qualifications for the Award

To be considered for the award the innovation must

contribute to the improvement of the environment

health or safety at UNC

be in the form of process education customer service

communication policy structure or method

be applied (See definition above)

be in some stage of the process of activation but does

not necessarily have to be completed

have been identified and approved by EHS management

before implementation can begin

Mark Brueckner-Health Physicist LSO-Radiation Safety

Kitty Lynn Safety SensorsFEMA Grant

John Covely amp Cathy Brennan Avert NewsletterPoster

John Covely amp Kitty Lynn Microwave posterMagnet

Jonathan Moore Intra-system RSO support

Dan Vick I-129 Attestation

Rebecca Watkins Web page application

52 53

When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 54: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu

Reasons for creating the Award

In order to emphasize the departmentlsquos core values and to

support the attribute of collaboration among EHS employees

as well as between EHS employees and other University em-

ployees or other groups or organizations the department

instituted a new Collaboration award for 2010

EHS Core Values related to collaboration

The organization will

value and encourage individual growth and development

collaborate and support each other through the twists and

turns

be a safe haven of trust respect and open communication

foster constructive debate when appropriate

Qualifications for the Award

The recipient must exhibit outstanding contribution to collabo-

ration by fulfilling one or more of the following attributes

Agreement about objectives

Respect for specialist expertise of another person

Joint working shared effort shared responsibilities

Blurring of professional boundaries (no use of rank in proc-

ess)

Open and transparent lines of communication within groups

and between people

Behavior that instills confidence and respect for others

Open and full discussions of all issues (no shortchanging of

another personlsquos idea)

Empathy for others

Collaboration

Award Collaborative Project

Development of a web based on-line scheduling system for the UEOHC

Becca Artinian EHS-UEOHC

Mary Crabtree EHS

Jim Hill EHS-UEOHC

Dirk Kumashiro Information Technology

Ann Law EHS-UEOHC

Sherice Love EHS-UEOHC

Vanessa Wise EHS-UEOHC

2011 Collaboration Award Nominees

Ray Bond Waste management team

Larry Daw Waste management team

Deb Howard Work with staff and colleagues

Mike Long Waste management team

Steve Parker Waste management team

Roger Sit Work with staff and colleagues

Bradford Taylor Work with UNC Healthcare

Daryle White Waste management team

Collaborative Project

Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative

Dwayne Ayers Facilities Services

Mark Brueckner EHS-Radiation Safety

Jeff Carter UNCH Doug Fleming Facilities Services

Sherwood McLamb Life Safety

Quintel Henry School of Medicine

Ron Johnson Life Safety

Michael Reitz Public Safety

Cleopatre Robinson UNCH

Roger Sit EHS-Radiation Safety

Kevin William UNCH

54 55

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 55: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

Awards - Recognitions - Presentations

Appointments - Certifications amp

Acknowledgements

About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011

Annual Report Acknowledgements

Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden

Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza

Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick

UNC Printing Arnold Ferguson Glenn Haugh

Copy and Design

John A Covely

54 55

Awards

Employee of the Year (see page 52)

Innovation Award (see page 53)

Collaboration Award (see page 54)

The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award

Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information

Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process

Recognitions

Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society

John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association

John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee

Publications

Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal

Presentations

John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference

Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society

Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute

Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference

Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research

Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities

(Presentations continued)

Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS

Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)

Certifications

Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification

Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms

Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer

Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer

Appointments

Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer

Adam Swift was appointed Fire Safety Inspector

Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University

Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections

Page 56: Environment, Health and Safety University of North Carolinacreate a podcast for training of Resident Advisors on fire safety.+ Trained 537 Maintenance, Housekeeping, and Design and

ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned

some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five

workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers

are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and

procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-

viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical

Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and

mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in

residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar

code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos

abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-

tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+

Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in

system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-

cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all

Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-

ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-

ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-

cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize

chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled

13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency

response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an

opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-

sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-

powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative

laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for

employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and

staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving

Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use

Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and

shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine

chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and

development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-

ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical

Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-

partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities

Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired

approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-

bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law

enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program

(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of

the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation

return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked

closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three

USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital

to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-

tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-

dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring

research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-

gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the

Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in

Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon

monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on

campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental

School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+

Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-

ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-

view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-

nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-

ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety

and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR

and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving

6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets

and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste

disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy

Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed

eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research

protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+

Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to

assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH

Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting

regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage

spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to

online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-

rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired

systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-

struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections