Yadkin County Schools Health and Safety

Policies

Updated 7/2013

2

Index

HSP 1.0 Safety Program Record Keeping I. Injury Records II. Job Site Hazard Assessment Certifications III. Safety Meetings/Training

HSP 2.0 Safety Policy: Responsibility

I. The Federal Safety and Health Act II. Meeting the Government Standards III. Employee Responsibility IV. Site Responsibilities

HSP 3.0 Safety Training

I. Safety Meetings II. Safety Training

HSP 4.0 General Safety Rules

I. Responsibility II. Safety Rules III. Visitors Safety Guidelines

HSP 5.0 Lockout/Tagout Policy Responsibility

I. Lockout/Tagout Responsibility II. Preparation for Lockout/Tagout III. Lockout/Tagout Initiation Procedures IV. Lockout/Tagout Procedures for Restoring Machines or

Equipment to Normal Operation V. Training VI. Annual Inspections VII. Group Lockout/Tagout Procedures VIII. Outside Service or Contractor Procedure Forms IX. Hazardous Energy Control Procedure Forms

HSP 6.0 Electrical Safety-Related Work Practices

I. Working On or Near Exposed Energized Parts II. Electrical Safety-Related Procedures III. Application of Locks and Tags IV. Verification of Energized Condition V. Re-Energizing Equipment VI. Changing Ballast

HSP 7.0 Personal Protection

I. General II. Eye Protection III. First Aid

3

IV. Mechanical and Electrical Equipment Safeguards V. Fire Protection Prevention

HSP 8.0 Accident Investigation

I. Types of Accidents to be Investigated II. Accident Investigation Procedures III. Accident and Injuries Reporting

HSP 9.0 Work Place Conditions

I. Housekeeping II. General Office and Job Safety Requirements III. Food Services

HSP 10.0 Hazard Communication Program

I. General II. Employees Training and Information III. Container Labeling IV. Transfer of Container V. Safety Data Sheets (SDS) VI. Additional Provisions VII. Hazardous Non-Routine Tasks VIII. Inventory of Hazardous Materials

HSP 11.0 Bloodborne Pathogens-Exposure Control Plan

I. Purpose II. Personnel Affected III. Testing and Examination IV. Anti-Discrimination V. Policy Availability

HSP 12.0 Yadkin County Schools’ Guidelines for Handling Body Fluids

and Bloodborne Pathogens. I. Specific Applications II. Definitions III. Standard Operation Procedures for Prevention of Disease(s) IV. Standard Operation Procedures for Employee Exposure to Bloodborne

Pathogens V. Record Keeping VI. Surveillance

HSP13.0 Student Safety-Communicable Diseases (AIDS)

I. Educating All Eligible Students and Control of Communicable Diseases II. HIL V-III III. Resistance to Infection IV. Notification of Parents V. North Carolina General Statute

4

VI. Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-Up HSP 14.0 Emergency Action Plan and Fire Prevention

I. Fire Prevention Plan II. Keys to Controlling the Consequences of a Fire III. Emergency Action Plan

HSP 15.0 Evacuation Plan

I. Plan Description II. Evacuation Levels, Descriptions, Decision Authorities and Alarm

Mechanisms HSP 16.0 Fall Protection Plan

I. Activities Requiring Fall Protection II. Training III. Rights and Responsibilities

HSP 17.0 Respirator Program

I. Purpose II. Responsibility III. Site Respiratory Hazards IV. Proper Respiratory Selection V. Training VI. Cleaning VII. Maintenance VIII. Responsibilities IX. Respirator Guidelines X. Respirator Program Evaluation

HSP 18.0 Conservation of Hearing

I. Policy Activities II. Practices

HSP 19.0 Disciplinary Procedures

I. First II. Second III. Third IV. Fourth

HSP 20.0 Confined Space Entry Policy

I. Characteristics II. Hazards III. Procedures IV. Permit Form V. Equipment VI. Training

5

HSP 21.0 Drugs and Alcohol Use I. Prohibition of Drugs II. Notification of Drug Violation III. Consequences of Violations IV. Prescribed Drugs V. Distribution of Policy VI. Reporting for Work VII. Testing Prior to Employment VIII. Conditions for Disciplinary Actions IX. Past Abuse X. Substance Screening XI. Vehicle Operation XII. Drug Testing XIII. Prescription Drugs XIV. While on Work Duty XV. Rehabilitation XVI. Confidential Communications XVII. Questions XVIII. Reviews

HSP 22.0 Prohibition of Smoking in Indoor Facilities HSP 23.0 Student First Aid-Injuries and Emergencies

I. Fractures and Dislocations II. Sprains III. Back or Neck Injury IV. Burns and Frostbite V. Choking VI. Diabetes VII. Drug Overdose VIII. Ears IX. Electric Shock X. Eyes XI. Fainting XII. Fever XIII. Genito-Urinary Complaints XIV. Head Injury XV. Heat Exhaustion and Heat Stroke XVI. Onset of Labor XVII. Pain XVIII. Poisoning by Mouth XIX. Seizures XX. Shock XXI. Skin Conditions XXII. Teeth XXIII. Mouth, Lips and Throat

6

XXIV. Varicella (Chickenpox) XXV. Nausea-Vomiting XXVI. Wounds XXVII. Classroom First Aid Kit

HSP 24.0 Administering Medication to Students

I. Definitions II. Guidelines III. Guideline Areas IV. Documentation V. Guidelines for Emergency Allergic Reaction Procedures (EARP) VI. Medication Brought to School VII. Designated School Personnel Giving Medication VIII. Records IX. Administration of Medications in the School Setting

HSP 25.0 Safety: Instructional Laboratory Setting

I. Tech Safety II. Practice Safety III. Maintain a Safe Environment IV. Prepare for Emergencies

HSP 26.0 Custodial Safety Guidelines

I. Gloves II. Mop Water III. Cleaning School Desks IV. Special Provisions for Handicapped Persons V. Trash Can Liners VI. Cleaning Restrooms VII. Cleaning Large Amounts of Body Fluids VIII. Halls, Lobbies, Boiler Rooms, and Grounds

HSP 27.0 Chemical Hygiene Plan Appendix All of the forms either listed or illustrated in the health and safety policies are located in the Appendix.

7

YADKIN COUNTY SCHOOL SYSTEM HEALTH & SAFETY POLICY STATEMENT

At all of Yadkin County’s School System sites, operations, and facilities, the safety of students and employees is a prime consideration. It is the responsibility of all the system’s employees to maintain a safe, accident-free work environment for our students, our fellow employees, and ourselves. This includes providing and maintaining a safe, clean work area, supplying adequate and mechanically sound equipment, and continuing safety programs. The System strives to comply with the Federal Occupational Safety and Health Act of 1970 (OSHA). We have developed, promoted, and are enforcing a safety program designed to help maintain a safe and healthy working environment. The whole-hearted support of every employee is expected in implementing this safety program. Administrative and Supervisory personnel will be accountable for the safety and health of the people working under their supervision and will be expected to follow and enforce all OSHA rules and regulations relating to their work site or duty. All instructional and non-supervisory employees will comply with these standards and will conduct operations in a safe manner at all times. Successful elimination of accidents will take the active involvement and leadership on the part of administrators, supervisors, and the enthusiastic support of every employee. This is an obligation that we have to ourselves, our students, and to each other. Superintendent ____________________________________

8

HSP 1.0 EMPLOYEE RECORD KEEPING The office staff in charge of personnel records will be responsible for maintaining all documentation of training, accident reports, OSHA logs, hazard reports, incident reports, and any other documentation incidental to the implementation of this accident prevention plan. EMPLOYEE INJURY RECORDS

An injury log will be maintained in the main office of each facility. Injuries will be recorded on an OSHA 200 form within 6 work days of being reported and on Form 19 within 5 days. Form 19 will be retained for a period of five calendar years. The summary portion of the OSHA 200 form will be posted from February 1 to March 1 of each year in a place where employee notices are normally placed. The supervisor, any time an employee is injured, must complete the Supervisor’s Accident Investigation Report. All injury records will be retained for a period of 5 calendar years. Each site must fax copies of any injury records to the Central Office as soon as received. This must be completed within five days of the accident. The Central Office will handle any situation involving insurance.

JOB SITE HAZARD ASSESSMENT CERTIFICATIONS

Office personnel will maintain certifications of job site hazard assessment for a period of five (5) calendar years.

SAFETY MEETINGS/TRAINING

Documentation will include: • Date of training • Name of trainer • Subject(s) covered • All training required by OSHA will be conducted on a timely basis, and a signed

attendance roster will be maintained.

Note: Specialized training such as forklift, hoists, hazardous communication, etc. will be provided and documented before employees are required to perform tasks involving the exposures to, or the use of, the above mentioned. Documentation of training will be maintained for a period of 3 years.

9

HSP 2.0 SAFETY POLICY: RESPONSIBILITY THE FEDERAL SAFETY & HEALTH ACT

The Federal Safety & Health Act of 1970 has enacted a very strict set of laws with attending rules and regulations concerning job safety and job site accident prevention. The Yadkin County School System is bound by law to observe all federal and state rules of safety and health pertaining to our operations and to maintain and post accurate records relating to recordable accidents involving employees.

MEETING THE GOVERNMENT STANDARDS

The Yadkin County School System has established a procedure by which we can meet these governmental standards to insure our employees of their right to a safe work place. Safety, therefore, is to be considered a most integral part of all of the system’s operations and not as a separate program functioning independently of other activities.

EMPLOYEE RESPONSIBILITY

All employees will be responsible for safe work practices as prescribed by local, state and federal law. Disciplinary action may be taken against any employee who willfully, knowingly, or repeatedly violates these laws, their attending rules, regulations, or any of the provisions within this system’s Health and Safety Policy.

SITE RESPONSIBILITIES

Principals/Supervisor:

Will ensure that the School System’s Health and Safety Policy is carried out and that each designated person complies as outlined below.

Area Supervisors, Teachers, and Instructors:

Will maintain a safe work place and assure the safe working actions of employees and students. The area supervisors, teachers, or instructors will also implement the System’s Health and Safety Policy as follows: • Give full support to all safety activities and procedures; • Attend required safety meeting, conduct regular safety meetings, and

provide complete safety instruction to anyone under their direct supervision;

• Impart to each person under their supervision the understanding that

violations of policy rules will net be tolerated;

• See that proper safety equipment and personal protective devices (as required) are supplied, maintained, readily available, and used as directed;

10

• Take prompt corrective action whenever unsafe conditions or actions are noted;

• Conduct regular safety inspections with the safety director to ensure that

all safety procedures are being followed and all equipment meets safety standards, with all required guards and tool rests in place and properly adjusted;

• Maintain a safety awareness program through personal and group

meetings;

• Maintain an effective good-housekeeping program;

• Report and document all accidents and near misses no matter how slight;

• Investigate and report on the cause(s) of all accidents, assist the safety director in making his accident investigation, document prevention efforts and, when necessary, document any disciplinary actions taken;

• Accompany any authorized local, state, or federal safety inspector and

report the findings of such inspections to the safety director in writing.

Staff (Lead Person, Teacher, or Instructor) will be responsible to their principals/supervisor for all phases of safety in the operations they direct. A lead person, teacher, or instructor should be responsible for the safety in his/her work area or assigned duty including the following: • Instruct new employees/students on reporting all accidents immediately and promptly receiving first aid;

• Be responsible for, or assist supervisors in, the training and instructing of new employees/students;

• Make regular inspections of all assigned tools and equipment, (including any worker’s personal tools) to insure their safety’

• Immediately report any unsafe conditions, tools, and/or equipment to their supervisor.

• Check work area at the end of each day to make sure no unsafe conditions exist;

• Employees will be held accountable for accidents caused by anyone under their supervision unless investigations show that such accidents were beyond his/her control;

11

• Strive to develop and implement safety rules and procedures that may apply directly to their area or work duty;

• Post safety rules at machines and in areas where potential hazards exist.

12

HSP 3.0 SAFETY MEETINGS AND TRAINING

SAFETY MEETINGS Safety meetings shall be held as follows: • The principal or site supervisors will be responsible for an annual safety meeting

with all employees. • Area supervisors will hold safety indoctrination meetings with all new employees.

Teachers and instructors will include safety as an integral part of their instruction.

• A formal safety meeting will be scheduled by principals, supervisors, teachers, instructors, and coaches to deal with any special circumstances; e.g. after near misses or accidents, as a preventative measure.

• It is the duty of the person(s) in charge of safety meetings to insure that meetings

are documented and this documentation is kept on file. This is to include a signed attendance roster.

New employees will:

• Read the Yadkin County School System’s Health and Safety Policy and sign the

Safety Pledge. • Employees and students, where required, will read and sign their subject/duty

area’s safety rules/policy or pledge. SAFETY TRAINING

• New employees and students will be instructed in the safe use of equipment,

which will include any special equipment; e.g. FORKLIFTS. • New employees and students will be instructed, at the beginning of each school

year in any special procedures required, regarding emergency evacuation procedures.

• The evacuation chart posted in each classroom must be explained to all the

students at the beginning of each semester.

13

HSP 4.0 GENERAL SAFETY RULES

A primary goal of the Yadkin County School System is to provide a safe and healthy working and learning environment for both employees and students. The ultimate responsibility for safety, however, lies with the employee. Keep in mind that the safe way is the most efficient way. RESPONSIBILITY

• If a situation/condition exists in your area that could, in your opinion cause harm

to you, your students, or co-workers, and is in the realm of your authority or work duties, it is your responsibility to take the necessary action(s) to correct that situation/condition. If the situation/condition is beyond your authority, qualifications, or work duties, you should report the situation/condition immediately to your principal or supervisor. The principal or supervisor should take the necessary action(s) by referring the condition/situation to a qualified person or persons for correction or correct the condition/situation personally. The condition/situation should be reported to the safety director. The safety director should take the action(s) necessary to alert other system sites where the same condition/situation could exist. The safety director, considering the severity of the situation/condition, may deem it necessary to report the situation/condition to the superintendent.

• Is the responsibility of principals, supervisors, teachers, instructors, and coaches

to develop specific safety and health rules, regulations, and guidelines for his/her work area, classroom, lab or work duties. Each principal, supervisor, teacher, instructor, or coach will ensure that employees and students under their supervision fully understand these rules, regulations, and guidelines. Teachers, instructors, and coaches should include safety and health as an integral part of their instruction. Teachers, instructors, supervisors and coaches should keep in mind that not only should the safety and heath rules, regulations, and guidelines apply to their classroom, lab or work area but also to any extra curricular activities as well. This includes work or duties away from their immediate work/duty area.

Working safely means following some simple, yet important rules. The cooperation of every employee is necessary to make this school system a safe place in which to work.

SAFETY RULES

• All work-related injuries or illnesses, no matter how slight, must be reported to

your principal/supervisor immediately for proper treatment and reporting. Failure

14

to report an accident or injury may jeopardize your claim for compensation under the Worker’s Compensation Act.

• It is every employee’s responsibility to report to his/her principal/supervisor any

condition(s), act(s), or work practice(s) that could affect the safety of students or employees. All “near-miss” accidents must be reported immediately to your supervisor.

• No employee or anyone under direct supervision of an employee is expected to

undertake a task until they have received proper instructions on how to perform that task. No employee should undertake a duty that is, or appears to be unsafe. No employee should perform a task unless they have been authorized to do so. Employees must use all personal protective equipment as required. All employees must use good judgment and professionalism when performing or assigning tasks. Any employee knowingly performing a task without being authorized, receiving permission or proper instructions will be held liable for any injuries incurred from the results of performing that task. Any principal, supervisor, teacher, instructor, or coach or lead person assigning someone under their supervision a task without that person being authorized or receiving proper instruction on performing that task will be held liable of any injuries incurred while performing that task.

• Follow safe lifting practices. Secure help for all heavy loads.

• Familiarize yourself with location and use of fire fighting equipment and

emergency exits.

• Avoid horseplay of any kind.

• Drive with caution in and around school system sites and while performing any duties that require you to be away from your work/duty site. You must follow all public traffic laws and all regulations set forth by the system or appointed site.

• Employees are to dress in a manner considered professional, safe, and suitable for

their job or job duty. Clothing requirements may be different at different sites, work area, or work duties. Clothing requirements for specific jobs, work area, or duties may be determined by the principal, supervisor, teacher, instructor, or coach. All employees and students must follow the dress code set forth by the Yadkin County Board of Education. All principals/supervisors are expected to enforce the Yadkin County School System’s Dress Code.

• Lockout/tagout procedures must be followed when required before any

maintenance work can be performed on equipment.

15

• No machinery is to be operated unless all guards are secure, in place, and the machinery has been properly grounded. All machinery ruled unsafe will be shut down, locked, and tagged out until repaired.

• Employees shall not use compressed air for cleaning without an approved safety

nozzle on the air hose. Safety glasses with side shields must be worn.

• All containers of corrosives, toxins, hazardous chemicals, or flammable materials must be safely stored, and properly labeled. Such materials must be handled and stored according to established standards as directed by State and Federal Safety Regulations.

• Treat all electrical wires as live wires. Ground wires or pins must not be removed

or disconnected. Frayed insulation or broken wires must be reported to your supervisor immediately. Only trained and authorized maintenance personnel must do repairs of electrical equipment.

• An employee’s failure to follow he/her supervisor’s instructions, regarding safe

action or operation of machines or equipment could result in discipline procedures up to and including termination. Failure to follow safety rules, regulations, and guidelines could result in denial of Worker’s Compensation.

• Unauthorized firearms or other weapons are forbidden on any of Yadkin County

School System properties.

• Bringing intoxicants, narcotics, or illegal drugs to work, consuming or selling them on system property, or reporting to work under the influence of intoxicants, narcotics, or illegal drugs is prohibited.

• Cutting and welding safety procedures must be followed and proper safety

equipment used at all times. VISITORS SAFETY GUIDELINES

• Please be aware that there are areas at some system sites where loose clothing

could get caught in machinery. Either tuck your tie into your shirt or remove it, and keep back from moving parts when there is a chance of getting loose clothing caught.

• The area supervisor, teacher, or instructor will provide you with safety glasses if

you do not already have them. Please remember not to smoke in areas labeled “NO SMOKING”, areas containing combustible or flammable materials, and remember to be cautious around any machinery.

16

EMPLOYEE SAFETY PLEDGE

My signature below indicates that I have read, understand, and agree to all the safety provisions set forth in the Yadkin County School System’s Health and Safety Policy located on Yadkin County Schools Website. I also agree to participate in any safety programs that the system deems necessary to my duties and to abide by any forthcoming safety rules and procedures. I understand that it is impossible for everyone to foresee all the situations, which can cause accidents. By knowing this, I pledge to conduct myself at all times, while on duty, in such a manner as not to cause harm to me, my colleagues, my students, or anyone under my supervision. I also agree to avoid, deter, and report any hazardous or potentially hazardous practices or situations. __________________________________________ Employee’s Signature __________________________________________ Work Location __________________________________________ Date NOTE: This signed pledge shall be placed in the employee’s personnel file and retained as a permanent record.

17

SAFETY INSPECTION CHECKLIST

Yes:___No:___ 1. Is the emergency evacuation plan posted, and up-to-date? Yes:___No:___ 2. Are there documented monthly fire drills at each school? Yes:___No:___ 3. Are all fire extinguishers mounted? Do they have the proper inspection tags? Have they been properly inspected and signed? Have they been serviced annually? Yes:___No:___ 4. Are “NO SMOKING” signs posted and policy enforced? Yes:___No:___ 5. Are all interior lights operational, including emergency lights? Yes:___No:___ 6. Are the exterior lights operational? Yes:___No:___ 7. Are there emergency door/exit obstructions? Yes:___No:___ 8. Are the emergency door/exit lights operational? Are there documented monthly inspections? Yes:___No:___ 9. Are there stairway obstructions? Yes:___No:___10. Are the circuit breakers labeled as to what they control? Yes:___No:___11. Are the electrical panels protected from damage by moving vehicles, and

not obstructed in any way? Yes:___No:___12. Is the checklist available for forklift use? Yes:___No:___13. Are the forklift maintenance records on file? Yes:___No:___14. Are the storage racks in good condition, and load capacity labels and rails in place? Yes:___No:___15. Are storage items arranged safely? Yes:___No:___16. Are there obstructions in any traffic aisles? Yes:___No:___17. Are first aid kits available and adequately stocked? Yes:___No:___18. Are restrooms being cleaned, maintained, and are there any plumbing leaks?

18

Yes:___No:___19. Are all electrical cords proper and in good condition? Yes:___No:___ 20. Are all emergency lighting and exit signs in operating condition and are there documented inspections? Yes:___No:___ 21. Is LOCKOUT/TAGOUT being utilized and documented? Yes:___No:___ 22. Are all chemicals labeled and stored properly? Yes:___No:___ 23. Are Material Safety Data Sheets up-to-date and located in area where chemicals are used? Yes:___No:___ 24. Are chemical spills being disposed of properly? Yes:___No:___ 25. Are all waste chemicals being recycled or properly disposed of? Yes:___No:___ 26. Are there adequate safety glasses where required, and are they being utilized? Yes:___No:___ 27. Are proper welding safety procedures being utilized? Yes:___No:___ 28. Are all machine guards and tool rests in place and properly adjusted? Yes:___No:___ 29. Are safety rules posted at machinery? Yes:___No:___ 30. Are ladders in good condition and being used properly? Yes:___No:___ 31. Are all containers labeled properly? Yes:___No:___ 32. Are labels on stored chemicals facing forward? Yes:___No:___ 33. Are all lifting devices and hoists in good condition, are they labeled as to load capacity, and are there documented inspections? Yes:___No:___ 34. Is pressure on compressed air lines used for cleaning purposes at the proper level and are the proper nozzles being used? _____________________ Date ______________________________________ Facility ______________________________________

19

Inspector

HSP 5.0 LOCKOUT/TAGOUT POLICY Lockout/Tagout Policy Statement Lockout/Tagout is the most positive method for isolating machines or equipment from energy sources. This Lockout/Tagout procedure establishes requirements for the lockout or tagout of energy isolating devices. Lockout/Tagout procedures are to be used to ensure that machines or equipment are isolated from all potentially hazardous energy before employees perform any servicing or maintenance activities where energizing start-up or release of stored energy could cause injury. It is the responsibility of all concerned to properly utilize Lockout/Tagout. Each employee must accept responsibility for his/her safety; therefore, it is the right of each employee to refuse, without the fear of retaliation, to work on equipment where improper lockout/tagout procedures have been utilized. Any employee confronted with this situation should report it, as soon as possible, to the safety director. The employee will be assured of complete confidentiality in this matter. If an employee knowingly performs work on equipment where improper lockout/tagout procedures have been followed, then that employee accepts full responsibility for any injuries incurred during the process. That employee will be subject to disciplinary action/s. LOCKOUT/TAGOUT RESPONSIBILITY

The Safety Director shall instruct affected employees in the safety significance of the Lockout/Tagout procedures as well as how to use those procedures.

• Only authorized employees may lockout or tagout machines or equipment. • Authorized employees are identified on each Hazardous Energy Control

Procedure form. New or transferred employees and any employees whose work operations are or may be in an affected area should be instructed in the purpose and use of lockout/tagout procedures.

• Affected employees are identified on each Hazardous Energy Control Procedure forms.

• Affected employees will be notified by authorized employees performing lockout/tagout whenever a lockout/tagout is to be initiated as well as when the equipment is being returned to service.

The Safety Director is responsible for approving all Hazardous Energy Control Procedures. The following people can give approvals of training.

• Safety Director • Principals • Maintenance Supervisor • Department/Area Supervisor

20

PREPARATION FOR LOCKOUT/TAGOUT

• Obtain the proper Hazardous Energy Control Procedure for the equipment or machine to be locked or tagged out.

• Determine if changes need to be made to the procedures based on any change to

equipment and/or personnel.

• Identify all affected employees that may be involved in the impending lockout/tagout.

• Obtain the necessary locks, tags, and devices to employ the lockout/tagout

procedure. LOCKOUT/TAGOUT INITIATION PROCEDURES All affected employees shall be notified that a lockout/tagout procedure is

going to be utilized and the reason for the procedure. This should be done by an authorized employee most familiar with the type and extend of energy that the machine or equipment uses or stores and shall understand the hazards therein.

• If the machine or equipment is operating, shut it down by the normal procedure. • Operate the switch, valve, or other energy isolating device(s) so the equipment is

isolated from its energy source(s) or stored energy, such as:

• That in springs • Elevated machine members • Rotating flywheels • Hydraulic/air systems • Gas • Steam • Water pressure, etc.

Lockout and/or tagout the energy isolating device(s) with assigned individual lock(s) or tag(s). After ensuring that no one is exposed and as a check on having disconnected the energy sources, operate the normal operating controls, if feasible, to make certain the machine or equipment will not operate. The machine or equipment can now be locked or tagged out.

21

CAUTION: Return operating controls to “neutral” or “off” after the test (de-energized state).

LOCKOUT/TAGOUT PROCEDURES FOR RESTORING MACHINES OR EQUIPMENT TO NORMAL OPERATION

Procedure for One Person

• After the servicing and/or maintenance is complete and the equipment

is ready for normal operations, check the area around the machines or equipment to ensure that no one is exposed.

• After all tools have been removed from the machine or equipment, guards

have been replaced, and everyone is in the clear, remove all lockout devices. Operate the energy isolating device(s) to restore energy to the

machine or equipment.

Procedure for More than One Person • If more than one person is required to lockout or tagout equipment, each

shall place his/her own personal lockout/tagout device on the energy isolating device(s).

• When an energy-isolating device cannot accept multiple locks or tags, a Multiple lockout or tagout devices (hasp) may be used.

• If lockout is used, a single lock may be used to lockout the machine or equipment with the key being placed in a lockout box or cabinet that allows the use of multiple locks to secure it. Each employee will then use his/her lock to secure the box or cabinet.

• As each person no longer needs to maintain his/her lock for protection, that person will remove his/her lock from the box or cabinet.

IV. TRAINING

The safety director or a designee will conduct training for affected employees.

In subject areas where required, teachers and instructors are responsible for explaining the Lockout/Tagout procedures to students. This should be an integral part of their safety training.

Students will not be allowed to perform Lockout/Tagout procedures. Only authorized Yadkin County School System employees may do so.

Training for affected employees will be conducted by the safety director or a Designee and consist of the following elements:

22

• Review of 29 CER 1910.147 “The Control of Hazardous Energy” requirements • Type and extent of energy sources

• Purpose of the Hazardous Energy Control Procedures

• How to isolate equipment for lockout/tagout

• Conditions for restarting machinery/equipment or removing tags

Lockout/tagout training will be given to affected employees prior to their initial involvement with any lockout/tagout operation.

Re-training will be given for affected employees whenever there is a change in:

• An employee’s job or work assignment • Machines or equipment

• Processes that present a new hazard or a change in the system’s

hazardous energy control procedure

• Procedures due to an annual inspection which identifies a deficiency ANNUAL INSPECTION

Each year the principal or site supervisor of each of the Yadkin County School system sites and the safety director will conduct an inspection of the Hazardous Energy Control Procedure. This will be accomplished by the following procedures: Review of the Hazardous Energy Control Procedure Form with authorized employees. The maintenance supervisor will observe the actual implementation of the Hazardous Energy Control Procedure. When Lockout is used, the Hazardous Energy Control Procedure will be reviewed with each authorized employee. Where tagout is used, the Hazardous Energy Control Procedure will be reviewed with both affected and authorized employees. The facility principal/supervisor will document the annual inspection/audit of the facilities Hazardous Energy Control Procedure. Documentation will consist of a written record of the annual inspection (APPENDIX C).

GROUP LOCKOUT/TAGOUT PROCEDURES When it is necessary for several people to be involved in a lockout/tagout procedure, the most qualified, authorized employee will be designated as responsible for the lockout/tagout.

23

The Hazardous Energy Control Procedure will be reviewed with each group member. If more than one crew, department, teacher/instructor, and group of students etc. are involved, one authorized employee, teacher, or instructor will coordinate the lockout/tagout to ensure that all control measures are applied and that there is continuity of protection for each group member. Each authorized employee will affix the lockout or tagout device to the group lockout. Each lock must be identifiable to the employee. Each authorized employee will remove their lockout or tagout device when they stop working on the equipment or machine being serviced.

OUTSIDE SERVICE OR CONTRACTOR PERSONNEL

Outside personnel or contractors involved in operations relating to equipment or machinery that may affect system employees, or is deemed a liability to the system, must submit their energy control procedure to the Maintenance Supervisor. Affected employees must be trained and notified as outline in this written program. The supervisor responsible for the affected area will ensure that outside personnel and affected employees are informed of the proper procedure.

HAZARDOUS ENERGY CONTROL PROCEDURE FORMS

Each facility is required to develop a specific Hazardous Energy Control Procedure form for each machine or piece of equipment at the facility. The facility principal/supervisor and maintenance supervisor will be responsible for completing this form.

The Hazardous Energy Control Form will contain the following information: (APPENDIX D)

• Specific identity of the machine or equipment evaluated • Operator controls that are available for authorized and affected employees to use

• Identity of all energy sources and their capacity to be restrained, locked out,

or the energy dissipated.

• Specific step-by-step shut down procedure for the machine or equipment

24

• Necessary steps to safely restart the equipment or machinery

• Identify and develop specific procedures for minor service activities that are performed during normal operations, such as (jam clearing, adjustments, or tool changes) to protect employees when conducting these operations must be developed. • List of employees who are authorized to conduct lockout/tagout of machinery or equipment and employees or students who are affected by this procedure. (This will help ensure that affected and authorized employees are notified during lockout/tagout procedures). • List of employees completing the Hazardous Energy Control Procedures, along with signatures of supervisors giving approval.

25

HSP 6.0 ELECTRICAL SAFETY-RELATED WORK PRACTICES Safety-related work practices shall be implemented to prevent electric shock or electrical contacts when work is performed near or on potentially energized equipment or circuits. Live parts shall be de-energized before the employee works on them unless it can be established that de-energizing is not feasible due to design of equipment or operational limitations. If exposed live parts are not de-energized for the above reasons, other safety practices shall be used to protect employees. Only qualified persons may work on energized circuits or equipment. They must be capable of working safely on energized circuits and know the proper use of special precautions, personal protective equipment, insulating and shielding materials, and insulated tools.

WORKING ON OR NEAR EXPOSED ENERGIZED PARTS

Application – This applies to working on or being near enough to be exposed to energized parts or any electrical hazards. Conductors and parts of electric equipment that have been energized but have not been locked out or tagged shall be treated as energized. Locking and Tagging – While any employee is exposed to contact with parts of fixed electric equipment or circuits which have been energized, the circuits shall be locked out and/or tagged. The machine or equipment can then be locked or tagged out.

ELECTRICAL SAFETY-RELATED PROCEDURES These written procedures shall be available for inspection by employees and by the

Commissioner of Labor or authorized representative(s).

• Stored non-electrical energy that could re-energize electrical circuits shall be effectively blocked or relieved. • A qualified person shall use test equipment (volt-ohm meter, etc.) and shall

verify that the circuits and equipment are energized. If the circuit is over 600 volts, the test equipment shall be checked for proper operation immediately before and immediately after this test.

• De-Energizing Equipment – Safe procedures for de-energizing circuits and

equipment must be determined before circuits or equipment is energized.

• The circuits and equipment to be worked on must be disconnected from all electric energy sources. Control circuit devices, such as push buttons, selector switches, and interlocks will not be used as the sole means for de-energizing circuits or equipment. Interlocks for electric equipment will not be used as a substitute for lockout and tagging procedures.

26

• Stored electric energy that could endanger employees must be released.

Capacitors must be discharged and high capacity elements must be short- circuited and grounded.

• Stored non-electrical energy devices that could re-energize electric circuit parts must be blocked or relieved so that the circuit parts could not be accidentally energized.

APPLICATION OF LOCKS AND TAGS. A lock and tag must be placed on each disconnect used to de-energize circuits and equipment on which work is to be performed. The lock shall be attached so as to prevent an unauthorized person from engaging the disconnect unless they resort to undue force. Each tag shall contain a statement prohibiting the unauthorized operation of the disconnect and removal of the tag.

If a lock cannot be applied, or tagging procedures will provide a level of safety equivalent to that obtained by the use of a lock, a tag may be used without a lock. Use APPENDIX E when determining whether you may use tags without locks. A tag used without a lock shall be supplemented by at least one additional safety measure that provides a level of safety equivalent to that obtained by the use of a lock. Examples of additional safety measures include the removal of a fuse, blocking a controlling switch, or opening an extra disconnect.

A lock may be placed without a tag only under the following conditions:

• Only one circuit or piece of equipment is energized; • The lockout period does not extend beyond the work shift;

• Employees exposed to the hazards associated with re-energizing the

Circuit or equipment is familiar with this procedure. VERIFICATION OF ENERGIZED CONDITION The requirements of this paragraph shall be met before any circuits or equipment can be worked as energized.

• A qualified person shall operate the equipment controls or otherwise verify that the equipment cannot be restarted.

• A qualified person shall use test equipment (volt-ohm meter, etc.) to test circuit

elements and electrical parts of equipment to which employees will be exposed and shall verify that the circuit elements and equipment parts are energized. The

27

test shall also determine if any energized condition exists as a result of inadvertently induced voltage or unrelated voltage back feed even though specific parts of the circuit have been energized and presumed to be safe. If the circuit to be tested is over 600 volts, the test equipment shall be checked for proper operation immediately before and immediately after this test.

RE-ENERGIZING EQUIPMENT These requirements shall be met, in the order given, before equipment or circuits are re-energized, even temporarily. A qualified person shall conduct tests and visual inspections to verify that all tools, electrical jumpers, shorts, grounds and other such devices have been removed, so that the circuits and equipment can be safely energized. Employees exposed to the hazards of the re-energizing of a circuit or equipment shall be warned to stay clear of circuits and equipment. Each lock and tag shall be removed by the employee who applied it or under his or her direct supervision. However, if this employee is absent from the workplace, the lock or tag may be removed by any qualified person designated to perform this task provided that:

• The employer ensures that the employee who applied the lock or tag is not available at the workplace;

• The supervisor ensures that the employee is aware that the lock or tag has been

removed before he or she resumes work at the workplace.

There shall be a visual determination that all employees are clear of the circuits and equipment.

CHANGING BALLAST Only “qualified” maintenance personnel are allowed to perform electrical maintenance. The maintenance supervisor will determine who will do and when electrical service will be done. It is the maintenance supervisor’s responsibility to insure that employees under his supervision utilize proper lockout/tagout procedures. It is also the maintenance supervisor’s responsibility to designate, when it is not feasible for him/her to do so, a lead person to insure that proper lockout/tagout procedures are followed. Notify all affected employees that lockout/tagout procedure is going to be utilized and give the reason for the procedure. The authorized employee utilizing the lockout/tagout procedure shall know the type and extent of energy and shall understand the hazards thereof.

28

To change a ballast, the following procedure must be observed:

• Inform affected personnel of procedure • Cut electrical power, lock and tag out affected light

• Remove old ballast and install new ballast utilizing wire nuts to reconnect wires.

• After everything is secure remove lock and tag.

• Inform affected personnel of ensuing reconnection of electrical power.

• Turn on power.

• Clean work area.

• Document procedure on lockout/tagout form.

29

HSP 7.0 PERSONAL PROTECTION GENERAL It is the responsibility of principals and supervisors to see that proper personal protection supplies are available at each facility.

It is the principal’s/supervisor’s responsibility to ensure that all employees are properly screened, fitted, and trained in the use of special protective devices such as safety glasses, hoods, safety belts, etc., and that all protective devices are properly used.

It is the responsibility of the employees to use the protective devices as directed. Failure to do so will result in immediate disciplinary action. Shields should be available and worn when necessary for employees with prescription glasses. Employees have the option of purchasing their own prescription safety glasses. It is the responsibility of teachers, instructors, and coaches to insure the proper use of safety equipment by the students. Supervisors, teachers, instructors, and coaches should develop a list/inventory of safety equipment needed, or required at their work area, site, classroom, lab, or job duty.

EYE PROTECTION

When there is risk of flying objects or high velocity particles are generated from chipping, grinding, sawing, mowing, etc., safety glasses with side shields are required. When exposed to battery acid, corrosives, or hazardous chemicals, full-face shields must be worn. This is to include attaching jumper cables and battery charger cables. Face shields should be standard equipment with batter chargers and jumper cables. When chemicals or acids come in contact with the eye, burning starts immediately. To reduce the amount of damage to the eye, it is imperative that you flush your eye(s) with water as soon as possible. Safety glasses with side shields are required when using compressed air for cleaning and when using powered fasteners. Goggles must be worn while grinding or while working near someone who is grinding.

FIRST AID If you have n object in your eye:

• Never attempt to remove any object embedded in your or anyone’ eye.

• Flush the eye with water to remove any loose foreign objects.

30

• Do not rub your eye. These can scratch the eye or embed the object.

• If an object cannot be rinsed out, immobilize the eye with a bandage.

• Notify your supervisor immediately.

• Get medical attention as needed.

If you get a chemical in your eye(s)

• Move quickly or ask for help to be moved to an eyewash station • Hold your eyes open with your fingers and look directly into the stream of water

and call for help if needed.

• Flush your eyes for at least fifteen minutes.

• Notify your supervisor.

• Get additional medical attention as needed.

An eyewash station must be available in the battery charging area and any area where hazardous chemicals are used.

MECHANICAL AND ELECTRICAL EQUIPMENT SAFEGUARDS

No electrically operated tool or piece of equipment is to be operated with defective grounding or damaged wiring. Ground Fault Protection – All electrical power tools, cords, and temporary outlets are to be protected by grounding. Ground Fault Circuit Interrupter Option – Approved ground fault circuit protection for all 120-volt, single phase, 15 and 20 ampere receptacle outlets is required within 36 inches of a water source (sinks or water fountain). Defective Equipment Safeguards

• Any tool or piece of equipment with defective, missing, or damaged guards or power cord must be immediately withdrawn from service and repaired. Remember to use proper lockout/tagout

• In the event the repair cannot be made immediately, the piece of equipment must

be rendered “safe” by at least one of the following:

31

• Disabling – cut off power, remove cord/plug, disable fuel supply system, etc.

• Lockout or tagout “Machine unsafe. Do not use until repaired.”

• Placed in a storage bin/box/shelf clearly labeled “Defective

Equipment – Do not Use” FIRE PROTECTION/PREVENTION

Each principal will inspect each of the buildings in his charge at least twice each month during the regular school session, in accordance with the General Statues of the State of North Carolina and such other regulations may be prescribed for fire safety by the Commissioner of Insurance and the State Board of Education; and each principal will file with the superintendent a report of such inspections once a month during the regular school session.

(PRINCIPAL’S MONTHLY FIRE DRILL AND INSPECTION REPORT) Example labeled APPENDEX h at the end of this policy. YADKIN COUNTY, NC, BOARD OF EDUCATION ADOPED: November 4, 1985 The school administration will cooperate in every way possible in the inspection of buildings and school facilities by local fire authorities and will comply with their recommendations as soon as possible. Principals and other administrators will seek the counsel of, and cooperate with, fire authorities in matters of planning and executing fire drills, housekeeping, and building safety. As soon as possible in the school year, each principal will invite representatives from the local fire department to conduct an inspection of the school building(s). A report of the local fire department inspection will be forwarded to the superintendent and Board of Education. YADKIN COUNTY, NC, BOARD OF EDUCATION ADOPTED: November 4,1990 REVISED: February, 1990 LEGAL REF.: G.S. 115C-525 A fire control program at all Yadkin County School System sites will include continued monitoring of two separate but related functions, which are:

• Fire Prevention – controlling possible fire hazards.

• Fire Protection – planning for immediate recognition and extinguishing of fires once they occur.

The first responsibility in the event of a fire is the safety of the students and employees. If a fire is not suppressed the minute it starts, extinguishers may not be able to control it. Therefore, it is necessary to alert those involved (at the beginning of a project or projects

32

where fire is a possibility), of the facility’s procedures for alerting all on the job to evacuate.

• Portable fire protection, suitable for the fire hazard involved, should be provided for each 3,000 cubic feet of work area. For multi-story buildings (or job sites with scattered work areas) at least one portable fire extinguisher (or suitable substitute) should be provided per floor (or area).

• Suitable portable fire protection should be available when utilizing heat-

generating equipment.

• Turn in all fire extinguishers for recharge after use. Inspect monthly.

• All flammable liquids will be dispensed from an approved-grounded container.

• The engines of all equipment shall be shut off during refueling.

• Schools will keep records of monthly fire drills for at least five years.

• To educate students on proper procedures when dealing with fires, and possible fire hazards within the school, classroom or lab, fire safety should be an integral part of a teacher’s or instructor’s safety instructions.

33

HSP 8.0 ACCIDENT INVESTIGATION TYPES OF ACCIDENTS TO BE INVESTIGATED It is the responsibility of the principal or supervisor to investigate the following types of accidents.

All accidents that occur at the site that involves system owned or leased equipment and results in injuries to members of the public, students, and/or employees that require a doctor’s attention, must be investigated. All accidents where a need is indicated because of the type of exposure, frequency, etc., must be investigated. This will include some accidents that only require first aid and some where there was no injury, but where the potential for injury does exist.

ACCIDENT INVESTIGATION PROCEDURES

Accident investigation reports must be completed by the principal or supervisor and a copy retained in the Accident Investigation File. All reports must be complete, stating what happened, why it happened, and recommended corrective steps to be taken to prevent it from happening again. Fill in all blanks. Reports will be used by system administration to determine that:

• A thorough investigation was conducted; • An effective corrective action was developed;

• When necessary, disciplinary actions were taken;

• If there is a possibility that the same or similar situation(s) exists on other jobs, in

other areas, or at other sites the principal or supervisor is responsible for informing the safety director and anyone who might be directly affected of the problem and corrective measures taken or needed.

ACCIDENT AND INJURIES REPORTING

Any Accident resulting in injury to an employee or student should be reported immediately. If the accident is recordable, the employee will immediately inform the principal or supervisor and complete an employee/student accident report form.

34

Any accidents involving property damage (no injuries) should be reported promptly to the principal or supervisor. When an ambulance and/or doctor must be called to the scene of an accident:

• Give a clear and exact location of the accident;

• Report the nature of the injury;

• Report any treatment or first aid that has been administered to the injured;

• If an accident or illness occurs at a school requiring an ambulance, remind the 911 communication center that the ambulance siren needs to be turned off before approaching the school to prevent unnecessary disruption of students and /or anyone not involved with the accident;

• All recordable accidents must be reported to the insurance company.

The Student Accident Report Form is located in APPENDIX A.

35

HSP 9.0 WORK PLACE CONDITIONS

HOUSEKEEPING

To eliminate the possibility of health hazards or fires, work areas, restroom, classroom, food service areas, and storage areas will be organized, maintained, and kept clean. All traffic aisles will be kept clear.

GENERAL OFFICE AND JOB SAFETY REQUIREMENTS A copy of the “Occupational Safety and Health Regulations” should be kept at each site.

A current OSHA Poster “Safety and Health Protection On-The-Job” must be prominently displayed at each facility. OSHA Form 200 –Log and Summary of Occupational injuries and illness should be maintained at each System facility. Each facility will post emergency phone numbers listing the following:

• Hospital • Ambulance

• Fire Department

• Emergency Coordinator

• Poison Control Center

• Physician(s)

At any facility, should the need of a physician, ambulance, or fire department develop, immediately advise the principal/site supervisor or other facility supervisor. The System Safety Policy should be kept at each facility and all employees should be notified of its availability. A first aid kit complying with OSHA approved standards (in a weatherproof container and approved by a consulting physician) must be kept at each facility. One qualified person and a backup person should be responsible for access to and use of this kit. It is the responsibility of all the System’s site principals or supervisors to read, study, and acquire a good understanding of the System’s Health and Safety Policy. It is also the responsibility of all the System’s site principals or supervisors to inform and make available to all the employees under their supervision the System’ Health and Safety

36

Policy. Knowing that ignorance is no excuse when it comes to health and safety, each site principal or supervisor should strongly recommend that all the employees under their supervision read the System’s Health and Safety Policy. To better accomplish this each school should make extra copies of the policy. A copy should be kept in each department for reference. A facility safety inspection checklist should be on file at each facility. Stock or Stored Material

• Whenever merchandise or material is pulled from stock, the remaining material or boxes should be squared off and stacked neatly.

• Stock or material should not extend over the edge of a shelf.

• Stock or material should be stacked straight and not allowed to lean.

• A larger box or material should not be placed on top of a smaller box or material.

• Boxes should sit flat on an even surface.

• Other boxes or materials should not be placed on top of crushed boxes. If a lower

box becomes crushed, it should be pulled out and placed on top of the stack.

• Boxes or materials should be stacked no closer than 18” to any sprinkler heads. FOOD SERVICES Sanitation

• The Yadkin County School System strives to provide and maintain a healthy, sanitary work place and environment for its employees and students. This is done in an effort to abate or prevent the spread of any communicable diseases. This can be done only through the efforts of all the Yadkin County School System employees. Before we can have a productive learning environment, we must have a healthy learning environment.

• All areas of food services will be maintained, cleaned and sanitized. Anyone

involved in food service at any of the Yadkin County School System sites, whether in the cafeterias or any area where food is being served will follow strict sanitary/hygienic guidelines.

• Sanitation Supplies: It is the responsibility of the maintenance supervisor,

school/site principals/supervisors and custodial employees to supply and maintain adequate, approved sanitation materials and supplies. These materials/supplies should be maintained at all the cafeterias and in all bathrooms. Each cafeteria and

37

custodial manager is responsible for knowing, enforcing, and utilizing their respective, sanitary procedures.

• Preparing and Serving Food: Anyone preparing or serving food must wash

his/her hands before preparing or serving food, handling of any utensils, trays, plates, or equipment used in the preparation or serving of food. This includes any employees, students, substitutes or volunteers.

Responsibilities: It is the responsibility of the cafeteria managers to know the proper, required food preparation, handling, storage, and serving procedures, and to insure that they are followed. It is the responsibility of any employee preparing food, or supervising students preparing food to know and follow proper food storage, preparation, handling and serving procedures. Washing Hands: All cafeteria workers are required by law to wash their hands anytime they change activities in the kitchen, before they handle food, or perform any activity pertaining to the preparation or serving of food. • Employees preparing food to be consumed by students must wash their hands

before handling food, when changing from one food preparation activity to another food preparation activity, and after returning from the restroom.

• Students should wash their hands after going to the restroom or before eating.

This is to include before eating in the cafeteria, before eating a snack, or before eating at any school sponsored event. This should be an integral part of an elementary student’s education. This will help eliminate any food-born illness, and will reduce the spread of normal childhood illnesses.

Non-School Food: Any food brought to the schools, to be consumed by students, must be prepared by a state or federally controlled, licensed food preparation company or business. Any prepackaged food is not to be opened until it is ready to be prepared for serving or served. No student or employee is to bring food, prepared at home, to school or to a school sponsored event to be consumed by students. All food service area must be properly cleaned with an approved cleaner/sanitizer (bleach and water) solution.

38

HSP 10.0 HAZARD COMMUNICATION PROGRAM

GENERAL

To comply with the Federal Hazard Communication Standards (29 CFR 1910.100 and 1926.59) as required by the Occupational Safety and Health Administration, the following Hazard Communication Program has been established. The following pages document the actions taken regarding hazardous materials and chemicals, Safety data sheets, labeling, and employee information and training. This program will be available in each principal’s/supervisor’s office for review by all employees at any time.

EMPLOYEES TRAINING AND INFORMATION

Before starting work, each new employee will undergo the necessary safety training needed for their job duties, which will include the following:

• The System’s Hazard Communication Program

• Processes used within their department

• Hazardous material/chemicals inventory lists for their department and how to use them.

• Safety Data Sheets (SDS)

• Hazardous material/chemical labeling requirements

• How exposure to hazardous material/chemicals can be controlled by such means

as work practices and personal protective equipment, both during normal use and emergencies.

• What the system had done to lessen or prevent workers exposure to hazardous

material/chemicals.

• Procedures to follow if exposed to hazardous chemicals.

After receiving the safety training, each employee will sign a form (sample attached) stating that he/she has received the training outlined above. Before any new hazardous product is introduced into any department, each employee will be given information in the same manner as when newly hired. The area supervisor, teacher, coach, manager, custodial supervisor or instructor will be responsible for ensuring that SDS for a new product(s) is available. He/she is responsible for a copy of each SDS, and for placing a copy in the SDS folder in the site’s main office. The area supervisor, teacher, instructor, coach, manager or custodian supervisor is responsible for placing any new hazardous chemical’s or material’s information on the Hazardous material’s/chemical’s inventory.

39

The maintenance supervisor is responsible for ensuring that any new or existing chemical or hazardous material he introduces into the system has an accompanying SDS. Periodic Safety meetings will be held within each department and hazardous products/chemicals used in the department will be discussed. Attendance is mandatory for all employees. Notices will be posted on the employees’ bulletin boards that provide an explanation of the container labeling system and the location of the written hazard communication program.

CONTAINER LABELING

The department/area supervisors, manager, custodial supervisors, maintenance supervisor, affected teachers, instructors and coaches will verify that all hazardous material/chemical containers received by them for use at the site or department are clearly labeled with: Trade name of product: Clearly marked what the chemical/product is. Name and address: Marked with manufacturer information

Pictogram: a symbol plus other graphic elements, such as a border, background pattern, or color that is intended to convey specific information about the hazards of a chemical. Each pictogram consists of a different symbol on a white background within a red square frame set on a point (i.e. a red diamond). There are nine pictograms under the GHS. However, only eight pictograms are required under the HCS.

Signal words: a single word used to indicate the relative level of severity of hazard and alert the reader to a potential hazard on the label. The signal words used are "danger" and "warning." "Danger" is used for the more severe hazards, while "warning" is used for less severe hazards.

Hazard Statement: a statement assigned to a hazard class and category that describes the nature of the hazard(s) of a chemical, including, where appropriate, the degree of hazard.

Precautionary Statement: a phrase that describes recommended measures to be taken to minimize or prevent adverse effects resulting from exposure to a hazardous chemical, or improper storage or handling of a hazardous chemical.

No containers will be released for use until the above data is verified. Material in unlabeled piping will be addressed in the same manner.

TRANSFER OF CONTAINER

If hazardous materials/chemicals are transferred from their original shipping containers to other containers, those containers should be labeled with the appropriate information as stated above.

SAFETY DATA SHEETS (SDS)

It the system’s policy not to use any hazardous chemicals for which no SDS has been received. We therefore must require all suppliers of hazardous chemicals to provide

40

appropriate SDS. Our system will not accept any new hazardous materials without an accompanying SDS. Copies of SDS for all hazardous products to which department employees and students may be exposed must be kept in the supervisor’s, teacher’s, instructor’s, coach’s, manager’s, or custodial supervisor’s office, lab or classroom and in the facility’s office. Copies of SDS will be made available to any employee upon request. It is important to know what an SDS is and what it is designed to do; they help to identify health and physical hazards of the chemicals you work with. While SDS may take different shapes, they must contain all the information identified.

Hazard Communication Safety Data Sheets

The Hazard Communication Standard (HCS) requires chemical manufacturers, distributors, or importers to provide Safety Data Sheets (SDSs) (formerly known as Material Safety Data Sheets or MSDSs) to communicate the hazards of hazardous chemical products. As of June 1, 2015, the HCS will require new SDSs to be in a uniform format, and include the section numbers, the headings, and associated information under the headings below:

Section 1, Identification includes product identifier; manufacturer or distributor name, address, phone number; emergency phone number; recommended use; restrictions on use.

Section 2, Hazard(s) identification includes all hazards regarding the chemical; required label elements.

Section 3, Composition/information on ingredients includes information on chemical ingredients; trade secret claims.

Section 4, First-aid measures includes important symptoms/ effects, acute, delayed; required treatment.

Section 5, Fire-fighting measures lists suitable extinguishing techniques, equipment; chemical hazards from fire.

Section 6, Accidental release measures lists emergency procedures; protective equipment; proper methods of containment and cleanup.

Section 7, Handling and storage lists precautions for safe handling and storage, including incompatibilities.

Section 8, Exposure controls/personal protection lists OSHA's Permissible Exposure Limits (PELs); Threshold Limit Values (TLVs); appropriate engineering controls; personal protective equipment (PPE).

Section 9, Physical and chemical properties lists the chemical's characteristics.

Section 10, Stability and reactivity lists chemical stability and possibility of hazardous reactions.

Section 11, Toxicological information includes routes of exposure; related symptoms, acute and chronic effects; numerical measures of toxicity.

Section 12, Ecological information*

41

Section 13, Disposal considerations*

Section 14, Transport information*

Section 15, Regulatory information*

Section 16, Other information, includes the date of preparation or last revision.

It is the responsibility of teachers and instructors to inform their students of any hazardous materials/chemicals that will be used in the classroom or lab. It is also the teachers and instructors responsibility to monitor and limit the students’ use of such hazardous materials and chemicals to only that deemed necessary of their instruction.

ADDITIONAL PROVISIONS

Information for Contractors: It is the responsibility of the facility principal or supervisor to coordinate with contracted supervisors to ensure that contractors and their employees are provided with the following information prior to entering the work site.

• Hazardous products they may be exposed to while at the job site. • Measures the employees should take to lessen the possibility of exposure to

hazardous material.

• Steps the system has taken to lessen the risks of exposure.

• Procedures to follow if they are exposed to any hazardous material or chemical.

Contractors must notify the facility principal/supervisor, or the appropriate administrator of any hazardous materials they will be using. All affected site employees must be given this information.

HAZARDOUS NON-ROUTINE TASKS

It is the System’s policy that no employee will begin any “non-routine” task without first receiving a safety briefing. Each “non-routine” task must be described in detail and the following information discussed:

• Specific material/chemical hazards

• Protective equipment and safety measures the employee(s) use

• Measures the system/site has taken to lessen the hazards (engineering controls, protective equipment, additional employees, and emergency procedures)

42

INVENTORY OF HAZARDOUS MATERIALS Attached is an Inventory of Hazardous Materials/Chemicals Form. This form should contain all the hazardous materials and chemicals used in each department, cafeteria, area, lab, or classroom. The list should be arranged alphabetically by either the chemical name or common name as identified on the SDS and container labels. Further information of each hazardous material/chemical listed can be obtained by reviewing the product’s SDS in the supervisor’s or site’s main office. (Use the corresponding SDS # for quick reference).

HAZARDOUS MATERIAL AND CHEMICALS

SITE NAME:____________________________________________________ PRODUCT NAME: AREA LOCATED: MANUFACTURER’S ADDRESS: MANUFACTURER’S PHONE #: SDS#: PRODUCT NAME: AREA LOCATED: MANUFACTURER’S ADDRESS: MANUFACTURER’S PHONE #: SDS#: PRODUCT NAME: AREA LOCATED: MANUFACTURER’S ADDRESS: MANUFACTURER’S PHONE #: SDS#: Principal/Supervisor/Teacher/Instructor: ___________________________________

43

EMPLOYEE ACKNOWLEDMENT OF HAZARDOUS COMMUNICATION

TRAINING

I______________________________, as directed in the Yadkin County School System’s Health and Safety Policy, have received training on the system’s Hazard Communication Program. The materials and processes used in my work area have been explained. I understand that it is my duty to review the safety data sheets (SDS) for any hazardous materials or chemicals that I may be exposed to while performing my present, and any future, work duties. ____________________________________ ________________________ Employee’s Signature Date

44

HSP 11.0 EXPOSURE CONTROL PLAN GUIDELINES FOR HANDLING

BODY FLUIDS AND BLOODBORNE PATHOGENS

PURPOSE

The Yadkin County School System is committed to providing a safe working environment and strives to eliminate or minimize occupational exposure to Hepatitis B Virus (HBV), Human Immunodeficiency Virus (HIV) and other bloodborne pathogens. Exposure can be minimized or eliminated using a combination of protective clothing and equipment, training and education, Hepatitis B vaccination, signs, labels, and other provisions. The purpose of this regulation is to outline the Exposure Control Plan being used by the Yadkin County School System to protect those employees who may be exposed to body fluids and, in particular, published in the Federal Register. This Exposure Control Plan shall be reviewed and/or revised at least annually and whenever necessary to reflect new or modified procedures which affect occupational exposure.

PERSONNEL AFFECTED

This regulation applies to all employees who could be “reasonably anticipated” to face contact with blood or other potentially infectious materials or occupational exposure to bloodborne pathogens as the result of performing required job duties. “Occupational exposure” includes any reasonably anticipated skin, eye, mucous membrane, or parenteral (brought into the body through some way other than the digestive tract) contact with blood or other potentially infectious materials that may result from the performance of an employee’s duties. According to the North Carolina Department of Labor’s “Occupational Safety and Health Bloodborne Pathogen Standard” (printed 5/92), “Good Samaritan” acts, such as assisting a co-worker or student with a nosebleed, would not be considered “reasonably anticipated occupational exposure.” These employees include, but are not limited to:

Category I

• Nurses

• Housekeeping personnel who are assigned to perform specified tasks that involve contact

• Secretaries and clerical assistants delegated tasks of first aid and emergency care

for students and employees

45

• Coaches, physical education teachers, and designated personnel who are responsible for first aid

• Special education personnel who are assigned to perform specified tasks that

involve contact with body fluids on a regular basis

• Health Occupations Level II and III Students

Category II

• Maintenance employees who are assigned to perform specified tasks that involve

contact with body fluids on a regular basis

• Vocational Education Personnel

• Center for Developmental Resources Personnel who are delegated tasks of first aid and emergency care for clients

• Preschool program Directors and Assistants who are delegated tasks of first aid

and emergency care for children

• After School Program Directors who are delegated tasks of first aid and emergency care for children

• Physical Education Teachers who are delegated task of first aid and emergency

care for students

• Administrators who are delegated task of first aid and emergency care for students

Category III

• All other job classifications that do not entail predictable or unpredictable exposure to blood or body fluids

• Any employee whose job classification that is undetermined will be asked to

complete an employee exposure determination questionnaire. The category level of job classification will be determined following completion of this form.

TESTING AND EXAMINATION

An employee who suspects that he/she has a blood or body fluid exposure may request to be tested at the Yadkin County School System’s expense, provided that the suspected exposure poses a significant risk of exposure as defined in the rules of the Health Services Commission. The source individual’s test results will be made available to the exposed employee with or without the source individual’s permission, as long as

46

significant risk of exposure has occurred (Communicable Disease Control Measure 15A NCAC 19A.0202 (4) adopted by the North Carolina Health Services Commission). The Yadkin County School System shall strictly adhere to existing confidentiality rules and laws regarding employees with communicable diseases, including HIV or HIV-associated conditions.

ANTI-DISCRIMINATION

The Yadkin County Board of Education shall not discriminate against any applicant or employee who has or is suspected of having HIV infection or AIDS. An employee with HIV infection or AIDS may continue to work as long as the employee is able to satisfactorily perform the duties of his/her job and there is no medical evidence indicating that the employee’s condition is a health threat to co-workers, student, or the public.

POLICY AVAILABILITY

A copy of the Yadkin County School System’s Health and Safety Policy that includes the Bloodborne Pathogen Guidelines will be made available to employees at each work site. This policy will be reviewed annually by the school nurses. Documentation of the review will be found in the Bloodborne Pathogens manual at each school site.

47

HSP 12.0 YADKIN COUNTY SCHOOLS GUIDELINES FOR HANDLING BODY FLUIDS AND BLOODBORNE PATHOGENS

SPECIFIC APPLICATIONS

These guidelines apply to all working employees and Health Occupation Level II students in the Yadkin County School System. All occupational exposures to blood or other potentially infectious materials as defined in the following section of this document are covered.

DEFINITIONS

Bloodborne Pathogens – Pathogenic microorganisms that are present in humans. These pathogens include but are not limited to Hepatitis B Virus (HBV) and human Immunodeficiency Virus (HIV). Contaminated – The presence or the reasonable anticipated presence of blood or other potentially infectious materials on an item or surface. Decontamination – The use of a physical or chemical means to remove, inactivate, or destroy bloodborne pathogens on a surface or item to the point where they are no longer capable of transmitting infectious particles and the surface or item is rendered safe for handling, use or disposal. Engineering Controls – Controls (e.g., sharps, disposal containers, self-sheathing needles) that isolate or remove the bloodborne pathogens hazard from the work place. Exposure Incident – A specific eye, mouth, other mucous membrane, non-intact skin or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee’s duties. Licensed Healthcare Professional – A person legally permitted, within the scope of practice which allows him or her to independently perform the activities required for Hepatitis B Vaccination and post-exposure evaluation and follow-up. Occupational Exposure – Reasonably anticipated skin, eye, mucous membrane or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee’s Health Occupation Level II Student’s duties. (“Good Samaritan Acts”), an employee’s rendering assistance to accident victims, or other exposures that cannot be “anticipated” do not constitute occupational exposure

48

(page vii, North Carolina Occupational Safety and Health Bloodborne Pathogens Standard, March 6, 1992). Other Potentially Infectious Materials – Includes the following human body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures and any body fluid that is contaminated with blood. Parenteral – The piercing of mucous membranes or the skin barrier through such events as needle sticks, human bites, cuts, or abrasions.

Protective Equipment – Specialized clothing or equipment worn by an employee/Health Occupation Level II Student for protection against hazards. General work clothes (e.g., uniforms, pants, shirts or blouses) not intended to function as protection against hazards is not considered to be personal protective equipment. Reasonably Anticipated – An exposure is certain, based on tasks assigned to the employee/Health Occupation Level II Student as a requirement of the job or instructional assignments. Examples are job tasks/assignments where employees/Health Occupation Level II Students are required to handle blood or blood products. “Good Samaritan Acts” (employee/Health Occupation Level II Student rendering of assistance to accident victims, or other exposures that cannot be “anticipated”), do not constitute occupational exposure. Regulated Waste – Liquid or semi-liquid blood or other potentially infectious materials; contaminated items that would release blood or other potentially infectious materials in liquid or semi-liquid state if compressed; items that are caked with dried blood or potentially infectious materials and are capable of releasing these materials during handling; contaminated sharps; and pathological and micro-biological wastes containing blood or other potentially infectious materials. Source Individual – Any individual, living or dead, whose blood or other potentially infectious materials may be a source of occupational exposure to the employee/Health Occupation Level II Student. Examples include, but are not limited to, students in classes for the developmentally disabled; trauma victims; students in drug and alcohol treatment programs; and individuals who donate or sell blood or blood components. Sterilize – The use of a physical or chemical procedure to destroy all microbial life including highly resistant bacterial components. Universal Precautions – An approach to infection whose concept is that all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, and other bloodborne pathogens. Work Practice Controls – Controls that reduce the likelihood of exposure by altering the manner in which a task is performed (e.g., diapering students unable to control bodily

49

excretion functions, requiring that blood stained glass be picked up with tongs or a dust pan and brush).

STANDARD OPERATION PROCEDURES FOR PREVENTION OF DISEASE(s) CAUSED BY BLOODBORN PATHOGENS

Exposure Determination and Identification of Job Classifications and Exposure Categories – A committee appointed by the Superintendent shall determine in accordance with federal regulations 29 CFR 1910.1030 (c) which classifications of employees/Health Occupation Level II Students, in addition to those specified above, are subject to occupational exposure to bloodborne pathogens. All job tasks and procedures are classified into one of three categories to facilitate exposure determination.

• Category I- A list of job classifications in which all employees in the classification perform assigned tasks that involve occupational exposure to bloodborne pathogens;

• Category II- A list of job classifications in which some employees in the

classification perform assigned tasks that may result in occupational exposure to bloodborne pathogens; including a list of all tasks and procedures or group of closely related tasks and procedures in which occupational exposure occurs;

• Category III- Job classifications that do not entail predictable or unpredictable

exposure to blood or body fluids.

Universal Precautions – Universal precautions minimize the risk of exposure to HIV and other infections by reducing the chance of exposure to students’ and other employees’ blood or body fluids. Since it is often not possible to know when an individual may be infected with the HIV or other bloodborne agents, the consistent use of protective barriers and practices for avoiding exposure to potentially infected blood and body fluids is the most reliable method of minimizing transmission risks. The use of “universal precautions” has been advocated by the Centers for Disease Control (CDC) and is currently mandated by OSHA. Universal precautions emphasize the need for all employees/Health Occupation Level II Students to consider all students and others as potentially infected with HIV or other bloodborne agents. All employees/Health Occupation Level II Students shall adopt the practice of universal precautions to minimize the risk of transmission of HIV and other bloodborne agents, either from students to staff or staff to students.

• Many schools already have procedures for handling spills of body fluids (vomitus, feces, urine, and blood). Since body fluids may contain a variety of germs (bacteria and viruses), it is important for all school personnel to know how to clean them up properly to prevent the spread of infection to students, to school personnel and to themselves.

50

• While body fluids often contain various germs, it is unusual for illness to be

spread in this manner when ordinary hygiene practices are observed. In order to cause disease, a germ must find its way to the part of the body it infects through a special route (the eye, mouth, nose, or break in the skin). It must also enter in sufficient numbers to cause infection. Most body fluids contain too few germs to cause infection unless they are placed directly in the blood stream or people fail to wash their hands after contamination and place their hands on contaminated food or objects into their mouths. Though this is unlikely to occur, it is important for all blood and body spills to be regarded as potentially infectious since many germs may be carried in the body with symptoms (e.g., Hepatitis A and B, AIDS virus, Cytomegalovirus, Salmonella). Therefore, these standard operation procedures shall be followed in all cases regardless of whether or not the source is known or appears to be infected. By following a few simple steps, clean-up can be an effective and safe procedure.

All school employees/Health Occupations Level II Students shall wear disposable gloves:

• When cleaning up blood, feces, vomiuts and urine

• When performing or assisting with invasive procedures involving contact with blood, or other body fluids or mucous membrane

• When performing tasks that involve bleeding from non-intact skin

• When handling items or surfaces soiled with blood or body fluids.

Gloves shall be changed after contact with each student or staff member. Hands shall be thoroughly washed immediately after gloves are removed. Proper hand washing requires the use of soap and water and vigorous washing under a stream of running water for at least ten seconds. Masks and protective eye wear, face shields or goggles are to be worn during procedures that are likely to generate droplets of blood or splashes of blood or other body fluids, to prevent exposure to mucous membranes of the mouth, nose or eyes. Gowns and aprons made of impervious materials that provide effective barriers are to be worn during invasive procedures that are likely to result in the splashing of blood or other body fluids. Manual removal of body fluids is an essential step and may be carried out using disposable paper products, e.g., paper towels. Drying or sanitary absorbent (e.g., ZC-Goop) may be used with large volumes of body fluids, e.g., vomitus. They are not, however, disinfectants. Disposable paper towels should be disposed of in a sealed plastic

51

bag. Non-disposable items (e.g., dustpans and brooms) should be cleaned with disinfect listed below. Hard surfaces (e.g., desks, walls, floors) should be washed with sodium hypochlorite (household bleach) at least 100 ppm available chlorine (e.g., diluted 1:10 with water or ½ cup household bleach in one gallon of water, freshly prepared each time it is washed). Carpets stained with body fluids should be cleaned by manual removal of body fluids followed by shampooing with commercially available rug shampoos. Clothing or throw rugs contaminated with body fluids should have the fluids removed by a paper towel then followed by routine laundering. Contaminated needles and other contaminated sharps (such as broken glass) shall not be bent, recapped, sheared or broken before disposal, with the following exceptions.

• The employer can demonstrate that no alternative is feasible or that such action is required by a specific medical procedure;

• Such recapping or needle removal must be accomplished through the use of a

mechanical device or a one-handed technique.

Immediately or as soon as possible after use, contaminated sharps shall be placed in appropriate containers for disposal. These containers shall be:

• Puncture resistant

• Labeled or color-coded in accordance with this policy

• Leak proof on the sides and bottom – Warning labels shall be affixed to containers of regulated waste and containers used to store, transport or ship blood or other potentially infectious materials. Labels shall include the biohazard legend. These labels shall be fluorescent orange or orange-red or predominantly so, with lettering or symbols in a contrasting color. The label shall be an integral part of the container by string, with, adhesive or other method that prevents the loss or unintentional removal.

Engineering and Work Practice Controls – The school system shall use engineering and work practice controls as the primary method to eliminate or minimize employee exposure. Where occupational exposure remains after institution of these controls, personal protective equipment shall also be used. These engineering controls shall be examined and maintained or replaced on a regular schedule to ensure their effectiveness. Hand washing – Employees/Health Occupation Level II Students shall be provided with hand washing facilities which are readily accessible. When provision of hand facilities is not feasible, the employees/Health Occupation Level II Students shall be provided with

52

either an appropriated antiseptic hand cleanser in conjunction with clean cloth/paper towels or antiseptic towelettes. When antiseptic hand cleaners or towelettes are used, hands shall be washed with soap and running water as soon as feasible. Administrators shall ensure that category I and II employees wash their hands:

• When beginning duty

• After personal use of the toilet

• After blowing or wiping the nose

• After handling dressings, urinals, catheters, and mucous membranes

• Before and after meals and snacks

• On completion of duty

Food and Drink – Eating, drinking, smoking, applying cosmetics or lip balm and handling contact lenses by Category I and II personnel are prohibited in work areas where blood and body fluids are handled, processed or stored. Food and drink shall not be kept in refrigerators, freezers, shelves, and cabinets, or on countertops or bench tops where blood or other potentially infectious materials are present. Personal Protective Equipment – Appropriate Personal Protective Equipment (PPE) will be provided by the school system for all employees/Health Occupation Level II Students at no cost to the employees/Health Occupation Level II Students. It consists of: gloves, face protection, gowns or protective clothing and resuscitation equipment. Equipment is considered “appropriate” if it does not permit blood or other bloodborne pathogens to pass through to or reach the employees’/Health Occupation Level II Students’ work clothed, street clothes, undergarments, skin, eyes, mouth or other mucous membranes under normal conditions of use and for the duration of the time which the protective equipment will be used. Accessibility – One PPE kit shall be kept in each school office and other designated areas. Additional PPE will be provided as needed. Use – Administrators shall ensure that the employees/Health Occupation Level II Students use appropriate PPE unless it can be shown that an employee temporarily and briefly declined its use, when under rare and extraordinary circumstances, it was the employee’s professional judgment that the specific instance its use would have posed an increased hazard to the safety of the work, co-worker or student. When the employee makes this judgment, the circumstances shall be investigated and documented in order to determine whether changes can be instituted to prevent such occurrences in the future. Repair and replacement - The school system shall repair or replace PPE as needed to maintain its effectiveness, at no cost to the employees. When PPE is removed after use,

53

it shall be placed in an appropriately designated area or container for washing, decontamination or disposal. Cleaning, laundering, disposal, repair and replacement – The school system shall clean, launder and dispose of PPE. It also shall repair or replace PPE as needed to maintain its effectiveness. Gloves – Gloves are to be worn when it can be reasonably anticipated that there will be contact with blood and bodily fluids or surfaces that are contaminated with blood and body fluids. Gloves are particularly needed in the following circumstances:

• During any invasive procedure

• When examining non-intact skin

• When examining people who are actively bleeding

• When the employee/Health Occupation Level II Student has non-intact skin

• When cleaning up blood or body fluids.

Face Protection - Face protection shall be used whenever splashes, spray or droplets of blood and body fluids may be generated and eye, nose, or mouth contamination can be reasonably anticipated. Face protection must cover the eyes, nose and mouth. Face protection includes but is not limited to:

• Masks in combination with goggles or safety glasses

• Masks in combination with glasses with side shields

• Chin length face shields

• Stationary Plexiglas shields

Face protection must be cleaned with germicidal agent or replaced if it becomes contaminated with blood or body fluids. Gowns and Protective Clothing – Gowns that are resistant to blood and body fluids shall be worn whenever it is reasonable to anticipate that splashes of blood or body fluids will come into contact with clothing. Gowns and protective clothing shall be changed as soon as feasible after contamination with blood or body fluids.

54

Resuscitation Equipment – Mouth to mouth resuscitation is to be avoided. Resuscitation bags, devices with one way valves and/or masks will be used for resuscitation. Housekeeping and Cleaning – The school system shall implement an appropriate written schedule for cleaning and method of decontamination based upon the location of the facility, the type of surface to be cleaned, type of soil present and the tasks or procedures being performed in the work area. Equipment, such as sports equipment, which may become contaminated with blood or other potentially infectious materials, shall be examined prior to servicing or reusing and shall be decontaminated as necessary unless it can be demonstrated that decontamination of such equipment or portions of such equipment is not feasible. Broken glassware that may be contaminated with blood shall not be picked up directly with the hands. It shall be cleaned up using mechanical means, such as a brush and dustpan, tongs or forceps. Disposal of any contaminated materials shall be labeled with fluorescent orange or orange-red label that is affixed as close as feasible to the container by string, wire, adhesive or the method that prevents loss of unintentional removal. The marked material shall include the label required by state and federal regulations. Training – All Category I and II employees who are subject to occupational exposure must participate in a training program which shall be provided at no cost to the employees/Health Occupation Level II Students and shall be provided during working hours. The training shall be provided in accordance with the following regulations.

• It shall be provided at the time of initial assignment to tasks where occupational exposure may take place; when there are changes or modifications of employee tasks that affect an employee’s occupational exposure; and at least annually.

• Employees shall be provided with a copy of the text of the federal regulation

standard.

• The training shall include the information required by federal regulation 29 CFR 1910.1030 (g) (2) (vii), including by not necessarily limited to:

§ Access to and explanations of the Bloodborne Pathogens OSHA

Standard § Information about bloodborne disease and their transmission

§ The school system’s Exposure Control Plan

§ Job classifications

§ Information abut HBV, HIV and Hepatitis B vaccine

§ Decontamination procedures

55

§ Information about Universal Precautions

§ Protective equipment and its use

§ Information and protocols for reporting and treatment for an inadvertent exposure to bloodborne pathogens

Hepatitis B Vaccination – The School System shall ensue that employees/Health Occupation Level II Students who have occupational exposure, (those determined to fall within Categories I and II) , are offered, free of charge, the Hepatitis B Vaccination after they have been trained as required by federal regulations and above, and within ten (10) days of initial assignment unless the employee has previously received the complete Hepatitis B vaccinations series, antibody testing has revealed that the employee/Health Occupation Level II Student is immune or the vaccine is not recommended for medical reasons. The School System shall ensure that employees/Health Occupation Level II Students who decline to accept Hepatitis B vaccination offered by the School System sign a statement declining the vaccination. If an employee/Health Occupation Level II Student later decides to accept the vaccination, it shall be offered at that time.

STANDARD OPERATION PROCEDURES FOR EMPLOYEE EXPOSURE TO BLOODBORNE PATHOGENS Employees are required to:

§ Remove contaminated personal equipment and place it in a red or biohazard labeled bag.

§ Wash exposed area (hands and other skin surfaces) with soap and water.

Immediately flush exposed mucous membranes with water, and if exposed, flush eyes wit large amounts of water or eye wash solutions.

§ Immediately report the exposure incident to the principal or supervisor.

§ If there is a spill, immediately arrange for decontamination with an EPA –

approved disinfectant or a 1:10 to 1:100 dilution of bleach.

§ Seek medical care if first aid is needed or if signs of infection, such as redness or swelling, occur.

§ Obtain an Incident Report form and the Workers’ Compensation “Form 19” from

the principal or supervisor. Complete the forms and return them to the principal or supervisor within 24 hours.

School Administrators are required to:

56

§ Immediately arrange or conduct exposure to follow-up.

§ Review standard operating procedures and methods to prevent future exposures

with the employees/Health Occupation Level II Students.

§ Provide employee/Health Occupation Level II Student with the Incident Report Form and assist the employee, if needed, to complete the report and the forward a copy of the report to the Personnel Division.

§ Assure that the source individual’s blood is tested as soon as feasible and after

consent is obtained, in order to determine and document the HBV and HIV infectivity status. If the source is a student, immediately seek permission from the student’s parent(s) or guardian(s) to test the student’s blood to determine HBV and HIV infectivity. Testing is to be conducted at the school system’s expense. If consent is not obtained, document that consent could not be obtained on the form provided. If the source individual is already known to be infected with HBV or HIV, testing need not be repeated.

§ The results of the source individual ‘s testing shall be made available to the

exposed employee and to the source individual.

Division Director for Personnel or his designee is required to:

§ Assess the employee’s exposure, his/her hepatitis B vaccination and vaccine response status, whether the source of the blood is available, and the source’s HIV and HBV status. This is to be done by interviewing the employee; reviewing the completed Incident Report form, the employee’s confidential medical record and the source’s record; contacting the source’s physician and talking with other employees, as indicated.

§ Individualize post-exposure management and treatment of exposed employee(s)

on a case by case basis following current communicable disease rules.

§ Make arrangement with designated health care professional for HIV and HBV testing and counseling of source person, if known, and the exposed employee according to the communicable disease rules15A NCACS. 0202 (4) (a) (I) and .0203 (b) (3) (A), unless either is already known to be infected.

§ Conduct HIV pre-test counseling prior to obtaining laboratory tests from exposed

employee. Obtain consent for confidential HIV testing from the employee.

§ Ensure that the health care professional evaluating an employee after an exposure incident is provided with the information required by the federal regulations 29 CFR S1910.1030 (f) (4), including but not necessarily limited to:

57

§ A copy of the federal regulations § A description of the employee’s duties as the related to the exposure

incident

§ Documentation of the route(s) of exposure and the circumstances under which the exposure occurred

§ The results of the source individual’s blood testing if available

§ All medical records relevant to the appropriate treatment of the

employee; including vaccination status

Obtain the opinion of the designated health care professional and provide a copy of it to the exposed employee within 15 days of the completion of the evaluation.

RECORD KEEPING

Medical records shall be kept in a separate file in the Personnel Division in accordance with federal regulations 29 CFR 1910.1030 (g) (2). The Division Director for Personnel shall ensure that the employee’s medical records required by this OSHA Standard are kept confidential and are not disclosed to any person within or outside the workplace except as required by federal regulation or law. Employee medical records required by federal regulations shall be made available to the subject employee upon request for examination and copying, to anyone having the written consent of the subject employee and to other officials authorized access by law. Training records, indicating the dates of training sessions; the content of the training sessions; the names, qualifications, and job titles of the trainer(s); the names, job titles and work locations of training participants and any relevant unanswered question that were raised during training. In addition, records shall be kept in each employees personnel file in accordance with federal regulations 29 CFR 1910.1030 (h) (2) a minimum of three years or the duration of the employee’s employment. Employee training records shall be available to employees, to employee representatives, and to other officials authorized access by law. The employee medical records required by OSHA Standard, i.e., vaccination records and exposure records shall be maintained for the duration of employment plus 30 years. Confidentiality – The confidentiality of the employee’s medical records will be maintained.

58

SURVEILLANCE A workplace survey will be conducted annually to monitor adherence to these regulations and procedures. Any non-compliance and corrective actions taken will be noted and recorded as required by federal regulations.

59

HSP 13.0 STUDENT SAFETY–COMMUNICABLE DISEASES EDUCATING ALL ELIGIBLE STUDENTS AND CONTROL OF COMMUNICABLE DISEASES In an attempt to maintain a balance between educating all eligible students and the control of communicable diseases, the Board of Education requires that no child with communicable disease shall be denied access to school on the basis of an opinion by a single individual. All decisions regarding the educational status of a student with communicable disease shall follow the steps outlined in the accompanying procedure. An employee with any communicable disease who might pose a reasonable threat to the safety of students or other employees will be placed on sick leave until such time that the threat no longer exists. The Board does not intend to place unreasonable restrictions on it’s employees. Therefore, no general screening for communicable diseases or other health related requirements beyond those required by the State will be required by this board. YADKIN COUNTY, NC, YADKIN COUNTY SCHOOL SYSTEM, BOARD OF EDUCATION ADOPTED: March7, 1988. Legal Ref.: (G.S. 115C-36; 130A-136). Most children with HIV or HIV related conditions (ARC) represent no threat for HIV transmission in the classroom and should be provided an education in the usual manner. HIV Screening for HIV is inappropriate as a condition for school attendance.

Children with HIV infections who are unable to control normal bodily functions (e.g., bowel and bladder control), who have behavioral abnormalities (e.g., autism, biting others), or who have open oozing wounds or sores which cannot be adequately covered may pose a risk for HIV transmission to others and should be removed fro the classroom until:

• Either an appropriate school program adjustment can be made, or an appropriate alternative education program can be established.

• The child’s personal physician determines that the risk has abated and

recommends that the child can return to the classroom. (Alternative educational programs shall approximate as much as possible the instruction the student will receive in the regular classroom).

60

An interdisciplinary committee can best determine on an individual basis which children with an HIV infection may safely attend school.

• Each case in which a child requests to attend school should be evaluated by a committee comprised of school and medical personnel as set up by the school system in coordination with the Health Department.

• Consultation will be available from the head of the Communicable Disease

Control Branch of the North Carolina Division of Health Services.

• Periodic re-evaluation, as determined by the committee, should be undertaken for each case since the child’s condition may, either improve or worsen over time. The deliberations of this committee should be confidential.

Confidentiality must be strictly protected by the school system for all children with HIV infection. Only the principal, school nurse, teacher and counselor should be notified the Child’s condition. In this manner, confidentiality can be encouraged.

RESISTANCE TO INFECTION

Children, whose resistance to infection is so hindered/hampered by HIV that contact with other children and common illnesses seriously threaten their wellbeing, should be provided alternative education program instruction. See above for alternative education program instructions.

NOTIFICATION OF PARENTS

When possible, school officials should notify parents of children with HIV when illnesses that may represent a treat to such children are occurring in the school. These include:

• Chicken Pox • Measles

• Whooping cough

• Meningitis

• Influenza

• Other serious reportable diseases

NORTH CAROLINA GENERAL STATUTE

North Carolina General Statute 130A-136 requires school officials to report certain diseases, including HIV, to their local Health Departments. Law (G.S. 130A-143)

61

protects confidentiality of such reports, and officials cannot be held liable for reporting (G.S. 130A-142). Note: guidelines for cleaning up blood or body fluid spills shall be followed at all times. Legal Reference: as cited above.

THE HEPATITS AND HIV ANTIBODY BLOOD TEST, BLOODBORNE PAHTOGENS EXPOSURE INCIDENT REPORT, EMPLOYEE IMMUNIZATION RECORD, EMPLOYEE EXPOSURE DETERMINATION QUESTIONAIRE, INFORMED CONSENT FOR HEPATITIS B VIRUS BACCINE, HEPATITIS B VACCINE DECLINATION FORMS ARE APPENDIX G OF THE POLICY.

HEPATITIS B VACCINATION AND POST –EXPOSURE EVALUATION AND FOLLOW-UP

The Yadkin County School System will make available the Hepatitis B vaccine and vaccination series to all employees who have occupational exposure, and will provide post exposure evaluation and follow-up to all employees who have had an exposure. The Yadkin County School System will insure that all medical evaluations and procedures are:

• Made available at no cost to the employees, made available at a reasonable time and place; performed by or under the supervision of a licensed health care professional (school nurse,); and provided according to the recommendations of the U.S. Public Health Service.

• Hepatitis B vaccination will be made available after the employee has received

training and within 10 working days of initial assignment, to all employees who have occupational exposure.

The Yadkin County School System assures that affected employees who decline to accept the hepatitis B vaccination offered by the system will sign a statement to that affect. Following a report of an exposure incident, the Yadkin County School System will make immediately available to all exposed employees, and the employees will be informed of applicable laws and regulations concerning disclosure of the identity and infectious status of the affected individual. The exposed employee’s blood will be collected as soon as feasible and tested after consent is obtained.

62

HSP 14.0 EMERGENCY ACTION PLAN AND FIRE PREVENTION

FIRE PREVENTION PLAN

The best defense against a fire is to prevent a fire form starting by properly storing flammable and combustible materials. Also, constant inspection of electrical systems and clutter-free work areas are priority prevention requirements. It is part of each employee’s responsibility to help prevent fires. Extreme care is required when working with chemicals such as solvents, oils, gasoline, gasses, and fuels. Storage of hazardous flammable chemicals must be maintained at minimum levels to reduce the risk of fire. It is crucial that handling and storage of flammable liquids are done safely. All containers of hazardous/flammable chemicals/liquids must be properly labeled and closed when not in use. All drums of flammable liquids must be connected to a grounding system to eliminate static electrical build-up when dispensing from the drum. Flammables must be stored in Flammables storage cabinets or a storage room. Drip cans (pans) must be used under chemical dispenser faucets to catch spills and leaks. The receiving container must be connected to the dispensing container (drum) in a manner that will facilitate the draw off of a static charge. Solvent-oil-soaked rags can easily start a fire through spontaneous combustion and must be stored in spring-loaded lid containers. Spills must be cleaned up immediately. Where flammables are constantly used, spill containment will be provided. Labeled satellite spill clean-up containers must be available in areas where there is a possibility of chemical spills (changing oil in any motorized vehicle or adding fuel or oil to a motorized vehicle). When compressed and liquefied gasses are used, stored, or transported the cylinder or container should never be rolled or dragged. Handcarts designed for cylinders should be used. All cylinders must be secured to walls or bench tops. All floor and sink drains will be labeled, where required “NO HAZARDOUS CHEMICALS”. When Hot Work is being done fire extinguishers and fire blankets must be available.

KEYS TO CONTROLLING THE CONSEQUENCES OF A FIRE Keep work areas clean and clutter-free. Know how to handle and store chemicals. Know what you are expected to do in case of a fire emergency. Call professional help immediately, don’t let a fire get out of control.

63

Know what chemicals you work with so you may advise fire fighters. Be familiar with the system’s Emergency Action Plans. EMERGENCY ACTION PLAN

The Emergency Action Plan does not supersede the existing Yadkin County School System’s Crisis Plan. The Crisis Plan should be placed with the Health and Safety Policy. The Crisis Plan covers (1) school buss accidents, (2) bomb threats, (3) assault or rape on school grounds, (4) tragic accidents, (5) tragic deaths, (6) natural disasters, (7) intruder threat/hostage situation, (8) environmental crisis, (9) riots or violent protests, (10) evaluation of crisis response. Introduction: This emergency action plan has been developed to comply with OSHA standards 29 CFR 1910.38, and 1910.120. It will be used in all emergency situations, which may occur at each facility. Generally this plan will cover emergencies such as fires, medical emergencies, accidents, catastrophes, toxic releases and other emergency situations requiring the orderly evacuation of the facilities. This plan does not apply to small leaks and mishaps which are covered under the facility’s written hazard communication response or when partial or total evacuation is not necessary and employees in the immediate work area of the spill or mishap can safely handle the situation.

• This plan will be reviewed annually and updated as necessary.

• A full evacuation drill will be held.

• The Safety Director is responsible for the update.

• All new employees will be thoroughly instructed in this plan, and it’s availability before they begin their initial work assignments. An up-to-date copy of the plan, to be reviewed or copied, is kept in a place that is easily accessible to all employees.

Hazard Evaluation: Potential emergency situations that may arise in the work place are: fires, natural or manmade disasters, bomb threats, and medical emergencies. • Fire alarm- when the fire alarm sounds, all employees without exception shall

evacuate following the emergency evacuation plan. • Medical emergencies – Whenever an employee or visitor is injured or develops a

medical emergency, on system property, follow the protocol below and notify your principal/supervisor as soon as possible.

Medical emergency instruction:

64

• Dial 911 and inform the emergency communication center of the medical

emergency. Give the dispatcher the nature of the medical emergency and the location of the facility. Remind the dispatcher, that to create the least amount of disruption to students and people not involved have the ambulance attendants turn off the ambulance siren prior to approaching the school premises.

• Unless you have been designated by the site principal/supervisor, and have proper

training to be a first aid responder, do not provide first aid. Make the victim as comfortable as possible until medical help arrives. If the person is in need of first aid and you are not qualified, find someone, as quickly as possible who is qualified.

Fire Emergencies: These instructions consist of a four-step procedure that employees should follow in case of a fire. All employees should memorize this procedure. Experience has demonstrated that this is the best response to a fire. The plan works best when expressed as an easily recalled acronym. Such as SAFE. • S – sound the alarm: Either sound it yourself or call out to someone else to sound

it. This insures that anyone in the vicinity (building) will be able to evacuate as soon as possible. Notify or have someone notify the fire department.

• A – alert others: Quickly tell others in the area of the fire. Do this in a calm firm

manner. DO NOT CAUSE A PANIC. Attend to anyone who may be injured or may need help being removed from the area (never) place yourself or anyone else in jeopardy). Secure the area by closing all doors and windows to help prevent the spread of smoke and flames. Notify or have someone notify the main office of the fire and its location.

• F- fight the fire: Do this only if you believe the fire to be manageable, for

example, a fire in a wastebasket. If possible two employees should fight the fire together using two fire extinguishers. If you have any doubt about you ability to fight the fire, then do not attempt it.

• E – Evacuate the area, if necessary.

The Yadkin County Board of Education has the ultimate responsibility for approval and implementation of this plan. It is each school/site’s supervisor’s or principal’s responsibility to ensure this plan is understood and followed by all employees.

65

HSP 15.0 EVACUATION PLAN

Evacuation Plans and procedures have been developed for systematic and organized evacuation of the involved area.

PLAN DESCRIPTION

It is each site’s principal’s or supervisor’s decision as to the levels necessary for, and implementation of, the evacuation plan. The levels of evacuation are given below. In the event of a facility evacuation, all employees, or employees and students will assemble at their designated evacuation (fire drill designated) areas for head count and information.

EVACUATION LEVELS, DESCRIPTION, DECISION AUTHORITIES AND ALARM MECHANISMS Level I – Evacuate non-essential personnel for immediate vicinity of the incident.

• Decision Authority – Site Principal(s)/Supervisor(s), Teacher/Instructor • Description – Situation is confined to small area

• Alarm mechanism – Voice

Level II – Site wide evacuation including all buildings, class rooms, storage areas and offices.

• Decision Authority – Site Principal(s)/Supervisor(s) or Local Official

• Description – Imminent hazard to site facility(s)

• Alarm Mechanism – Site fire alarm and or P.A.

Level III – Evacuation of local area residents and all non-essential personnel from the site.

• Decision Authority – Senior local official to decide the extent of the evacuation.

• Description – Imminent danger to area extending beyond property boundaries.

• Alarm mechanism – Fire alarm, P.A., voice, telephone contact, etc may require the notification of the radio and T.V. stations.

66

HSP 16.0 FALL PROTECTION PLAN

This plan addresses the use of fall protection at the Yadkin County School System facilities and identifies specific activities that require fall protection. The Yadkin County School System is dedicated to the protection of its employees and students from workplace injuries and illness. Site principals, supervisors, teachers, coaches, custodial supervisors, managers and instructors are responsible for the identification and correction of hazards on the job. All employees have the responsibility to work safely one the job and to ensure all students under their supervision work safely. Fall protection must include any job situation where an employee or student is placed in jeopardy of either falling or being struck by a falling object.

ACTIVITIES REQUIRING FALL PROTECION MAY INCLUDE, BUT ARE NOT LIMITED TO:

• An employee or student working under a vehicle is required that fall support protection, (jack stands) be in place before work may begin.

• OSHA requires fall protection when working from unguarded (no safety chains

and rails) surfaces above six feet or at any height when working above machinery or equipment. The NCOSHA regulations for fall protection will be located at a designated point (office) at each system site.

When life lines or harness attachments are used, tensile load of 5,000 pounds is required and must be designed to limit the distance of a fall to less than six feet. When falling six feet, a person will exert up to 10 times their body weight as a shock load. The free-fall velocity at impact when falling 12 feet is nearly 20 miles per hour. A person will hit the ground in just under one second after falling 12 feet. Falls are the fourth leading cause of death in the workplace, after vehicle crashes, machinery incidents, and homicides. Federal OSHA estimates that at least 68,000 injuries and 95 deaths per year are caused by falls.

TRAINING

Each employee and student, where required will be trained in the use of required fall protection procedures, and will be required to strictly adhere to these procedures, except that when doing so would expose the employee to greater hazards. If, in the employee’s opinion, this is the case, the employee is to notify his supervisor or a competent colleague, of his or her concern in order to address the situation before proceeding.

67

RIGHTS AND RESPONSIBILITIES

Employee Responsibility – It is the responsibility of the employee to always use safe work practices and to bring to the principal’s or supervisor’s attention any unsafe or hazardous conditions or practices that could cause injury to either, themselves, students or another employee.

It is the right and responsibility of an employee to refuse, without the fear of retaliation, to undertake any job duty(s) where fall protection is required but is not being carried out. If an employee knowingly accepts a job duty where improper fall protection procedures are being used, that employee may be held liable for injuries incurred from any resultant accident. This could also result in denial of worker’s compensation. It is the responsibility of each site to implement this Fall Protection Plan. School System Responsibility – It is the responsibility of the Yadkin County School System to ensure that all employees understand and adhere to the procedures of this plan. The superintendent or his designee must approve any changes to the Fall Protection Plan. Documented, periodic, observation checks of fall protection at each site will be performed. The site principal or supervisor will be responsible for the reporting and correction of any unsafe practices or conditions.

68

HSP 17.0 RESPIRATOR PROGRAM Efforts are made to reduce employee exposures to potentially hazardous contaminates through engineering and administrative controls. The use of respirators to prevent exposure to potentially hazardous dust, fogs, fumes, mist, gases, smokes, sprays or vapors is considered an interim measure. The System recognizes its responsibility to protect employees from potentially harmful effects of such exposures and has a commitment to insure that an effective, respiratory protection program is implemented.

PURPOSE

The purpose of this operating procedure is to ensure the protection of all employees from respiratory hazards. It will outline the reasons for, and method of usage of respirators.

RESPONSIBILITY

The overall responsibility for this program lies with the safety director who will provide written detailed instructions covering elements of the program.

SITE RESPIRATORY HAZARDS Based on employee exposure and air sampling data. PROPER RESPIRATOR SELECTION The selection of the proper respirator depends upon:

• The hazard that the worker is likely to encounter and its concentration

• The characteristics of the operation or process

• The location of the hazard area

• How long protection is required

• Worker activity in the area

• Capabilities and limitations of the respirators

Respirator Approval

69

• Respirators will be selected don the bases of hazards to which the worker is exposed

• The safety director will approve all selections

• Only appropriate MSHA/NIOSH – certified respirators would be selected and

used.

• Disposable respirators are preferred over all other types, provided they are appropriate and approved.

TRAINING

To Whom – Respirator training will be given to all users of respirators and their supervisors. Additional training will be given to employees, if other that the user, who maintain the respirators. When – This training will be given on the occasion of the employee’s first use and annually thereafter. By Whom – The appropriate supervisor will notify the safety director when a worker needs training. The supervisor, in conjunction with the safety director, is responsible for the content of the training and the aids necessary for training. Content – This document and the standard operating procedures specific to the operation will form the basis of the training content. The referenced respirator procedures contain instructions on specific respirators:

• Respirator description • Intended use and limitations

• Proper wearing, adjustment and testing for fit. This will include actual hands on

use

• Inspection and maintenance

Respirators selection – (If respirators are mandated by air sample results) respirator selection should be made by the site principal/supervisor, or teacher/instructor, and approved by the safety director.

Disposable respirators will be used whenever possible.

Non-Disposable Respirators:

70

• Will be used when deemed necessary for certain jobs or duties. (Example: Using a compressed air paint gun)

• After each daily use, respirators must be returned to their respective storage area.

CLEANING Disposable Respirators should be discarded or replaced, when necessary by the user. Non-Disposable respirators should be cleaned and serviced by the user. MAINTENANCE

Before use, respirators will be inspected for worn or deteriorated parts. Any part found unsafe should be replaced. Each non-disposable respirator will be checked for airflow and the filters replaced when necessary. After each daily use, non-disposable respirators must be returned to their respective storage area.

RESPONSIBILITES

It is the site principal’s/supervisor’s, or teacher’s/instructor’s duty to determine if and when employees and/or students should wear respirators. It is the employee’s responsibility to wear an approved respirator whenever required.

• It is the employee’s right and responsibility to refuse, without the fear of retaliation, to perform and work duty where a respirator is required, but not supplied, or an improper respirator is supplied. The employee should report this situation to the safety director.

• If an employee knowingly performs a work duty where a respirator is required

and not used or supplied, then that employee becomes liable for any illness incurred by this action. This could result in the employee being reprimanded and could also result in denial of worker’s compensation.

Workers will not be required to perform work duties that require the use of respirators if a physician has determined that they are not physically able to perform these duties. It is the employee’s responsibility to report such a condition to his/her supervisor. The supervisor will give this information to the safety director for review.

71

It is the responsibility of the supervisor to question an employee’s ability to use a respirator. If an employee is experiencing a problem or has a condition that limits or prohibits the use of a respirator, this condition or problem should be reported to the safety director. All three parties will reach a consensus as to how the problem should be addressed. (This could entail an examination of the employee by his/her physician). If necessary the employee may be reassigned to another job duty.

RESPIRATOR GUIDELINES

Medical Examinations - Medical examinations are the responsibility of employees who feel, for whatever reason, he/she may not be physically fit to perform his/her duties while wearing a respirator. Respirator use evaluations may be performed after absences from work for medical reasons or whenever a functional impairment is perceived. Disqualifying Conditions – The following conditions may be considered disqualifying:

• Facial Deformities and Facial Hair – Facial deformities or presence of hair or other conditions that interfere with proper sealing of the respirator will disqualify the applicant. Questionably, disqualifying conditions will be evaluated by fit testing.

• Use of Prescription Eyeglasses or Contact Lenses – Individuals with prescription

eyeglasses who are asked to perform a duty that requires the use of a full-face respirator, may need that duty referred, by the supervisor to another employee if his/her glasses interferes with the face-piece seal. Contact lenses will not be permitted with respirator use.

• Hearing Requirements – Hearing shall be adequate to ensure communications and

response to instructions and alarm systems. The safety director may also recommend possible specific safety controls.

• Respiratory Diseases – Significant restrictive or obstructive disease or perfusion

disorders may preclude approval for use. Assessment will be made of the degree of employee’s history and clinical findings. Analysis may be required when perfusion disorders are suspected.

• Cardiovascular Diseases – Symptomatic coronary artery disease, significant

rhythm disturbances, or history of recent myocardial infarction shall disqualify an employee from most respirator use. A medical statement from the employee’s physician, reviewed by the safety director, will determine exemption.

• Endocrine Disorders – General work limitations may also disqualify an employee

for respirator use. The employee’s physician will determine if the employee has any general work limitations that would prelude the use of a respirator.

72

• Neuralgic Impairment – Inability to perform coordinated movements or conditions affecting response and consciousness will disqualify an employee.

• Medications – Clinical judgment will determine if an individual should be

allowed to use a respirator when there is a history of excessive use or problems related to prescription and non-prescription drugs, including alcohol, that affect judgment, performance, reliability or alters the state of awareness.

• Psychological Conditions – A history of claustrophobia may disqualify the

employee, therefore, field-testing may be recommended prior to approving or denying use of the respirator. The physician or supervisor, in determining an individual’s ability to use respirators, will also consider clinical history or indication of poor judgment and reliability.

Respirator Use Classification: Based on an employee’s examination and the information provided, the employee’s evaluating physician may recommend whether the employee should be permitted to use a respirator under the circumstances described. The physician may classify the employee into one of the following categories:

• Class I – No restriction for respirator use.

• Class II – Specific use restrictions are identified to permit decisions by the supervisor for determining suitability for specific tasks.

• Class III – No respirator use. If an employee receives a Class 3 Evaluation, the

evaluating physician or medical representative should forward a signed statement to the safety director to that effect.

In addition to the classification for respirator use, the report may include other appropriate work limitations or restrictions not necessarily related specifically to respirator use.

RESPIRATOR PROGRAM EVALUATION

In General, the respirator program should be evaluated for each job at least annually, with program adjustments, as appropriate, made to reflect the evaluation results. Program function can be separated into administration and operation. Program Administration.

• Is there a written policy that acknowledges employer responsibility for providing a safe and healthful workplace, and assigns program responsibility, accountability, and authority?

• Is program responsibility vested in one individual who is knowledgeable and who

can coordinate all aspects of the program at the job site?

73

• Can feasible engineering controls or work practices eliminate the need for

respirators?

• Are there written procedures/statements covering the various aspects of the respirator program, including:

§ Designation of an administrator § Respirator selection

§ Medical aspects of respirator usage

§ Issuance of equipment

§ Fitting

§ Inspection, maintenance, storage, and repair

§ Training

§ Use under special condition

§ Work area surveillance

Program Operation

• Are work area conditions and worker exposures properly surveyed?

• Are respirators selected on the basis of hazards to which the worker is exposed?

• Do individuals make selections knowledgeable of proper selection procedures?

• Are only certified respirators purchased and used? Do they provide adequate protection for the specific hazard and concentration of the contaminant?

• Has medical evaluation of the prospective employee been made to determine

physical and psychological ability to wear the selected respiratory protective equipment?

• Where practical, have respirators been issued to the users for their exclusive use,

and are there records covering issuance?

Respiratory Protective Equipment Fitting

74

• Are the users given the opportunity to try on several respirators to determine whether the respirator they will subsequently be wearing is the best fitting one?

• Are corrective lens wearers properly fitted?

• Are users prohibited from wearing contact lenses when using respirators?

• Are workers prohibited from wearing respirators in contaminated work areas

when they have facial hair or other characteristics which may cause face-seal leakage?

Cleaning and Disinfecting

• Are respirators cleaned and disinfected after each use when different people use the same device, or as frequently as necessary for devices issued to individual users?

• Are proper methods of cleaning and disinfecting utilized?

Storage

• Are respirators stored in a manner so as to protect them from dust, sunlight, heat, excessive cold or moisture, or damaging chemicals?

• Are respirators stored properly in a storage facility so as to prevent them from

performing?

• I storage in lockers and toolboxes permitted only if the respirator is in a carrying case or carton?

Inspection

• Are respirators inspected before and after each use and during cleaning? • Are qualified individuals/users instructed in inspection techniques?

• Is respiratory protective equipment designated as “emergency use” inspected at

least monthly (in addition to after each use)?

• Are SCBA incorporating breathing gas containers inspected weekly for breathing gas pressure?

• Is a record kept of the inspection of “emergency use” respiratory protective

equipment?

Repairs

75

• Are repairs being done appropriately? • Are repairs being done on time?

Special Use Conditions

• Is a procedure developed for respiratory protective equipment usage in atmospheres immediately dangerous to life or health?

• Is a procedure developed for equipment usage for entry into confined spaces?

Training

• Are users trained in proper respirator use, cleaning and inspection? • Are users evaluated, using competency-based evaluation, before and after

training?

HSP 18.0 CONSERVATION OF HEARING

POLICY ACTIVITIES

It is the System’s Policy to provide an effective conservation-hearing program designed to fulfill the health needs of employees, as well as, meet Federal and State legal

76

requirements. These objectives will be accomplished through implementation of the following activities:

• Conduct noise surveys • Provide engineering and administration controls

• Provide employee hearing education

• Require employee audiometric examinations

• Provide haring protection devices

• Enforcement of system rules relative to the use of protective equipment

PRACTICES

Noise surveys – It is the responsibility of the site principal/supervisor to monitor the sound levels and determine whether the level warrants the use of hearing protection. Area for monitoring should be set up in such a way to ensure that employee’s exposure will be adequately approximated. Those employees, for whom noise levels cannot be approximated, will be monitored to determine if the noise level exposure is to high. The person or persons conducting the survey will prepare a written report designating those areas excessive in regards to OSHA standards. Copies of such reports will be distributed to the appropriate supervisor for action. In addition, the results of the surveys will be posted in site bulletin boards for the purpose of informing employees. The safety director is responsible for insuring that noise surveys are done correctly and on a timely basis. Noise control – Site principals/supervisors are responsible for abatement of excessive noise levels through the installation of engineering controls and for reducing employee exposure through administrative methods. If a principal or supervisor feels that there is a high noise level area at his/her site that warrants monitoring or controlling and he/she feels is beyond his/her control that principal or supervisor should contact the safety director so measures can be taken to correct the situation. When purchasing new equipment or facilities, noise level standards will be considered and specified. Employee Education – When deemed necessary, employees exposed to excessive noise levels will be instructed on the use of noise level reduction devices and procedures. Audiometric Examination – The purposes of audiometric testing are:

• To measure hearing thresholds and observe changes during employment

• To assure proper employee placement with respect to hearing ability

77

• To determine factors that may be attributing to hearing loss

• To evaluate general employee health

Responsibilities – It is the system’s responsibility to ensure that work areas meet federal noise level standards. It is the employee’s responsibility, if he/she suspects the noise level of his/her work duties may be affecting his/her ability to hear, to report the situation to his/her supervisor. If the employee feels the problem has not been resolved, he/she should notify the safety director. It then becomes the safety director’s responsibility to determine if the noise level is too high and what steps should be taken to correct the situation. The safety director may request that the employee be examined by the school system’s nurses to determine if he/she is experiencing a problem. It is also the responsibility of the employee to report to his/her supervisor if he/she feels his/her ability to hear is affecting his/her ability to perform his/her appointed work duties. It is the responsibility of the principal/supervisor, when deemed necessary, to request an employee suspected of having a hearing problem, to have a hearing test. The results of this test will be evaluated to determine if any modifications need to be made to the employee’s work duties. The Site principal/supervisor will be responsible for insuring that all precautions possible are made to protect employee’s hearing. It is the responsibility of teachers and instructors to insure that students wear haring protection when deemed necessary (using a metal grinder, air tools, etc.). If you can not determine whether haring protection is needed or not, it probably is. It is better to be safe, than sorry. Hearing Protection Devices – If it is determined that an employee’s job duties require the use of hearing protective devices it will be the principal’s or supervisor’s responsibility to review the types of hearing protective devices to be worn by the employee. All protectors must meet regulatory compliance. Employees as required must wear hearing protection. It is the principal’s/supervisor’s responsibility to document an employee’s refusal to use, and negligence in using, hearing protective devices. It is also the principal’s/supervisor’s responsibility to document any disciplinary action taken against and employee violating system hearing protection policies. Employees will be issued, when necessary, at no cost, hearing protection devices. These devices then become personal equipment to be worn and cared for by the employee. Should equipment become defective for any reason other than abuse, the may be exchanged. Note: Visitors to area of excessive noise levels are to be issued temporary protective devices. Enforcement of Mandatory Program – All employees must understand that federal standards require that personal protective equipment be supplied and worn where noise levels exceed permissible standards. All persons, who may be exposed, whether temporarily or in the course of work, will wear protective devices while in a high noise level area. It is a condition of employment to wear protective equipment where required.

78

Failure on the part of any employee to wear, or not require a student(s) to wear, hearing protection in a high noise area could result in termination. Before a supervisor terminates an individual for failing to comply he/she should ensure that the following has been done:

• The employee has been counseled and properly trained. • Disciplinary procedures have been complied with.

Documentation – Each site will maintain records that support compliance with all applicable regulations.

HSP 19.0 DISCIPLINARY PROCEURES

In addition to the Health and Safety Policy formal work rules, there are other rules and standards established by practice or common understanding which shall continue to be enforced. It is our intent to make every effort possible to avoid unwarranted discharges.

79

It is our goal to enforce system rules and/or performance standards fairly, equitably and consistently. Failure to meet system rules/standards shall result in progressive problem correction steps with consideration to the frequency, seriousness, and circumstances of the situation. The progressive/consideration problem correction steps are:

• First – Oral Warning – problem discussion with your principal/supervisor with suggestions for correction (supervisors will place a note in the employee file).

• Second – A written notice… with corrective action and time detailed… signed by

the employee and principal/supervisor.

• Third – Final warning, in writing, with the establishment of a 30-60-90 day probationary period. The employee, principal/supervisor and applicable supervisors sign this written notice.

• Fourth – Discharge

Note: Depending upon the nature and or severity of the violation, or combination of violations, the normal problem correction procedure steps may be accelerated and a more extensive corrective action step imposed up to and including discharge.

HSP 20.0 CONFINED SPACE ENTRY POLICY

CHARACTERISTICS A confined space is a space that has any one of the following characteristics:

80

• Limited openings for entry and exit • Unfavorable natural ventilation

• Not designed for continuous workers occupancy

HAZARDS

Confined space entry hazards must be recognized and protective measures taken to ensure that serious injury and death do not occur.

PROCEDURES

Confined space entry procedures apply to maintenance and/or servicing of areas where unacceptable environmental conditions are present. There may be hazardous atmospheres or areas that could lead to engulfment or entrapment in machinery. If any such space is found, the employer must notify its employees by posting a sign stating “Danger Permit-Required Space: Do not Enter”, or notify employees by an equally effective memorandum. The Yadkin County School System may opt to prevent employees from entering the space, but the system must have and entry permit for employees of any contractor that may need to enter the space. Signs have been posted at each confined space to prevent unauthorized entry into the space.

PERMIT FORM

A Confined Space Entry Permit Form must be completed prior to entry into any of the confined space areas. The electrical equipment must be locked/out and tagged/out and the area declared safe for entry. Permission to enter is given only by the supervisor after signing the permit. Confined Space Entry Permits must be maintained for at least one year. Lockout/tagout use must also be documented and main maintained for one year.

EQUIPMENT

All equipment to be used during entry into the confined space must be ready and available at the time of entry; and entry is to be made only with an attendant or stand by person in position to observe and keep communications with the entry person. When cleanup of the space is complete, a check will be made to insure all equipment has been cleaned and employees are clear prior to removing lockout/tagout. Affected employees will be informed when lockout/tagout is being removed.

TRAINING

Training for all involved in confined space entry must be documented. Continuous and periodic review and update by a qualified individual is required at least annually. Status of confined space policies and procedures must be inspected and reviewed.

81

Confined Space Entry Permit

82

All Copies of this permit will remain at the job site until the job is completed. Following the job completion, the permit will be given to the maintenance supervisor to be on file for at least one year. Site Location and Description _______________________________________________ Purpose of Entry Date of Entry ____________Time of Entry ____________ Time of Exit ____________ The following requirements should be checked and reviewed prior to entry: ______Lockout/Tagout ______Ventilation ______Fire Extinguisher ______Personal Protective Equipment ______Standby Safety Person _______________________________________ _____________ Signature of Person Entering Confined Space Date _______________________________________ _____________ Signature of Supervisor Authorizing Entry Date

HSP 21.0 DRUGS AND ALCOHOL USE

83

Drug –Free Workplace Policy Statement: To maintain a drug-free work force and to eliminated the safety risks and reduced productivity that results from the use and the influence of alcohol and/or drugs in the workplace, The Yadkin County School System (hereafter called “the system”), has adopted this substance abuse policy. The intention of this policy is to make the system a drug and alcohol free workplace. It is a goal of the system to balance our respect for individual privacy with our desire to keep a safe, productive, drug-free environment. We want to encourage those who use drugs or abuse alcohol to seek help in overcoming these problems. With these objectives in mind, the system has established the following policy with regard to us, possession, or sale of alcohol and drugs.

PROHIBITION OF DRUGS

The Yadkin County School System prohibits the unlawful manufacture, distribution, dispensing, possession, or use of the following narcotic drugs:

• Hallucinogenic drugs • Amphetamines

• Barbiturates

• Marijuana

• Non-prescribed anabolic steroids

• Alcohol

• Counterfeit substances

• Other controlled substance as defined in schedules I through VI of Section 2020

of the Controlled Substances Act (21 U.S.C. 812) and further defined by regulation at 21 CFT 1300.11 through 1300.15.

Note: This policy shall govern each employee while on any property owned by the system, while in attendance at any part of any system or school activity, or at any time during which an employee is acting in the course and scope of his/her employment with the school system.

NOTIFICATION OF DRUG VIOLATION

It is a mandatory condition of employment that each individual shall comply with this policy and shall notify his/her supervisor of his/her conviction of any criminal drug

84

statute for a violation occurring in the circumstances stated above. Notification shall be made no later than five (5) calendar days after such conviction.

CONSEQUENCES OF VIOLATIONS

Violation of this policy shall subject an individual to personnel action by the system which could, in the system’s discretion, result in non-renewal of his/her contract or termination of employment with the Yadkin County School System, referral for prosecution, or the requirement that the employee participate satisfactorily in a drug or alcohol abuse assistance or rehabilitation program approved for such purposes by the system, a Federal, State, or local health, law enforcement, or other appropriate agency. Information concerning available counseling, rehabilitation, and re-entry programs shall be provided to employees.

PRESCRIBED DRUGS

The proper use of a drug authorized by a valid medical prescription from a legally authorized health care provider shall not be considered a violation of this policy when the drug is taken by the person for whom the drug was prescribed.

DISTRIBUTION OF POLICY

Each employee, including those engaged either directly or indirectly on a federal grant, shall be given a copy of this policy with information about the Yadkin County School System’s employee assistance program attached.

REPORTING FOR WORK

The system’s policy is to employ a workforce fee from illegal drug and alcohol abuse either on or off the job. It is a condition of employment that employees not report to work under the influence of drugs or alcohol. Any employee determined to be in violation of this policy is subject to disciplinary action, which may include termination, even for the first offense. An employee reporting for work visibly impaired and unable to properly perform his/her required duties will not be allowed to work. If possible, the principal/supervisor will first seek another principal’s/supervisor’s opinion of the employee’s status. The principal/supervisor will speak privately with the employee about his/her situation. The employee is responsible for notifying the principal/supervisor of the use of any prescription drug(s) that may affect the employee’s work performance. Abuse of prescription drugs will not be tolerated.

TESTING PRIOR TO EMPLOYMENT

It is the system’s policy that a prospective employee may be, prior to employment, required to be tested for drugs. The system reserves the right at any time to require an employee suspected of using drugs be tested for any drugs considered illegal, or any drugs not prescribed to the individual by a doctor.

85

CONDITIONS FOR DISCIPLINARY ACTIONS

It is the system’s policy that an employee found using, under the influence, possessing, purchasing, selling or manufacturing alcohol, illegal drugs, or non prescribed drugs while on system property, or while operating system vehicles or equipment, or while engaging in system business or assigned duties, is in violation of this policy and will be subject to disciplinary action, which may include termination. Testing will be performed and is implemented pursuant to North Carolina Statute 97-12.

PAST ABUSE

The system will not discriminate against applicants for employment because of past abuse of drugs or alcohol. However, the system will not tolerate any current alcohol abuse or illegal drug usage.

SUBSTANCE SCREENING

Tests results indicating that an employee has illegally used drugs, to include non-prescribed drugs may be cause for termination of employment. Any employee refusing to submit to a controlled substance screening will be subject to termination from employment. Additionally, refusing to test or testing positive could result in forfeit of:

• Workman’s compensation • Medical benefits

• Indemnity benefits

Note: In the event an employee wishes a re-test, or wishes to challenge a test the employee will be responsible for notifying the system and for paying any incurred charges.

VEHICLE OPERATION

All employees who drive system vehicles are subject to the rules and regulations of the U.S. Department of Transportation (DOT) and must be tested according to the National Institute on Drug Abuse (NIDA) protocols. If any employee, while operating a system vehicle or equipment, is involved in an accident that results in a fatality, or results in bodily injury requiring a person to be treated away from the scene of the accident, or is issued a citation for a moving traffic violation, or there is information that the employee has caused, or contributed to or been involved in an accident while on work duty, may be required to submit to a controlled substance abuse screening. Samples for testing must be taken within eight (8) hours of such an accident. All employees of the system, subject to Department of Transportation (DOT) regulations will be subject to random testing for controlled substance abuse. Reasonable suspicion testing will be done if the system’s administration or the employee’s supervisor suspects through observation, or reliable

86

reported observation of inappropriate actions felt to be related to alcohol or drug use. Screening will also be required if reported or documented drug use is provided by a credible source. Anyone knowingly allowing someone under their direct supervision to operate a system vehicle, while under the influence of drugs or alcohol, could be held accountable for any injuries or property damage resulting from any ensuing accident. This would include teachers/instructors utilizing private vehicles while on field trips or to and from work sites away from school.

DRUG TESTING

Pre-Employment Conditions: Effective January 1, 1995, all employees required to have a Commercial Driver’s License (CDL) must be tested for the National Institute on Drug Abuse (NIDA) 5 panel Drugs – marijuana, cocaine, opiate, phencyclidine (PCP), amphetamines and alcohol. This includes all school buss drivers (part-time and full-time), all teachers and coaches who drive activity buses, mechanics, and maintenance personnel. Any individual who refuse to submit to drug testing, as part of the pre-employment testing process will be refused employment. Any individual who tests positive per the Yadkin County School System drug screening profile will be refused employment at that time. Continuing Employment Conditions: Effective January 1, 1995, all current employees of the Yadkin County School System shall be required to have Commercial Driver’s License (CDL) and who is employed as either a full-time or part-time driver will be subject to a controlled substance abuse screening when selected at random. In addition, any employee of the Yadkin County School System who is involved in the transportation of students in either county vehicles or in private automobiles who is involved in an accident may be subject to substance abuse screening. These results indicating that an employee has an illegal substance, alcohol or non-prescribed drug(s) in his/her system will be verified by further tests on the original samples taken. Verified positive results will be cause for disciplinary action up to and including termination of employment for the individual. Any employee refusing to submit to a controlled substance screening will be terminated from employment. Effective January 1, 1995, the Yadkin County School System will annually test at random a minimum of fifty percent (50%) of its employees who are required to hold a CDL license for the NIDA 5 Panel Illegal Drugs, and randomly test a minimum of twenty-five percent (25%) of its employees for alcohol who are required to hold a CDL license. Testing for drugs and alcohol will be done by a laboratory certified by the Department of Health and Human Resources and the results will go to a Medical Review Officer (MRO). For alcohol testing the Evidential Breath Testing (EBT), which must be operated by a trained Breath Alcohol Technician (BAT), will be used. When an employee tests positive for drugs, test results will be confirmed by GCMS verification. Any employee taking either the drug test or alcohol test who tests positive will be suspended from driving for the Yadkin County School System. The employee will be

87

informed that he/she has seventy-two (72) hours to request a test of the split specimen. Upon receiving either a positive verification of the split specimen test or failure of the employee to request confirmation, the employee will be dismissed from driving for the Yadkin County School System. Confidentiality will be maintained at all times (except to the extent necessary to comply with this policy). No information will be released without written consent by the employee or without legal process. Records will be separate and apart from the applicant or employee’s personnel file. Employees may review their file upon request.

PRESCRIPTION DRUGS

Prescription drugs must be listed on the Chain-of-Custody form submitted for analysis. The use of legal drugs prescribed by a licensed physician for specific treatment will not result in disciplinary action. However, it is the employee’s responsibility to report to his/her supervisor that he/she has been advised by their physician, or the drug’s warning label that his/her performance or behavior could be adversely affected by such medication. Failure of the employee to do so could result in disciplinary action against the employee. The supervisor will determine if temporary reassignment of duties is warranted.

WHILE ON WORK DUTY

Any employee who is arrested while on work duty for a drug or alcohol related violation, must report this fact to his/her principal/supervisor within five (5) days after such an arrest. Any employee, while on work duty convicted of a drug or alcohol violation will be subject to disciplinary action up to and including termination of employment.

REHABILITATION

The system will make available all providers through the U.S. Journal Drug and Alcohol Dependency and a representative sampling of names, addresses, and telephone numbers of employee assistance programs. Employees are encouraged to use this resource file, which is located in the personnel office. If an employee should approach the system for assistance through rehabilitation for drug or alcohol abuse prior to a system requested screening, will be given all possible and positive consideration for medical leave of absence for treatment and/or counseling. If an employee is terminated, the system will not be obligated to provide assistance beyond the last day of employment.

CONFIDENTIAL COMMUNICATIONS

88

All information, interviews, reports, statements, memoranda, and drug test results, written or other wise, received by the system as part of the Drug-Free workplace program are confidential communications. Unless authorized by state laws, rules or regulations, the system will not release such information without a written informed consent form signed voluntarily by the employee or applicant.

QUESTIONS Any questions regarding this policy should be directed to the system’s personnel office. REVIEWS

The system will conduct a biennial review of this program to determine it’s effectiveness and whether any revisions to the program are necessary.

89

PRE-EMPLOYMENT DRUG-TESTING STATEMENT

When required job applicants at this system undergo screening for the presence of illegal drugs or alcohol as a condition for employment. Applicants will be required to voluntarily submit to a urinalysis test at a laboratory chosen by them or the school system, and by signing consent agreement, will release the system from liability. The system will not discriminate against applicants for employment because of past abuse of drugs or alcohol. However, the system will not tolerate any current alcohol abuse or illegal drug use. I understand and agree to comply with above conditions. _______________________________ ____________ Applicant’s Name (Print) Date

_____________________________________ Applicant’s Signature

90

CERTIFICATE OF ACKNOWLEDGMENT OF THE YADKIN COUNTY DRUG-FREE WORKPLACE POLICY

I hereby certify that I have read and understand the Yadkin County School System’s Drug-Free Workplace Program and Policy. I understand that if deemed necessary, I will submit to a substance-abuse screening. I also understand that failing to comply with a request for required testing or receiving a positive test result could result in denial or termination of employment. _______________________________________ Name (Print) ______________________________________________ Signature _____________________________________________ Date

91

NOTICE OF DRUG FREE WORKPLACE POLICY IMPLEMENTATION

DATE: ______________________________ TO: ALL EMPLOYEES FROM: _____________________________ Subject: The Yadkin County School System employees are the system’s most valuable resource in assuring Yadkin County’s students a quality education. Therefore, a primary goal of this system is to provide it’s employees with a workplace environment which promotes health, safety, and is Drug-Free. To meet this goal, we hereby endorse and will implement the State of North Carolina’s Statute 97-12 and the Federal Highway Administration’s Drug-Free Workplace Policy. This system will not tolerate unauthorized use, abuse, possession or sale of controlled substances by its employees. Drug testing will be an integral part of our Drug-Free Workplace Program. Drug testing situations are outlined in this system’s Drug-Free Workplace policy. We will provide training, education and other assistance to our employees to help them understand their responsibilities in achieving a drug-free environment. This school system will maintain a resource file of information on various assistance programs available to our employees, including but not limited to, drug and alcohol abuse programs. Employees are encouraged to use this resource file, which is located in the personnel office. Non-compliance with this system’s Drug-Free workplace policy or violation of the regulations may result in sever disciplinary action, including suspension or dismissal.

92

HSP 22.0 PROHIBITION OF SMOKING IN INDOOR FACILITIES

In compliance with Title X, Public Law 103-227 the Yadkin County School System’s Board of Education hereby prohibits smoking within any indoor facility owned or leased or contracted for and utilized by the system for kindergarten, elementary, or secondary education or library services; or for health care, day care, or early childhood development (Head Start) services, or for the use of the employees of the system who provides direct services. This includes all schools and at the Center for Developmental Resources. Smoking is prohibited in the board meeting room and conference room in the Yadkin County School’s administration building during board meetings. YADKIN COUNTY, NC, YADKIN COUNTY SCHOOL SYSTEM, BOARD OF EDUCATION ADOPTED: October 3, 1994 REVISED: May 1996 LEGAL REF.: Title X, Public Law 103-277

93

HSP 23.0 STUDENT FIRST AID – INJURIES AND EMERGENCIES

FRACTURES AND DISLOCATIONS

Obvious deformity usually means fracture or dislocation. If in doubt, manage as though it were a facture.

• Do not attempt to “set” or to reduce the dislocation • Do not move student unnecessarily.

Keep the student warm, quiet, and reassured in lying or sitting position. Notify the parent. Notify EMS to obtain immediate medical attention as appropriate. Cover broken skin with a dry, sterile dressing Check for feeling, warmth, and color. Immobilize injured extremity in the position found using a pillow, padded board, or thick newspaper, with support above and below the injury site. Do not give anything by mouth.

SPRAINS Do not move student unnecessarily. Elevate and support sprained area. Apply an ice pack or cold compress immediately.

Notify the parent regarding the first aid care given and suspicion of sprain. Urge medical consultation for assessment of extent of injury.

BACK OR NECK INJURY: DO NOT MOVE STUDENT Keep in the original position found after injury. Immobilize the neck.

94

Maintain an open airway. Record vital signs and neurological assessment. Keep the student warm, quiet, and reassured. Arrange for EMS to transport the student to the nearest hospital Notify the parent. Do not administer anything by mouth. Stay with the student. BURNS AND FROSTBITE Thermal Burn

• First Degree – Skin reddened, painful, no blisters, mild swelling.

§ Hold the extremity immediately under cold running water to relieve discomfort

§ Notify the parent.

§ No further treatment is necessary unless the burned area is extensive.

• Second Degree – Skin reddened, painful, blisters, prolonged swelling.

§ Do not puncture blisters § Immerse the burned area in cold water immediately to relieve pain.

§ Notify parent and urge medical attention and care.

§ Seek immediate medical care if burn covers large area of body surface or

face.

• Third Degree – Skin charred. Usually painless.

§ Do not remove clothing adhering to the burning area. § Wrap the burned area loosely in a clean dry sheet (sterile if available).

§ Call EMS immediately, if burn is extensive.

§ Follow shock management procedures. (See SHOCK)

§ Notify the parent and urge immediate medical care.

95

Note:

• May use cool wet cloths for face or other areas that cannot be immersed. • Do not use ointments, sprays, or powders on any burned areas.

• Do not apply petroleum jelly or grease of any kind to any burned area.

Burns may also be called partial thickness (1st and 2nd degree), and full thickness (3rd degree). Chemical Burn

• For surface burns, flush the area immediately with large amounts of cool water for at least 20 minutes or until parent or EMS arrives.

• Call EMS if chemical burn is over a large area of the body.

• Notify parent. Urge medical attention even if area involved is small.

• Note if chemical was inhaled, ingested, or absorbed. Call Poison Control Center

if inhaled or ingested. Preserve sample for identification.

Sunburn: DO NOT UNDERESTIMATE SERIOUSNES

• Keep the area from further sun exposure. • Apply cold wet compresses for temporary relief of symptoms.

• Do not open blisters, if present.

• Inform the parent and urge medical consultation, if the burn is extensive or

systemic symptoms occur (faintness, sleepiness, nausea, etc.).

• Encourage the student to stay out of the sun until healed. Take proper precautions to avoid exposure again.

Frostbite – As frostbite develops, skin turns from red to white or grayish yellow (waxy). Feeling is lost in the area and the area may be cold to touch.

• Warm the area as quickly as possible by body heat, wrapping gently in warm blankets, or by water at body temperature until area is pink and feels warm. DO NOT use hot water, heat lamp or hot stove.

• DO NOT RUB or break blisters.

96

• Protect against any injury. Handle very gently at all times.

• Cover with dry sterile dressing. Use Cotton or gauze between fingers or toes.

• Inform the parent and urge medical attention.

CHOKING

Symptoms: coughing, gagging, turning blue, eyes protruding, flailing arms, dizziness, unconsciousness. Complete Obstruction – (no air can be felt entering or leaving mouth). If an object such as a piece of food is obstructing breathing:

• Have person(s) especially those working lunch room, TRAINED to perform the Heimlich Maneuver – perform a rapid series of upper abdominal thrusts or chest thrusts which produce forced expiration of air from the lungs (“Heimlich Maneuver”) as follows:

§ Standing Position

Stand behind the choking student and wrap your arms around his/her waist. Allow his/her head, arms, and upper torso to hang forward. Make a fist with one hand and grab it with the other. Place the fist against the student’s abdomen, slightly above the navel and below the rib cage. Press your fist into the student’s abdomen with a forceful upward thrust. Repeat if necessary.

Post charts illustrating this maneuver throughout the buildings, especially the lunchroom.

§ Prone position

Place the choking student on his/her back. Kneel astride this/her his with one hand on top of the other.

97

Place the heel of the bottom hand on the abdomen, slightly above the navel and below the rib cage. Press into the student’s abdomen with a forceful upward thrust. Repeat if necessary.

On a small child this maneuver may be dangerous and should only be done by a TRAINED person. Back slapping of the choking student may be tried as a second method, if needed. Place the student’s head lower than the torso and slap sharply on back. A small child can be held by the legs upside down while attempting to dislodge an obstruction. If object can be seen, attempt to remove it with finger. Call EMS if above procedures do not immediately work. Notify parent. Student should have medical attention after obstruction is dislodged even if breathing seems normal.

DIABETES

Every student and staff member with diabetes should have available an individual emergency action plan approved by a parent and/or health care provider. Every known diabetic should wear some type of medical alert identification. Signs of insulin reaction such a paleness, sweating, trembling or shakiness, headache, feeling of faintness, unusual hunger, nausea, blurring of vision, confusion or peculiar behavior may be treated by immediately giving fruit juice, sugar, or cake icing, according to individual emergency action plan. Notify parents and record action taken by school personnel. Call EMS immediately, if symptoms are not relieved within 10 minutes or if individual is in a coma.

DRUG OVERDOSE

Establish the student’s state of consciousness and do not leave unattended. If response to external stimuli is SIGNIFICANTLY DECREASED OR ABSENT:

• Call EMS immediately for transportation to nearest hospital. • Notify parent of action taken. If parent is unavailable, notify designated

responsible party or family care provider.

98

• Do not induce vomiting.

• Record vital signs. Maintain airway.

• Inform principal of action taken; describe symptoms. MAKE NO DIAGNOSIS

• For a student who demonstrates abnormal behavior and/or is unable to function

normally in a classroom situation, but whose vital signs are not indicative of any immediate danger:

§ Record vital signs at least every 15 minutes § Notify the principal, and if alone, request assistance of another adult.

§ Make every effort to notify the parent and recommend appropriate medical

care.

§ Refer to the principal or designee for follow-up decisions, if the parent is unavailable.

§ Call EMS if vital signs/condition deteriorates.

Reporting to the police is solely the responsibility of the school’s principal.

EARS Earache – Pain in the ear or feeling of fullness is usually due to infection.

• Take temperature. If elevated, notify parent and urge prompt medical care.

• Apply a warm moist washcloth or covered hot water bag filled with warm water to the ear until parent arrives. Give no other treatment.

Discharge – Itching and blood or pus draining from the ear, with or without pain, usually indicates a serious infection or injury.

• Notify the parent and urge prompt medical care. • Do not attempt to clean the ears.

• All free drainage. Do not use cotton plugs in ears.

Foreign Bodies

• Do not remove if not easily dislodged.

99

• Notify the parent and urge removal of the object by a health care provider.

Live Insect in the Ear

• May shine light into ear to attract insect. Do not attempt to remove unless in outer ear area.

• Contact the parent and urge medical care if insect remains in ear.

Ear Injuries

• Save any torn or detached part of the ear.

• Raise student’s head if appropriate.

• Apply dressing.

• Place tissue in plastic bag and put bag in ice. Transport with student.

• Notify parent and call EMS, if appropriate, to transport student to nearest hospital. ELECTRIC SHOCK Exercise care to avoid electrical contact through the student or source of electricity.

Turn off the power switch and separate the student from the electrical contact by means of a long stick (not one containing sap), a dry rope, or a long dry cloth. Be sure that your hands are DRY and that you are standing on a DRY SURFACE.

Telephone the power company to turn off the current before you attempt rescue, if out of doors with high tension wires. Check pulse and respiration; if absent, use cardiopulmonary resuscitation measures. Cover any electrical burns with a dry sterile dressing. DO NOT COOL THE BURN. Call EMS and notify parent immediately. Treat as for shock. Do not move if spinal injury suspected.

100

EYES Foreign Bodies

• Prevent the student from rubbing the eye.

• Do not remove any object(s)

• Avoid squeezing the eyelids together.

• Notify the parent and urge immediate medical care.

Chemical Burns

• Flush immediately with large quantities of cool water and continue flushing for at least 20 minutes. Student may be instructed to hold face under faucet or drinking fountain with eye open and flush from nose outward.

• Notify the parent and urge immediate medical care. A physician for further care

must see this condition.

• Reassure the student and keep him/her lying flat and quiet.

• Immobilize eye by covering with dry CONVEX dressing. If possible cover both eyes.

Black Eye

• Treat an ordinary “black eye” or minor eye injury with cold compresses for five to 10 minutes and notify the parent.

• Do not use an ice bag.

• Encourage medical attention immediately if there is an interruption of vision such

as blurring or double vision, tearing, or severe pain behind the eye.

• If an object hit the eye at high speed, medical attention must be secured.

Penetrating Injury

• For penetrating or extensive eye injury, transport student to nearest emergency room by stretcher with head immobilized.

• Cover affected eye with CONVEX pad. If possible, cover both eyes.

101

Infections – Contagious condition characterized, initially, by redness and watering of the eyes. In later stages, the watery discharge may change to pus and matt the eyelashes.

• Notify the parent and urge medical consultation.

• Exclude the student from school according to school policy, (e.g., until the eye is clear or a health care provider’s permission to return to school is obtained).

Contact Lens (Dislodged)

• Gently push on the eyelid to manipulate lens into proper position. Instruct student to do this.

• May need to instill sterile saline solution or wetting solution to facilitate free

movement. Student should carry the solution and perform the task.

• Notify the parent if student is unable to replace lens in proper position. FAINTING

Fainting is a sudden loss of consciousness lasting no more than a few minutes. If a student fails to recover consciousness in a few minutes, treat as a medical emergency and notify the parent and EMS. Fainting may be caused by nervousness, sight of blood, emotional shock, pain, injury, seizure, cardiac irregularity and sometimes illness. The symptoms are: loss of facial color, shallow breathing, a slow and weak pulse, and short periods of unconsciousness. Prevention:

• Have a student lie down or lower the head between the knees. • Wipe the face with a cold wet cloth.

Treatment

• Dismiss bystanders.

• Loosen tight clothing around the neck.

• Keep the student lying down with feet elevated until fully recovered and skin color returns to normal.

• Observe student carefully and be prepared to describe the incident.

102

• Inhalation of spirits of ammonia may be used for the child who faints or feels faint. Avoid holing ammonia close to nose.

• Reassure student when he/she regains consciousness.

• Be sure the student has fully regained consciousness and can sit up alone, before

giving any liquid by mouth.

• Notify parents. FEVER

Although variations occur, an elevation of the body’s temperature to 100 degrees Fahrenheit (37.7C) or above is generally considered fever and possible sign of illness. Students should, therefore, be excluded from school under the following conditions:

• Temperature of 101 degrees or higher.

• Temperature of 100 degrees or higher when accompanied by other indicators of beginning illness, such as:

§ Know exposure to communicable illness

§ Extreme malaise

§ Headache

§ Nausea, vomiting and/or abdominal pain

§ Symptoms of upper respiratory infection

GENITO-URINARY COMPLAINTS

Regardless of the student’s age, always consider the possibility of sexually transmitted diseases when evaluating any of the following genito-urinary complaints:

• Painful urination • Discharge

• Testicular pain

• Genital ulcers

• Swollen or painful inguinal (groin) glands

103

• Vulvar swelling or abscess

• Genital trauma (e.g., straddle injuries)

• Genital rash or rash on hands and feet

• Bloody urination (not usually indicative of sexually transmitted disease)

Urge medical care by private physician, hospital clinic or local health department. Pant’s wetting in early elementary school is an area where emotional support is needed. If this is a recurrent problem, contact parents and advise follow-up by pediatrician.

HEAD INJURY

A blow to any part of the head may produce only a momentary period of unconsciousness or a dazed condition. Following a quick recover, a headache may be the only complaint. It is a mistake to assume that a rather prompt recovery from a dazed state is an indication that there is no serious injury. After a varying period of time (hours or days), the injured person may become drowsy or confused as a result of brain injury. Keep the student lying down and quiet. Minimize movement of head and spine. Carefully check the following signs every 15 minutes until they are stable or help is obtained:

• State of consciousness; if the student is unconscious, check respiration and clear passage for breathing. If injury is life threatening, activate EMS system.

• {Pulse and blood pressure.

Observe for:

• Ear or nose drainage (bloody or clear)

• Nausea, vomiting

• Headache (intensity and exact location)

• Orientation to time, place, and person

• Size and equality of pupil reaction to light

• Tingling or loss of motion in hands, fingers, fee, toes

Apply a cold compress gently to any swelling. Scalp wounds bleed freely and should be covered with a sterile pressure dressing, except for the student with a suspected fracture.

104

Do not allow student to resume normal activities, if the student has been unconscious at all, even briefly. The student should have a medical evaluation. The parent must be notified of all head injuries.

HEAT EXHAUSTION AND HEAT STROKE Heat Exhaustion:

• Symptoms include pale, clammy skin, profuse perspiration, headache, dizziness, weakness, nausea, and muscle cramps.

• Move student to cooler, shaded environment.

• Have student lie down with feet elevated. Record vital signs.

• Loosen clothing

• Sponge face, neck, and arms with cool water.

• Notify parent and urge medical care.

• Stop giving fluids by mouth, if vomiting occurs. Call EMS

Heat stroke: An immediate life-threatening situation. Symptoms are: high body temperature; hot, dry, red skin; rapid, strong pulse. Student may lose consciousness.

• Move student to cooler, shaded environment. Record vital signs.

• Call EMS and notify parent immediately.

• Remove student’s clothing as appropriate and repeatedly sponge with cool water or apply cold packs, until EMS arrives.

ONSET OF LABOR

Onset of labor may occur at any time during pregnancy and should be considered if the individual complains of bloody or watery vaginal discharge, cramping abdominal pains, inordinate low back pain, or ruptured bag of waters. When onset of labor occurs in school:

105

• Give reassurance and remain with the individual.

• Notify the health care provider or hospital where the individual is registered, and

follow advice given.

• Notify family member as requested by individual. PAIN Abdominal Pain

• Have the student lie down and offer reassurance.

• Determine the character, location, and history of the pain.

• Do not give anything by mouth.

• Notify the parent and urge medical consultation if:

§ The pain is unusual and /or unremitting § Temperature is elevated

§ Pulse rate is elevated

Headache

• Determine if student has sustained any blow to head recently. (If yes, refer to Head Injury).

• Have the student lie down in a darkened quiet room, and offer reassurance. A

cold compress may be applied to head if desired. Record temperature.

• Notify the parent if headache persists or temperature is elevated above 100 degrees.

• Urge medical consultation if the headache is persistent and unusually severe or

accompanied by other symptoms.

• If the student is know to have migraine headaches, follow student’s existing emergency plan as previously determined by his/her health care provider. The child should be wearing some type of medical alert identification.

106

Menstrual Cramps

• Ascertain whether this episode is typical or whether there are any special contributory factors, such as birth control devices.

• Encourage the student to continue normal school activities.

• Have the student lie down if the pain persists.

• Treat as abdominal pain above

• Notify the parent and urge medical consultation if:

§ The period is unusual as to the amount of flow, odor, color § The pain is unusually severe, persistent, or incapacitating on a recurrent

basis

• Provide support POISONING BY MOUTH North Carolina’s Poison Control Center telephone number is (1-800-848-6946)

Note the type of substance. Call the Poison Control Center for instructions specific to the poison ingested and provide the following information:

• Name of substance – If a trade name, give spelling, name, and address of manufacturer

• Names of ingredients listed on container and percent of amount of each

• Intended use of substance (e.g., polish, insecticide, etc.)

• Estimate of the amount of agent involved and weight of victim

Call EMS, record vital signs, and send remaining portion of substance in its container to hospital with student. Do not induce vomiting, unless instructed to do so by the Poison Control Center.

107

SEIZURES Classifications

• Partial Seizures includes: Simple Partial Seizures (formerly focal Jacksonian), Complex Partial Seizures (formerly psychomotor, temporal lobe), and Partial Seizures Secondary to Generalized (formerly focal with grand mal).

• Generalized Seizures includes: Tonic-Clonic (formerly Grand Mal), Tonic

(formerly Limited Grand Mal), Clonic (formerly Limited Grand Mal), Absence (formerly Petit Mal), Atonic (formerly Drop Attack), Myoclonic (formerly Massive Epileptic), and Infantile Spasms (formerly Jackknife/Salaam).

• Known Seizure Disorder: If the student has a know seizure disorder, follow the

parent-doctor instructions as designated in the emergency action plan for the student. (Student should be encouraged to wear some type of medical alert identification.) If it is a first seizure, urge parent to seek immediate medical consultation. If seizure appears to be the result of head injury, refer to Head Injury. Call for emergency help in any of the following situations occur:

§ If the seizure lasts more than five (5) minutes

§ If the student has one seizure after another

§ If the student cannot be awakened fro prolonged period of time after the

seizure.

§ If the student has been injured during the seizure.

• Generalized Tonic –Clonic

§ If possible, notice when the seizure begins § Stay calm; dismiss the bystanders

§ Help the student into a prone position

§ Do not restrain the student, but keep him/her from possible injury

(especially the head). Remove nearby objects on which the student might injure himself/herself. Loosen collar.

108

§ DO NOT PUT ANYTHING IN THE STUDENT’S MOUTH. Remove glasses if necessary.

§ Position student on side to maintain a clear passage for breathing, when

possible, after seizure. Do not give artificial resuscitation. If vomiting occurs, turn head to one side to avoid aspiration.

§ Do not try to “revive” with fluids, stimulants, fresh air, or walking.

§ OBSERVE and be prepared to DESCRIBE the pattern of the seizure (e.g.,

in what part of the body the seizure started; what other parts were involved; type of movement; duration of the seizure; incontinence if any; aura if any; and the student’s ability to relate what happened). Record details as they occur, or as soon as possible thereafter.

§ Let the student rest when the seizure is over. Reassure student and

classmates.

§ Notify the parent of the occurrence, of your observations during the seizure, and of the post-seizure status of the student. Jointly decide with the parent and student on further management. If agreed upon, the student may return to class after resting and resumes normal pre-seizure state.

§ Plan with the parent to send an extra change of clothing if student is prone

to seizures and would be incontinent of urine/feces.

§ Complete an injury report if the student sustains some physical injury during seizure.

• Generalized Absence

§ Notice the length of the seizure and behavior, which occurs during the seizure. § Gently lead the student away from danger. Speak in calm voice and do not

approach student unless in danger. Will need to repeat instructions or work. Will not remember episode.

§ Notify parent if this is a first occurrence. Student should have an emergency

action plan.

109

SHOCK

Shock is the condition where the circulatory system cannot distribute blood to all the organs in the body. It can develop in response to any serious injury, illness, or allergic reaction.

• Signs

§ Skin – pale, cold, and moist

§ Pulse – rapid, weak, or absent

§ Breathing – shallow, irregular

§ Nausea may be present

§ Feels weak and anxious or altered consciousness

§ Blood pressure low or unobtainable

• Treatment

§ Have the student lie flat and elevate the feet about 12 inches unless head, neck, or back injuries or facture of hips or legs are suspected. If unsure leave lying flat.

§ Reassure the student

§ Cover the student just enough to keep comfortable.

§ Check and record pulse and blood pressure every five to 10 minutes. Maintain airway.

§ Try to ascertain cause of shock (e.g., severe bleeding, fracture, head

trauma, or severe allergic reaction): institutes appropriate first aid.

§ Follow specific emergency plan for student if student is allergic and has individualized plan.

§ Call EMS and notify the parent.

110

SKIN CONDITIONS

• Boils and blisters – Boils or blisters may be caused by a mildly contagious infection, burn, or allergy of the skin. They may vary greatly in size, extent, and location.

§ Do not break blisters or pick at boil and discourage student from doing the

same. § Cleanse gently with soap and water.

§ Cover with a dry, sterile dressing.

§ Send student home and urge parent to seek medical care if he/she feels

sick or has much pain.

• Bruises –

§ Apply cold compresses or ice pack immediately at comfort level if happened at school.

§ Elevate bruised part if appropriate.

§ Notify parent if happened at school.

• Chemical Irritants

§ Flush the skin immediately for 20 minutes with large amounts of cool

water to dilute and remove chemical. § Notify the parent and urge medical consultation

§ Encourage student to remove clothing with chemical on it if appropriate

and with consent.

§ Note name and preserve sample of chemical if you will be calling the Poison Control Center for first-aid directions.

• Impetigo – An acute highly communicable skin infection caused by Streptococcus

or Staphylococcus bacteria. The infection starts out with a pin-sized fluid-filled pimple, which later fill with pus and then ruptures. Finally, a honey-colored crust forms on an erythematous base. Multiple lesions are common and may appear in all stages, sizes, and shapes.

111

Note: Cold sores lack the typical yellow or honey-colored crust. Untreated Staphylococcus Impetigo can lead to serious complications.

• Poison Ivy, Oak, and Sumac (see Allergic Reactions)

• Scabies – Scabies is a highly communicable skin disease caused by a tiny mite called Sarcoptes Scabiei. It does not always pertain to the cleanness of a person and can occur in any family. It is important to keep in mind the itching may persist for days to weeks after effective treatment.

• Splinter (see Wounds) – An individual with a deeply embedded splinter or

multiple splinters should be sent home. Parents should be urged to get immediate medical attention. Do not attempt to remove.

• Tinea (Ringworm: scalp, body, feet) – May also be called Kerion, athlete’s foot,

jock itch. Ringworm is a fungus infection of the feet, scalp, or body and is contagious. Exclude from school or activities requiring undressing and showering, as appropriate, until definite diagnosis is made and student is under effective treatment and follow-up. It is important that gym mats and athletic room equipment are cleaned daily. Fungi like warm damp areas.

TEETH Broken or Loose Teeth

• Loose Tooth

§ Have student bite gently on a dry gauze square § Call parent and refer immediately for dental care.

• Broken Teeth – Injury to the front teeth with breakage, or avulsion (tooth out of

socket) also requires emergency dental care. If pulp (nerve) is exposed, immediate attention by a dentist is necessary if the tooth is to be saved especially a permanent tooth.

§ Notify the parent and urge immediate dental care.

§ Save and avulsed tooth.

Wearing gloves, pick up tooth by crown. Do not handle the root Gently rinse dirt and debris from tooth and replace in socket. Encourage student to bit down gently.

112

If unable to replace tooth in socket, preserve by putting tooth in container of fresh, cool milk. Take to dentist with student as soon as possible.

MOUTH, LIPS, AND THROAT

• Injuries

§ Attempt to clean the area with a sterile gauze pad to determine the source of the bleeding using OSHA procedures. Students should be allowed to administer self-care when appropriate.

§ Reduce bleeding from tongue, lips, or cheek cuts by applying ice or cold

compress directly to the wound with pressure.

§ Hold head forward so student will not swallow blood.

§ Notify the parent to seek dental and/or medical care if the bleeding persists or the cut is sizeable.

§ Cleanse external wounds with soap and warm water.

• Mouth Ulcers (Canker Sores) – Small ulcers found on the lips, cheeks, and gums

are significant when associated with fever or severe pain or are of long duration.

§ Notify parent and urge medical attention.

§ Suggest that student avoid acidic juices and foods.

• Sore Throat

§ Take and record temperature § Contact parent and urge medical care if temperature is elevated, if other

symptoms of respiratory infection are present, or if sore throat persist.

• Toothache – Toothache is usually caused by tooth decay associated with a deep cavity. The infected tooth may have a bumboil and may cause localized swelling of the face. Fever may or may not be present. If left untreated, the infection may spread to other parts of the body.

§ Notify parent of student’s discomfort and recommend immediate dental

care.

§ Occasionally “wisdom teeth” cause discomfort to adolescents as they break through the surface of the gum. Warm mouthwashes can relieve

113

this. Good dental hygiene is encouraged to remove food/debris from gum flaps.

• Students with orthodontia in progress may experience:

§ Wires rubbing cheek or gums – Encourage student to use wax obtained

from dental specialist on ends of wires.

§ Wires snapping or out of place – Notify parent immediately so that an appointment can be made to rectify problem as soon as possible.

§ Pain after wires are tightened – Discuss a pain management plan with

parent and student. Follow school system medication policy. VARICELLA (Chicken Pox)

A benign, highly contagious viral disease characterized by a low-grade fever, followed by a pruritic rash consisting of maculas, papules, vesicles, and crusted lesions, which appear in crops and rapidly progress through various stages. Peak incidence is two to eight years of age. Epidemics are seen in 3 to 4 week cycles, mainly from January to May. Transmission is by direct contact or inhalation from nose and throat. The incubation period can vary from 10 to 12 days: the average is 14 – 16 days.

• Lesions – A few spots appear on the trunk or face initially, and then during a 3 to 4 day period, successive crops erupt involving trunk, face, scalp, extremities, and mucous membranes. Lesions are seen in greater concentration centrally and on proximal portions of the extremities. They tend to be more abundant on clothed areas.

• Symptomatic treatment to alleviate itching

§ Cornstarch or Aveeno baths. § Antihistamines (e.g., Benadryl) as directed by physician.

§ Acetaminophen (Tylenol) as indicated for temperature elevation. DO

NOT GIVE ASPRIN!

Children may return to school five to seven days after onset of rash and when all lesions are crusted. Caution: Do not expose to pregnant women or infants. Do not expose to children with eczema, malignancies, or on immunosuppressive therapy. DO NOT ADMINISTER AYL LIVE VIRS VACCINES for 30 days post chickenpox.

114

NAUSEA – VOMITING

Position the student’s head downward, so that vomitus completely clears the throat and mouth. Try to have a receptacle available.

Notice if vomiting is projectile and note:

• Time of onset

• Nature of episode

• Abdominal pain or tenderness

• Fever or other evidence of infection

• Recent injury

• Ingestion of poisons or other unusual substances

• Food and source of food

• Occurrence of diarrheas

• Similar symptoms in members of family or others who have eaten food from same source

• Repeated vomiting episodes in adolescent female (may indicate pregnancy)

• Emotional state

• Number of episodes over period of time.

Save specimen of vomitus if there is any indication of bleeding or of ingestion of poison, medication, or contaminated food. Notify Parent and advise medical care Refer to OSHA guidelines for handling of body fluids. Note: Nausea only may occur for a variety of reasons such as stress, lack of breakfast or lunch, infection, pregnancy. Take a history, Take and record temperature. Allow the student to rest in a quiet place for 20 –30 minutes. Notify parent if nausea persists and/or is accompanied by fever, vomiting, or symptoms of infection.

115

WOUNDS

Precautions for Caregiver – If possible, assist student do own self-care. If not, avoid being splashed by blood. Place a barrier between caregiver and the victim’s body fluids, such as gloves and/or a head shield. Wash hands and contaminated body surfaces immediately. Follow OSHA guidelines for cleaning and disposal of blood-soaked items. WITH ANY WOUND, ADVISE THE PARENT TO ASK THE HEALTH CARE PROVIDER ABOUT WHETHER A TETANUS BOSSETER IS NEEDED. INFORMATION ABOUT THIS IMMUNIZATION SHOULD BE ON THE SCHOOL RECORD, BUT MAY NOT ALWAYS BE UP-TO-DATE. THE HEALTH CARE PROVIDER WILL NEED TO KNOW THE DATE OF THE MOST RECENT TETANUS BOOSTER ON THE RECORD. Cuts and Lacerations – Free bleeding of a wound, if not excessive, is usually beneficial. If bleeding is severe, follow directions in the section on BLEEDING. If wound involves fine glass particles, rinse with gentle spray-flow of water.

• Assist student promptly in cleansing all breaks in the skin with soap and warm water and let dry. If student is unable, use gloves and universal precautions.

• Protect wound with a light, dry, sterile dressing.

• Notify the parent and urge immediate medical care, if the wound is deep or

gaping. Remind BOTH student and parent to watch for sings of infection..

Abrasion (Mat, Floor, or Brush Burns)

• Wash thoroughly with soap and warm water to remove dirt and bacteria. A dressing is usually not necessary.

• Notify the parent and urge care, if the area of the abrasion is extensive.

Splinter

• Wash thoroughly with soap and warm water to remove dirt and bacteria. Remove with tweezers if protruding above the skin. Do NOT attempt to remove if imbedded.

• Repeat cleansing after removal of the splinter, and soak or apply warm compress

to the site for 15 minutes.

• Apply a clean dressing if indicated.

• Instruct in signs of infection.

116

Puncture Wound (minor)

• Wash thoroughly with soap and warm water to remove dirt and bacteria.

• Do not cover. Instruct in signs of infection.

• Advise parent to consult health care provider regarding treatment if a foreign object (e.g., pencil point, graphic debris, thorn,) is embedded.

Puncture Wound (major) such as knife, large piece of metal or glass deep or in vital area.

• Call EMS and notify parent. • Do not remove foreign object.

• Place several dressings around foreign object to keep it from moving.

• Bandage dressings in place.

• Record vital signs

• Treat for shock (see SHOCK)

Sucking Chest Wound

• Call EMS and notify parent

• Cover the wound with a clean dressing that does not allow air to pass through (plastic, glove, folded aluminum foil). Tape the above in place except for on corner that should stay loose.

• Reassure student. Record vital signs. Maintain airway.

• Treat for shock (see SHOCK)

Penetrating abdominal Wound

• Call EMS and notify parent. • Carefully position on back.

• Carefully remove clothing around wound. If organs are out, do not try to handle

or replace.

117

• Cover organs with moist sterile or clean dressings. Use warm tap water. Place folded cloth over dressing to keep warm.

• See BLEEDING

• Record vital signs. Reassure student. Maintain airway.

• Treat for shock (see SHOCK)

Recommended First Aid Supplies

1. Liquid soap dispenser and water

2. Alcohol 70%; Hydrogen Peroxide; Bleach 1:10 solution

3. Band aids (waterproof, non-medicated)

4. Sterile gauze (3” X 3” and 4” X 4”)

5. Roller gauze bandage (2” and 3”)

6. Adhesive tape 1” and 2” widths) (Dermicel)

7. Triangle bandages

8. Elastic bandages (all sizes)

9. Tongue depressors in closed containers

10. Applicator sticks in closed containers.

11. Cotton balls

12. Thermometers and holders

13. Paper towels

14. Paper bags (small)

15. Splints

16. Clear plastic bags

17. Ice bags

18. Paper cups

118

19. Safety pins

20. Tweezers

21. Vaseline packets

22. Bandage scissors

23. Baking soda – for insect bites

24. Ipecac (for poison antidote --- policy required)

25. CPR one-way mouth piece

26. Eye pads – metal

27. Squeeze bottle of eyewash

28. Gloves (non-latex, disposable)

29. Blood pressure cuffs/stethoscope

30. Flashlight or penlight

31. Instant sugar (cake icing in tube, orange juice, etc.)

32. Fingernail clippers

33. Secta Soothe (sting relief)

CLASSROOM FIRST AID KIT

At the beginning of the school year, each teacher should be given a reseal able plastic bag or box containing soap, Band-Aids, paper towels (if necessary), and instructions for the students on how to manage their own cuts and scratches. Instructions (written or verbal) given to teachers should include information that is consistent with their school’s OSHA/Infection Control policies concerning provision of first aid to students. At the end of the school year, the teachers should return all unused supplies. Supplies

1. Liquid soap and/or bactericidal/viricidal wipes

119

2. Band-Aids

3. Non-latex gloves

4. Waterless hand cleaner

Purpose of Classroom Care of Small Cuts and Scratches

• Prevents loss of pupil time from class. • Provides first aid supplies for playground or field trips

• Teachers pupils how to care for minor injuries.

Directions for Care

• Child should be taught to care for injury by washing cut or scrape with soap and water thoroughly for 2 minutes. Wipes can be used when running water is not available but children should be encouraged to wash area as soon as possible.

• Band-Aids should be applied as needed.

• Teacher should wash hands with soap and water or use waterless hand cleaner

before and after if she/he assisted with care.

• Teacher should wear gloves when assisting in the care of the child.

HSP 24.0 ADMINISTERING MEDICATION TO STUDENTS

Statement: This policy is a copy of the existing “STUDENT MEDICATION DURING SCHOOL HOURS” policy adopted by the Yadkin County Board of Education on May 6, 1996. It has been entered under a different format. Chapter 115-C – 307 of the General Statutes of North Carolina enables public school employees, when given authority by the Yadkin County Board of Education or its designee, to administer medication prescribed by a doctor upon written request of the parents. In accordance with the above stated statute, Yadkin County Schools’ medication dispensing policy is for the safe and accurate administration of medication during school hours.

120

DEFINITIONS – The following definitions and descriptions are to assist with the interpretation of the YCS Administration of Medication Policy. Medication – both prescription and non-prescription medicines.

Non-prescription medicines – Medicines which may be obtained over the counter without prescription from a licensed prescriber. Long term medication – medication used longer than 15 days. Legal prescriber – physician, dentist, nurse, other health care providers who are legally authorizes to prescribe either prescription or non-prescription medication. Administration – assisting the student in the ingestion, application or inhalation of medication according to direction of the legal prescriber. Self administration – administration of own medication by a student in school. Monitoring – reminding the student to take medication, visual observation of the student to insure compliance and recording the medication was taken.

GUIDELINES

These guidelines are to meet the needs of and insure that students receive their medications in a safe and prudent manner. Implementation of the Education of Handicapped Children Act – Public Law 94-142 and public law 99-457 has created a population of children in the school setting whose chronic health problems require prescribed medication on a daily basis. These written guidelines for school personnel giving medication during the school day will guide personnel to document the administration of medication as written by the physician, and this documentation will remain a permanent part of the student’s cumulative folder.

The written policy will accomplish system-wide consistency.

The development of a policy for administration of medication during school hours will accomplish safe and efficient administration of medications and the documentation of the administration of medications during school hours. Yadkin County’s guidelines will define the roles of the school principal, school nurse, and the person(s) in the school designated to administer medication.

121

GUIDELINE AREAS

Administration of medication during school hours Administration of asthma medication during school hours. Ad ministration of emergency allergic reaction procedures

Guidelines for administration of medication during school hours are:

• Parents may come to school and give medication to their own children at the appropriate times

• Parents must have the authorization for medication form completed fore each

medication prescribed to be given during school hours.

• New authorization for medication forms must be completed for changes in medication and each school year.

Medication brought to school must meet the criteria listed below:

• Be in a container labeled by pharmacy or physician

• Have a completed authorization form for each medication

• Be kept in a locked, secure place

• Be refrigerated if necessary

• Be kept separate from other students’ medication

Designated school personnel giving medication must follow these guidelines.

• Verify that authorization form(s) are complete.

• Verify that medication name and student name on container matches authorization form.

• Administer medication at the time and the correct dosage as stated on the

authorization form.

• Avoid touching medication. Pour tablet on to lid or cup to give to student. Observe student-taking medication.

122

• Document the medication was given on medication administration form.

• Notify school nurse of each medication authorization form as received. DOCUMENTATION Individual medication record will include:

• Student’s name and date of birth

• Medication name, dose, and time to be given

• Signature of person giving medication in ink only

• Code reasons why medication not given

Daily documentation of medication given will include:

• Signature or initials of person giving medication

• Date medication given

• Time medication given

• If medication not given as ordered, the appropriate code letter will be written under initials. Codes will include:

§ X = Weekend § N = No medication available

§ H = Holiday

§ F = Field Trip

§ A = Absent

§ D = Early dismissal

• Authorization from and medication records will be arranged in as single notebook

for the school office and/or additional notebooks in the classroom (depending on the location in which the medication is administered). Records will be kept confidential and are to be accessible only to authorized personnel.

• Medication that are discontinued must have:

123

§ A written verification from parent. § Medication remaining in container will be returned to parent and

documented by date on medication record.

§ Any medication left at school and not picked up by parent within 30 calendar days will be disposed of appropriately by designated school personnel and documented on medication record with signatures.

A weekly updated list of all students on medication will be kept at the front of each medication notebook. This will serve as a safety check to insure students are receiving prescribed medication daily.

GUIDELINES FOR EMERGENCY ALLERGIC REACTION PROCEDURES (EARP)

Parents or guardians must be notified each time emergency allergic reaction procedures are instituted. The designated school personnel will be responsible for notifying the parents/guardians. When medication must be given at school by school personnel, the following criteria must be met:

• An Emergency Procedure for use in Allergic Reaction Authorization form must be obtained and completed for each medication prescribed.

• A mew Emergency Procedure for use in Allergic Reaction Authorization from

must be completed each school year and, any time injections have been given.

• All Emergency Procedure for use in Allergic Reaction Authorization forms must be reviewed by the school nurse.

• The following items must be completed on al Emergency Procedure for use in Allergic Reaction Authorization forms.

§ Student’s name and date of birth § Parent’s or guardian’s signature, date, telephone numbers including home,

work, and emergency

§ Name of student’s allergy

§ Name of allergic reaction medication

§ Dosage (amount) and administration (how given)

124

§ How soon can it be repeated and how many times

§ Side effects

§ Contraindication for administration

§ Emergency procedure – when to call 911

§ Physician’s signature, date, and telephone number MEDICATION BROUGHT TO SCHOOL All medications must :

• Be in container labeled by the pharmacy or the physician • Match the name and dose of medication listed on the Emergency Procedure for

use in Allergic Reaction Authorization form

• Be in a separate container for each medication

• Be kept in a secure place at close proximity to the student at all times

(During outside activities and field trips, the classroom teacher should make sure that it is available for immediate use).

• Be refrigerated if necessary

• Be kept separate from other students’ medications in an organizer/manila envelope with the student’s name on the outside.

• Be secured by the student who has been authorized to self medicate

DESIGNATED SCHOOL PERSONNEL GIVING MEDICATION

When administering medication school personnel must adhere to the following procedures:

• Verify completed Emergency Procedure for use in Allergic Reaction Authorization form(s) for student is on file.

• Validate that medication name and student name on the container matches the

information on the Emergency Procedure for use in Allergic Reaction form.

• Notify school nurse of each Emergency Procedure for use in Allergic Reaction Authorization when received.

125

• Make sure medication is given according to the Emergency Procedure for use in Allergic Reaction Authorization form.

• Document medication given on the bottom of the Emergency Procedure from for

use in Allergic Reaction form with the signature of persons administering medication.

RECORDS Are to be kept confidential and are to be accessible only to authorized personnel. Role of Medication Designee:

• Review all authorization for medication forms to ensure the form has been completed with signatures from the prescribing physician and parent/guardian.

• Notify the parent/guardian if the authorization for medication form is not

complete and that medication can not be given by school personnel until form I completed.

• Assure that the container with the medication and authorization medication form

is accurate. If in doubt, contact school nurse before giving medication to student.

• Count number of pills in container and document the number of pills on medication record in weekend slot using red ink.

• Keep medication in brown envelope with student’s name on outside of envelope.

Keep medication envelope in a locked drawer away from other students.

• Monitor and update weekly medication list.

• Notify parent if student refuses medication. Role of Principal:

• Select the designated school personnel for medication administration (may discuss with school nurse to assist).

• Secure locked storage in which to keep medication.

• Responsible for communication of the school medication policy to parents.

• Resolve and assist school nurse to resolve when the guidelines are not being

followed for administration of medication at school. (Ex. Parents do not complete the authorization forms).

126

ADMINISTRATON OF MEDICATIONS IN THE SCHOOL SETTING School Nurse Role:

• Provide in-service education on the administration of medication and proper documentation, giving special emphasis to Emergency Allergic Reaction Procedures, to designees each school year and to new personnel as needed.

• Assist in securing authorization of Medication for each student receiving

medication during school hours.

• Compare Authorization of Medication form with labeled container. Contact parent/guardian and physician if discrepancy is noted.

• Review side effects of the medication(s) as indicated by physician with designees

and other appropriate school staff.

• Assess reports from school staff regarding any side effects/adverse reactions and notify parent/guardian and the physician.

• Monitor the medication records, medication labels and storage periodically.

• Provide a written summary of all noted discrepancies to the policy and guidelines

to the principal.

• Upon request from the parent/guardian or physician, assist in providing a copy of the medication record.

• Inform parents of the Yadkin County Schools Medication policy during Beginners

Day and/or parent group activities and organizations.

HSP 25.0 SAFETY: INSTRUCTIONAL LABORATORY SETTING

HSP 25.0 is designed to be used as a guide for creating a safe working and learning environment for employees and students of the Yadkin County School System. This policy does not contain the North Carolina OSHA rules and regulations. A book entitled North Carolina School Operations Safety Manual contains a condensed version of the EPA and OSHA regulations and is located in the school’s main office. As a tool for creating a good safety program for your lab, it is essential that you reference this book for rules and regulation that apply to your instructional area. Whenever hazardous material or equipment is being used for instructional purposes a safe and orderly environment must be the instruction’s teacher’s number one priority. Safe work habits must be highly emphasized and taught as an integral part of instruction. The prevention of Accidents requires a good safety program, continuous

127

supervision, maintenance of equipment, and good housekeeping procedures. All forms mentioned in HSP 25.0 are located in the appendix.

TEACHER SAFETY-Teacher will:

Document Safety Instruction – Safety must figure prominently in your instructional program through lesson plans, information sheets, demonstrations based on job or procedure sheets, guest speakers, and attests. Administer Safety Tests - Written tests should cover general safety rules and specific safety practices, materials, and equipment. Students must also demonstrate their ability to use hazardous tools, materials, and equipment by successful completing performance tests. They must score 100 percent on all safety tests. Once completed, these tests. They must score 100 percent on all safety tests. Once completed, these tests are placed in each student’s file. Require a Student Acknowledgment Form – At the beginning of the program, each student signs this form indicating that he or she will follow all safety rules, and will operate tools, use chemicals, and equipment only after receiving instructions. Students must pass all safety tests with a score of 100 percent. Require A Consent – To – Use Form – By signing a consent-to use from, parents permit their children to use materials, operate tools, and equipment for instructional purposes. Require A Consent-To-Drive, Consent–To–Ride, and Automobile Liability Form whenever students are permitted to drive to and from instructional work sites a Consent – To –Drive and Automobile Liability Form must be completed and signed by a parent or guardian. This form does not precede or take the place of any existing Yadkin County Board of Education approved from. Students will not be allowed to ride with other students without a signed Consent-To-Ride form from a parent or guardian of the student driving and of the student riding. Allowing students to drive to and from off –campus instructional work sites must be approved by school administration.

PRACTICE SAFETY – Teachers will

Supervise Students – The majority of accidents result from human error, and many of these occur in laboratories because of inappropriate student behavior. As a teacher/instructor it is your obligation to remain in the classroom and laboratory area to supervise students. Only in emergency situations should students be left in a laboratory without teacher supervision. Enforce Safety Rules – While it is critical to establish general send specific safety rules, enforcing these rules is even more important. In the event of legal action, the court will want to know whether rules were established and enforced. This is often determined through interviews with students. Could your students state that you enforced established safety rules?

128

Model Safe Behavior – Demonstrate an attitude that makes safety a priority, wear personal protective equipment, use tools and materials safely, and follow all safety rules.

MAINTAIN A SAFE ENVIRONMENT – Teachers will

Keep Equipment in Good Operation Condition – Safe operating condition means that all guards are in place, equipment operates to manufacturer’s specifications, periodic inspections are conducted, and preventive maintenance schedules are followed. You should be able to provide records of all equipment inspection, maintenance and repairs. Conduct Safety Inspections – In the presence of your students, and as part of your instructional program, you should conduct periodic safety inspections. Use an inspection checklist which includes the conditions of equipment; the general appearance of the laboratory, including storage areas; and such items as lighting, ventilation, safety markings, fire extinguishers, traffic lanes, etc. Ensure That the Laboratory is Safe – By following North Carolina OSHA regulations and based on needs identified by safety inspections, take appropriate actions to correct unsafe conditions. Post General Safety Rules – General safety rules are those which apply at all times throughout the classroom and laboratory. Examples include stipulations for wearing safety glasses, a policy on horseplay, procedures for entering and leaving the laboratory, guidelines for appropriate dress, and housekeeping requirements. Post Specific Safety Procedures – Specific safety procedures are those which apply to specific tool, piece of equipment, or process. For example, a carpentry classroom should have safety rules for operating the table saw posted on or near the saw.

PREPARE FOR EMERGENCIES – Teachers will Establish Emergency Procedures – In conjunction with the school administration, you must establish procedures to follow in the event of a serious accident. Should the office be notified? Do you have the authority to call emergency dispatch (911)? What should the other students do? Are students allowed to use the school’s phone system? Be sure you have a plan in place; this is especially important if you are the injured person and cannot respond to the emergency. Maintain a First Aid Kit – While there are strict regulations pertaining to teachers distributing medicine, teachers can maintain a first aid kit to treat minor injuries. The kit should contain items such as bandages, antiseptic ointment, gauze, and tape. Talk with the school nurse for more information.

129

Report and investigate all Accidents – The teacher and his/her students must report all accidents. If felt that due to the seriousness of, and if there is a possibility that the same situation exists at other schools or sites, then the principal or supervisor should report the accident to the safety director. The teacher and safety director must investigate each accident to determine the cause and identify procedures for preventing similar accidents in the future. All accident reports should be filed for future reference. Require Insurance – Students taking vocational education courses, in which an injury could occur, will be required to show proof of being covered by health/accident insurance. Students financially unable to purchase school insurance or show Medicaid or private insurance coverage may have coverage waived by the Yadkin County Board of Education. Applications for waiver of coverage need to be made to the Board of Education representatives within the first ten class days. The representatives will present requests to the Board of Education for action. Yadkin County Board of Education adopted September 6, 1994 File: JGAA.

HSP 26.0 CUSTODIAL SAFETY GUIDELINES

Gloves – Gloves must be worn for pulling trash, cleaning restrooms, and for other activities where employees may come in contact with body fluids. In general, employees must carry a pair of gloves in their pocket. Gloves must be worn when performing tasks where an employee may come in contact with body fluids. This procedure is not at the option of the employee. Supervisors must know if there are employees who cannot wear gloves because of medical conditions. In all other cases gloves will be worn. Gloves are to be distributed to any employee who requests them for use in body fluid spills cleanup. Mop Water – Mop water with disinfectant must be change after a spill is cleaned up. Generally, mop water must be changed when the mop is not visible through the solution. Cleaning School Desks – Where spills occur, desks will be cleaned using a daily-prepared bleach and water solution followed by germicide. Desks where no spills have occurred may be cleaned with germicide only. Special Provisions for Handicapped Persons – As a high priority, special education student areas, handicapped student areas, and child care areas must be cleaned daily. After body spills have been cleaned from carpets they must be sprayed with germicide. Trash Can Liners –

• Garbage Can Liners – Garbage can liners must be changed daily.

• Waste Can Liners – Waste can liners must be changed daily.

130

Cleaning Restrooms – All restrooms must be cleaned and disinfected daily. Employees must wear disposable gloves. Cleaning water should be changed frequently. Incidents where toilets are over-flowing or drains are backed up require the restroom be place out of service until disinfected. Equipment must be disinfected after use.

• Apply bleach if contaminate is on a hard surface.

• Clean area thoroughly with absorbent towels

• Dispose of contaminated fluids and any supplies used fro cleaning areas into a plastic bag and place in a protected receptacle away from students.

• Clean all equipment with a germicidal solution and store in custodial closet for

next emergency.

• To be prepared for emergencies custodians must keep a good inventory of supplies.

Cleaning Large Amounts of Body Fluids – The following instructions are for cleaning up large amounts of vomit, feces, blood, urine, etc.

• Do the same as you would for small amounts, but you may have to pick up the fluids with an absorbent powder or crystals, which will be picked up with a counter brush and dustpan. Throw contaminated absorbent into a plastic bag and dispose of it away from students.

• It will be necessary to spray area again with germicidal detergent or bleach.

• It may be necessary to vacuum the area when it is dry.

• All tools and supplies must be cleaned (disinfected) before returning them to

the custodial closet for the next emergency.

• Check stock of supplies (replenish if necessary).

Halls, Lobbies, Boiler Rooms, and Grounds Halls and Lobbies – It is the custodian’s responsibility to:

• Keep the halls and lobbies clan and free of obstructions

• Post signs denoting wet floors

• Replace any broken or missing ceiling tiles in the halls, lobbies or classrooms.

131

• Insure that all doors and door latches are in good condition and working properly.

• Inspect and document inspections of emergency lighting and exit signs.

Boiler Rooms – Boiler rooms will be kept clean and not used for storage. To insure that the North Carolina OSHA, and the North Carolina Department of Labor rules and regulations are adhered to, the custodian must be familiar with the rules and regulations pertaining to boiler room and boilers. This will include any fire codes. It is essential that the custodian be thoroughly familiar with the operation of any heating, cooling, electrical, or mechanical systems that are part of his/her job duty. It is the custodian’s duty and right to refuse to perform any of the above-mentioned operations without proper training. Grounds – It is the responsibility of the custodian to insure that: • Any areas used by the faculty, students, parent and other employees be clean

and clear of debris or obstructions

• Any burned out lights, except for those deemed the responsibility of another system employee, is replaced.

• All motorized equipment used to maintain the grounds is used safely and that

all safety equipment is in place and in good working order.

All custodians must have documented bloodborne pathogens training on a yearly basis.

132

.

YADKIN COUNTY SCHOOLS

CHEMICAL HYGIENE PLAN

FOR LABORATORIES

436wTpicsww.flinnsci.com

Introduction In accordance with the regulations established by the United States Department of Labor pursuant to the Occupational Safety and Health Act and the North Carolina Occupational Safety and Health Administration Laboratory Safety Standard, 1910.1450, Yadkin County Schools will

have in effect a Chemical Hygiene Plan (CHP). This Chemical Hygiene Plan is designed to provide safe laboratory procedures that will protect staff members and students from harmful practices and overexposure to hazardous chemicals.

Laboratory experiments are crucial to the understanding of science processes and the learning of science content. The laboratory will be a safe learning environment when rules for safety are reviewed and followed. Yadkin County Schools will ensure the safety in laboratories by providing proper ventilation, eye washes, emergency showers, fume hoods and other associated safety items. The Chemical Hygiene Plan (CHP) for Yadkin County Schools has been developed to document all regulations, work practices, training staff members and students on hazardous substances, proper use of equipment, chemical procurement, protective safety equipment, storage and disposal of hazardous chemicals, disseminating safety information, and identifying the School appointed Chemical Hygiene Officer and other responsible personnel that will provide a safe and healthy workplace. Safety must be a part of instruction with staff members providing the modeling of appropriate safety protocols. Properly storing and dispensing chemicals is the responsibility of the Chemical Storeroom staff

133

member. Procurement, check-in, check-out and reshelving of chemicals will be done by one Science Department Staff member. The CHP will be reviewed, reevaluated, and updated annually by the District Chemical Hygiene Officer/Program Administrator of Health and Safety and will be made available to all staff members, students and visitors for review.

Table of Contents

Introduction 1.Background Information 135 2. Chemical Hygiene Plan 135 3. Shared Responsibility of the Chemical Hygiene Plan The School Board The School District Chemical Hygiene Officer The School District Principals The School Appointed Chemical Hygiene Officers The Science Teachers

136 136 136 137 137 137-139

4. Yadkin County Schools Chemical Hygiene Policy Statement and Organizational Chart

140

5. Standard Operating Procedures in the Laboratory 141 A) General Employee Rules and Procedures. 141 B) General Laboratory Rules and Procedures. 142 C) Personal Hygiene Guidelines. 143 D) Protective Clothing Requirements. 144 E) Housekeeping Rules. 144 F) Spill and Accident Procedures. 145 G) Chemical Storage Rules and Procedures.

1) Compressed Gas Handling Instructions. 2) Flammable Chemical Handling Instructions.

3) Corrosive Material Handling Instructions.

146 147 147 147

H) Procedure Specific Safety Rules and Guidelines for Hazardous Chemicals 148 I) Prior Approval Required Procedures 148 J) Safety Equipment Inspection 149 K) Procedures for Chemical Procurement, Distribution, Storage and Disposal On-going Monitoring of Laboratory and Lab Equipment Record Maintenance Display Signs and Labels Emergency Plans for Spills and Accidents Hazardous Chemical Inventories and SDS Files Chemical Waste Disposal

150 151 151 152 152 152 153

6. Employee Training Initial Training and Documentation Refresher Training Program Review and Auditing

154 155 155 156

134

7. Exposure Evaluations 156 8. Medical Evaluations 157 9. Monitoring 157 10. Blood-borne Pathogens 157-

159 11. Emergency Action Plan Emergency Evacuation Routes

Fire Chemical Leaks or Spills

159 160-161 162-163

Yadkin County Schools Facility Description Forms

YCS Chemical Training Documentation Form YCS Chemical Hygiene Officer Appointment at Local School Form

YCS Eye Wash Inventory and Test Record Form YCS Emergency Shower Inventory and Test Record Form YCS Fume Hood Inventory Form YCS Fume Hood Ventilation Testing YCS Laboratory Ventilation Test Record YCS Fire Extinguisher Inventory Form YCS Chemical Inventory Form

YCS Student Safety Laboratory Rules Form YCS Student and Parent Safety Contracts Forms YCS Student Safety Checklist

YCS Accident Report Forms YCS Teacher Accident Report Form Staff Witness Accident/Incident Report Form YCS Student Witness Accident/Incident Report Form YCS Chemical Disposal Form YCS Chemical Justification Form

164 165 166 167 168 169 170 171 172 173 174-177 178-179 180 181 182 183 184 185 186

135

1. Background Information

Federal regulations, known as the "OSHA Laboratory Standard" (29 CFR1910.1450), that govern academic, industrial, and other laboratories that use hazardous chemicals are required by law to develop and implement chemical hygiene plans. NC is an OSH state and has adopted the OSHA Laboratory Standard. OSHA regulations address the need of safe laboratory procedures that will protect all school personnel from harmful practices and prevent overexposure to hazardous chemicals. The American Chemical Society describes a laboratory as a place where:

• containers used for reactions, transfers, and other handling of substances are designed to be easily and safely manipulated by one person;

• multiple chemicals and/or chemical procedures are used; and • protective laboratory practices and equipment are available and in common use

to minimize the potential for employee exposure to hazardous chemicals. It is therefore, incumbent that Yadkin County Schools create and maintain a chemical hygiene plan that delineates both employer and employee responsibilities under those standards. The Chemical Hygiene Plan is intended to protect all employees engaged in laboratory procedures that involve the use of hazardous chemicals associated with all lab based science courses. The Yadkin County Schools chemical hygiene program requires the involvement of each level of school organization from the school administration to the classroom teacher. Employee violations or failure to comply has implications for the employers such that both parties can be cited for the violation. In laboratory settings, there is an obligation to maintain a safe work place. Only the employer can be cited by NC OSH-not the employee. Employee violations must be addressed by the employer-failure of compliance will be grounds for dismissal by Yadkin County School System.

2. The Chemical Hygiene Plan

This Chemical Hygiene Plan sets forth policies, operating procedures, equipment, personal protective equipment and work policies that are capable of protecting employees/students from health hazards presented by hazardous chemicals used in the science laboratories of this school district. It is a written program developed and implemented by the employer which sets forth procedures, equipment, personal protective equipment and work practices that are capable of protecting employees/students from health hazards presented by hazardous chemicals used in that particular laboratory/workplace and which meets the requirements of this section. This will be accomplished through the:

136

A. identification of hazardous chemicals and then minimizing exposure to employees; B. development of an outline of the responsibilities of the district, department

supervisors, chemical hygiene officer, employees; C. discussion of safety procedures; D. determination of lab facilities and equipment needed; and the E. discussion of procedures for procurement, distribution, and proper storage of chemicals.

The Yadkin County Schools laboratory chemical hygiene program requires involvement of all levels of department organization, including the School System Administration, Principals, the Chemical Hygiene Officers, and Instructional Staff. A chemical hygiene program organizational chart is located on page 9.

3. Shared Responsibility of the Chemical Hygiene Plan The Yadkin County School Board and the School District Superintendent have ultimate responsibility to ensure the institution complies with the Laboratory Standard. Several of these tasks are: • Record all employee exposures to hazardous chemicals.

o Record all chemical exposures and use monitoring instruments to get hard data if there is any reason to believe that chemical exposure has /is occurring. Obtain and keep up-to-date information provided by a medical examination.. Require all accidents and near accidents to be reported to the principal and District CHO.

o Keep these records and allow employee access to these records, including all employee exposure and medical records. This provision is included in the Lab Standard, but clearly states you only have to monitor exposure levels if you know you routinely have an exposure level which is above the permissible exposure level (PEL) and an OSHA Standard exists for the chemical which requires monitoring. If you have no reason to believe you have exceeded a PEL, you do not have to monitor exposure levels.

The School District Principals are responsible for chemical safety in the school by monitoring school employee compliance with the Chemical Hygiene Plan. The School District Principals will appoint a School Chemical Hygiene Officer. The Principal will ensure the following: 1) Training of employees to:

a) Understand the hazards of chemicals used in the laboratory and how tom minimize associated risks.

b) Recognize signs and symptoms associated with overexposure to hazardous chemicals.

c) Properly use personal protective equipment (fume hoods, goggles, etc.)

137

d) Protect employees from chemical exposure by following good laboratory procedures.

e) Understand the content of the Chemical Hygiene Plan.

2) Maintain documentation

a) For initial and refresher safety training for employees.

b) Forward a copy of training documentation to the Safety Coordinator at the Yadkin County Schools Maintenance office.

3) Provide access to staff members, students and visitors a Chemical Inventory

a) SDS (Safety Data Sheets).

b) Previous exposure records (if any).

c) Previous medical records (if any).

d) The Laboratory Standard and Chemical Hygiene Plan.

e) Permissible exposure limits of hazardous chemicals used in the laboratory.

4) Upon receipt of a chemical:

a) Make sure the chemical has a SDS and that it is filed in the SDS notebook which will be accessible to staff members, students and visitors.

b) Make sure the label is proper and contains the minimum amount of information.

o Chemical name

o Hazard information

o Name and address of the manufacturer

o Date received on container 5) The name of the School appointed Chemical Hygiene Office will be forwarded to the following persons at the beginning of each school year or at anytime there are changes to the School Appointed Chemical Hygiene Officer. District Chemical Hygiene Officer/Safety Coordinator

The School Appointed Chemical Hygiene Officers are to develop and implement a plan to monitor the use of chemicals, maintain records of chemicals (SDS sheets) and their use, provide specific training, develop emergency plans for chemical spills and accidents, and review the plan annually. Mike Pardue- District Chemical Hygiene Officer Steve McCarn- Forbush High School, Chemical Hygiene Officer Becky Bryant- Starmount High School, Chemical Hygiene Officer Suzy Stammetti- Starmount Middle School, Chemical Hygiene Officer Keith Compton- Forbush Middle School, Chemical Hygiene Officer

138

The Science Teachers help ensure a safe environment by modeling safety practices established to minimize chemical exposure, assess chemical hazards, provide proper ventilation, monitor use and storage of hazardous chemicals in their lab, and ensure proper use of eyewash(s) and safety shower(s). Science teachers will also make sure that all lab safety equipment is properly maintained and monitored regularly including the eyewash, drench shower, and fire extinguisher(s). Teachers will flush eyewashes/drench hoses weekly and showers monthly. Teachers must ensure the strategic location of fire blankets. The Science Teacher must emphasize and model laboratory safety rules established to prevent unnecessary exposure to chemicals for lab procedures, prohibit students from working alone in labs, ensure proper glassware handling, prevent eating in labs and avoid mouth pipetting, address accidents and spills, promote use of appropriate personal protective apparel, promote use of proper chemical waste disposal, and make sure master shutoffs are conveniently located and working. The School District Chemical Hygiene Officer School District Chemical Hygiene Officer is delegated to ensure a safe work place. Any breach of duty can be brought against the employer, not another employee except in a case of proven negligence by an employee. All schools must comply with all Hazard Communication or “Right to Know” laws. The Occupational Safety and Health Administration (OSHA) (1990) promulgated “The Laboratory Standard”—Occupational Exposure to Hazardous Chemicals in Laboratories. This “Laboratory Standard” has been designed to address the specific safety needs of the laboratory. The standard ensures that those who work in a laboratory setting will be protected from any chemical exposure that exceeds permissible exposure limits and assume the necessary training for school employees. The Chemical Hygiene Officer must update the plan periodically to keep up with OSHA regulation updates. It is for these reasons that Yadkin County Schools has created our district's chemical hygiene plan. The District Chemical Hygiene Officer (CHO) is an employee designated by the system who is qualified by training and experience to provide technical guidance in the development and implementation of the provisions of the Chemical Hygiene Plan (CHP). The District Chemical Hygiene Officer has primary responsibility for drafting and implementing the program with specific responsibilities in the areas of:

• providing information on current policies and procedures for safety and health • chemical disposal • inspecting and auditing of programs • reviewing and updating the plan annually • assisting and training teachers in those practices that protect students in the

laboratory • providing guidelines for conducting those experiments designated by state

adopted textbooks and the NCSCOS and • conducting periodic inspections on chemical storage and classroom safety to see

if instructors are conducting safe experiments and following the chemical hygiene rules, in the use of protective equipment and apparel, that each chemical is accompanied by an SDS sheet stored in a notebook with the laboratory, and ensure that chemicals are evaluated for hazards.

139

Summary of Responsibilities The District Chemical Hygiene Officer (CHO) is responsible for the overall development and implementation of the program. Their specific responsibilities include:

þ Developing policies and procedures þ Overseeing procurement, use and disposal of laboratory chemicals

þ Updating programs and procedures as regulations or chemical handling requirements change

þ Maintaining inspection and audit programs, including the results of those programs þ Ensuring the quality and adequacy of training programs

þ Maintaining current knowledge concerning the legal requirements of regulated substances in the laboratory.

þ Reviewing/evaluating and, as appropriate, improving the Chemical Hygiene Plan on an annual basis

þ Assisting school management in determining the proper personal protective equipment and in ensuring that such protective equipment is available and in working order

þ Auditing the chemical waste disposal program þ Assisting school management in insuring that students are protected from any hazards

and follow the appropriate rules for them þ Ensuring that any household chemical that is used is evaluated for the hazards related

to the product and has an SDS. SDS for most common substances can be found by going to www.google.com or www.householdproducts.nlm.nih.gov and do a search for example, vinegar msds.

þ Ensuring that protective laboratory practices and equipment are available and in common use to minimize the potential for employee exposure to hazardous chemicals.

Ensuring that laboratory hoods, eyewashes and showers are inspected annually by the YCS Maintenance Department.

Yadkin County District Chemical Hygiene Officer- Mike Pardue

140

4. Yadkin County Schools Chemical Hygiene Policy Statement In compliance with the Federal Laboratory Standard, Yadkin County Schools realizes its responsibilities for the protection of staff members, students and visitors. Yadkin County Schools hereby institute the following Chemical Hygiene Plan to assist Yadkin County Schools in the laboratory safety program. Yadkin County Schools has appointed the Program Administrator of Health and Safety as the Districts Chemical Hygiene Officer. Yadkin County Schools acknowledges the Chemical Hygiene Officer has knowledge of and authority to implement and enforce this Chemical Hygiene Plan. Although Yadkin County Schools has designated the Program Administrator of Health and Safety as the Chemical Hygiene Officer, the success or lack of success of the Chemical Hygiene Plan rests with all staff members. The ultimate responsibility of the Chemical Hygiene Plan rests with the School Board and the School District Superintendent. The plan will be reviewed annually by the School District Chemical Hygiene Officer/Program Administrator of Health and Safety and updated as necessary.

Yadkin County Schools Chemical Hygiene Organizational Chart

Superintendent of Schools

Assistant Superintendent of Schools

School District Chemical Hygiene Officer

Principal

School Appointed Chemical Hygiene Officer

Instructional Staff

The Chemical Hygiene Plan will be readily available to employees on the Yadkin County Schools web site. Yadkin County Schools will review and evaluate the effectiveness of the Chemical Hygiene Plan at least annually and update it as necessary. The Chemical Hygiene Plan will include each of the following elements and will include specific measures the employer will take to ensure laboratory employee protection.

141

5. Standard Operating Procedures in the Laboratory

A) General Employee Rules and Procedures

1) Minimize all chemical exposures.

2) Avoid skin contact with chemicals.

3) Avoid underestimation of chemical hazards and risks.

4) Develop a firm goggle policy. Wear OSHA approved eye protection at all times. Chemical splash goggles must be worn any time chemicals, glassware or heat are used in the laboratory.

5) Never work alone in the laboratory, chemical storage or prep areas.

6) Never use flammable liquids near any source of ignition, spark, or open flame.

7) Never perform a first-time chemical demonstration in front of your class. Always perform first-time demonstrations in front of other instructors to evaluate the safety of the demonstration.

8) Never store chemicals over, under or near a sink.

9) Allow only authorized personnel the chemical storeroom.

10) Have a fire blanket fire extinguisher easily accessible in case of an accident.

11) Train all students on how to use all safety devices in the laboratory (e.g., eyewash, fire extinguisher, etc.) and teach all students and employees to find the safety devices quickly in an emergency. All emergency equipment must be labeled. Also all exits and non exits must be labeled.

12) Know appropriate procedure in the event of a power failure.

13) Know where and how to use master utility controls to shut off gas, electrical and water supplies.

14) Do not smell or taste chemicals.

15) Use a safety shield whenever an explosion or implosion might occur.

16) Read all chemical labels prior to use.

17) Know and understand the hazards of the chemical as stated in the SDS and other references.

18) Use protective safety equipment to reduce potential exposure, gloves, fume hood, etc.

19) Know the locations for all personal safety and emergency equipment, eyewash, shower, fire extinguisher and spill control materials.

20) Properly store all chemicals in their compatible chemical families-Flinn or Fisher System. (Consult the most current edition Flinn Chemical Catalog/Reference Manual or Fisher Science Education Catalog respectively. for details.)

142

21) Know proper transportation and disposal procedures for chemicals.

22) Know appropriate emergency procedures, for waste disposal, spill clean up, evacuation routes and fire emergency notification.

23) Know and understand the personal hygiene practices outlined in the Chemical Hygiene Plan.

24) Sterilize microscope oculars and hand lenses with alcohol to minimize the spread of eye infections.

25) Teachers do not transport chemicals on public roads.

26) Never allow the use of alcohol burners in your labs.

B) General Laboratory Rules and Procedures

1) Create a written first aid policy: whether it says to treat, contact school nurse or call a physician. The SDS will be sent with the student to the nurse or emergency medical team. Your first aid policy must be written down.

2) Be sure the laboratory is well ventilated. (A ventilation fan that can remove the air a minimum of 8 air changes per hour.) Air for laboratory ventilation shall directly flow into the laboratory from non-laboratory areas and out to the exterior of the building. Ventilation must be checked a minimum of every 3 months by the YCS maintenance dept.

3) Post emergency telephone numbers in the chemical stores area. Have a telephone or some means of emergency communication in the laboratory, chemical storage area, and prep area.

4) Do not use chipped, etched or cracked glassware. Glassware, which is chipped or scratched, presents a serious breakage hazard when heated or handled.

5) Have an eyewash capable of treating both eyes continuously for 15 minutes with copious quantities of potable water. Teach everyone how to use the eyewash quickly in case of an emergency. Eyewash effectiveness and operation will be inspected and flushed weekly and documented. Promptly repair any eyewash that does not meet the water flow requirements of ANSI Z358.1.

6) Fill out an accident report when an accident occurs and time permits, describing the event in detail. (See attached accident reports)

7) Read all labels carefully—the names of many chemicals look alike at first glance.

8) Do not operate electrical equipment with wet hands.

9) Have appropriate types and sizes of fire extinguishers. Tri-class ABC and Halon fire extinguishers are appropriate for laboratories. Carbon Dioxide fire extinguishers are inappropriate for laboratories. A Class D fire extinguisher will be available when working with flammable solids. Fire extinguishers will be inspected every six months. Sand will work for Class D

143

10) Do not block fire exits or access to any emergency equipment.

11) Have an alternative evacuation route in the event your primary route becomes blocked.

12) Practice your emergency plans.

13) Do not drink from lab glassware or other lab vessels.

14) Do not have food in the laboratory. Do not eat, drink or chew gum in the laboratory.

15) Do not apply cosmetics in areas where laboratory chemicals are present.

16) Keep all aisles clear.

17) Do not run in the laboratory.

18) Do not have unlabeled products stored anywhere in the science facility.

19) Be thoroughly familiar with the hazards and precautions for protection before using any chemical. Study the precautionary label and review its contents before procuring or using any chemical substance.

20) Have an approved eyewash station and fire blanket within 25 feet of the chemical stores area.

21) Have neutralizing chemicals, such as a spill kit, dry sand, kitty litter, and other spill control materials readily available.

22) Dispose of all chemicals properly. All disposal procedures used will conform to state and local regulations. (See the most current Flinn Scientific Catalog or S&SCS’s Chemical Management System CD)

23) Have safety showers or body drenches. Showers will be tested every six months. Promptly repair any shower or body drench that does not meet the water flow requirements.

24) Have access to exits, emergency equipment and master utility control. These will never be blocked.

25) Analyze carefully all accidents or near accidents (close calls) and distribute the results to all who might benefit.

26) Never pipette by mouth.

27) Contact lenses can be worn in the laboratory if ACS, NIOSH and OSHA approved indirect vented goggles are used.

28) Never perform unauthorized laboratory experiments.

29) Students are never left in a laboratory or storeroom without supervision. All doors to storerooms and laboratories are to be locked whenever staff is not present.

C) Personal Hygiene Guidelines

1) Do not apply cosmetics, smoke, eat, chew gum, or drink in the laboratory.

2) Do not pipette by mouth—always use a pipette bulb or other appropriate suction

144

device.

3) Wash hands thoroughly after any chemical exposure or before leaving the laboratory.

4) Never smell chemicals directly; always waft the odors to your nose using your hand.

5) Never bring foodstuffs, opened or closed, into the lab, chemical prep, or storage area. Foodstuffs will not be eaten if in a room with toxic materials.

D)Protective Clothing Requirements

1) Wear eye protection at all times. Chemical splash goggles must meet ANSI Z87.1 Standard. Teacher will wear face shields when dealing with corrosive liquids, (i.e., full strength acids and bases).

2) Wear gloves that offer protection for all hazards you may find in the lab. Test for holes every time you wear your gloves.

3) Wear a full-length lab coat or a chemical-resistant apron when using or preparing reagents.

4) Wear low-heeled shoes. Do not wear open-toed shoes or sandals of any kind. Always wear socks in the laboratory.

5) Wear a respirator with the appropriate cartridge if you feel you might exceed permissible exposure limits as specified in the MSDS.

6) Never block access to emergency exits or equipment.

7) Clean up all spills properly and promptly.

8) Do not wear shorts—wear long pants

9) Do not wear loose or balloon sleeves.

10) Tie back long hair.

11) Wear approved indirect vented goggles if contact lenses are worn. Goggles need to fit over eyeglasses.

12) Do not wear hanging jewelry.

13) Do not wear a long or loose necktie.

14) Do not wear an absorbent watchstrap.

15) Inspect all protective safety equipment before use. If defective, do not use.

E) Housekeeping Rules

1) A NFPA diamond is required on the chemical storeroom door as well as on the outside of the building where chemicals are stored with the hazard rating reflecting the highest hazard of any chemical housed. Keep chemicals in the chemical prep and storage area. If chemicals are moved to the classroom for lab, they must be returned to their proper storage location at the end of the day’s laboratory periods.

2) Keep waste materials in proper containers and properly labeled.

145

3) Do not store items in the fume hood. The storage of items in the fume hood is a fire hazard and decreases the efficiency of the fume hood.

4) Inventory and label all chemicals with names and hazards, even solutions including the date received, the initial of person who received it, as well as the date the reagent solutions were prepared.

5) Never block access to exits or emergency equipment.

6) Clean up all spills properly and promptly.

7) Clean all work and floor surfaces regularly and keep free of clutter.

8) Do not put food/chemicals/specimens in the same laboratory refrigerator. Flammable liquids or substances that form flammable vapors are stored in an “Explosion-proof” refrigerator ONLY. Refrigerators must be labeled “Food Only or Specimens/Chemicals Only.”

F) Spill and Accident Procedures

Spills of toxic substances or accidents involving any hazardous chemical need to be resolved immediately using the Yadkin County Schools spill control, counter measures and emergency action plans. Containment and cleanup of major chemical spills require that respiratory protection and protective clothing be used by specially trained emergency response personnel. Instructional Staff are not trained or equipped to respond to such events. Instructional Staff will use the following basic procedures in the event of an emergency involving the Laboratories:

1. Summon Assistance-Alert personnel in the vicinity- Notify—Call for help. Evacuate—Get everyone to a safe location. Assemble—Organize the students and all workers. Report—Fill out a detailed accident report after the emergency is over.

2. Confine the emergency area by closing doors and shutting down the ventilation system (HVAC) to prevent vapors from spreading to other rooms/buildings on the same HVAC.

3. Clean up spills immediately and thoroughly. Follow approved spill cleanup procedures, spills must only be cleaned up by approved personnel.

4. Supply a neutralizer for both acid and base spills must be available in the event of a chemical spill.

In some areas, Instructional Staff may be able to safely use small spill kits to neutralize or absorb minor spills (for example, 1 pint or less). The decision to neutralize or absorb a small chemical spill must be made with the full knowledge of the potential effects of chemical exposure. If an employee is in doubt about the safety of such procedures, the School Appointed Chemical Hygiene Officer must be contacted before proceeding. Large spills that would require assistance of more than Instructional Staff will be reported to the local Emergency Response Unit with a request for their handling of the spill. Yadkin County Schools employees may provide information and assistance but are not trained in large scale spill response.

146

In all cases of chemical exposure, neither the Permissible Exposure Limits (PELs) of OSHA nor the Threshold Limit Values (TLVs) of the American Conference of Governmental Industrial Hygienists (ACGIH) shall be exceeded. In Summary do the following:

G) Chemical Storage Rules and Procedures (Order wood or special polymer storage cabinets)

1) Keep an updated inventory of all chemicals, their amounts and location. Stored chemicals will be examined annually for replacement, deterioration and chemical integrity. The entire Chemical Hygiene Plan is based on the proper updated inventory always being available.

2) Label all chemical solutions you make with the identity of the contents, date, concentration, hazard information and your name.

3) Date label all chemicals with the purchase date. This will allow anyone to determine the age of a substance at a later date.

4) Establish a separate and secure storage area for chemicals.

5) Do not allow incoming shipments of chemicals to be opened and transported by school personnel other than qualified science teachers. The special and expensive shipping containers used are frequently discarded and would prove valuable for chemical storage.

6) Store all chemicals chemically compatible families (See Fisher/Flinn Chemical Catalog/Reference Manual for details).

7) Store the minimum amount of chemicals needed.

8) Store corrosives in appropriate corrosives cabinets.

9) Store flammable materials only in approved flammables storage cabinet or safety cans.

10) Do not store chemicals under a fume hood.

11) Keep certain items, when possible, in the original shipping package, e.g., acids and bases in the special and expensive Styrofoam cubes.

12) Avoid storing chemicals on shelves above eye level.

13) Label the storage area and cabinets to identify the hazardous nature of the products stored within. This will allow fire department officials to quickly see a potentially hazardous area.

14) Clear shelving above any work area, such as a sink as they will be free of chemicals or other loose miscellany.

15) Secure shelving sections to walls or floor to prevent tipping of the entire sections.

16) Equip shelves that house chemicals with lips to prevent containers from rolling off.

17) Do not store chemicals on the floor except in approved shipping containers.

147

18) Ventilate storage areas by at least four changes of air per hour. Isolate the chemical storage exhaust from the general building ventilation system.

19) Never store food in a laboratory refrigerator.

20) Store chemicals in a separate, locked, dedicated storeroom.

21) Store all poisons in a locked cabinet.

22) Allow only authorized personnel in the chemical storage area. Students must never be allowed in this area.

23) Avoid chemical exposure to heat or direct sunlight.

Storage Requirements—Compressed Gas Handling Instructions

1) Handle compressed gases as high-energy sources, and therefore, as potential explosives.

2) Protect the cylinder valve stem.

3) Avoid exposure of cylinders to heat. Do not store gas cylinders in direct sunlight.

4) Do not lubricate, modify, force or tamper with a cylinder valve.

5) Use cylinders of toxic, flammable or reactive gases only under a fume hood.

6) Do not extinguish a flame involving a combustible gas until the gas is shut off—otherwise it can reignite—possibly causing an explosion.

7) Keep gas cylinders secured in place (chained to wall). They must be protected to prevent valve damage that may be caused by falling.

Storage Requirements—Flammable Chemicals Handling Instructions

1) Store all flammables in a dedicated flammables cabinet.

2) Keep cool, between 55°F and 80°F, at all times.

3) Store away from all sources of ignition.

4) Store away from all oxidizers.

5) Never store flammables in refrigerators unless the refrigerator is explosion proof.

6) Avoid storing any chemicals, especially flammable materials in direct sunlight.

Storage Requirements—Corrosive Materials Handling Instructions

1) Store corrosives in appropriate corrosives cabinets.

2) Keep certain items, if possible, in the original shipping package, e.g., acids and bases in the special and expensive Styrofoam cubes.

3) Wear special chemical splash goggles when working with corrosive materials. Wear a chemical splash face shield when handling corrosive materials.

4) Inspect all shelf clips at least every three months in your acid cabinet to check for possible corrosion. These shelf clips are the only thing between you and a collapsed shelf. They require special attention.

148

H) Procedure Specific Safety Rules and Guidelines for extremely Hazardous Chemicals The District and School Appointed Chemical Hygiene Officer and the Principal will identify as hazardous, those chemicals for which there is sufficient evidence to indicate acute or chronic health problems. Examples are chemicals rated by the NFPA as 3 or 4 Justification of a need for a NFPA Health Hazard rating greater than 2 is required before the order can be processed. in any category, manufacturer SDS hazard ratings, hazardous chemicals (those for which there is statistically significant evidence on at least one study conducted in accordance with established scientific principles that acute or chronic health effects may occur in exposures to employees), health hazard (chemicals which are carcinogens, toxic or highly toxic agents, productive toxins, irritants, corrosives, sensitizers, hepatoxins, nephrotoxins, neurotoxins, agents which act on the hematopoietic systems, and agents which damage the lungs, skin, eyes, or mucous membranes), or, poisons.

1) Use a fume hood when the permissible exposure limit for a chemical is less than 50 ppm as indicated on the chemical SDS.

2) Use carcinogens, mutagens, teratogens and allergens only under a fume hood. Justification is required for carcinogens, mutagens, teratogens and reproductive system hazards.

3) Handle toxic, corrosive, flammable and noxious chemicals under a fume hood.

4) Do not expose flammable liquids to open flame, sparks, heat or any source of ignition.

5) Use flammable solids (sodium, potassium, lithium, etc.) in very small quantities. Use a safety shield when igniting flammable solids.

6) Store water-reactive solids (sodium metal, potassium metal, etc.) under dry oil.

7) Use extreme caution when handling finely divided (dust-like) material. Finely divided materials may form explosive mixtures with air.

8) Ethyl ether is not to be used or found in the chemical inventory.

9) Make glycerin only available to the instructor. 10) No alcohol lamps or burners are permitted. . Alcohol burners are known as

Molotov cocktails. DO NOT PERMIT USAGE> USE MICROBURNERS. DO not use Propane torch burners

11) All mercury compounds/mercury thermometers and instruments (except barometers) are not permitted. (NC G.S.§ 1502)

I) Prior Approval Procedures

There may be some procedures which require prior approval before an instructor attempts to perform them. These procedures must be determined by cooperation and

149

communication between the Science Department and the School Appointed Chemical Hygiene Officer.

1) Disseminate a safety contract to students that parents that must sign and return. The contract must be kept on file in the classroom/laboratory. Make 2 copies. One remains with parent /student; the other in the teachers file

2) Review the name, proper use, and assembly of equipment in the science laboratory. Review all hazards associated with any lab with students prior to the lab being done.

3) All Labs should be approved by the School level CHO based on the educational value of the activity and its hazard level based on the chemicals used and the safety equipment needs. Space and layout of the lab should be considered also.

4)

J) Safety Equipment Inspection The Yadkin County Schools laboratories contain equipment to conduct a variety of instructional experiments. The school staff consists of the principal or an appointee.

Safety equipment available in the laboratories includes laboratory fume hoods, local exhaust ventilation system for experimental tables, storage cabinets for acids and flammables, emergency showers and eyewashes, fire extinguishers (dry chemical type), and chemical burn stations. There are many safety items necessary for compliance to the Laboratory Standard. They include, but are not limited to:

1) Eyewashes

2) Fire extinguishers

3) Chemical vented goggles with side shields (OSHA approved)

4) Safety face shields

5) Chemical resistant lab coats

6) Heat/chemical resistant gloves

One of the most important sections of the Laboratory Standard states that all safety equipment in the facility must always be in good operating condition. While the Laboratory Standard requires that safety equipment be functional at all times, this statement applies to all safety equipment, required or recommended.

1) Goggles always must be clean and functional and sanitized between student use.

2) Laboratory ventilation must meet the standard of eight air changes per hour and must be tested quarterly.

3) Fire extinguishers must be of the right type, Tri-class ABC, and they must always be properly inspected.

150

4) Eyewashes must be functional and flushed weekly with documentation. Safety showers or drench hoses will be flushed monthly with documentation. (A large garbage can on a cart is good way to test the full body shower)

5) Fume hoods must be operational at the level of 70-100 linear feet per minute as measured by a velometer.

All of the above items and all safety equipment must be inspected at a minimum of every three months. Any safety equipment failing this quarterly inspection or reported to be out of order at any time must be repaired immediately. Any safety equipment found to be out of order is a serious violation of the Laboratory Standard. YCS Maintenance personnel are required to inspect eyewashes, showers, fume hoods annually.

K) Procedures for Chemical Procurement, Distribution, Storage and Disposal No hazardous materials found on the (SARA Hazardous Substances List) pg. 56 shall be used or procured, Unless it is approved by the school level CHO and the District CHO with agreement from the principal. A (Chemical Justification Form) pg. 55 shall be submitted to the school level CHO and the District CHO for approval. Of special importance is the proper selection and storage of chemicals, this is to ensure that they are received with proper labeling and accompanied by SDS sheets. All labels and SDS should meet requirements set forth by OSHA Hazardous Communication standard 1900.1200. New Labeling and SDS requirements should be met by the effective dates set forth by OSHA. The final GHS effective date will be June 1, 2016. Chemicals must be stored by chemical families –not alphabetically- in appropriate storerooms. They will be be purchased in small quantities (one year supply), as well as being inventoried regularly and assessed for container integrity and hazards. Keeping an electronic file of chemicals for the entire school prevents additional purchases of chemicals already on hand. Laboratory chemical procurement distribution and storage are under the direct control of the School Appointed Chemical Hygiene Officer. He/she has the responsibility to determine the chemicals and other materials are needed for instruction in the laboratories. Most chemicals are used in their regular shipping containers while others may be prepared by the lab. Test solutions, etc. prepared in the lab are dated and labeled in accordance with the OSHA Hazard Communication Requirements. Requests for procurement of new chemicals shall be submitted to the School Appointed Chemical Hygiene Officer for approval and forwarded to purchasing. Information on proper handling, storage and disposal shall be known to all involved personnel prior to the procurement of the chemical. Chemicals utilized in the Laboratories shall be those which are appropriate for the ventilation system. Personnel who receive chemical shipments shall be knowledgeable of the proper procedures for receipt. Chemical containers shall not be accepted without accompanying labels, safety data sheets, and packaging in accordance with all appropriate regulations. All new chemicals SDS sheets will be copied and placed in a SDS notebook and a copy of new chemicals SDS sheets will be sent to the Safety Coordinator for inclusion into the Yadkin County SDS website. Shipping containers and labels are inspected to ensure that the proper material has been received and that the container is in good condition. Leaking or damaged containers are not accepted from the shipper. The label must

151

properly identify the material and provide appropriate warning information. Upon receipt, chemicals are transferred into the Central Storage area. Single containers of products are transferred to the laboratories as needed. The date received and date first used is written on each container label as products are procured. Chemical containers stored in the laboratory proper are segregated according to their compatibility. Storage locations include metal storage cabinets and the central storage room.

Mineral acids (any of the major inorganic acids, such as sulfuric, and hydrochloric) will be separated from flammable and combustible materials. Nitric acid will be stored separately in an acid cabinet-if not- store it enclosed in Styrofoam casing or in a separate box sometimes found in acid cabinets. Separation is defined by NFPA 49 as storage within the same fire area but separated by as much space as practicable or by intervening storage from incompatible materials. Acid-resistant trays shall be placed under bottles of mineral acids. Acid-sensitive materials shall be separated from acids or protected from contact with acids. Highly toxic chemicals, or other chemicals whose containers have been opened, shall be stored in unbreakable secondary containers. The storage area shall not be used as a preparation or repackaging area. Storage of chemicals at the lab bench or other work areas shall be limited to those amounts necessary for one class or day's classes. The container size shall be convenient and of the minimum amounts. The amounts of chemicals at the lab stations will be as small as practical. Chemicals in the laboratories shall not be exposed to sunlight or heat. Stored chemicals shall be examined at least annually by the School Appointed Chemical Hygiene Officer for replacement, deterioration, and container integrity. The inspection will determine whether any corrosion, deterioration, or damage has occurred to the storage facility as a result of leaking chemicals. Periodic inventories of chemicals shall be conducted by the District Chemical Hygiene Officer. Unneeded reagents will be properly discarded or returned to the storage area (only if anticipated future use).

Teachers need to constantly purge their shelves of chemicals regarded as unsafe. Chemicals that need to be discarded must be stored in compatible families. See page 22 for Chemical Waste disposal section and page 54 for Disposal Form. On-going Monitoring of the Laboratory and Lab Equipment Laboratory equipment will be monitored quarterly. Checking to see that safety equipment is in place and used properly is especially important. A periodic walk-through of the labs will be scheduled. Chemical storage areas require inspection each semester for hazards and corrected quickly.

Record Maintenance

• Establish and maintain records for any accidents incidents involving chemicals • Conduct a comprehensive inventory and use of hazardous chemicals. • Complete regular inspections of equipment and regular inspections of storage areas. • Provide on-going employee chemical and safety training including proper chemical

disposal.

152

Display Signs and Labels

Signs are to be posted and maintained with emergency telephone numbers, safety equipment location such as emergency showers and eyewashes, fire blankets, fire extinguishers, emergency exits and Non-exits.

Emergency Plans for Spills and/or Accidents

An Emergency Action Plan is established and communicated to personnel concerning • Failure of the ventilation system • Chemical spills • Hazardous weather • Fire • Proper evacuation procedures • Proper, timely medical care • Reporting systems • Proper procedures for conducting emergency response drills including an alarm

system established to alert all affected persons.

Policies are established for: • Prevention of chemical spills • Containment of chemical spills • Cleanup of chemical spills • Reporting of chemical spills • Analysis of all accidents and near accidents

Hazardous Chemical Inventories and SDS Files

The School Appointed Chemical Hygiene Officer will generate the schools Chemical Inventory Listing and corresponding Safety Data Sheets for the facility covering all chemicals used by the laboratories. An up-to-date copy of the Chemical Inventory Listing and corresponding Safety Data Sheets will be kept at the school in the Chemical Storage Area and in Schools Main Office. An up-to-date copy of the Chemical Inventory Listing and corresponding Safety Data Sheets will be forwarded to the following persons at the beginning of each school year or at anytime there are changes to the Chemical Inventory Listing such as the purchase of or the disposal of chemicals from the inventory:

District Chemical Hygiene Officer/Program Administrator Health and Safety Secondary Science Specialist/Office of Curriculum and Instruction

The YCS Safety Coordinator will maintain a Master Safety Data Sheet system for Yadkin County Schools located on the Yadkin County Schools website.

153

The inventory identifies each hazardous material used in the laboratories by its common chemical name. The hazardous properties of the chemical are noted under a 4-item hazard classification sections: Health - Flammability -Reactivity - Corrosives. Storage quantity is also indicated.

Detailed information about the hazardous properties of laboratory chemicals is obtained from the Safety Data Sheet (SDS) for each chemical. The SDS is maintained in the laboratory where the chemical is used including household chemicals. Product container labeling is required.

Safety Data Sheets (SDSs) are requested from the chemical suppliers of all purchased chemicals. It is the responsibility of the School Appointed Chemical Hygiene Officer to insure that the SDS is included in the shipping information and to forward a copy of the SDS to the Safety Coordinator for inclusion on the Master Safety Data Sheet System. School Appointed Chemical Hygiene Officer will provide SDS sheets to the Instructional Staff, to be accessible in each classroom laboratory. Purchased chemicals will not to be released to the classroom laboratories without providing a SDS or confirming that a SDS is on file in the laboratory. SDS sheets are needed for household supplies used for experiments. Most household chemical SDS sheets can be acquired from the Yadkin County Schools SDS link on the website. The GSC Maintenance Department MSDS website can be accessed by going the XXXX LEA Home Page and clicking on the following sites-Employee Services-Maintenance Department -Health and Safety-Material Safety Data Sheets- Science Curriculum.

Chemical Waste Disposal

Employees are apprised of chemicals that need to be purged from their chemical inventory and the procedures concerning the collection and containment of waste chemicals. Waste chemicals will be boxed and stored by compatible families, and labeled as “To be Discarded” and stored in a secure and safe place. A Work Order Request will be submitted to Yadkin County Schools Maintenance Department requesting disposal. The Work Order Request must be accompanied by a faxed form to the Maintenance Department at 679-3262 as an addendum to the Work Order Request which will include the name of the chemical to be disposed of, the quantity of the chemical to be disposed of and the specific location of the chemical at the site to be disposed of and the name of a contact person at the site who is knowledgeable of the requested chemical disposal. Form is located on Page 54.

6. Employee Training

Yadkin County Schools will provide ongoing training sessions for our employees to:

154

• Provide employees covered by the laboratory standard information and training to assist them in assessing chemical hazards in their work area.

• Provide employees, at the beginning of employment new safety updates. • Include employee understanding of physical hazards, health hazards, chemical route

of bodily entry, hazardous chemical dosage, container labels, SDS's, safety equipment, and accident procedures.

Our training will also include: • Content and location of this Chemical Hygiene Plan and The Laboratory Standard.

• A school by school Chemical Inventory and potential hazards involved in using chemicals.

• Signs and symptoms of overexposure to chemicals and how to detect potentially harmful exposures before they are harmful.

• Location and availability of chemical Safety Data Sheets (SDS).

• Understanding of the permissible exposure limits (PELs) used in the school.

• The proper use and location of all safety equipment. The elements of the formal initial training course are as follows:

155

Initial Training and Documentation

Component 1. OSHA Standard Review

2. General Laboratory Safety Training Video: "Lab Safety" or a similar video may be used.

3. Standard Laboratory Procedures 4. Protective Equipment

5. Emergency Procedures 6. Walk through Laboratory Reviews

The North Carolina Standard Course of Study requires all science courses in middle/secondary schools to be taught by science inquiry. Safety is more than chemicals-what of animals, plants, field trips, etc. Most safety videos are student oriented. Middle school teachers must have safety training also. Videos alone do not meet the NC OSH or 29 CFR 1910.1450 safety training requirement. A live person must be available to answer any questions even in the case of interactive CD training. See Science Laboratory Safety Manual, pg.106. (S&SCS, 2006 Linda M. Stroud)

Refresher Training Refresher training emphasizes the elements of initial training in a format that allows for workers to discuss existing procedures and provide suggestions for improvements in current programs as well as providing training for new school personnel. The elements of annual worker refresher training are as follows: Components

OSHA Standard and Chemical Hygiene Plan Review Accident/Injury Record Review

Laboratory Procedures/Protective Equipment Emergency Procedures

Walk through Laboratory Audits

All Yadkin County Schools employees will receive training on OSHA Hazardous Communication Standard 1910.1200, before Dec 1st, 2013. Each employee will sign the form to document there training.

156

Program Review and Auditing An annual program audit of the laboratories will be conducted by the School Appointed Chemical Hygiene Officer, the Science Department Chair and the Instructional Staff. The following Chemical Hygiene Plan elements are to be reviewed during the audit.

a. Documentation - Hazardous Chemical Inventories - Chemical Hygiene Manual - SDSs - Standard Laboratory Procedures - Training Records (Initial/Refresher) - Incident Reports/Assessments

b. Control Measures - Proper Use - Performance Measurements - Maintenance c. Personal Protective Equipment - Use - Maintenance - Storage d. Worker Knowledge - Procedures - Resources - Controls - Protective Equipment The results of the audit are reviewed with the Instructional Staff and target dates are set to correct deficiencies identified. A written annual audit report is prepared by the School District Chemical Hygiene Officer, outlining the results of the audit and corrective actions recommendations. The report is reviewed with the Principal and the Site Appointed Chemical Hygiene Officer upon completion of the audit.

7. Exposure Evaluation It is the communicated policy of Yadkin County Schools to investigate all suspected overexposures to chemicals in a prompt and timely fashion. In the event of an overexposure, after the immediate event, we must document all chemicals and circumstances involved in the overexposure. This information will be used to change safety practices to further improve lab safety. It is our obligation to maintain these files and make them accessible to the employees. Signs of overexposure are numerous; they include:

A) Accidental breakage of a hazardous material container.

B) A skin rash or irritation occurring because of contact with a chemical.

C) Caustic splash to eyes, face or body.

157

D) Symptoms such as nausea, dizziness and others. If monitoring the air is determined to be necessary, the results of the monitoring must be made available to the employees within 2 weeks.

8. Medical Evaluations It is the policy of Yadkin County Schools to make a medical consultation and examination available to our employees when:

a) Any sign or symptom of an overexposure to a chemical is present.

b) Monitoring has indicated an overexposure to a chemical has occurred.

c) There has been a spill or uncontrolled release of chemical fumes. We will provide the physician with the names of the chemicals used, circumstances of the exposure, and all signs and symptoms of the exposure. The medical examinations dealing with the overexposure must be documented. Other employees working under the same conditions must be notified. All documentation must be kept on file and accessible by other employees working in this area. All medical examinations and consultations shall be performed by or under the direct supervision of a licensed physician. This shall be provided without cost to the employee, and without loss of pay.

9. Monitoring

Monitoring will be necessary for substances regulated by a standard only if there is reason to believe that exposure levels for that substance routinely exceed the PEL for that substance. If you have no cause to suspect a hazard or an exposure, no monitoring is necessary. If monitoring is performed and this initial monitoring shows no evidence of exposure, the monitoring may be discontinued. If initial monitoring indicates an exposure, steps must be taken immediately to reduce the exposure to permissible limits. Monitoring must then be performed periodically to verify that the steps to reduce the exposure have been effective. Monitoring may be terminated after complying with the applicable standard for the hazardous material. All monitoring results and activities shall be fully accessible and in full knowledge of the employee(s).

10. Blood-borne Pathogens

The purpose of the code is to eliminate or minimize occupational exposure to Hepatitis B virus (HBV), Human Immunodeficiency Virus (HIV), and other blood-borne pathogens. The standard mandates engineering controls, work practices and personal protective equipment, coupled with employee training, will reduce the on-the-job risks for all employees exposed to blood. Blood-borne pathogens are microorganisms in human blood that can cause disease in humans. They include the hepatitis B virus (HBV) and the human immunodeficiency virus (HIV), which causes AIDS. Infectious materials include semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible

158

to differentiate between body fluids.( (OSHA, Title 29 Code of Federal Regulations (CFR), Part 1910.1030, Occupational

Exposure to Blood-borne Pathogens,

What is also included are any unfixed tissue or organ other than intact skin from a human (living or dead) and human immunodeficiency virus (HIV)-containing cell or tissue cultures, organ cultures and HIV or hepatitis B (HBV) containing culture medium or other solutions as well as blood, organs, or other tissues from experimental animals infected with HIV or HBV. Employers and employees must treat blood and all body fluids as if infectious. Meeting these requirements is not optional. Since any exposure to blood could potentially be fatal, the standard covers employees who may come into contact with human blood and other potentially infectious materials in order perform their jobs. The standard requires employers to establish a written exposure control plan, which identifies work with occupational exposure to blood and other potentially infectious material and specifying means to protect and train them. It calls for engineering controls such as puncture-resistant containers for used needles; work practices such as hand-washing to reduce contamination, and appropriate personal protective equipment such as gowns and gloves. Latex is no longer recommended-use Nitrile. Hazard Communication warning labels, including labels with a fluorescent orange or orange-red background and the biohazard symbol and word “Biohazard” in a contrasting color affixed to containers of regulated waste, refrigerators and freezers and other containers which are used to store or transport blood or other potentially infectious materials are required. Red bags or containers may be used instead of labeling. When a facility uses universal precautions in its handling of all specimens, labeling is not required within the facility. There are also requirements for housekeeping covering decontamination procedures, a written schedule for cleaning, discarding of contaminated needles, and handling of regulated wastes.

Housekeeping

There are also requirements for housekeeping covering decontamination procedures: a written schedule for cleaning, discarding of contaminated needles and other sharps and handling of regulated wastes. The standard requires employers to offer, at their expense, voluntary hepatitis B vaccinations to all employees with occupational exposure and prescribes appropriate medical follow-up and counseling after an exposure incident. Employers must keep records of exposure incidents, post exposure follow-up, hepatitis B vaccinations, and employee training. Medical records must be kept for each employee with occupational exposure for the duration of employment plus 30 years. These records must be confidential and must include name and social security number, hepatitis B vaccination status and follow-up procedures, a copy of the healthcare professional's written opinion, and a copy of information provided to the healthcare professional.

Universal Precautions in a Safe Work Practices

“Universal Precautions” must be followed at all times whenever contact with potentially infectious materials is possible. Universal precaution is summarized as follows: All human blood and certain body fluids are treated as if known to be infectious for the human immunodeficiency virus, the hepatitis virus, and other blood-borne pathogens.

159

The following safe work practices are advocated by the Center for Disease Control (CDC) for health care workers. However, they apply equally as well to faculty and students working with potentially infectious material. Universal Precautions are mandated by the Blood-borne Pathogens standard. The CDC issues guidelines, but cannot enforce them. OSHA, in promulgating the Blood-borne Pathogens standard, incorporated them as a mandatory provision.

1. Use appropriate barrier precautions to prevent skin and mucous membrane exposure when contact with blood or bodily fluids are anticipated.

2. Wear gloves when touching blood, bodily fluids, mucous membranes, or non-intact skin.

3. Wash hands and other skin surfaces immediately and thoroughly with water and antiseptic cleanser if contaminated with blood or bodily fluids.

4. Wash hands immediately after removal of gloves. 5. Dispose of all used disposable syringes, needles, scalpel blades, and other sharp items immediately after use. They must be placed in puncture-resistant containers for disposal. These containers will be as close as possible to the area where disposable sharps are used.

11. Emergency Action Plan and Emergency Evacuaction Routes

Each site has a written Emergency Action Plan and Emergency Evacuation Routes. The Emergency Action Plan and Emergency Evacuation Routes are incorporated into this Chemical Hygiene Plan in the event of a chemical fire, spill or leak. The following procedures are to be followed in the event of a chemical fire, spill or leak. In addition to these procedures, the School Appointed Chemical Hygiene Officer shall have in his/her possession a copy of the schools Chemical Inventory and corresponding Safety Data Sheets. These items will accompany the School Appointed Chemical Hygiene Officer in the event of a school evacuation.

160

Fire

Procedure

1. When a fire is discovered by a student or staff member, the fire alarm system will be activated by manually pulling the handle on a fire pull station. If the fire is discovered by an automatic fire of smoke detector system, the fire alarm system will sound automatically. In either case, a staff member will notify the Principal's office as to the extent and location of the fire either by telephone, walkie talkie or public address system.

2. If the automatic and/or manual fire alarm systems fail to operate:

A. The Principal is to sound the alternate evacuation signal immediately. The evacuation signal consists of three short rings on the bell/horn system.

B. The Principal is to use the megaphone if all electrical/mechanical systems fail to operate.

C. Notify classes outside the main building, such as mobile classrooms, physical education areas and cafeterias.

3. Contact fire/emergency services by dialing 9-1-1. Tell operator where point of contact will be located to meet responding Fire Department Commander.

4. If properly trained, staff members need to use use portable fire extinguishers to control and

possibly extinguish incipient stage fires.

5. All students and staff members will evacuate the buildings and proceed to the designated assembly areas in accordance with the Emergency Evacuation Routes posted in each classroom.

6. Teachers will close all windows and doors in classrooms and turn off the lights when leaving the room. Teachers will ensure that all students and staff members have left the classroom.

7. School personnel will ensure that all buildings are vacated.

8. Office Support will close all vaults and secure all records.

9. The Principal will insure that the occupants are evacuated at least 1000 feet from the structure and confined to the designated assembly areas.

161

10. The Principal will designate a central location where staff members can bring and receive information.

11. All teachers will take roll and notify the Principal immediately if someone is missing.

12. Principal will immediately notify Fire Commander if someone is missing. The Fire Commander, will orchestrate the search for missing persons. Under no circumstances will any staff member re-enter any building once the evacuation is completed.

13. Principal will alert school nurse and first responders to provide medical assistance if needed.

14. If students or staff members are transported to hospital(s):

A. Keep list by name of what students or staff members are transported to hospital and to which hospital they are being transported to.

B. Direct staff members to each hospital where students or staff member are transported.

C. Notify parents, guardians or spouses of incident. Notify same as to which hospital students or staff members are transported.

15. Keep access roads open for fire/emergency vehicle

16. Students and staff members will not return to the building until area is declared safe by Fire Department Officials. If school is to be dismissed, have attendance roster available to use as a checklist when releasing students. Instruct teachers to remain with students until they are released to parents or guardians or transported to a prearranged evacuation location.

17. In conjunction with Fire Commander, prepare a fact sheet regarding the incident. 18. In conjunction with Fire Commander, prepare a media statement.

19. Ask media outlets to assist with notifying parents, guardians, and spouses on the time

and location where their students and staff members will be released.

162

Chemical Leaks or Spills (including gasoline and fuel oil)

Procedure

1. When a chemical leak or spill is discovered by a staff member, notify the Principal's office as to the extent and location of the chemical leak or spill either by telephone, walkie talkie or intercom.

2. Principal will verify information and determine if evacuation is appropriate.

A. If the evacuation is determined necessary, the Principal is to sound the alternate evacuation signal immediately. The evacuation signal consists of four long rings on the bell/horn system.

B. The Principal is to use the megaphone if all electrical/mechanical systems fail to operate.

C. Notify classes outside the main building, such as mobile classrooms, physical education areas and cafeterias.

3. Contact fire/emergency services by dialing 9-1-1. Tell operator where point of contact will be located to meet responding Fire Department Commander.

4. All students and staff members will evacuate the buildings and proceed to the designated assembly area in accordance with the Emergency Evacuation Routes posted in each classroom.

5. Teacher will close all windows and doors in classrooms and turn off the lights when leaving the room. Teachers will ensure that all students and staff members have left the classroom.

6. School personnel will ensure that all buildings are vacated.

7. Office Support will close all vaults and secure all records.

8. The Principal will insure that the occupants are evacuated at least 1000 feet from the structure and confined to the designate assembly area.

9. The Principal will designate a central location where staff members can bring and receive information.

10. All teachers will take roll and notify the Principal immediately if someone is missing.

163

11. Principal will immediately notify Fire Commander if someone is missing. The Fire Commander, will orchestrate the search for missing persons. Under no circumstances will any staff member re-enter any building once the evacuation is completed.

12. Principal will alert school nurse and first responders to provide medical assistance if needed.

13. If students or staff members are transported to hospital(s):

A. Keep list by name of what students or staff members are transported to hospital and to which hospital they are being transported to.

B. Direct staff members to each hospital where students or staff member are transported.

C. Notify parents, guardians or spouses of incident. Notify same as to which hospital students or staff members are transported.

14. Keep access roads open for fire/emergency vehicle

15. Students and staff members will not return to the building until area is declared safe by Fire Department Officials. If school is to be dismissed, have attendance roster available to use as a checklist when releasing students. Instruct teachers to remain with students until they are released to parents or guardians or transported to a prearranged evacuation location.

16. In conjunction with Fire Commander, prepare a fact sheet regarding the incident.

17. In conjunction with Fire Commander, prepare a media statement.

18. Ask media outlets to assist with notifying parents, guardians, and spouses on the time and location where their students and staff members will be released.

164

Yadkin County Schools Facility

Description Forms

165

YCS Science Safety Training Documentation Form

School Name______________________ _______________________ (insert name) will be responsible for coordinating and/or conducting such training sessions. On this date, ___________________, employees of _________________department of ____________________ School received CHP training. As a result of this training, the following employees understand chemical hazards in their work area and how to address them: Name (Printed) Name (Signature) ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________

Schools need to keep a copy of this form for their records and forward a copy to the YCS Safety Coordinator at the Maintenance Office.

166

YCS Chemical Hygiene Officer Appointment at Local School Form In compliance with the Federal Laboratory Standards, Yadkin County Schools is responsible for the protection of employees and students. We are hereby instituting the following chemical hygiene plan to assist us in our safety program. _______________High School has appointed___________________as the School Appointed Chemical Hygiene Officer. We acknowledge that the School Appointed Chemical Hygiene Officer has knowledge of and authority to implement and enforce this Chemical Hygiene Plan. Yadkin County Schools has designated the Safety Coordinator as the School District Chemical Hygiene Officer, the success or lack of success of our plan rests with all employees. This plan will be reviewed annually by the CHO/Safety Coordinator and will be updated as necessary.

167

Eye Wash Inventory and Test Record Form

Eye Washes are located in the following laboratory areas: Laboratory (Room Number) Test Record (dates of weekly

inspection)

168

YCS Emergency Shower Inventory and Test Record Form

Emergency Showers are located in the following laboratory areas: Laboratory (Room Number) Test Record (dates of monthly

inspections)

169

YCS Emergency Fume Hood Inventory Form

Fume hoods are located in the following laboratory areas: Laboratory (Room Number) Fume Hood I.D. Number

170

YCS Fume Hood Ventilation Testing

Laboratory fume hoods and local exhaust ventilation are used to control toxic or flammable vapors released during specified laboratory procedures. Instructional staffs are encouraged to use smaller quantities of hazardous chemicals whenever conditions permit their use. A listing of fume hoods is included in Appendix B.

Instructional staff are trained in the proper use of fume hoods and local exhaust systems prior to assignment and trained annually thereafter. They are responsible to use the hoods in accordance with training received. The School Appointed Chemical Hygiene Officer is responsible to enforce fume hood use requirements.

Local exhaust ventilation is provided for any experimental tables and a dedicated general ventilation system (HVAC system) is provided for the laboratories where potentially dangerous chemicals are used. A description of current laboratory hood performance and general ventilation parameters for each of these laboratories is maintained. Measurements of ventilation system performance are made on an ongoing basis according to the following schedule:

System Measurement(s) Frequency 1. Fume Hoods Face Velocities (fpm) Every 3 months 2. Others Exhaust Volume Every 3 months

The District Chemical Hygiene Officer and School Appointed Chemical Hygiene Officer are responsible for ensuring that these measurements are made regularly and that system performance problems are resolved promptly. The District Chemical Hygiene Officer will arrange for testing of the hoods.

171

Laboratory Ventilation Test Record Laboratory: Room Number____

Location/Test Date (month/day/year)

System Description Hood Face Velocity Measurement

172

YCS Fire Extinguishers Inventory Form Fire Extinguishers are located in the following areas:

Room # Location (example- Near door)

173

YCS Chemical Inventory Form computerize

Chemical Name Manufacturer SDS Sheet (yes/no)

174

YCS Student Laboratory Safety Rules Form Supplies” PURPOSE

Science is a hands-on laboratory class. You will be doing many laboratory activities which require the use of hazardous chemicals. Safety in the science classroom is a priority for students, teachers, and parents. To ensure a safe science classroom, a list of rules have been developed and provided. These rules must be followed at all times. The student and parent/guardian contract must be signed before you can participate in the laboratory. This copy is to be kept in your science notebook as a constant reminder of the safety rules.

GENERAL RULES 1. Conduct yourself in a responsible manner at all times in the laboratory. 2. Follow all written and verbal instructions carefully. If you do not understand a

direction or part of a procedure, ask the instructor before proceeding. 3. Never work alone. No student may work in the laboratory without an instructor

present. 4. Do not touch any equipment, chemicals, or other materials in the laboratory area until

you are instructed to do so. 5. Do not eat food, drink beverages, or chew gum in the laboratory. Do not use

laboratory glassware as containers for food or beverages. 6. Perform only those experiments authorized by the instructor. Never do anything in

the laboratory that is not called for in the laboratory procedures or by your instructor. Carefully follow all instructions, both written and oral. Unauthorized experiments are prohibited.

7. Be prepared for your work in the laboratory. Read all procedures thoroughly before entering the laboratory.

8. Never fool around in the laboratory. Horseplay, practical jokes, and pranks are dangerous and prohibited.

9. Observe good housekeeping practices. Work areas will be kept clean and tidy at all times. Bring only your laboratory instructions, worksheets, and/or reports to the work area. Other materials (books, purses, backpacks, etc.) will be stored in the classroom area.

10. Keep aisles clear. Push your chair under the desk when not in use. 11. Know the locations and operating procedures of all safety equipment including the

first aid kit, eyewash station, safety shower, fire extinguisher, and fire blanket. Know where the fire alarm and the exits are located.

12. Always work in a well-ventilated area. Use the fume hood when working with volatile substances or poisonous vapors. Never place your head into the fume hood.

13. Be alert and proceed with caution at all times in the laboratory. Notify the instructor immediately of any unsafe conditions you observe.

14. Dispose of all chemical waste properly. Never mix chemicals in sink drains. Sinks are to be used only for water and those solutions designated by the instructor. Solid chemicals, metals, matches, filter paper, and all other insoluble materials are to be disposed of in the proper waste containers, not in the sink. Check the label of all waste containers twice before adding your chemical waste to the container.

175

15. Students are not to bring chemicals into or out of the Science Laboratory. 16. NO Mercury is permitted in schools. NC&GS 1502 17. Read equipment instructions carefully before use. Set up and use the prescribed

apparatus as directed in the laboratory instructions or by your instructor. 18. Keep hands away from face, eyes, mouth and body while using chemicals or

preserved specimens. Wash your hands with soap and water after performing all experiments. Clean all work surfaces and equipment at the end of the experiment. Return all equipment clean and in working order to the proper storage area.

19. Monitor students in the laboratory at all times. You will be assigned a laboratory station at which to work. Do not wander around the room, distract other students, or interfere with the laboratory experiments of others.

20. Students are not permitted in the science storage room. 21. Know what to do if there is a fire drill during a laboratory period: containers must be

closed, gas valves turned off, fume hoods turned off, and any electrical equipment turned off.

22. Handle all living organisms used in a laboratory activity in a humane manner. Preserved biological materials are to be treated with respect and disposed of properly.

23. Always carry knives and sharp instruments with tips and points pointing down and away. Always cut away from your body. Never try to catch falling sharp instruments. Grasp sharp instruments only by the handles.

24. If you have a medical condition (e.g., allergies, pregnancy, etc.), check with your physician prior to working in lab. Inform your teacher of any medical conditions

CLOTHING 1. Wear laboratory goggles any time chemicals, heat, or glassware are used. Students

must be informed that there will be no exceptions to this rule! 2. Do not wear contact lenses in the laboratory unless you have permission from your

instructor. 3. Dress properly during a laboratory activity. Long hair, dangling jewelry, and loose or

baggy clothing are a hazard in the laboratory. Long hair must be tied back and dangling jewelry and loose or baggy clothing must be secured. Shoes must completely cover the foot. No sandals allowed.

4. Wear Lab aprons that have been provided during laboratory activities.

ACCIDENTS AND INJURIES 1. Report any accident (spill, breakage, etc.) or injury (cut, burn, etc.) to the instructor

immediately, no matter how trivial it may appear. 2. Yell out “Code one, Code one” immediately to get the instructor’s attention if you or

your lab partner are hurt. 3. Flush your eyes immediately with running water at the eyewash station or safety

shower for at least 20 minutes if a chemical splashes in your eye(s) or on your skin. Notify the instructor immediately.

176

HANDLING CHEMICALS

1. Consider all chemicals in the laboratory dangerous. Do not touch, taste, or smell any chemicals unless specifically instructed to do so. The proper technique for smelling chemical fumes will be demonstrated to you.

2. Check the label on chemical bottles twice before removing any of the contents. 3. Take only as much chemical as you need. 4. Never return unused chemicals to their original containers. 5. Never use mouth suction to fill a pipette. Use a rubber bulb or pipette pump. 6. Hold the containers away from your body when transferring reagents from one

container to another. 7. Acids must be handled with extreme care. You will be shown the proper method

for diluting strong acids. Lab teachers will do any dilution of strong acids. Students will only be able to dilute pre diluted acids. Always add acid to water, swirl or stir the solution and be careful of the heat produced, particularly with sulfuric acid.

8. Handle flammable hazardous liquids over a pan to contain spills. Never dispense flammable liquids anywhere near an open flame or source of heat.

9. Never remove chemicals or other materials from the laboratory area. 10. Take great care when transporting acids and other chemicals from one part of the

laboratory to another. Hold them securely and walk carefully.

HANDLING GLASSWARE AND EQUIPMENT 1. Carry glass tubing, especially long pieces, in a vertical position to minimize the

likelihood of breakage and injury. 2. Never handle broken glass with your bare hands. Use a brush and dustpan to clean

up broken glass. Place broken or waste glassware in the designated glass disposal container.

3. Always protect your hands with towels or cotton gloves when inserting glass tubing into, or removing it from, a rubber stopper. If a piece of glassware becomes “frozen” in a stopper, take it to your instructor for removal. Always lubricate glassware (tubing, thistle tubes, thermometers, etc.) before attempting to insert it in a stopper.

4. Fill wash bottles only with distilled water and use only as intended, e.g., rinsing glassware and equipment, or adding water to a container.

5. Grasp the plug, not the electrical cord when disconnecting an electrical appliance from its receptacle. Hands must be completely dry before touching an electrical switch, plug, or outlet.

6. Examine glassware before each use. Never use chipped or cracked glassware. Never use dirty glassware.

7. Report damaged electrical equipment immediately. Look for things such as frayed cords, exposed wires, and loose connections. Do not use damaged electrical equipment.

8. Ask the instructor for help on how to properly use a piece of equipment 9. Do not immerse hot glassware in cold water; it may shatter.

177

HEATING SUBSTANCES 1. Exercise extreme caution when using a burner. Take care that hair, clothing and

hands are a safe distance from the flame at all times. Do not put any substance into the flame unless specifically instructed to do so. Never reach over an exposed flame. Light gas burners only as instructed by the teacher. Never leave a lit burner unattended. Never leave anything that is being heated or is visibly reacting unattended. Always turn the burner or hot plate off when not in use.

2. Use the proper method of heating and boiling liquids in test tubes. Do not point the open end of a test tube being heated at yourself or anyone else.

3. Use caution with heated glassware, metals, or liquids. Heated metals and glass remain very hot for a long time. They will be set aside to cool and picked up with caution. Use tongs or heat-protective gloves if necessary.

4. Never look into a container that is being heated. 5. Do not place any hot apparatus directly on the laboratory desk. Always use an

insulating pad. Allow plenty of time for hot apparatus to cool before touching it. 6. Use care when bending glass. Allow time for glass to cool before further

handling, hot and cold glasses have the same visual appearance. Determine if an object is hot by bringing the back of your hand close to it prior to grasping it.

7. There will be a zero tolerance for inappropriate behavior by students in the lab. Any student in violation will be removed from the lab.

QUESTIONS Do you wear contact lenses? _ YES _ NO Are you color blind? _ YES _ NO Do you have allergies? _ YES _ NO Do you have any other relevant medical conditions? ___YES ___NO If so, list specific allergies ______________________________________ ____________________________________________________________ ____________________________________________________________ Student Signature____________________________________ Parent/Guardian Signature_____________________________ Please note any other medical problems that the instructor needs to be made aware _________________________________________________________________ Parent’s contact number in case of an emergency__________________________

178

YCS Student and Parent Safety Contract Form

Student Safety Contract I, ___________________________, (student’s name) have read and agree to follow all of the safety rules set forth in this contract. I realize that I must obey these rules to ensure my own safety, and that of my fellow students and instructors. I will cooperate to the fullest extent with my instructor and fellow students to maintain a safe lab environment. I will also closely follow the oral and written instructions provided by the instructor. I am aware that any violation of this safety contract that results in unsafe conduct in the laboratory or misbehavior on my part may result in me being removed from the laboratory, serving detention, receiving a failing grade, and/or my dismissal from the course. Student Signature_______________________ Date ____________________

179

Parent Safety Contract Dear Parent or Guardian: We feel that you must be informed regarding the school’s effort to create and maintain a safe science classroom/laboratory environment. With the cooperation of the instructors, parents, and students, a safety instruction program can eliminate, prevent, and correct possible hazards. You must be aware of the safety instructions your son/daughter will receive before engaging in any laboratory work. Please read the list of safety rules above. No student will be permitted to perform laboratory activities unless this contract is signed by both the student and parent/guardian and is on file with the teacher. The instructor will exercise zero tolerance for students who willfully disobey the safety rules of the laboratory. Your signature on this contract indicates that you have read this Student Safety Contract, and are aware of the measures taken to ensure the safety of your son/daughter in the science laboratory, and will instruct your son/daughter to uphold his/her agreement to follow these rules and procedures in the laboratory. Date:_________________________ Parent(s) Signature:________________________ ________________________

180

YCS STUDENT SAFETY CHECKLIST

This is to certify that I__________________, have been instructed in, and understand the following safety components of this science class. Safety Rules Use the lab only when directed to do so by the teacher ______ Never work with chemicals without checking labels carefully, and only when directed by the teacher ______ Place broken glass and disposables in appropriate designated containers ______ Report any accident, incident, or unsafe situation to the teacher ______ Never taste substances without teacher direction ______ Confine long hair and confine loose clothing whenever working with Flame or chemicals ______ Wash hands before leaving the lab ______ Location and proper use of the following safety equipment Fire extinguisher ______ Fire blanket ______ Eye protective devices (OSHA approved goggles, face shields) ______ Eyewash ______ Deluge/drench shower ______ Chemical dispensing containers ______ Information on ’Right-to-Know’ Laws ______ Safety Data Sheets (SDS) ______ Master shut-off for gas, electricity and water ______ Heat sources –correct use and location (Bunsen burner, alcohol lamps) ______ First-aid kit ______ Electrical equipment ______ Emergency telephone listing and location ______ Safety procedures for the following situations: Fire ______ Chemical splash to the body ______ Eye emergency ______ Chemical spill ______

181

YCS Science Lab Accident Forms

In their 1995 publication, “Safety in Academic Chemistry Laboratories” The Committee on Chemical Safety recommended the following: All accidents and near misses will be reported. Accidents resulting in even minor medical treatment or observation will be recorded. A formal, written report, stating the causes and consequences of each accident or near miss will be made to the designated authorities. Recommendations for the prevention of recurrences will be discussed with the safety officer. When a student causes an accident or a near miss, it is educationally useful to require a written report from the student that discusses not the cause but instead addresses how the student thinks it could have been prevented. This technique has been found to be especially useful in preventing laboratory accidents when the students know of this requirement in advance, from the first day of their introduction to laboratory work. Teachers will be familiar with their school's policies for reporting accidents. This will be discussed with students and a copy sent home to parents. If the school has not established such a policy, the following guidelines, and forms, are provided as recommendations. For Accidents Instructors Can Manage: 1. Assess the hazard that caused the injury and the degree of student injury. 2. Give appropriate first aid, but give no oral medications. 3. Take necessary precautions for dealing with bodily fluids if a student is bleeding. 4. Correct, if possible or appropriate, the hazard that caused the accident. 5. Complete the Accident/Incident Reports by persons having knowledge of the circumstances, while the specifics are still fresh in their minds. The reports can be valuable in preventing a similar situation and in protecting teachers from unfounded liability. For Accidents More than an Instructor Can Manage: 1. Assess the hazard that caused the injury and the degree of student injury. 2. Make the student comfortable. 3. Notify the school principal. 4. Notify the school nurse or other designated first-responder. 5. Complete the Accident/Incident Reports by persons having knowledge of the circumstances, while the specifics are still fresh in their minds. These can be valuable in preventing a similar situation and in protecting teachers from unfounded liability.

182

YCS Teacher Accident Report Form Teacher completing the report: _____________________________ Date of accident/incident: _____________________________ Time of the accident/incident: _____________________________ Location of the accident/incident: _____________________________ Staff/student(s) involved in the accident/incident: Staff (report attached) Student (report attached) ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ Teacher description of the accident/incident:______________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Immediate action taken to deal with the emergency: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Corrective action taken to avoid a repeat of the accident/incident in the future: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ _____________________ ___________________________________ (Date Report Completed) (Signature of Teacher Completing the Report)

183

Staff Witness Accident/Incident Report Form

Staff witness completing the report: _____________________________ Date of accident/incident: _____________________________________ Time of the accident/incident: __________________________________ Location of the accident/incident: ________________________________ Description of the accident/incident by witness: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ _________________________________________ ___________________ (Signature of Staff Witness Completing the Report) (Date Report Completed)

184

YCS Student Witness Accident/Incident Report Form

Student witness completing the report: _____________________________ Date of accident/incident: _______________________________________ Time of the accident/incident: ____________________________________ Location of the accident/incident:__________________________________ Description of the accident/incident by witness: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Date Report Completed___________________ Signature of Student Completing the report_______________________________

185

YCS Chemical Disposal Form

School__________________ Contact Person________________ Date Requested___________ Date Removed________________ Removed By____________________________________________

Chemical Name Quantity Location

186

Yadkin County Schools Chemical Justification Form Use a separate form for each requested chemical.

Prior approval required for each order of the requested chemical. Attach the appropriate MSDS Sheet.

Tab through the fields to easily fill in the information! Fill in this Column

Teacher

Phone

Email Address

School

Course

Level: Honors Level: Regular Level: AP

(e.g., yes) (e.g., no) (e.g., yes)

Chemical Name

Amount Needed

Hazard Ratings (1-4) Health Flammability Instability Special

Contact Code (1-4) column K

Waste Disposal Requirements

Experiment / Demonstration

Use Teacher Only Students

Purpose

Description of Experiment / Demonstration (include need for chemical and safety precautions)

Additional Information

Teacher (signature) Department Chairperson (signature) Principal (signature) Send completed form and MSDS to: LEA Officer (signature) Copies to: Teacher, Department Chairperson and Principal

187

APPENDIX (Created in separate document)

188

Crisis Plan (Created in separate document)

189